Fngrpntsnotasin 3,701 Views
Joined: Aug 30, '09;
Posts: 57 (44% Liked)
; Likes: 52
Well guys... I officially started trying to get my license back one year ago this month. I've been drug testing for one year. Been sober for 34 months. Surrendered my license in September 2011.. 5 1/2 months left of probation I'm proud of all I have overcome and glad that I have the opportunity to get my life back.
You can't fix stupid. It's basic nursing to read the med labels before you give a medication so, of course, the meds being sent home should have been checked before they were given out.
This. Med pass should not be interrupted.. I work in a snf/rehab, and am a rehab nurse.. I know the game, and play accordingly. I get last med times from report, know when they are due, and give them. However, if I haven't gotten to the particular patient yet, please, just know that this is standard procedure.. to know when they are due and to give them.. I was interrupted about 10 times the other day, finally talked to my DON... thank you for advocating for your nurses, Cape Cod Mermaid.
The problem seems to me that non-nursing staff interupt nurses for EVERYTHING. If a person is qualified to do OT or PT, then they are qualified to take someone to the bathroom, help them call their family, fluff the pillow or any of not critical thinking stuff. I totally got your point Mermaid, but it might have gotten a different response from other posters if you didn't use a pain example.
This might be something of a vent, but I am very tired of rehab people thinking they are the be all and end all of skilled care. I have rehab staff interrupt the med nurses for a variety of reasons and get ***** if the nurse doesn't drop what they're doing.
We have rehab people walk down the hall and say to the nurse , who is in the middle of a med pass, that the lady in room 15 has leg pain. They then stroll away without even making sure the nurse has heard. THEN they complain that the nurse did nothing with the information.
Really? Do any of them have a clue about the concentration needed to pass meds to 20 residents who take an average of 15 meds each?? One break in that concentration and a huge med error could occur. Our rehab manager seems to enjoy trying to throw the nurse under the bus. He only backs down when I intervene. I think I've had enough of this.
They look good, and I wish my scrubs were black. The red coat is way to much.
On another note, she looks like Carmen Sandiego. I am not making fun of the OP, and i think the scrubs are awesome on her. This must be announced that I have in fact found Carmen Sandiego!
Carmen Sandiego posted below for people who do not know who she is.
Seriously? After "almost a year" you should be feeling better about your own practice while being low-ego enough to recognize you're still a novice. There's no point whatsoever to comparing yourself to someone else. But you already know that.
I read recently that a lot of people who are in their twenties are showing up for therapy with a vague, unfocussed sense of inadequacy and impending failure as they looked around at their peers. The therapists are connecting a lot of these cases to a generation of parents who protected their kids from failure and disappointment, and as a result the kids have no sense of how to overcome any kind of failure or how to find themselves in a milieu where everything they do isn't praised. They don't even realize it, but that's how it works-- they feel uneasy, inadequate, but they don't quite know why.
Of course, rational people understand that the modern workplace isn't going to be like those parents. People are going to stand on their own feet, make their errors (and learn from them), not be the special snowflakes, and, in short, be resilient grownups. It's not necessarily their fault that they got in this pickle, but it's up to them to get out of it. This is what therapy is for. The good news is, there are a lot of savvy therapists who know what to do with this.
As a second thought: You are probably young enough that you don't have kids, but let me give you an analogy that might help. In our childbirth class we all bonded and continued to meet weekly for four years after our daughters (we all had girls, go figure) were born. As is natural, we each secretly compared our offspring to the other four.
One had beautiful thick hair from birth; the other was still wearing one of those stick-on bows at 18 months because she was still almost bald. One was up and crawling vigorously at 8 months, another not until after 10 months. One (a different one) was walking and running at 11 months. One ate anything, another was picky-picky-picky. One slept all night at 6 weeks (!) and another at two years (!). One was quite the talker, using 6-word sentences at two. One knew all the magnetic letters on the refrigerator at 15 months. One knew all the colors by 18 months (and one, we found out later, was color-blind, a rarity in girls but she had a colorblind dad and maternal grandpa).
You know what? By the time they were five they all had hair, ran, dressed themselves, slept all night, rode trikes or bikes (some were earlier than others on that one) talked a blue streak, and were pretty normal kids.
So with new grad nurses. Not everyone develops in the same way, at the same speed. Not everyone has the same experiences. Not everyone has the same character or personality. But absent real pathology, pretty much everybody makes it in the long(er) run. You will too.
This is where "fake it til you make it" comes in. Someday in the future, not too far off, you will be going home after work and discover that you did a great job and you knew it. Really. You will.
Now, going back to the beginning, as with any phobia or distortion of reality or lack of insight or vague problem-solving difficulty, if it's seriously getting in your way, no broad-experienced-based reassurance from an anonymous old bat on an online board is gonna mean squat, and you should consult a live therapist who can help you. Speaking from experience, an occasional tune-up is good for your car, good for your furnace, and good for your head to keep them all in good working order. The advantage to human therapists is that your head can learn to do its own tune-ups in a way your carburetor or your oil-burner never will.
"Old nurses are just so mean!"
"Young grads are really mean!"
"The doctors are mean!"
"My co-workers are mean!"
"The patients are demanding and mean!"
How many times have we heard these very words? How many times have we experienced one (or all) of the above? Are people really mean, or is our ability to communicate interpersonally broken down to the point that every interaction ends with someone who is mean?
I believe mean can be subjective. My huge disclaimer is the fact that YES, some people are just miserable. That if the miserable person you deal with (or dare I say deals with you) is in your personal life, please get help for that. The purpose of this article is to talk about work related "mean-ness" and how interpersonal skills can help one cope.
Interpersonal skills take confidence. A nurse really needs to listen, and to try and understand what another is saying. There are things a nurse can not "fix". And that is OK, and it is OK to say "I am sorry you feel that way" and move on. By listening and understanding doesn't mean that it necessarily takes a nurse to internalize the content of the words, take them to heart, and have them hurt her/him to the core. Remember my golden rule of interpersonal skills: Some people just have no filter. And they will probably never have a filter, never learn how to get a filter, so the choice at work is how you deal with others effectively, using your own filter. The only control you have in any situation is the control that you create.
You can understand that what we say and how we say it can really have bearing on the type of reaction we receive. There are variables to this. Different cultural and/or cognitive needs can make the most innocent communication go painfully bad very quickly. So we should be mindful that we need to be clear and concise. As funny as we all may believe we are, as serious a situation is, clear and to the point wording can make all the difference.
I can not stress how important listening is in any interaction. When as professionals we are under stress, hearing "it all" over and over again, it is easy to hear, but harder to listen. So in order to respond to anything appropriately, listening is key. We all share the same goal, even if to whom you are speaking with thinks otherwise.
Eye contact is important. Speaking clearly and without slang, loud tone, tense speech. If we can at least try to empathize with another's issues, it can diffuse a tough situation into a more manageable one. Nurses can command respect from co-workers, patients and others when the right amount of empathy, a bit of finesse in choosing words, and really a matter of saying "I don't know but will find out" (in other words, honesty) become part of a routine.
Then there is the art of negotiation. If you give a choice of 2 things, then one of them is bound to be permissable. This is important as you attempt to get to the shared goal.
Never be afraid to clarify. Saying "I am not sure why you are angry" goes back to the honesty part of things. The only things I know to be true is that one can only control their own actions, their own words, their own intent. But you can also control your reaction and/or non-reaction to others.
It is, in my opinion, an important part of nursing to have good interpersonal skills. My great-grandmother was a nurse in WWII. She was amazing. And I am fortunate that I had her in my life until I was an adult. Her words were always "manners, always." I take that advice to heart, and I urge others to do the same.
I am a happy LPN. I got my LPN late in life, because circumstances were all in place for me to do so. I was interested in increasing my clinical skill set. It was a perfect plan.
When I was younger, I graduated from High School with a goal in life of popping out babies and baking bread with a husband that would work. (To all you younger readers, this was a viable option in my day). I successfully raised kids, and when school time came, I was interested in something more. I was not an ideal student in high school, and took the local EMT course to perhaps do a little call, raise a few kids......even had the white picket fence. Then, family was ill and my parents sent me to CNA certification, and I spent some time with family taking care of them. Humbling, for sure.
I wouldn't call myself a "book smart" kind of a person. But show me, and I was right on it. To travel for an RN course of study, after many years out of school, and not the most ideal learner of abstract things read in books that then have to transpose to real life, was not on the table. My kids were reaching college age. It was their time. I took a job as a CNA at the local hospital. Life was good and I liked what I did.
Times change and so do values. The economy took a nose dive, I live in a geographically remote area, and it became obvious pretty quickly that I needed to go to an alternate level if I was going to be financially responsible in part to keep a roof. What work did for me was to give me a feeling of independence that I never knew. I could take care of things myself. It was liberating and enlightening.
I took 18 months of my life, made it work, went to a pilot LPN program in our area that seemed to come out of the blue, and continued to work in a different capacity in the same hospital I was employed at as a CNA. It allowed me a bit more pay, to focus on clinical skills that I love so much, and to be a different part of the same team.
Being an LPN is a good thing. It focuses on parts of nursing that may be most applicable to where you are in life. I have great admiration for RN's of every caliber. It is amazing to be able to increase your education to the highest level possible and I don't for a moment think that continuing one's education is a bad thing.
But for me, and many others like me, being an LPN is what we want to do. That is the end goal. It is what is comfortable, what the priority is, what the dream was and was realized. And that is ok. So no, not every LPN wants to continue on to become an RN. Some are happy right where they are.
Cancer, chemical spill, Steven Johnsons syndrome, flesh eating bacteria, fake streaky tanning lotion...
In the past I have told patients to stop cursing at me. I have also demanded that patients stop yelling at me.
I am cognizant that patients are not on their best behavior when they are sick, but I am not anyone's verbal punching bag, so I see nothing wrong with tactfully setting expectations on how future nurse/patient interactions will proceed.
No customer is going to get away with cursing, hollering, name-calling or making threats at the airport, bank, pancake restaurant, or hotel, no matter how bad they feel. However, the hospital allows bad behavior for the sake of 'customer service.'
I use "I" all the time because it seems like a silly thing to use third person, based on tradition more than anything. The attendings at my facility use "I" all the time, as in "I have personally examined this patient, and I concur with [insert resident's name]. " Can someone give a good reason--or any reason at all--why "I" is verboten in nurse's charting?
I know I'm going to sound like a negative Nellie..... but it seemed a bit like fluff to me. Of course, trailers are just broad overviews designed to catch attention. Maybe the actual movie will have more substance.
I agree with the hope that all facets of nursing be explored. I noticed the distinct lack of LTC and eldercare. I guess that's not as interesting as caring for pregnant women or sick babies or young women with breast cancer. Sorry if that sounds bitter, but it's really a shame such a huge portion of nursing gets consistently overlooked. Reflects on how our society values the aged, really.
putting aside the whole "LPNs are nurses too" subject (I think the OP learned her lesson), any LTC RN supervisor who has a LPN to pass meds has it made in the shade.
I think you all must work in really horrible places. For anyone to stoop to putting a post it on a person's body.....pitiful
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