Latest Comments by Kooky Korky

Kooky Korky 19,394 Views

Joined Feb 12, '10. Posts: 3,173 (52% Liked) Likes: 4,226

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  • 0

    IV's are not my favorite thing. But the old tips might help: adequate lighting, be comfortable when you are doing a start - sit down or whatever helps you be comfortable.
    Isn't there ultrasound to help locate the veins? Actually visualizes them for you?
    Have a syringe ready - maybe even connected to the IV catheter - with a little saline in it to flush the line and actually push the line in a little more.
    Heat the site a little with a warm cloth. Don't burn anyone.
    Have the arm hang down for a few moments to get better venous filling before you poke.

    Best wishes.

  • 0

    Quote from VaccineQueen
    In 2013 when one of my friends donated her eggs to pay for nursing school she had to have her husband's permission to do so. This was also in Florida.

    Was her father alive? Demented? What if she didn't even know who her father was? What if he had been a convicted felon? Child molester? Rapist? Or otherwise not around or not qualified in the eyes of anyone with even a smidgeon of gray matter?

    Old habits and old attitudes die awfully hard.

    You've come a long way, baby.

  • 0

    Quote from Meeshie
    Looking at what they're trying to do.... it looks like the bill amendment is directed at controlling the BON and their ability to police certain actions. It would allow nurses to claim "religious causes" if they do something that would violate nursing ethics thus escaping punishment or loss of license. That's broad as hell and it could do a lot or nothing depending on how it ends up being used. It would certainly protect patient abandonment, for example. "I can't care for this person because my god says so" which.. yeah. On the other hand the amendment is directed at the BON and not at criminal legislation so it doesn't protect from violating federal laws if they are prosecuted on a federal level.

    The pharmacist one exists in other states. It allows pharmacists to go with their own beliefs in what drugs they will or won't give out. It came into existence elsewhere when the morning after pill hit the market because Christian pharmacists were in an uproar that they'd have to violate their beliefs. I suppose you could also apply that to drugs for transitioning or for anything else that anyone decided was immoral.

    None of this is shocking because its Texas... which is very very very well known for its issues, lets be honest.
    It might not have been only Christian pharmacists.

    And probably a lot of Chrisitian pharmacists would figure it was the lesser of evils - prevent an unwanted pregnancy or force a woman to be pregnant against her will and force a child who is the product of rape to live.

    No offense is meant to anyone who has ever been involved in a situation like this. I know this is a delicate subject and someone is bound to take offense where none is intended at all.

    I know nothing about Texas and its issues, sorry.

  • 0

    Quote from jenal77
    I did ask others and they would respond by asking where my preceptor was, they weren't the friendliest and if you weren't in their click you were basically ignored.
    clique not click

  • 0

    Quote from Ruby Vee
    We all want that magical preceptor who will gently mentor and guide us, standing ever close so we don't have to hunt for them but far enough away we don't feel them breathing down our neck. We want the preceptor who loves to teach, is good at it, and teaches us in the way we feel most comfortable learning. We want a paragon who never brings personal problems or bad moods to work but who will cheerfully overlook any and all personal problems and bad moods WE bring to work. Sadly, there just aren't that many perfect preceptors out there, and most of us have to settle for the one we get. Learning from a bad preceptor is possible and probably necessary. Bailing because of a less than perfect preceptor, as noted above, says more about you than about the preceptor or the facility.
    I'm not at all sure about this showing more about her than about the facility. I think she got a raw deal, although maybe she's not telling the whole story.

  • 0

    Quote from NurseNextDoor
    Why didn't you ask another nurse on the unit? I always ask another nurse who is just as qualified and experienced to answer my questions, some of them may have way more experience than your preceptor. My preceptor only had two years working experience at that facility and 4 years in total but there were other nurses working that had 10 years plus at that facility. your not restricted to your preceptor for questions, I find that the nurses on the unit are always willing to help you if you have questions wether your preceptor is there or not.

    Be confident in your abilities as a nurse!Figure out why you lack in confidence (if this is the case), are there areas that you are unsure of?, if so educate yourself, go back to your textbooks they are your best friend and a lot of hospitals offer online courses, does this facility offer online courses for specific areas of practice? They usually do and this is something they would have told you in orientation. I had no experience with telemetry and I took it upon myself to register for the hospital rhythm strip interpretation course and several others.
    There often isn't time to research at work. Sometimes one needs an immediate answer. And maybe OP thought she had to have the preceptor and was not allowed to tap other staff.

    Also, it has been my experience that not all staff are thrilled to answer questions, show skills, etc.

  • 0

    Quote from cyc0sys
    Sounds like you just took the first job they offered without considering whether it's something you really wanted to do.

    "My preceptor was never with me, always sat at the nurses station and if I needed something I had to go find her."

    Orientation is not skills or tasks training. Orientation is more like being introduced to the way business is conducted day to day at the facility, understanding your role in relation to the health care team, and what duties your expected to perform as a functional team member.

    While some facilities offer training programs prior to entry into specialty fields, others expect you to hit the ground running. The latter seem to be the case with your situation. If being proficient at a new job requires new skills, most people are expected to engage in methods of self study, finding a someone to mentor while performing a task, or doing whatever else it takes to become proficient. That's the hallmark of professionalism.

    I'm not sure what you mean by validation. Health care is largely 'management by exception'. If you're screwing up, plenty of people will tell you, sometimes to your face or other times to your back. But you will find out. Validation occurs every time you don't injury a patient, perform all duties as expected, and don't get called into the DON's office for a reprimand.
    What a screwed up profession.

    It's not OK for a preceptor, who is supposed to be teaching, to sit at the desk, especially in early orientation. Toward the end of the weeks of O, it's different. The orientee should be more on her own that she should initially. But it's still a training period, not a time to totally cut the cord. And even using your business method, the trainer has to be present, not off the ward or at the desk - unless telepathy is involved.

    Today's new grad is very short on hands-on skills. Some haven't even given an injection. Even you say that one should find someone to mentor while performing a new skill or task. Someone who has a preceptor should get the preceptor, but how come the preceptor wasn't there to begin with?

  • 0

    Quote from TheCommuter
    I am so sorry this experience did not turn out well for you. Hopefully you can learn something from it and bounce back stronger than ever before.

    Nonetheless, no one's license is on the line. The "my license is on the line" chant is exaggerated and overused. Nurses hardly ever have actions taken against their licensure for sloppy patient care or mistakes made during the provision of care.

    Per disciplinary action records from most state boards of nursing, most nurses who have had their licensure censured were involved in theft, narcotic diversion, intemperate use of alcohol and/or drugs, impaired nursing practice, and other issues related to addiction.

    Again, your license is not on the line. Good luck to you.
    I don't know that a new grad would understand this line of thinking. And our licenses really are on the line in some instances. You say "hardly ever". That alone tells the truth about licenses being on the line. Sometimes they really are. And a new grad would understandably not be real good at distinguishing when and when not.

    Seems to me a new grad could be "dealt with" for being presumptuous, not having her preceptor present in situations she's not familiar with. And the dang preceptor is miles away - at the desk, off to another ward.

  • 0

    Quote from jenal77
    I would have to leave my patients and track her down if I had questions. I was basically left by myself in orientation with no feed back on anything, and people would ask where she was, I brought this up to management more then once and my clinical educator in our one on one meetings would specifically say we are one and should be joined at the hips.
    And did she do anything to make those hips join?

    Sounds like you should have followed the preceptor to wherever she went.

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    Quote from KelRN215
    When I worked in the hospital, nursing students were our best CNAs. They wanted to do a good job because they wanted good references or to be hired as nurses in the future.

    It was the career CNAs that we consistently had problems with. They would hide in the locker room all day, vitals would be hours late, Foleys would never be emptied, at night we'd find them asleep in a closet or the treatment room, they'd roll their eyes at you when you told them that a patient was total care and needed to be turned or bathed. The hospital didn't have a transport team but most of the time nurses ended up escorting patients to tests ourselves because by the time we could find the CNA and argue with them about taking the patient to Radiology, we could be there and back already. At night, I just did my own vitals because I was usually waking the patient up for neuro checks anyway and the CNAs never listened when you asked them to do something a certain way- for example, "this patient is 3 months old, please take an axillary temp" and they'd do tympanic because it was faster. For the 5 years I worked there, any time anyone brought up this issue, the response was the same. "They'll never change, the culture was like this before we all came, we can't change the culture." Actually, I remember being warned about the attitude of the "career CNAs" at new grad orientation.

    Since I left the hospital, I've worked in areas that didn't employ CNAs.
    Why did you let them sleep, not empty Foley's, not hide the tympanic thermometer, do your own transporting while these lazy, good for nothings got paid to not work? Are you out of your mind?
    You and all the other nurses who let them get away with this?

    Have you ever heard of coaching? Setting rules? Write-ups? Team meetings? How do you ever
    expect things to change for the better when you let people walk all over you and, by extension,
    maltreat the patients? (as in VS hours late, not turning and cleaning the patients) In case you can't tell, this makes me very angry.

  • 0

    Quote from penlite28
    How dare you judge me for expressing my experiences with a difficult group of people. Maybe I should of labeled my article "dealing opposition on an assignment", maybe that would have better suited you, jerk!! I noticed you are some type of "All Nurses" troll and comment on on almost every single article. Maybe you should take a tip from you own advice and re-evaluate your own character. I have the upmost respect for "good" CNAs who actually "aide" and not make my job more difficult.
    What advice would you give to a nurse who asked this question of you?

  • 1
    Irish_Mist likes this.

    Quote from NedRN
    I get that perhaps you were just venting and looking for validation and did not appreciate what might appear to be "blaming the victim" response you got from me. I was attempting to provide constructive advice but you clearly didn't hear it. Probably wasting my time but here are some more thoughts for you.

    If you had a problem with a strong personality at work and needed help on dealing with that person, my response would have been very different. What you actually stated is that you could not deal with an entire class of people at work describing them as "extremely rude and lazy". You complained about their behavior to the manager versus asking for advice on how to manage the situation. You may have complained/gossiped to staff nurses as well which could have gotten back to the aides as well. You feel free to label people and call them names (demonstrated by calling me names as well).

    By the way, how on earth are the staff nurses dealing with extremely rude and lazy aides without quitting?

    Think about how you might react if people treated you like that. You would probably avoid them right? That is likely what these aides are doing with you. At the moment, both your posts make you sound like a terrifying employee from a manager's perspective. Three weeks to go? You may have been lucky to have made it this far.

    So yes, I think it is likely you are the problem here. I gave you some advice that is really more future oriented than this one assignment. It is unlikely your situation will improve in the next three weeks no matter what you do, but you have a chance every three months as a traveler to have a fresh start.

    I will add one other thought should you decide to so some self examination versus "the world and Ned is against me". Are you of the same socioeconomic class and/or ethnicity as these aides? There could be a vast culture gap that prevents you from understanding and communicating with them effectively and vice versa. Until you make the attempt to understand them, problems will continue. Most of us get raised in a monoculture and don't really become exposed to other cultures, particularly as it relates to work, until we become working adults. Thus culture clash is common and can be huge. I say that with personal experience of discovering certain classes to not have my own work ethic and having to deal with it. You have to learn new communication skills and what they need from you to earn their respect.
    Of course God forbid that the aides should actually do their work.

    Do you see any possibility that OP is not in the wrong? That the aides really are rude and lazy?

  • 2
    CFrancine and Irish_Mist like this.

    Quote from NedRN
    Be happy you have aides. My suspicion is they all have friends. Thus their rudeness is your inability to relate, communicate, and manage effectively. Perhaps you think you know everything with 2 years of experience yourself. If you instead think 'what could I have done differently, or how I can communicate better, versus what's wrong with these people', you will have fewer of these problems. It is not easy, but far, far easier to change your own behavior than others. If you model best practices and behaviors, others around you will respond positively.
    What planet are you on? People will respond positively if she models best practices? Like letting the aides walk all over her?

  • 1
    fungez likes this.

    Devil's advocate here - suppose someone really does believe homosexuality is a sin and that it does
    violate that person's religious views to treat homosexual persons. What about the sins of gluttony,
    murder, and lots of other sins? Maybe someone has a problem treating these sinners, too. Now what?

    Recall the pharmacists who believe it violates their religious beliefs to sell the morning after pill and
    refused to sell it. I think it's OTC now, so no more issues with it.

    Whose rights and beliefs get priority?

    Suppose a woman has no husband. She's a widow, divorcee, never married, husband is overseas and
    not reachable. Is her father or her brother her head? Does this rule treat her like a child or does it "only"
    take away her right to privacy? (Please note the parentheses, indicating that I think her right to privacy
    should not be violated).

    As a very new nurse in the OR, I thought we were doing D & C's. Guess what they really were (abortions) -
    according to a fellow nurse, who mentioned it several months after I'd participated in more than a few.
    I am very angry to think I was not informed and was not asked if I would be OK doing them.

  • 0

    Quote from allstressedout1
    How is low census handled around the country? A little low census is nice on occasion but when you need your income and low census is excessive what do most units do. Like for 8-10 week stretches you are maybe 2 to 3 days a paycheck short. Because a third of the staff are team leaders who are not required to take low census (or call, or holidays, or weekends) the remaining staff get more than they want of the low census. If you want to be paid you have to use vacation because you are not able to pick up extra work because you are still tied to unit by being kept on call while you are low census. Of course then if you are sick or had vacation planned your time is all gone.
    This seems like a really raw deal. Do you get Call pay? Can you become a Charge Nurse or Team Leader?
    Could you ask to be cross-trained so you could float?