freki 3,279 Views
Joined: Dec 8, '09;
Posts: 45 (22% Liked)
; Likes: 26
We must all have short term memory loss- somebody came up with the idea that a hospital should be like a hotel- patients became guests. Around this same time we were told "Pain is the 5th vital sign" and administrators gave us "No Pain" buttons, and said that the goal for patients was no pain.
Prescriptions were written, and the bar was set. Now like magicians first line clinicians are supposed to change the culture of addiction, without resources. We demonize these patients that we helped to create instead of having a real alternative to their suffering.
Look, the ER doesn't want anyone to come through the door so don't base anything on an ER nurse opinion. You did the right thing
I'm curious what prompted you looking into this? We generally have no issue getting iv's on kids, and if we go the iv route, 99% of the time we are drawing blood anyways so they are getting a poke regardless. I have done the subq hydration successfully with my ferrets, but this is another issue entirely.
To be fair, I have no idea what hyaluranidase is. I will go Google now
Holy Flashback Batman! We used to do this on inpatients in the 70s! Can't help you with anything current, but back in the Dark Ages, it was highly effective. Back then, the only IVs were steel needles. Keeping an IV in long-term (i.e. over 12 hours) was a nightmare. With the advent of flexible angiocaths, this procedure largely disappeared.
I know, I'm a fossil.......
I think that it is selfish and entitled to believe that because YOU have insurance that people who do not should just suck it up or die. A previous poster compared healthcare or an education to cable TV and owning two cars. That attitude represents a sickness in this country that universal healthcare coverage cannot fix.
I don't care to choose a side for this debate, but here's my story:
preface: I'm a veteran and a single mom. My son's dad is nowhere around and pays no support, so for me childcare for work and school all has to be paid for by me. Some people at work have another adult at home to stay with their kids, or they work when their kids are at their other parent's house. Not me, it's just me and my 8 year old son. (I have 2 older kids, but no longer living with me, my daughter has her own family and my son followed my footsteps and joined the Navy).
Story: After the military, I have worked various customer service and waitressing jobs. I started school to become a nurse and soon after, divorce was filed and I was on my own. I applied for medicare for my son when my ex moved away and lost his insurance (I didn't apply for myself, I qualify for VA care, but I don't think my state gives medicaid to non-pregnant adults between the ages of 18-65 anyway.) When I applied, they told me I was well under the poverty line and qualified for food stamps as well and gave them to me. (Yay for us, we were able to eat more than just ramen!) I continued school and waitressing for the rest of my sophomore year. In the summer, I landed a student nurse/aide job at the hospital, I was SO excited. By the end of Summer though, I was dropped from public assistance because I made too much money. During the school year, I can't work a lot of hours, clinical schedules are hectic and I hardly see my son or keep up on schoolwork as it is. I reapplied for medical assistance for my son. I didn't ask for the foodstamps (again, I never asked the first time) but was declined the medicaid because the state feels I am able to work like I did during the Summer since I still hold the position and the hours are available for me to work. Over the next Summer, my work wanted me to work overnights. I couldn't get childcare for 20 hours a day (12 hr overnight shift then 6-8 hrs of daytime sleeping) so I was not able to maintain full time hours. We are broke, but I figure it out and we get by with no help from public assistance. I use school loans to supplement my income. To heat our house. To pay for my son's vaccines. To buy lots of brown rice because it's cheap and healthy. We don't have cable TV and I use a prepaid cell-phone. I drive a 17 year old car to and from my clinicals, with my brown bag lunch in the seat next to me. I will graduate this upcoming May and at the rate I spend/save now will be able to return some loan money and start paying the rest off and will get health insurance through my employer. We'll still eat rice.
So, now, on to mandatory healthcare: If I had mandatory healthcare, my son wouldn't have missed his well child checkup last year. At least I have enough clinical skills to be able to know he's pretty healthy. But then again, if we move to a 'healthcare as a right' system, how will that affect HCPs pay? I certainly didn't get into nursing for the money, but I am going to rely on half my paycheck to pay off my student loans so I for one certainly can't afford a pay cut if one comes.
It's a vicious circle, a double edged sword. As a user of the system, a victim of the system, and a victor over the system, I know reform is required, I just don't know where it must begin.
And I don't want to hear that some people cant afford it. The ones who TRULY can't afford it qualify for medicaid.
Many of us choose to join the specialty associations such as the ENA - Emergency Nurses Assoc. here is a list that a simple google search found, there are ALOT out there
So can obnoxious use of perfume or.., I dunno.... Springtime?
The majority of RNs in the U.S. are educated at the associates degree level, and a significant number of nurses are LPNs/LVNs. As long as the ANA continues to alienate these two massive segments of the nursing workforce, the ANA is going to continue to have relatively low membership numbers. This organization should be doing more to promote unity instead of separation and division of labor.
Always remember that united we stand and divided we fall.
I think it is important to be a member of a professional organization. However, I think the low enrollment stems from the “what is the organization going to do for me” mentality. You are asking for a yearly fee to join the organization. Generally, people want to see something tangible for their investment. I read the subscriptions that come in the mail as it helps me to stay abreast upon current research. However, others don’t see the value in the same way as I do.
So, the question is how you can increase the number of participants in your school’s organization. Simple, illustrate how it will personally benefit them. To say, “you will have a voice in some of the campus decisions” will not be enough. Do some research on the topic. For example, do those who join school nursing organizations secure more desirable employment and at a quicker rate than those who don’t? Are nurses who are members of ANA chosen for promotions over those who are not members?
You will have to show something tangible to pursue people to join. When my school promoted the school organization, the only marketing tactic used was the fact that our input would be taken into consideration while developing policies and procedures. If my vote doesn’t hold an equal amount of weight, what is the point of joining?
So, tonight I was talking about the classes I'll be taking this fall at my local community college (one of which is chemistry which I'm a little nervous about since I've never had a chemistry class before) with my wonderful bachelor's degree holding partner who, in an attempt to ease my anxiety makes the comment "Well, it's just at a community college so the class should be pretty easy." Wrong thing to say honey...
It did however get me to thinking about the general attitudes that people have towards not only community colleges but also to vocational/trade schools. That those of us who go to such institutions are intellectually inadequate and wouldn't be able to handle the academic rigors of a 4 year college or university. This attitude is completely inaccurate, after all if my classes were so EASY then the 4 year colleges and universities in my area wouldn't have an articulation agreement which honors the credits I take at the community college. It is a different atmosphere in a community college of course, but that doesn't mean I don't have to learn the material and learn it well in order to pass.
I remember in high school when I decided to enter the Practical Nursing program at the vocational school how I received criticism, statements such as "Well, you need to go to a 4 year college, anything less is for people who are stupid." and even now when I tell people I'm an LPN and that I've been at a community college taking classes I'm greeted with a concerned expression, a half smile, and a polite nod. A voice bubble might as well pop up above their head saying, "Well, since you're a failure at life and this is all you have, I'll be happy for you." after all since I'm going to a community college it means I can't handle REAL academics.
It may sound as though I'm jealous of those who get to receive a university education and have a bachelor's degree or above and are the same age as myself. And, yes, at times I am jealous because I would have loved to have had the same experience. But that simply just wasn't my path, one day I will "pull my time" in a four year college, my path will take me there, just not yet.
I believe no matter your credentials, whether you're doctorate degree holding FNP or a certificate holding CNA that you should be incredibly proud. Whether you're bachelor's prepared RN or a diploma holding LPN you should be proud. Because all levels of education should be revered and respected and valued. I don't feel ashamed of not already being a Registered Nurse or a college graduate nor do I have any regret at first becoming a CNA and then becoming an LPN because I still am helping people and I am still living my dream and that dream was to be independent. If you're a BSN or an ADN be PROUD of it no matter what your credentials are because you earned them.
College graduates face really discouraging odds. Many are unemployed, many more are employed in something other than their field of study, and many still are up to their eyeballs in debt. My partner for instance has a bachelor's degree yet works in job making a little over minimum wage. That is why I chose the path I did. When I was 17 and I enrolled in the LPN program, I knew due to my personal and financial circumstances that I couldn't afford to go to college just yet, I needed to be self sufficient and going to a trade school and later to a community college would allow me to do that. It wasn't the right choice for everyone but it was for me, and because of that I can pay for my school one semester at a time while minimizing and most semesters avoiding student loans, not to mention a few years head start on 401k versus my peers and that feels really good.
A dear friend of mine always wanted to be a mechanic, her family, peers, etc were not supportive "only stupid people do something like that" so instead she got 2 bachelor's degrees, is jobless, and owes thousands of dollars in student loans. All this because her dream was too "stupid" in the eyes of her parents and everyone else. Side not, I know many mechanics who make more money than I do and they're all pretty happy. I think the attitude that you go to college to "make a better life for yourself" isn't always accurate. We shouldn't be telling our children that they have to go to college in order to be considered intelligent or successful. We should be telling them that in this world success isn't defined by your credentials or where you went to school or how much money you make, it's defined by getting out of life what you make of it and what you want from it. Do what you love people, whether you're a CNA or a Medical Doctor, do what you love and love what you do and be proud but above all else never assume that someone is stupid simply because their education is different from yours.
Whew... feels good to get that out.
Oh and my partner quickly apologized for what he said. Probably had something to do with the fact I spouted off this little speech in the course of sixty seconds after his comment.
oh, + oxygen therapy and I/O stuff...
Lab reference: I have the Mosby's one and I like it...but the Davis' one sounds like it would be better because it supposedly has nursing implications.
I'm starting my RN program next week and I am just wanting to get everyone's opinion on these books.
For a medical dictionary we can choose:
Mosby's Dictionary of Medicine, Nursing & Health Professions
Taber's Cyclopedic Medical Dictionary
Mosby's Diagnostic and Laboratory Test Reference
Davis's Comprehensive Handbook of Laboratory and Diagnostic Tests with Nursing Implications
Mosby's Nursing Drug Reference
Davis's Drug Guide for Nurses
Any input on these books I can get would be helpful. I'm kind of leaning towards Taber for dictionary, Davis for labs, and Mosby for drug book...but I'm fairly open at this point. Thanks everyone, I know you'll come through for me!
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