Latest Comments by Been there,done that

Been there,done that 60,061 Views

Joined Aug 4, '09. Posts: 5,824 (74% Liked) Likes: 23,236

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  • 1
    KelRN215 likes this.

    Quote from sunshineee
    This is the only class I am taking, I work full time to support myself. I've been out of school for awhile, I took a science class last semester to fulfill some of the prerequisites for nursing school and I got an A without any problem, so I thought it would be doable for Human Anatomy. But now I think I will have to do a do-over and work harder next semester. I don't think I will be able to get a B as a final grade for this class.
    Been there, done that. One course at a time is okay. You are going to have to pass anatomy sooner or later. You already paid for it, any passing grade will work.

    Let us know what your advisor says.

  • 1
    Crush likes this.

    Anatomy is a tough course. Were you carrying other tough courses? Only your academic advisor can answer this.

    Best wishes.

  • 1
    Ruby Vee likes this.

    Quote from Hospice_rn
    I agree with this 100%. OP needs to lose the "it's not my fault" attitude. It is absolutely without a doubt 200% your fault. Take responsibility for your actions. Your parents and boss are not required to take care of you. You needto develop some problem solving skills for any job you have in the future. Nobody appreciates an entitled brat
    Whew! Wish I would have said that. Spot on.

  • 1
    sallyrnrrt likes this.

    Not invisible. The young 'uns are smart and know who they can count on. It was always a pleasure to be a resource.

  • 22

    "After reading the Bible, I don't know if I should trust devout Christian nurses." After reading the bible, you could not trust anything.

    Nurses of any faith, agnostic , or atheist are way too busy to convert anything but milligrams to micrograms.

  • 0

    Two years is a long time, 10 K is a lot of money.

    It's difficult to start out in ICU. I am a smart chick, don't know if I could have succeeded.
    Check out the threads here on starting out in ICU.

    Best wishes.

  • 1
    Crush likes this.

    I have been, there done that. I would never have taken on the additional role of unit clerk.

    It is NOT your role to" teach, orient, and hold the hands of our newbies". Review your job description. You are there to assure the smooth functioning of the unit. It sounds like a tough one.

  • 0

    Quote from vintage_RN
    I've always wanted to learn and I've taken several workshops on interpretation but I find it's a very hard skill to master unless you're doing it every day. I am in critical care, but NICU....generally we aren't interpreting rhythms in the NICU unless the kid has a specific cardiac thing going on...but babies generally don't have arrhythmias, and if they do than they go to Peds CCU. I wish it was a skill we did and learned more often because I'm really interested in it!
    It's a great skill to learn. Just, be aware... you would not just be calling the rhythm, you will be responsible for instituting the correct treatment.. STAT.

  • 5

    If palliative care is ordered, you must follow the orders. I had a hard time, supporting the family emotionally. It is not easy to change your demeanor between attending a rapid response.. and providing hospice care to your next patient
    It was however, a highlight of my career.. when the family said to me.."you have such a comforting presence.. thanks for being here."

    Use your resources.. a palliative care team, the attending, and the hospital chaplain.

  • 2
    sallyrnrrt and Susie2310 like this.

    Quote from Grobyc82
    Very good advice. There is a course that im considering taking if my schedule opens up some free time. Whenever cardiologists are available ill ask them their two cents on a questionable rhythm strip. Heart blocks are interesting but I always seem to have doubts in myself with mobitz, and 3rd degree.
    The blocks are not that hard to learn. You should not have to remediate your teaching alone. I would NEVER ask a cardiologist to teach me on the fly. They expect us to know our stuff. They are way too busy to teach nurses.

  • 4
    Crush, brownbook, Hygiene Queen, and 1 other like this.

    Quote from NurseBSN007
    A leader in my facility has a lot of power due to their position they hold in the organization. It allows for unfair staffing issues within the organization due to this power. It causes a lot of condescending attitude towards myself and my staff by this leaders and everyone below this leader due to having control over staffing, house supervisor and all med/Surg units within the organization which make up the majority of the units in the hospital. It makes for a hostile environment for myself and the people who work for me.
    There is a whole lot of "leading "going on, but not real management. I have fought that fight.. and lost.
    Don't use the word " hostile". It's very hard to prove. Management knows what is going on, and is allowing this to continue.

    I chose to move on to better places.

    Best wishes, get outta Dodge.

  • 4

    Telemetry interpretation is a hard earned, ongoing learned skill. Took me 3 years , before I felt I knew my stuff. You must have had to pass a competency course from your facility. Consult with nursing education... tell them what you still need to learn. You need to know the determination of a block in seconds.

    As far as antiarrhythmic agents, if you are not comfortable with them yet, you have pharmacy, senior nurses and the ordering physician to use for your questions.

    Best of luck, it's a jungle out there.

  • 11
    FolksBtrippin, llg, mudd68, and 8 others like this.

    Beth needs a FMLA leave, might as well make it intermittent leave, as who knows what will happen in the future. FMLA takes a couple of weeks to process, but she will be covered in the long run.
    While Beth is recovering, she should start looking for another position, because being expected to cover yourself for unexpected surgery, is outrageous

  • 0

    Quote from Horseshoe
    Give me a break. "Almost all" thought she should walk to work? NO. Not "almost all." ONE. ONE PERSON said she should walk to work, and many of us expressed our disagreement with that.

    Geez. Hyperbole much?
    Best to not feed it.

  • 2
    Davey Do and brownbook like this.

    This is no longer a nursing problem, it is a doctor problem. Has the attending been notified? They will then have to deal, most patient's will listen if they hear it from a doctor.
    In the meantime, make sure management is also aware.. and document , document, document.