Latest Comments by Kooky Korky

Kooky Korky 18,229 Views

Joined Feb 12, '10. Posts: 2,980 (52% Liked) Likes: 3,972

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  • 1
    Capa Jensen likes this.

    Quote from Capa Jensen
    Oh my gosh, I'm also a Brit living stateside and I have experienced this, too. :/

    "Which boat did you come over on?" "Are you a citizen? Why not" (also a GC holder and will always be)
    I am sick to my back teeth of people saying "'Ello guvna!" or asking if I want a spot of tea; it wasn't funny the first time, certainly isn't funny the 500th. Oh! And mocking the chav type accent too... and cockney rhyming slang... ugh x_x'

    People faking a British accent is super annoying; as you said, it'd be really offensive if I started imitating an Indian accent, or Chinese for example... So I'm not sure why people think it's okay to do it for British folk too. :/

    I also had to fake an American accent while at work - a lot of the older people in the rehab center that I worked at couldn't understand my British accent, but I noticed that as soon as I started dropping my native accent, the mockery went down - I still let it slip if I say words like 'water', 'awful', or mention 'tap water' haha (seriously, it's not faucet water... what the heck!) My inlaws have asked why my British accent isn't heavy anymore and I tell them "Well, it just fades over time, I've been here 10 years." but the truth is, every time someone mocks the accent it gets harder and harder to hide my annoyance. People don't realize that this kind of stuff builds up, so the general reaction I'd get is "Jeez, don't over-react." (uwotm8.) So really it's just easier to hide it if I can, which takes a lot of conscious effort.

    I've had to deal with this a lot in college - thankfully not the professors, but definitely from the students... I am also royally sick of being asked if I like Dr. Who, Downton Abbey etc. and then when I say no, they look at me like I have 3 heads. "But why not? It's British TV!"

    /rantover haha
    No offense meant, but it really is hard for me sometimes to listen to, for example, the BBC news programs. Or hearing the royals quoted. It's just hard to understand sometimes. As I'm sure it must be for others to understand some Americans.

    "Wooder" for water. "agin me" Boston accents, Southern drawls, having New Yorkers think that anywhere south of there is "the South". Again, no offense is meant.

  • 0

    Quote from Stepney
    Usually they aren't, but this should not be tolerated in the work place. It is quite bad manners. If they are able to speak english to do the job, then they should speak english while on the job. I don't know why some employers permit this (some definitely don't).
    Sometimes it's the employer speaking in the other language!

  • 0

    Quote from Libby1987
    Mar 19 by Libby1987

    Quote from Libby1987
    Do I come across as a cut and run type?

    From Kooky Korky..

    Also from Kooky Korky..

    I only do direct and I offered that as my approach because it has always had a good outcome (after the first few green years as a very young adult and new grad). I have been very accustomed, entitled if you will, of being heard and I would not have expected to be dismissed but if the place was literally that corrupt then I certainly would, with it clearly known why.

    On the other hand, I think your suggestion of reporting an entry level employee or the practice of allowing a couple of entry level employees to the news media for being chatty and lazy and the manager not remedying the situation as nothing more than bravado.

    And I wouldn't expect legal or the CEO responding to an anonymous letter than anything other than an unsubstantiated complaint by a supervising employee making noise, it would go straight to the bottom of the pile if not completely disregarded.
    They have been there almost 20 years,per OP. they are not entry level. How you would take it is not necessarily how someone else would.

  • 3

    Quote from SmilingBluEyes
    The whole concept of a mandatory staff meeting gets to me. MOST of what is covered can be done in communication books or minutes that each staff member sign that they read and understood....... FEW of such meetings are that urgent that require people waste 1 or 2 hours of precious time (and money for the company to pay people to attend). Such staff meetings can be accomplished quarterly and we could get away with it, easily. If I ran the world, that is how I would do things

    And general commentary from staff would be held until after all the important bullets were covered. I hate nothing much more than 45 minutes or more of people complaining, arguing or going on when the meeting itself could be accomplished in 1 hour or less. Let those who have issues stay and discuss them then. The rest, go home.

    That is how SBE would do it if she ruled things anyhow.
    If I ruled the world, I'd cancel work altogether.

  • 2
    RNOTODAY and SobreRN like this.

    Quote from SobreRN
    I assure you, addicts know we are judged harshly, we are not stupid although perception seems to be given healthcare providers make certain their disdain is obvious. I have been clean and sober since 1989, no opiates and, except for one time, I never went to a hospital for anything just for this reason.
    Ended up in an ER once; the doctor hated addicts as did nurse; they really wanted me to know this; I never would have gone to a hospital for help of any sort for this reason. Congratulations, your message gets across.
    I know it's scary to be at the mercy of someone else, like in the ER or hospital, but you need to make it known that you feel the disdain and hate being directed at you by those who should know that you are battling an illness, a real illness. Ask how they would like to walk a mile in your shoes.

  • 0

    Quote from Irish_Mist
    The problem I have with all of the Jakes I treat is that many of them expect me to drop everything I'm doing all at once to give them their IV dilaudid and phenergan even if I am providing care to another patient. If it takes me more than two minutes (not an exaggeration), they pitch a fit. If I don't "push it fast" or if I dilute it, my practice and technique is questioned. If I refuse it due to them being hypotensive or difficult to arouse, I am nurse ratchet who doesn't care about their pain.

    They are so nauseous and in so much pain yet they can chow down on potato chips and starbucks despite being NPO. They claim that PO Dialudid doesn't "treat" their pain yet will ask for it one hour after getting their IVP of Dilaudid. That's interesting. I thought it didn't "work". And then, down the hall you'll have a patient ready to be discharged home with hospice already in the active stages of dying who fervently denies pain whenever I try to encourage him/her to let me medicate him/her.

    Don't get me wrong. I am professional and courteous to every Jake I encounter. If I know someone with undeniable pain is going to be discharged soon, I try to encourage them to move over to PO pain meds because we all know Dilaudid or Morphine IVP is not available at home. I cannot make someone change their ways and I cannot cure a drug addiction. If a pain med is ordered, I will give it if it is safe to do so. However, it is incredibly difficult not to resent these type of patients when they use manipulation to get their way and monopolize my time. I have other patients whose needs are just as important as Jake's.
    You are dealing with addiction. Their behavior is born of real sickness.

  • 1
    Ruas61 likes this.

    Quote from macawake
    Many professions are exposed to an increased risk of threats and violence and healthcare is definitely one of them. Others are for example law enforcement, social workers, judges, the military. Perhaps also convenience store clerks? Bank tellers? I'm sure that you agree that other professions also run a risk of encountering aggressive behavior.

    I'm not a U.S. nurse so I accept the fact that there might be cultural/policy/legal differences at play here, but what exactly did your employer mean when they said that staff "could do nothing" if a patient assaults them? Did they mean that you can't run away if someone attacks you? (in the cases when that's a viable option). Did they mean that you are not allowed to physically defend yourself or a coworker? Or did they mean that you have no legal recourse once an assault has taken place?

    What they meant was that we could not haul off and slug the person. We had to confine our response to the techniques we'd been taught and authorized to use. If you are a black belt in Tae Kwon Do, you must not use that skill. you must only follow, as one person called it, CPI. You can involve coworkers and use chemical and physical restraints after exhausting all non-physical approaches and techniques.

    If a pt spit on me, as described by the OP, I would have talked to her and let her know that I was dismayed, after caring for her through the labor and delivery. I also, depending on her response, apologetic or not, would have seriously considered doing a police report. I'd have possibly changed assignments, too. And I'd have let her know that what she did was assault/battery and that I would bring police in if she ever did anything like that again, anything physical. She can say things but she had better not ever touch me again. An employer would not condone me involving police or letting a patient know that I would not tolerate future physical violence.

  • 0

    OP, while the ED is certainly dangerous, you apparently have no idea how dangerous a psych ward can be.

    And since psych patients might be on Med/Surg, Tele, or ICU or wherever in a hospital, the danger is also in those areas.

  • 0

    I don't know how public health operates in India but I can share some information on how it is in the US.

    First off, though, look at Mother Teresa. She operated under the Order (of nuns) she was with, ultimately worked for the Vatican, I guess.
    So the religious route is one you could take.

    In secular public health, it is governments that run Public Health programs, as far as I know.

    PHN's (Public Health Nurses) do the following, at least where I worked. It might be different somewhat in other

    run TB clinics
    run STD clinics
    run vaccination clinics
    run Prenatal clinics
    run Pediatric clinics
    do home visits re: Failure to Thrive, Lead poisoning, High Risk Pregnancy, domestic violence, child abuse, Gastrointestinal Infections (like Salmonella, Giardia, and other infections, and trace the infections to their source, then follow up with contacts to make sure contacts are treated;

    In Public Health, the patient is not the individual, it is the community. For example, if a worker at a restaurant has a contagious illness,
    the procedure is to require the worker to stop working and receive medical care for the infectious disease. Being out of work lasts until
    the worker is free of contagion. You would have the somewhat unpleasant and difficult task of requiring the worker to lose income while
    you are protecting the public. And you would also be finding out if any customers were affected by the infected worker.
    Same with contacts of active TB patients, those with gonorrhea, syphilis, and other STD's.

    Someone who is taken off of work can apply for unemployment or maybe welfare benefits.

    You might be involved in community groups that deal with alcoholism, you might work with schools, police, correctional facilities, or businesses that are wanting help with basic hygiene or other issues about which a nurse would be knowledgeable.

    Best wishes, I hope this helps.

  • 0

    Quote from mrl3fnp
    Stop your whining and go find a job........
    Well, thank you for that encouraging and sensible comment.

  • 0

    Quote from almost_nurse
    My scholarship requires that I find a job within six months of graduation. If I don't have to pay back upwards of $40,000 immediately.

    I fully accept and acknowledge that I'm complaining--I know it's not the best attitude to have. It's certainly how I'm feeling, though.
    Read the fine print. See if there's some loophole.

    Keep written track of where you apply, when, who interviewed you, reasons you did not get hired. If you can show that you have been making a good faith effort to get hired, it could help.

    If you were able to immediately repay $40,000, you wouldn't have needed the scholarship in the first place.

    They can demand that you immediately repay them, but if you don't have it, you don't have it. If they want their money back, they will have to work with you.

    Be patient, don't give up.

    Your fiancee sounds, sorry to say, like he's more into money than into you and your relationship. But don't make any big decisions while you're this upset.

    Get hired the old fashioned way - by who you know. Does someone from your scholarship connections know of any job openings?

    Check for openings in other than your most preferred areas.

    Consider moving away in order to find jobs.

  • 6

    The easy answer is for them to hold the same meetings twice or more. Once at the end of Night shift for Night and Day staff, once at the end of Day shift for Day and Evening staff.
    Also, the Minutes should be circulated and the staff must read them and sign that they have read them. This should have to occur within a week because it's important to keep up with procedural changes, new equipment, meet new staff, policy changes, etc.
    Evening, Weekend, and Night Staff should have to attend meetings at least 3 or 4 times per year. Oth

    What is so hard about coming into the modern era with regard to these meetings? The only fair way to do this is for meetings to be held every month at 0200 and 1400 if they're not going to take the other suggestion above.

    A meeting could be videotaped with audio so it could be viewed along with reading the minutes amd said video could be viewed as often as needed so that all staff are actually "there". The meetings could be on Skype so nurses could at least watch and participate from the comfort of their jammies at home.

    Any situation that threatens the sleep, health, life and limb of staff who must jerk their sleep schedules around to be at these meetings must be stopped. The only thing I know to do about that is to present a cogent response to the manager, DON, HR, and Legal/Risk Management about the benefits of regular and sufficient sleep vs. the dangers of sleep haphazardness. Provide scholarly documentation. Have a Sleep doctor and an attorney in as guest speakers. Serve bagels and cream cheese.

    I hope things work out well, OP.

  • 2
    TriciaJ and billswife like this.

    Quote from TriciaJ
    Banding together is a fabulous idea but easier said than done. That is because all the coworkers who hate the situation as much as you do will never do anything about it. Even when there's safety in numbers, they'll cower in the background when you go out on a limb by yourself. They'll approach you privately to tell you how glad they are that you spoke up, but they'll never publicly back you.

    That is how a bad situation never gets any better. At some point, you may just get too disgusted and leave.
    That's when you lasso them and drag them to the boss' office. I know. I once fell for being the spokesman while everyone else, who had sworn to high heaven that they were 100% with me, wouldn't say a word, most wouldn't even go with me to the boss. Stupid me. Still, + change was effected because I did speak up.

  • 0

    Quote from Angry LPN
    I try to be forgiving and reserve judgment, but how despicable that is to take away someone's pain meds when they in severe pain or dying. Prosecuted, yes, but not persecuted. Give them the option of seeking rehab. I used to like to drink a few dozen beers when I got off work, never drove or came into work under the influence. When I realized that it was a habit and not particularly good for a type II diabetic I just simply quit and haven't had a drop in 5 years now. People can reform themselves without having their careers and thus their lives ruined.
    Some can.

  • 0

    Quote from Anonymous865
    When someone diverts, they are probably breaking more laws than just theft.

    For example, they remove 2 percocets from the Pyxis, but only give 1 to the patient. They pocket the other. Insurance/Medicare/Medicaid will be billed for 2 percocets, but the patient received 1. That is fraud.

    The nurse would have to chart that they gave 2 percocets to make all the counts correct. Now they have falsified a legal document.

    Another way of diverting is to inject a partial dose into themselves. Add saline to the syringe to make it appear to be the correct dose. Then give the remaining dose to the patient. Now they have possibly exposed the patient to a blood borne illness. That could be viewed as assault.

    A local 600 bed hospital has a diversion specialist (JD, RN). I heard her speak on diversion and that hospital's methods of detecting theft/loss of controlled substances. She described how they investigate suspected diversion. They have solid evidence before they confront someone. She said they have only had a couple of people who didn't confess when shown the evidence the hospital had.

    She said when they first hired her and implemented their diversion program, they were catching 2 nurses a month. Now they average 1 nurse a month. I was shocked it was that high, but it is probably only 1-2% of their nurse workforce so actually not that high.

    (Other types of employees divert not just nurses. The majority of people caught diverting are nurses, because nurses vastly out number other type of employees and nurses have greater access to controlled substances than most others.)

    That hospital's policy is they report every single case of diversion to:
    the local police
    the state bureau of investigation
    the board of pharmacy (required by state law)
    the professional board (required by state law)
    the DEA (required by federal law)

    They also revise and rebill every patient affected even if it doesn't affect the bill (e.g. DRG).

    They report to the police and let the DA decide whether to pursue charges. The DA usually lets the professional licensing board handle it unless there is patient harm. They had one case where a PACU nurse was diverting. They determined they had over 300 patients who had received NO pains meds following surgery. The DA prosecuted that nurse.

    I agree with the approach of reporting to law enforcement cases of diversion, because it is a crime. Let the DA decide if they think prosecution is appropriate. If someone has a substance abuse problem, but is not diverting then just report them to the appropriate professional board. Diversion is different.

    The diversion specialist said the number 1 reason hospitals don't report diversion to the police is fear of bad publicity. Also high on the list is fear of being sued.
    1 diverting nurse every month sounds awfully high to me. Maybe I was just naive, but I never heard of nurses diverting meds before fairly recently.