Kooky Korky 16,332 Views
Joined Feb 12, '10.
Posts: 2,759 (51% Liked)
I think it's very strange that you are framing your manager giving you feedback from your peers as "gossiping" or telling you "tidbits about other workers." That's not AT ALL what she did. Telling you "tidbits about other workers" or gossiping would be your boss saying that Janie has a drinking problem or that Joe is getting a divorce.
Your manager is telling you what your coworkers have said while giving them anonymity, which given your reaction, seems very appropriate imo.
Rather than being defensive and mischaracterising your manager's comments, it might do you some good to reflect on what she actually is telling you. Honest introspection is never a bad thing.
And going over her head to report her " ineffective ***** management style" is not going to make HER look bad; it's only going to reflect poorly on YOU.
I wouldn't ignore what she said, either. Again, introspection is a good thing. Everyone has weaknesses, including you, right? Maybe this is something you are indeed projecting, and you can work on either why that's the impression you are giving off, or talk with her again, saying you've thought about what she said, but would like some actual examples of this lack of confidence, and what she thinks you actually need to do to improve.
Think about how you would feel if you couldnt breath properly
First line: levofloxacin, moxifloxacin, amoxicilline/clavulanate (the last one takes care about b-lactamaze producers, which are the most common reason of b-lactams failure): coverage over 90% overall
Adults with moderate disease which failed at least one course of antibiotics in the previous 6 weeks should be given either fluoroquinolone with Pseudomonas coverage, b-lactam with b-lactamaze inhibitor or doxicycline, all that for full course of 10 days
Z-pack (zithromax) covers about 80%; the main problem with it, though, is that it is only 6 days course, which is frequently just not enough.
Acute Sinusitis Medication: Penicillins, Cephalosporins, Macrolides, Fluoroquinolones, Anti-Infectives, Carbapenems, Aminoglycosides, Tetracyclines, Decongestants, Nasal Sprays, Expectorants, Corticosteroids, Anticholinergics
Kindly print your charge nurse a copy of the labor laws for your state that prohibit mandatory overtime, and use your chain of command all the way up the ladder to administration if you have to. That should work, but if it doesn't get a lawyer and file a harassment complaint for hostile work environment. While you are at it go ahead and file a complaint with the Department of Labor and your State Board of Nursing. They will only bully you if you allow it to happen.
Empty threats. They need the phone # of an agency. They are probably too damn cheap to pay for what they need. What amazes me is how an employee like the charge nurse gets right on board with this BS!
Google "mandatory overtime New York nurses"
Print out the pertinent information (short story: she's FOS)
Next time she threatens you, hand her a copy of the overtime law, go home with a clear conscience.
I hate when management uses the "we'll get your license taken away" boogeyman. I don't remember this happening 40 years ago-times have changed. I think they're hoping everyone is just so grateful to have a job in a tight market that they'll just be quiet and fold right up.
Nurses need to look through their BON websites, and the State Licensing websites and do some research on just what a hanging offense is in their eyes.
I get recurring sinus infections and a Z-pack does the trick for me. I have had to have discussions about other antibiotics. I have a PCN allergy but I can take first gen cephalasporins and that is it. they keep trying third gen and I don't tolerate them.
My new PCP last told me that it was viral and wouldn't give me an antibiotic. UGH. I guess he was right because it did go away. But it is frustrating when they don't listen.
Same PCP did not want me on tramadol for chronic pain (been on same dose for 6+ years). wanted me to try Cymbalta or Welbutrin. I told him I have a paradoxical effect with any SSRN, SNRI and others. He didn't believe me. Ended up at our system's pain clinic (for freaking tramadol LOL). They listened and I have a great management plan for me.
I was surprised when a retired friend told me what she has to pay for medicare- I think it was around $300/per month (not sure). It seems after you pay for insurance, you still may have to fight to get good medical care! Or get lost in the system, like you. Sorry for your situation, makes me wonder how many people are having the same experience.
I don't really understated the over the top reaction (IMHO). The nurse addressed it, owned it, didn't just let it slide, which could be easy to do. The potential is huge, but thankfully the kiddo will be ok.
Usually Triage/do vitals when they first come in. IV's. Blood work. Help hold down to give shots. Let me clarify. I don't have a problem doing vitals and triaging and IV's. (I have PALS NRP and ACLS) during times when we get a rescue and do the EKG, all of that stuff. I do assess and hand off to the nurse and they choose either to assess for themselves or take what I give them. I don't have a problem doing my job, I love kids and I love my job. (My unit doesn't even transfer a lot. It's mostly kids with just fever or something else like strep) it just bothers me when I'm used like a pawn and I'm not called by my job title. It bothers me even more when people are sitting around gossiping and 4 nurses are telling me at once to recheck vitals and do a splint or whatever while they're all sitting, talking, gossiping. I think what I was posting didn't get accross to some people. I think whoever it is. The paramedic, CNA, MD whatever all of us need to work together. I shouldn't be abused and neither should the nurse by the doctor. I'm only one person. I can't do 4 kids vital signs at once and do this line for one kid and this other thing. It would just be nicer if one of them did like a part of that so I'm not running around like a crazy person.
people ARE crying for organs, but transplant medicine is an area full of, to say that as mild as possible, totally crazy people more than anything else excluding acute mental health crisis centers. The war stories I'd heard while working there put practically everything else to shame.
Being very short, in case of polycystic kidneys one of the main probelm is that these cysts grow up everywhere in internal organs. So far, we cannot set up a human bodyshop and transplant firts a kidney, then liver and then pancreas, then cut off spleen, etc. Unfortunately, some of these people do not qualify for renal transplants for this reason alone, plus there come usual disqualifying factors of h/o non-compliance, substance abuse, not being willing to live within 30 min direct drive from the center, etc.
Now, as a random person, you have approximately 1:100.000 chance to be another random person "perfect HLA match" for transplant (important for kidneys) and add to that blood antigens. In the list of US bone marrow donors, approximately 1 out of 430 persons eventually becomes a donor; other 429 never have a patient for whom they would be a good match. Transplant centers do test random strangers but mostly for research and also for avoiding family feuds and litigations, honestly.
The List(s) are ranking lists of the patients avaiting transplants. They are run according to extremely sophisticated algorythms and not available not only for public but for 90% of people directly involved in the process to avoid cheating. A few years ago a family managed to bump their dying daughter to the very top of the adult list so that the child could get adult organ; they had to go almost to Congress for that.
The best thing you can do if you would like to donate is to register your driver license as "donor". I do understand your noble move and passion to help this unfortunate patient, but by simple and clear math your chances to be a "match" are not that great, leaving alone all other process' sophistications and technicalities.
Maybe you could see an ENT?
Maybe you could speak openly with this young newbie, as you have here? Just being totally frank with her? Explain that you have lavaged and navaged and taken the Rx she gave you, but why not point out that the dose was too low? She is a beginner, you DO know your own body. And where is your regular doctor? Or an NP friend?
Any doctors from whom you could wrangle some good old hallway Medicine?
Or order something online. Or get accupuncture to start the draining. Got a dentist buddy?
Please let your Senators and Reps know, Fed and state, what you have been going through. Not to mention the scholars who say we should not give antibiotics for sinusitis.
Do you have green drainage? Drop it by Dr. Textbook's office.
Go to the ER or Walk-In clinic.
I am surprised you are having this problem, Beth. I truly wish you the best. Sudafed, cool steam, hot steam, Vicks Vaporub (name brand works best for me). Chicken soup. Herbal medicine, other non-Western allopathy.
Encourage the LVN to ask her malpractice insurance provider if keeping a journal of conversations with patients, changes in their medical condition and change of shift notes, is violating patient confidentiality and privacy and if the journal can be subpoenaed in court.
The journal contains confidential health information without the informed consent of the patient
The journal contains conversations and unique medical information that may make it possible for a patient or colleagues to identify a patient
The journal is not stored in a secured manner
A malpractice lawyer can clarify some of misconceptions that the LVN has about keeping a journal, it is not as harmless as she believes.
I called today to a major, world-renowned, magnet facility to ask about becoming a donor.
Well, hush my mouth. The first person (and I am controlling myself to not say "idiot' - oops) who answered the phone in the Liver Transplant section of this "fantastic" hospital could not tell me the procedure to get tested to see if I'm even close to being able to donate liver tissue. She then said the pt must be on "the List". I asked, as one might, "What List". UNOS, came the reply. I asked "What is UNOS". It's the list. Well, how do I contact the list? Where are they located? Could you point me in the right direction? "Well, who is her doctor?" came the reply, and you get the idea. Then the charmer hung up. (I didn't know the doctor right off the top of my head
because I didn't know getting tested would require me to know the pt's doctor or whether the pt was on UNOS).
Not being too happy about the lack of information and flabbergasted that this world-class hospital was really just a schlock joint where they don't seem to really want donors, I called back and got the RN Director of the program. She was much more informative and I know now the next steps I have to take. But I am also shocked to learn that this particular hospital only works on children with hepatopathology. Also, she told me that there are enough cadaver donors these days, so that people like me, who want to help a specific person, are not all that sought after. She said liver was not like bone marrow or even kidney transplantation, in that
She suggested I call other facilities on either East or West coast or see if UNOS can offer any direction.
I thought people were just crying for organs, but I guess I am wrong. Or maybe there's not enough money the hospital can make. I believe donors really just are no longer needed except for kids. Maybe I am just hurt and irked but I will think long and hard before feeling sorry enough for someone else again to offer this kind of self-sacrifice.
Live and Learn
Go to work in the ER. Congrats and Best Wishes
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