Latest Comments by Kooky Korky

Latest Comments by Kooky Korky

Kooky Korky 13,095 Views

Joined Feb 12, '10. Posts: 2,436 (50% Liked) Likes: 3,033

Sorted By Last Comment (Past 5 Years)
  • 1
    xoemmylouox likes this.

    Quote from RainMom
    I was blindsided with an admission a couple yrs ago like that. Received a young woman to the floor on night shift, 5 days s/p c-section with preeclampsia. Mind you, this was the ortho floor. (Huh? You can have preeclampsia AFTER baby is delivered? And apparently, our OB dept won't take such a pt after delivery!)

    Anyway, her parents & newborn were with her when she came up & as I did the admission. The grandfather mentioned that the baby needed diapers & I stated something to the effect that it was their responsibility as the baby was not a pt (although if it was gonna be a huge issue, I could have been able to get a couple from peds). Grandfather mentioned going to pick up some food & left the floor. Within the next hr or so, pt put on her call light & when I went in, I discovered that grandmother had decided also to leave but baby was still with pt who I had started on a mag drip & was on seizure precautions! Found out her parents were not coming back.

    It was near the later part of the shift by that point, 0500, so I notified RN supervisor who felt it would be fine to wait until a later time to call family (though I did explain to pt why it was not a good idea to keep her baby with her without another family member present). Luckily, it was a decent night with a good group of pts; the aide & I stayed near that room, watching like a hawk.

    <sigh> ...an experience that makes me hyper-aware when kids are brought up with a parent who is admitted...
    I hope you filed an "assignment under protest". Why not just call the Social Worker? If none, Police or Child Services for your area.

    I'm glad it all went well, but I would feel tremendously put-upon if I had to watch kids plus do all my other duties for my group of patients. What if kids go in the dirty sharps box? Fool with equipment or IV's? What are they eating? Where sleeping?

    Not at all right if kids are ambulatory especially, newborn still an issue.

  • 0

    Quote from ItsThatJenGirl
    You pulled that right out of your butt. It's not what I said or even came close to implying.
    Rebellion, Ritualism, and Retreatism. They all sound none too complimentary. Are there any positives about being different?

    No, I don't play around back there. Perhaps you might clarify a bit?

  • 0

    Quote from ItsThatJenGirl
    There will always be people that don't follow social norms. In sociology, there are different ways to categorize the behavior: Rebellion, Retreatism and Ritualism.
    So it's wrong to be different?

  • 0

    Quote from elkpark
    What do you mean, "back then"?? You and several other posters have suggested (repeatedly) on this thread that women may bear some degree of blame for rape by being too attractive, dressing provocatively, being insufficiently "modest" or circumspect in their behavior, etc. It's the same argument. Do you really not get that??
    Do you really not get that "back then" means back before The Pill and Women's Liberation? Sixties and Seventies.

  • 0

    Quote from ohiobobcat
    Hi!

    I work at a camp where most if not all of my campers are from the same state where I live and am licensed as an RN.

    I have a counselor who has pretty severe asthma. She is from a different state and is asking me if I can give her a bi-weekly injection (new this year). I have no problem doing this, but want to make sure I'm legal about it since the order for the medication will be from her out-of-state physician.

    I have tried to look at my state's nurse practice act, but could not find any info specific to my situation.

    Can I administer this medication to her as long as I have an order from her doctor?

    We have a camp physician, should I have her sign off on this order?

    I've never had to deal with this out-of-state stuff before (she had meds last year, but they were self administered).
    I've seen docs from a camper's home state call in Rx to Pharmacies in the state where the camp was. Check with BON or doc's licensing board or Pharmacy Board to be sure.

  • 0

    Quote from Ruby Vee
    And you will never understand what I'm talking about. I agree with you on many OTHER threads, but in this one, it seems that we'll never understand one another.

    Your stance sort of reminds me of my ex-husband. He used to write checks for whatever he wanted, whenever he wanted without regard to how much money was in the account and without recording his checks. Paying the bills was my responsibility, and in 1986 there was no logging online to check your account balances . . . you either kept track of every check you wrote or you waited until the monthly statement came. One time I wrote checks for rent, utilities, insurance and groceries without realizing that he'd spent ALL the money in our account. Checks were bouncing all over the place. He was in the Air Force, and that was a big deal. I got a call from the Base chaplain, wanting to explain to me what a big deal it was that we had bounced checks, that it would damage my husband's career. He wanted to give me lessons in money management . . . even when I explained what had happened, the chaplain insisted it was MY responsibility. (Perhaps my responsibility but not my fault.) Somehow in the ensuing discussion, it all came tumbling out. My husband had knocked me down the cement stairs of our front stoop before going to work that afternoon, and I was bruised, in pain and crying. The chaplain told me, in what I'm sure he thought were the kindest possible terms, that had I not bounced checks, my husband wouldn't have had to hit me. EXCUSE ME?

    Of course word of our "confidential" conversation got back to my husband, and he was enraged. I remember him screaming at me that I had ruined his Air Force career. And my "AHA" moment came right then. "No," I told him. "You ruined your own career when you took a new book of checks from the desk and spent $1000 without telling me even when you knew I was paying the bills (that was a LOT of money in 1986). And if you didn't want anyone to know you beat your wife, you shouldn't have been beating your wife."

    Give you credit for applauding my strength and wisdom? Getting out was survival, not wisdom. Very few women in that circumstance are capable of wisdom. I wasn't, anyway. Wisdom comes later. Strength, yes, but even getting out of bed in the morning required huge amounts of strength, not knowing exactly what kind of a mood he was going to be in.

    You don't get it. You just don't get it. The only person responsible for the Stanford rape -- or any other rape was the rapist. The only person responsible for domestic abuse is the abuser. And so on. Women don't cause rape, murder or domestic abuse. Predators cause it, and they are skilled at cutting the weakest from the herd, isolating her and attacking her. If it hadn't been me in that abuse situation, it would have been his first wife or his third. It WAS his first wife and his third. If the eloquent Stanford rape victim hadn't been raped, it would have been someone else at that party or maybe the next party he attended. You can't PREVENT rape or domestic violence, murder, stalking, burglary etc. You can do your best to protect yourself, but if someone for some reason has singled you out, they will get you sooner or later. That's on THEM, not on their victim. You still don't seem to understand that.

    And now I think I'm done.
    Both the Chaplain and your ex sound like total idiots. That was the thinking back then - that a woman was to blame for setting off her husband's rage, despite not having one single iota of blame for whatever set him off. I hope you reported them to their superiors - who likely as not would have sided with them, although the Air Frorce is supposed to be filled with gentlemen.

    How did your ex's career fare after that? See "Casualties of War" with Michael J. Fox. How did the Chaplain's career go?

    If you didn't report them back then, do it now. I mean it. Even if it's too late for anything to be done about it and maybe they have both long since retired or even died, women are taking Bill Cosby to task over stuff that they say happened long ago, so maybe you can, too.

    For the record, I do not know if Cosby is guilty or not, but it sounds like it based on what I know of it so far. I don't understand how he can be tried at this late date, but he can afford the best lawyers. We'll see how it plays out.

    OK, so you don't want applause? Pardon me for applauding your strength, if not your wisdom. I see I am somehow wrong again. Not allowed to even give you a compliment.

    I understand some crimes are planned and others are crimes of passion and convenience.

  • 0

    Quote from ItsThatJenGirl
    This is a social construct. Boys are not genetically predisposed to like blue. Society dictates that boys = blue. And so it happens.
    And subsets doing things differently?

  • 0

    Quote from NotAllWhoWandeRN
    Entirely different. But it is self-destructive, not healing, to forgive someone who is still actively damaging you. If a rapist accepted responsibility for his own action, he wouldn't choose to drag the victim through a year-long trial that slices her open and dissects her in front of the jury.

    A person who is truly sorry for something they did that harmed another person will try to make amends, not continue to torture the victim. A person who is truly sorry does not call rape "promiscuity." A person who is sorry they are being punished (oh no, the steak! the swimming! hasn't he suffered enough!) is not truly repentant, but he has so much support in his inner circle he has little reason to examine his actions in the first place.

    There is absolutely no reasonable room for doubt regarding the Stanford rapist's refusal to accept responsibility for his crimes.
    Forgiving frees the one doing the forgiving. So it is important to forgive right away. Don't let forgiving be dependent on the criminal's behavior or words. The criminal might never come around.

    Corrie ten Boom in "The Hiding Place" gives us an example of how she forgave one of her Nazi captors who asked forgiveness after WW 2. It was not easy for her to do but she decided to do it, even though she and her family had been decimated by the Nazis - some killed, some suffering long-term health and financial effects.

    Forgiveness helps the forgiver. It can help the forgiven, too.

    As for Turner, his attorney might very well have told him to say what he has said and not publicly take responsibility for his behavior. His heart might actually be in the right place by now.

    And it's possible that any person, even here on AN, accused of a serious crime would want to hang onto the full array of legal protections available under our Constitution. That doesn't make the accused guilty or cruel. It's the way our justice system runs. We do not have to self-incriminate. We don't get tortured (maybe mentally we do) if we don't confess. You can't blame Turner for wanting his rights upheld.

    He will likely, in reality, face trouble for years to come. He will have to find some way to make a living without being employed by anyone else, future neighbors will hate and fear him. He doesn't get off totally free. And his appeal might bring him a harsher sentence.

    But, for your own sake, forgive those who offend and hurt you. It's against reason, but it frees the forgiver.

  • 0

    Quote from Rose_Queen
    It has nothing whatsoever to do with biology and everything to do with social constructs. There is absolutely zero biological influence on how people are socialized- the very word socialized means society, not biology.
    I disagree. Girls get pink, boys get blue. Generally speaking.
    Of course, you have yet to define "social construct".
    You do realize that there are many subsets of a society, don't you?
    And these subsets view and do things differently.

  • 0

    Quote from elkpark
    Or perhaps they thought that, as you have suggested on this thread numerous times, her appearance or actions may have led some man to lose control of his actions and, therefore, what happened to her wasn't really rape and might not really be a crime ...
    It's possible they had little concern for her plight. Not all cops are decent. Maybe they were embarrassed, poorly trained, lazy, had their minds on the child abuse or murder they were just involved with (that caused the 2 hour delay in getting to her), or maybe their gambling had to be cut short to go attend to her and they blamed her for poorly timing her assault. I do not know what their thinking was and neither does anyone else here. But you seem ready to condemn them. I have to settle for "I don't know" what went through their minds.

    Maybe they were the decent sort and were so angered by what happened to this innocent victim that they didn't trust their composure to hold up so they did a halfway job and got out as fast as possible.

    We don't know.

  • 0

    Quote from Horseshoe
    LOL, I am not REMOTELY angry. Why would I let some anonymous human being on the internet make me angry? I don't give away my power that easily.

    I also never said you implied housekeeping HAS to be done by a woman. However, YOU attributed it to biology, and I simply said it has nothing to do with biology, and everything to do with socialization.
    These days, women and girls, in general, do everything, enter any line of work, undertake any endeavor they like, assuming they have the opportunity.

    In the not too distant past, and still among certain groups of people, boys and girls were and are socialized a certain way because of their biology.

  • 1
    LadyFree28 likes this.

    Quote from Roy Fokker
    Yeah, no. It is actually lose-lose.

    I didn't become a nurse - especially an ED nurse - for "job stability." In as much as I didn't become a nurse to treat "customers" instead of "patients."

    This is exactly the kind of hokum peddled by un-supportive management to ensure a continuation of ED abuse and over-crowding. A few years ago at my old ED job, management tried to convince ED nursing staff that an establishment of an "Observation Unit" (monitoring admitted, stable Observation patients - usually for chest pain/ r/o ACS) was in our best interests. More "hours posted" for nurses/techs to pick up, hence bigger paycheck etc.
    NONE of the nurses/techs 'assigned' the Obs Unit liked working it - for obvious reasons (not all that different from taking care of holds/boarders!)

    And let me remind everyone - ED overcrowding is as serious as a heart attack, and can be just as deadly! How many of you would like to bring your Father or Grandmother to the ED with complaint of chest pain and be told to wait in the waiting room? Or let us assume the initial EKG shows an acute MI but the ED is so full (with emergent and 'non-emergent' complaints), the staff has to "create a bed" to accommodate an obvious emergency - would you like the nurse taking care of your Father or Grandmother, to also be responsible for 5 other patients? Or would you prefer that the nurse be able to hand off her patient load momentarily so that s/he can pay undivided attention to your loved one in their hour of crisis?

    Or let us even assume that the initial EKG at triage was normal or borderline - how many of you would want the triage nurse to send you back to the waiting room instead of a monitored bed? Be truthful!

    I had one a few months ago.
    Very young, adult female. Came in by EMS. I triaged her out to the waiting room because I had no open beds. At 0830 in the am. She huffed and certainly appeared offended that she was going to the 'waiting room' even though "I came by ambulance."
    As the EMTs were wiping down their stretcher and getting ready to head out, I noticed that their radios were going off constantly. The EMTs looked upset. I leaned over and asked "Y'all ok?"
    "No. Not ok. That's the third call out requesting an ambulance to transport a critical patient but nobody in the township or county can respond because we're tied up with BS calls!"

    The very young, adult female that came by EMS? Her chief complaint?
    'Vaginal discharge'...
    Nope, not kidding.


    * Have you EVER had to take a "chronic headache patient" and smile about it, when it is the patient's 240th visit in the ED in 2016? For the same "chief complaint"?
    The ones who are allergic to everything except Dilaudid and Benadryl/Phenergan? None of which are drugs recommended to treat chronic migraines or headaches?
    * The ones who refuse Imitrex (for example) because "it doesn't work. That drug what starts with the D... Dilauntin.... usually helps."
    * The ones who occupy a stretcher in the ED with their chronic, non-emergent complaint - while 80 year old gramma lies in withering pain in the waiting room!

    Not burned out - but I am certainly very frustrated!

    cheers,
    The vag discharge/yeast infection could go to a GYN Clinic or Fast Track area if your hospital had one.
    We never sent chest pains to the waiting room, especially if they were 80 y.o. grannies such as you described. The stretchers have wheels and they can be moved out of the room with non-emrgent patients on them so you can then put the CP Grannies in That's what we did anyway, back in the Dark Ages.
    As already addressed, headaches can indeed be serious.

  • 0

    Quote from lmccrn62
    Has anyone reported to the state unsafe care about a facility you work in? What did you report and did you do anonymously? Did any figure out you report? What types of things did you report.
    No. Fortunately, I have always been able to work things out with the appropriate parties.

    Is there an issue where you work that Management won't address and you think it needs to be addressed?

  • 1
    Adele_Michal7 likes this.

    Quote from Cruella de ville
    We are mandated to 16.5 hr shifts every pay period right now and our nursing aids can be mandated twice per pay period.
    We get in trouble if we call in for the following shift even though it's only 7.5 hrs to get home, shower, eat, sleep, forget trying to spend time with your family.
    I wish we could be relieved of that following g shift but we are too short staffed right now.
    Not sure but doesn't the Labor Board or OSHA have something to say about this? Doesn't the law require a certain minimum amount of time off between shifts?

    Mandated? What does that mean exactly? Forced to stay? Disciplinary action if you don't stay?

  • 0

    Quote from psu_213
    First, I have never witness a nurse being mean (patronizing, etc.) to a nursing student--even if said student was not up to standard.

    It does go both ways. I got to work, got report on my patients. Started the routine of assessing/medicating my patients. A group of students strolled onto the unit at 0755. One came up to me and said "I have Mrs. Smith in room 2" (name changed to protect the innocent). I replied "OK, well she has a history of A fib. She is here after cardioversion." The student replies to me "well, how about a real report." I wanted to tell her "well, that happened an hour ago," but I held my tongue and did give her more of a report. (I don't know about anyone else, but when I was in school, we always arrived before shift change and listened to report...that does not seem to be the standard now.)

    Yes, it's a shame that nurses aren't always appropriate in their treatment of students; however, it can be a stressful experience for an overworked nurse to have a student come to him/her and demand that the nurse stop everything to "explain stuff" when other things need to be completed ASAP.
    Students are told by their Instructor when to arrive, they don't randomly arrive at just any time, do they? When I was in school, we met for pre-Clinical conference at 0700, arrived on the floor by 0745. Our assignments were already posted so that the techs and nurses which student had which patients and they left it for us to do VS, meds, treatments, etc. It was primarily our Instructors who taught us, but the nurse for our pt was, I'm afraid, expected to also show us new things, give us opportunities to do new things. The Instructor could not be everywhere at once.

    Today, nurses have too many patients to do much besides give the necessary care at a breakneck pace. Don't expect them to have much time for students. It's tremendously frustrating for them and for students. Some nurses do like to teach but their workload doesn't permit much.


close
close