Kooky Korky 15,747 Views
Joined Feb 12, '10.
Posts: 2,685 (51% Liked)
I think you handled it well, but that doesn't mean she got the answer she wanted, and it could affect your job prospects. Illegal or not (and it most definitely was), if you don't get the job, how in the world could you prove it was due to religion? She can always say she didn't think you'd be a good fit, someone else was more qualified, etc. In some areas of the country, and in some facilities, your religion can definitely give you a huge leg up. If it's an LDS (or Seventh Day Adventist, or Catholic or whatever) facility, some nurse managers are honestly going to prefer the idea of a nice Mormon (or SDA or Catholic or whatever) over an equally qualified Wiccan or whatever. And in this job market they can be choosy.
Neither Tylenol nor Enoxaparin are NSAIDs.
Tylenol and Enoxaprin are both NSAIDS and with the warfarin and morphine she is high risk for bleeding.
She has been evaluated and dr has recommended inpatient treatment. I just found out today that the family's insurance will cover this. That was a big relief for the parents. I am not sure of the exact date she will be going in, but I am so happy that she will finally getting the help that she needs.
If you were told what were the concerns, areas of improvement and what to do, then just do your very best, follow directions and give yourself at least a year to grow and learn.
- call your NM and ask for a meeting. Leave day/time choice for her "so that it would be comfortable".
- state that you thought a lot, you love what you are doing, you know that as a new grad you have a lot to learn, blah, blah, blah
- ask directly what you did wrong, what were concerns, etc. Ask for details and expectations
- state that you understand what you missed and know how to improve
- propose something to help yourself; ask, for one example, about being paired with experienced RN. Leave choice for NM "as she knows who is the best teacher"
- ask what they can do to help you.
If you get constructive criticism, substanciated responces and help, then just do your best. If not, dust off your resume and submit your 2-weeks note. It sounds terrible, but helping a new grad is a part of NM job, and if she refuses to do it, it means that they gave up on you already and just waiting for you do make a mistake or make things up. At least you will avoid termination with all its sequela and be able to honestly say that the place was not a good fit for a new grad. It is better to look as job hopper than to go through full-blown "building of paper trail".
If you go the latter way, avoid any setting where you will be expected to be alone in the field. Hospice (as well as home cate) is NOT a good place for a new grad with no experience. You may do just fine on less acute or specialty med/surg floor. Other alternatives are subacute rehab, non-acute LTACH and LTC (providing you will not be a single RN on the floor).
Did your NM give you constructive criticism or just that suggestion? I suggest going back to your NM and stating that you want to grow in this position and ask for specifics that you can work on. Ask for a mentor that you can refer to on your shifts, someone with experience that won't be put off by your questions. I feel like a broken record, but I need to tell you that the NCLEX system puts new nurses at a disadvantage. Employers see you as a licensed nurse, not a new nurse. That means teachable moments become disciplinary issues and you are forced to fake it until you make it. Mistakes are to be expected when you are new, and putting you on FT nights, with little direct oversight, is on them, not you. Nursing is a career, and despite what nursing agencies tell you, you are really not experienced until you have three years, preferably the same type of nursing, under your belt. One night does not define your career and sometimes even a seasoned nurse may not be spot on. Don't beat yourself up.
In my state a bowel impaction is considered a sentinel event and has to be reported as a vulnerable adult report.
I don't see that the OP did anything wrong, though 11 days is way too long for previous nurses to not have been more proactive.
I don't think his complaint as described is justified but I do think he would be reasonable in complaining about the patient's lack of management preceding this avoidable ED visit.
Interesting as I just started taking low dose metformin and can't stop farting. No matter how discrete I try to be they just come ripping out. If this doesn't change I'll have to find another med. A few years back when Wellbutrin went generic we saw a big rise in suicidality in our stable depression patients. When we put them back on thename brand they improved.
Thanks for your observation! I brought up the nurses eating their young thing because I myself was bullied by other (younger!) nurses as a new grad. I've also watched (a very few) nurses bullying other, less confident nurses. It is such an unnecessary distraction, and I suspect it may be why we have such a high turnover rate, at least in a hospital setting. That said, I now work with amazing, almost heroic nurses. But I digress. These posts will not be about me. I will ultimately yield to what the community itself says it wants (or doesn't want) to see covered.
If this schedule isn't working for you and you've noticed you're exhausted after doing it for just one week, then I would seriously re-think this. Something that I've learned and am still very upset about it, I let unfair scheduling on my unit negatively effect me but positively impact others. You might get stuck working this schedule and be miserable. Not to mention that Tuesday is really just a fake day off because you're going to be tired and want to sleep or lounge most of the day since you worked the night before. My mom is a Nurse and has always told me "Remember, to the hospital, you're just a body. Everybody is replaceable." My mom is very straight-forward and just tells you the truth. And now after many years, I understand what she meant!
I did great things where I worked. I stayed faithful to one unit for 7 years, never complained, never had a complaint from a patient, I made patients happy and confident in our unit when they were requesting to transfer to another unit because they didn't find the nurses on my unit to be compassionate or knowledgeable, I had patients write so many letters to my nurse manager and the hospital's president, I was part of our Magnet designation process, but none of that mattered. My body started to get sick from all the unfair rotating, I would rotate Ams and PMs the same week and have "fake" days off, I was constantly staying later than my scheduled shift because the unit was so busy and acute and I was in charge and couldn't just leave. I have an autoimmune disease that didn't like my body rotating like this and doing so much extra with little gas to power my weakened engine. My doctors told me to stop rotating or my treatments would be pointless because my body needed to be strong. I had 4 doctors/specialists write letters explaining my condition and I took them to my hospital's Occupational Health and they approved me to just to AM shifts but it was up to my unit's nurse manager to officially approve it. I took the paperwork to my nurse manager who I worked closely with for 7 years and she knew how good of a nurse I was and she said to me "I cannot accommodate this request, you have 12 weeks to find a new job." Talk about shock and heartbroken! Yet there were people on my unit that didn't have a medical accommodation and didn't rotate just because they don't want to and my nurse manager let them not rotate! This proved to me that I was just a body and I was replaceable. It didn't matter all the good things I did. I sucked-up the unfair scheduling for 7 years and never said a word until it literally made me sick and then it was like "Oh well."
If I could turn back time I would have spoken-up more and stood my ground because I am my own advocate. If you speak-up and say that this schedule really doesn't work for you and you still get push-back, then smile, maintain the peace, work that crappy schedule and in the mean time, be looking for other employment. Don't let your job make life harder for you. Remember... be your own advocate! I wish I would have known how things would have turned out for me and the unit I called home... I would have been out of there years ago!
Where did I state that I want gravy shifts? You know what they say about assumptions. I SIMPLY meant that having one day off, which I sleep away until 4 pm, along with taking care of a child, exacerbates the exhaustion that is to be expected from a pm to am rotation like Monday night-wedensday am.
I highly suggest that some of you seek counseling or switch providers if you are already receiving counseling. Sheesh. I'm sure the right medication regimen would deter you all from being keyboard gangsters
Why should we? We're not the one(s) wondering what it is.
It's the ability to "connect the dots." To know a piece of information and be able to infer possible consequences or outcomes.
For example, if your patient is on enoxaparin and their platelet count is 64. #1, you need to know to check their platelet level before administration, #2, you need to know that giving it could potentially lower that level even further. #3, you need to know the risks associated with that.
So, from one simple order for enoxaparin, you go thru a series of steps in your brain (or critically think) to determine whether you should administer it or not and why.
That's the most basic example I can think of, but realistically, nurses do it constantly for everything....
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