tewdles 18,866 Views
Joined Jul 10, '09.
Posts: 4,880 (60% Liked)
My manager would call them and speak about the language and interpersonal expectations of the hospice. Heck, I would be speaking with them about that...life is too short to tolerate abuse.
Those admission visits are flipping annoying as all get out...especially when being done on OT...which is how I do them.
I completely understand the pressure out marketing people have...and thank god for the work they do or I might not have a caseload. But seriously, there ought to be some deal breakers, even for them.
I am dismayed that the nurse who had a legal medical marijuana card was not hired because of it...
Would that also have been true if the nurse had tested postive for ativan or some other med for which he/she had an RX?
Like the other medications included on the drug screens, marijuana actually has proven medical benefit for some people in some circumstances, often with fewer side effects than other more "traditional" medications.
Very curious about something. I'm new to inpatient hospice and have only had 4 deaths so far. Two of the patients had a single tear. One of those patients, the niece saw her previously unresponsive aunt open her eyes wide focusing on something in front of her (not looking at her niece) then took her last few breaths. That's when I arrived I saw her tear. The other nonresponsive patient that passed did not have anyone in the room at the time, so I don't know if he opened his eyes or not, but did have the same single tear. Is this common, and do you think they are seeing something so beautiful it causes a tear, or do you think it's caused by fear/pain? Thank you in advance for your responses.
Sounds like a couple of posters on this thread need to review Jean Watson's work...
It is important to have good boundaries when it comes to work. Time off is one of the important boundaries.
You are apparently working for people who know more about managing things other than people. Therefore, you cannot rely on your management team to care about you or how the job affects you. The fact that the unit is constantly short staffed is evidence of the managerial disregard for the professional nursing staff. Folks, like yourself, who care enough about the patients (and their co-workers) to sacrifice self...again and again.
Trouble is, with that "business plan" - in your setting, the management will continually burn out the staff resulting in the chronic understaffing. I would bet that the morale on your unit is not great...maybe okay, because of the professionalism of the staff perhaps. Perhaps I am wrong...I hope so.
Please just take care of yourself. You can have a long a varied nursing career which will support you financially and reward you emotionally and spiritually...if you take care of yourself!
Thank you for breaking a stupid rule...
Don't you have care conferences with this spouse and the care team?
No. I'm an idiot. I had no idea.
And your argument is for the HR dept who withdrew their offer to the nurse, not me.
So the assumption is that if a nurse has a mj card, all legal and everything, that the nurse is getting high and working?
I was the manager of the PICU and I had to make an introduction at a multidisciplinary staff meeting. The room was packed with all levels of professional staff. Most of them well known to me and visa versa. I am quite sure I was very eloquent, but when I tried to sit down my chair rolled away.
What followed was a cartoonish butt heavy crash to the floor followed by my feet flying into the air, nearly over my head. The fact that I was wearing a skirt added to the hysteria. We couldn't continue the meeting for about 10 minutes!
I think that is now part of the orientation for new department managers...don't use chairs on wheels during important meetings.
I will offer up some encouragement from an old nurse who is not a substance abuser and has never personally experienced your difficulty...but I have walked alongside of a couple of friends/colleagues who have. Please know that there is still a place for you in your chosen profession, after you get well. Know also that there are many of us who will not judge you but will try very hard to support you in your efforts to practice nursing while remaining "sober".
I wish you the best of luck. I pray that you find a friend or two in your professional life who can help you with your self care goals.
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