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Been there,done that 37,644 Views

Joined Aug 4, '09. Posts: 5,185 (73% Liked) Likes: 19,676

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  • Feb 20

    From your description it's possible that the patient might have benefited from a higher level of care, but it's also possible that a higher level of care would have been inappropriate. The patient had a number of terminal conditions, none of which can be fixed with ICU care. For some patients that fit your description, avoiding ICU care and even going home while still having a high potential for death may be the most appropriate course of care.

  • Feb 16

    Happened to me! Jokes on them, I actually like this floor better. They couldn't pay me to go back.

    Even though the new floor is much better, the situation really ticked me off and I put out some applications and was offered another position in a different area (non-bedside).

    So I was hugely pissed and they could care less.

    When I turn in my notice I'll definitely give zero craps at the bind they will find themselves in trying to replace me in two weeks.

  • Feb 15

    Agree with the above. Don't let him get over on you. It's not ok and let him know it.

  • Feb 15

    From a nurse manager perspective - I'd really want to know if I hired a nurse who could not fulfill all job requirements. While it's OK to accommodate staff's religious/ethical beliefs or patient wishes, it is absolutely unacceptable to enable one staff member to feel that s/he can pawn off any undesirable tasks to coworkers. GRRR.

    So, I'd advise having a very blunt conversation with Golden Boy. Let him know that this behavior is not OK & you're not going to tolerate it. If he tries it again, be sure to include your manager in the discussion.

  • Feb 14

    Keep Moving!
    By Michele Bone BSN, MHS, RN

    Have you ever been at work and said to yourself: “I need to exercise, but have no time or energy to do it?” A majority of nurses work long hours and tiresome shifts. Nurses are too tired or have no time for exercising.

    I am a post-anesthesia care nurse who works long hours including being on call for patient care. I have a gym membership, but do not seem to find the energy or time to go to the gym. The sad thing is that the gym is only 10 minutes away from my hospital and open 24 hours a day.

    I began talking to fellow nurses to see if they would be interested in an exercise program. A program they could do at work that would not interrupt their nursing duties. There was an overwhelming “yes” to my question.

    As nurses, we may think the physical activity we get as we make our rounds from patient to patient is enough, but it is not. We need to add specific exercises designed to help keep us fit and decrease stress.

    I consulted a fellow nurse, who is also a body builder, and personal trainer on what exercises a nurse could do while at work. In addition, I spoke with my fellow nurses to see what kind of exercises they would be interested in doing. Together, we developed a list of exercises to help decrease stress, tone the body, and assist with the cardiovascular system.

    The following is a list of exercises starting from the top of the body:

    1. Neck and shoulder rolls. These can be done standing or sitting.
    2. Shadow boxing. One needs to be cautious when doing this. You do not want to accidently punch someone.
    3. Stretch arms in front of body, grab fingers, and lightly pull down fingers
    4. Stand tall and alternate left and right knees, bending knee up to chest
    5. Sit in chair, contract abdominal muscles
    6. Straight posture, shoulders back, back straight, chin up, and buttocks slightly tucked in- slowly bend as if you are going to sit in a chair- bend to comfortable level then stand up-repeat throughout the day
    7. Leg curls. Sit in a chair and bend leg up from knee- rotate legs
    8. Gluteal squeezes. Throughout the day, squeeze the buttocks and let go.
    9. Take the stairs instead of the elevator


    These exercises should be done with good posture and 8 to 12 times per set.
    According to the Center For Disease Control and Prevention, adults need an equivalent mix of moderate-intensity aerobic activity (i.e., brisk walking) and vigorous-intensity aerobic activity (i.e., jogging) and 2 or more days a week of muscle-strengthening activities.1The above activity is a good way to start to reach this goal.


    Nurses may not have free time or energy to exercise, but hopefully these exercises will help with relieving stress, toning, and the cardiovascular system until you are able to go to the gym. Few of us can take 20 uninterrupted minutes between patients to devote to these exercises. So try 5 minutes here, 10 minutes there until you reach 20 minutes.


    Remember, 20 minutes 3 times a week is your starting goal. Even if you don’t have that much time, spend the time you do have. This routine is a good start to reaching the goal that the Center for Disease Control and Prevention recommended for improving your health. Remember to check with your doctor before beginning any exercise routine. The important thing is to keep moving!

    ABOUT THE AUTHOR

    I have 26 years of nursing experience specializing in emergency room care and post-anesthesia care. I received my Bachelors of Science in Nursing from Florida State University and my Masters of Science in Health Services with an emphasis on Wellness Promotion from Independence University. The combination of the two degrees in nursing/wellness and my interest in fitness have inspired me to write this article to help other nurses find ways to keep healthy.

    Reference:

    1. How much physical activity do adults need? (n.d.). Retrieved from How much physical activity do adults need?


    | Physical Activity | CDC

  • Feb 14

    Lol all the time. I even cared for the doc that delivered me 40+ years ago. I have asked for a different assignment if I felt it would be awkward.

  • Feb 13

    https://www.google.com/url?sa=t&sour...jtvfnGP_UlkifA

    Quote from Been there,done that
    You must have been exhausted = time for a mental health day. Had a nurse call of in the Blackout of 2004, her garage door opener did not work . This ICU nurse could not figure out how to open the door manually. NOT an excuse per administration.

    Be well.
    Thanks to Google, now I know

  • Feb 13

    Quote from cleback
    This sounds like a nursing unicorn. I'm intrigued. What does an RN do in a corporate setting? Is it more like consulting work?
    Not a unicorn, just a lonely horse that is ignored and stuck out behind the barn.

    Nurses are hired for all sorts of roles from medical complaints, clinical research, technical writer, clinical consultant, product development, project manager, marketing, education, sales, field support etc.

    Companies generally have a very hard time hiring nurses because no one thinks to apply and have a difficult time transitioning into a more "corporate" mindset.

    For example, nurses will continue to use clinical resumes that list how you are ECMO certified, have you ACLS etc...not realizing they are applying to a position that is looking for skills other than clinical such as communication. Small example but a very common misunderstanding.

    Most of the "industry" nurses you will meet are field support nurses who educate on products and give in-services. These are the most hospital facing but lowest seniority nurses. Still generally make over $100k.

  • Feb 13

    I would never think of doing this to a colleague, no matter which gender.

  • Feb 13

    If there's anything I've learned from years of living with bipolar disorder, it's this: if you don't have your mental health, you've got nothing.

    I've also learned that we often lack insight into our condition and don't see clearly what we need to do to be healthy. You have insight, but even knowing that you need to stop what you're doing STAT, you are still trying to figure out a way to maneuver things so you don't have to take leave from both jobs. I hate to say it, but you are in bad shape and I don't think you should be taking care of patients right now. I totally understand; I had to retire and go on disability when my illness got so out of control that I was unsafe at any speed. Towards the end of my career, my anxiety was off the charts and I was either flying-off-the-walls manic (I have bipolar 1) or in the pit of despair; there was no middle ground.

    I did the best I could, but I was unfocused, easily distracted, over-amped. I made several minor med errors and was erratic in my charting. One day, I came within a whisker of committing a serious med error that could have cost my patient his life, and when I walked out of the facility after my shift was over, I didn't go back. (Well, I did go in to do quality control work for management and admit patients for rehab, but I never worked on the floor as a nurse again.)

    It shouldn't have been this way. I was getting excellent psychiatric care and taking five medications daily, but it wasn't enough. I had so much anxiety built up that I was afraid to continue in my much-loved career.

    Don't let this go so far that you burn out like I did. You need time off to work on your mental health issues before you break down completely. Please get the ball rolling, and yes, take time off BOTH jobs. It's crucial to your well-being.

    Wishing you the very best. Keep us posted as to how you're doing.

  • Feb 13

    I suggest you take at least two weeks mental health leave from both jobs to get your feet under you. Don't make a decision about quitting until that time is up. Hopefully the solution will become clearer when you are away from the situation. I would NOT work one while on leave from the other, someone is bound to find out and take offense.

  • Feb 13

    Yes, you sound temperamentally unsuited for your job.

    Personally, I think the rise and all these anxiety disorders is a direct result of our crazy society and modern culture.

    Recognize that you are very sane and having a natural response to an insane world. Money isn't everything, I think you should find a less stressful job that you are suited for.

  • Feb 13

    25 bucks an hour is better than zero bucks an hour. Just saying. Also allows you to get experience and out of the new grad jail.

  • Feb 13

    You're handcuffing yourself with your qualifiers. Smaller cities tend to be more welcoming of ADN nurses. If you limit yourself like this- you'll have much less to choose from.

  • Feb 11

    Actually enforcing an attendance policy. When people know they can abuse it, they will. My wife is running through this right now with the clinic she runs. the person before her let them do basically whatever they wanted.


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