Been there,done that 62,179 Views
Joined: Aug 4, '09;
Posts: 5,894 (74% Liked)
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Don't communicate with these people. Never faced this but I have to think I would have a lawyer send them whatever kind of letter is appropriate regarding their malicious and defamatory false allegations. ASAP.
Again, if you have ongoing health issues, you should set up intermittent FMLA so that your absences related to your health issue won't be counted against you in their absence policy.
Yeah that's a silly rule. Sick days are for calling in sick. Getting a disciplinary action for the flu is just stupid
Sure you can force a confused patient to take his/her medications. It's also called "assault" or "how to loose your license in 3 Easy Steps!"
It is not hard to sign up with an agency except for the endless documentation stuff. And you will be able to find agencies that will "sign" you with only one year of experience, but there are a ton of reasons why you don't want to do that. For starters, why would an agency or hospital take a one year nurse when there are lots of more experienced medsurg nurses out there, and perhaps most already with travel experience (also important)? The cost to the hospital for you or a 10 year nurse is exactly the same. Your chances of landing in a bad situation and failing at an assignment no one else will take increases exponentially. You don't want that.
To maximize your value to agencies and hospitals and competitiveness, get at least two years of experience, and as many certifications as you can, especially tele.
Yes they can, despite being confused, you can not "force" anything on anybody. It is outlined in the patient bill of rights.
I just started a job fresh out of nursing school as a psyche nurse, and I have a couple of concerns. First of all I don't use my nursing skills that I learned in school. I don't even pass meds. The LPNs do that. We basically sit in the back and type on an old DOS system, and do paper charting. I have some graduate work under my belt in Counseling, but I don't use any of it as a psyche nurse. They also put me working graveyard, which means that I don't even see patients at all. I tend to be rather hyperactive despite my age (55), and this is boring.
I will be starting a leadership Master's Degree in the Fall, and my current job is working as basically a charge nurse on a psychiatric ward.
Further, there seems to be some horizontal violence in regards to --NOT the Nurses-- but the CNAs (they don't even have a CNA, but they are similar) tend to bully the nurses. I have been on the floor for two weeks and every ward I have had to deal with a loud, obnoxious, bullying Tech. I had heard that nurses do that, but I never expected this from Techs.
Any ideas that would be helpful?
I would go with PTA. I've worked with numerous PTA's and they make slightly less than nurses, but it's not nearly as stressful and you essentially work "normal" hours. If I could travel back 11 years in time I would have gone the PTA or COTA route.
Just a question as to what other nurses and management think. How much mandatory call is ok? When working 3-12 hour shifts or possibly 2 for part time people what is a reasonable # of 12 hour call shifts. Most likely they will be worked but if not worked you are still on call for the day to be in within 30 minutes if called.
When you arrive to a call and the state police is in the yard on their kness puking - that's a sign you are going to need speciality equipment.
I've used SCBA in the field. And always used a thick moisturizing minty lip balm (double duty!). Gotta wonder why we don't have some abbreviated version of that for use in the hospital? Lol.
It would protect against badness (germ warfare and funky).
MY TIPS!!! Essential oils (peppermint, eucalyptus) just a drop on a on 2x2 in high end N95 filtration (rigid) masks. Used on helo. Suck on an Altoids. I also had success with a pair of nose clips like you use in the pool under the mask (cut straps off, bought several pair -- straps breach mask) left in back of drug box.
It's just the nature of Mother Nature that things smell bad. We are aerobic beings. Oxygen plus disease equals funky badness.
My WORST !!!
I nasally intubated a patient on Thanksgiving in 1995 (yes, I remember the day) - I "hit" an area of abscess in this patient's lung and approx 300 ml of infection the consistency of buttercream frosting started coming out that Endotrol tube (I made a practice of squeezing on it a bit to assure I was NOT in the esophagus as the esophagus would create suction/collapse and stick to the end of the tube - a quick secondary confirmation technique, as nasal placement is "blind") - I was sure I was "in" as my patient all but sucked the tube out of my hand, but, ever deliberate me ----
Now I have this FUNKY FROSTING flying out of this nasal ET tube. And it smelled worse than funk, noise & death. And I've smelled lots of death. Even funky noisy deaths. I grabbed a specimen bag and contained most of it, I sure as hell wasn't going to try to suction whatever this was and I just pulled the tube. Tossed a 100% Non-rebreather Mask on my patient for a bit as they start to look a bit better. Cause I am NOT ventilating that FUNKY FROSTING back into that patient's lungs even if I could, which I could not - which now, I'm vomiting in the wheel well of the ambulance. It seemed like it took forever, but prolly less than 30 seconds including my puking.
I would still need to tube my patient as their respiratory effort was failing, but getting that abscess out likely saved their life. Had been sick for a couple weeks, refused to seek care, hit the wall. I had never pulled a patent airway before - but, FUNKY FROSTING fixed that.
The patient and their family had known me most of my life - after I got my patient ventilated/oxygenated, their mental status improved for the 40 minute transport. I was so freaking sick from the smell, I spent most of the transport intermittently puking, gagging, with a wet wash cloth on my face - it was bad. The patient even held my hand. I was kinda embarrassed. Only slightly though.
The ER nurse at the hospital acted like I killed someone - "you are not allowed to pull a ET tube, never". I just stood there, let the freak out stop after I gave report. Ok, whatever. Here, let me get that one ET I pulled for ya! I went and dug it out of the ambo's trash and laid it on the nurses desk. Enough said. Any questions? Didn't think so. Have a nice day. My medical director winked at me on the way out the door.
I was still too green around the gills and peaked to bother.
i have question can we mix diclofenac ,zofran, vitamin b complex and vitamin c together in same iv bag??
Oooo, I forgot about gangrene...ugh. That's almost as bad as GI bleed for me. Funny how you can remember these smells years after your career is over...it's like they leave a permanent odor in your nose. Eww.
You sound just as excited about them as I am about state surveyors showing up at my facility
A: Thoughts and Prayers
B: ZDoggMD famously said "The Joint Commission" sounds like a marijuana dispensary.
All Nurses have dealt with strong and/or offensive odors at some point in their careers. There are many things you can do to help prepare yourself in this situation. Here are just a few:
#1 Mask odors by placing a little menthol-containing products (like Vicks) on the upper lip; use scented lip products with peppermint, lavender, etc.
#2 Try breathing through the mouth (although, if you have a strong gag-reflex, this might not be such a good idea).
#3 Identify certain illnesses that have characteristic odors ahead of time and get yourself mentally prepared.
#4 Some Nurses have even tried hypnotic therapy.
What has worked for you??
Thank you NurseCard for the winning caption. You won $100!
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