Latest Comments by Kooky Korky

Latest Comments by Kooky Korky

Kooky Korky 13,737 Views

Joined Feb 12, '10. Posts: 2,488 (50% Liked) Likes: 3,131

Sorted By Last Comment (Past 5 Years)
  • 0

    Quote from BonnieSc
    My big piece of advice (and you've gotten a lot of good suggestions) is to remember that you are there to help kids get a good/healthy camp experience. The camp doesn't revolve around the nurse or the health center. That's probably the most common mistake I've seen from nurses who weren't already camp people. Keep your schedule as flexible as possible, yet also make sure you keep your "office hours". Steady office hours are the best way to make sure people come to see you then instead of trickling in all day every day for non-urgent issues.

    Don't keep kids longer than you need to. Whenever possible, treat them and send them back to their activities. Be kind and nurturing with those who are really ill/injured, but don't make the health center an inviting place. I know that sounds weird. But hanging out with the nurse should NEVER seem like more fun than camp activities. We've had nurses keep kids for a whole half-day when they complained of, say, a headache. Cover your bases--are they hydrated? not over-heated? no fever? not hungry?, give some tylenol if it matches the situation (parents' permission, camp policy, etc), and send them back, with a suggestion to the camper and counselor to take it a bit easy. If the rest of the group is doing something very active, like field games, they can stay with you until the activity's up. Be careful you're not keeping kids away from their one opportunity to do horseback riding because you're keeping them in the health center "just in case". Parents complain about that.

    Regarding calling parents--kids at my camps have absolutely not been able to talk to their parents while there. (I can think of two exceptions--one where a camper's grandfather had died and the parents, over our objections, wanted to tell her even though they weren't coming to pick her up, and another where I had a teenage camper who was a type-1 diabetic, struggling with glucose control, at camp for a full month, and really needed her mother's advice about how to self-manage.) When I had to talk to parents, I would use a script similar to this: "Hello, I'm Bonnie, the nurse at camp, and there's no emergency--your daughter is fine." And then go on to discuss whatever had come up. Usually if I had to call it was because there was a question about something on the health form, a medication issue (the girl says she needs it twice a day, the bottle says once), I wanted the parent's opinion on how to handle an issue, or I was sending the child home with an illness/condition and wanted to give them fair warning (a fever that sprung up on closing day, a bruise to the face, an excessive amount of mosquito bites, a sunburn.) And I always, always spoke to the camp director before calling a parent. That's something I can't emphasize enough, unless your camp director has told you otherwise. The camp director is the public face of camp. Do not let him/her be blindsided by hearing about a camper issue from someone else--the parent who calls to complain, or the administrative office who has taken a parent call and wants to discuss the situation with the camp director.
    At the camps I worked, the Directors wanted to be kept abreast of serious things - lacerations, fractures, seizures, appendicitis, hemorrhage, violence, and the like - but not more routine matters (earaches, sore throats, GI, menstrual, sunburn, bug bites, and other smaller matters). That's what we nurses were there for. We kept our Log, the D could look at it whenever he or she wanted to, and we spoke a couple of times daily to be sure we were on the same page, more often if a serious matter arose.

    I didn't want to give parents heart attacks, so always had the camper say a few words then give me the phone. It worked for me, never had c/o from anyone. Campers' calls were limited, as you suggest, but some of them were there the whole summer, so got to call home weekly after the first week. Different camps are just different.

  • 0

    Quote from evolvingrn
    When I was a camp nurse, meds were camper responsibility..... We had labeled pill envelopes (name, med, dose, scheduled time) that we pre filled. I would sit in dining hall with dixie cups and juice during meals and they came and got them at their leisure. At end of meal before campers were dismissed those who had forgotten were asked to come see me. Worked great.
    This works well if kids are responsible or maybe the med is only once a day or counselors are particularly good at helping. And if camp is only a few kids.

    When meds/treatments are several times per day or more complex or have to be done in the Infirmary (soaks, large dressings), it's harder to get compliance.

    And if you have 200 or 300 campers, it's harder because there are so many meds to take to the Dining Room and the mealtime goes on longer (different groups come in at different times), and it's just more time-consuming and more difficult. You also can't be in the Dining Room and in the Clinic doing treatments at the same time. So it depends on all these factors and probably more.

    Also, I don't know that legally meds are the responsibility of the minors in your care. If they suffered any harm because of not getting their meds, I think there could well be legal repercussions for the nurse who didn't make sure the meds were given. Or at least offered and refused. If the minors refused more than once or twice, I'd be on the phone to the parents.

  • 5

    So, OP, now that you have been informed, what do you say?

  • 1
    lindarn likes this.

    Quote from Horseshoe
    Right. A state senator is going to take the time to get a BON employee fired because a nurse claims that person was "rude."

    He did indeed help me get renewed on time.

    I didn't ask for anyone to be fired, although a reprimand and corrective action were definitely in order for what had to be the workers' intentional wrongdoing.

    Why shouldn't he help? I vote.

  • 0

    Quote from lindarn
    The bon's are out control.

    Lindarn, rn, bsn, ccrn,(ret)
    somewhere in the pacnw

    How so, Linda?

  • 0

    Quote from billswife
    OP:Where I live, the only paperwork the employer has to file is to verify the number of hours worked since the last license renewal. Is that what you need? If so, try to go to the Human Resources department of your old employer. The administrative/secretarial staff at HR should be able to provide you with that documentation without going through your old manager, etc. Good luck.
    Or Payroll, Timekeeping

  • 0

    Quote from nrsadvocate
    Yes, there are people who have filed complaints against BON. You can file a complaint against anyone/ entity. You must research the law and make sure that your complaint is valid. Any entity can be sued but be aware, any entity can file a counter claim against you, for example, that your claim is frivolous and demand damages against you. Please be clear, I am not giving legal advice but am simply expressing my opinion. If you would elaborate on the basis of your complaint, you may get more responses. You can sue someone for having blue hair,...or for being too tall...or for anything but what would your damages be?
    A new bottle of Clairol. Ha Ha Ha Ha Ha

  • 0

    Quote from CaringGerinurse525
    I don't think I'd put my hat in that ring. I def wouldn't for rudeness. It happens. I would move on from it. Why would you put a target on your back?
    Because she is not Chicken Little and because they should not be rude.

    They are paid to do a job, never to be rude. They are servants, nor royalty.

    Would you be allowed to be rude at your job? I bet not. The only reason they are is because some people are terrified of them.

    In the immortal words of Gunnery Sergeant Hartman, your Senior Drill Instructor, Sound off like you've got a pair, CaringGerinurse525.

    You can't always hide from the fray. Sometimes you have to stand up for yourself. And if you won't stand up to rudeness, what else will you bow down for?

    Will you stand up for your Constitutional rights? Will you sacrifice them for the sake of "harmony and peace"? Many people have bled and died for you to have those rights. Cherish them like nothing else.

    OP, try writing to your state Senators and tell them your problem. They can contact the head of the BON on your behalf, who can figure out who was rude, when, why, and if that worker should continue to be employed by the BON.

    I've done it and it felt danged good to be able to show the Senator what was going on in State government. He stood up for me and I got what I needed (timely license renewal, no loss of income; I had been trying to renew for many months - should have taken only a couple or a few weeks).

    By the way - there was no retaliatory bull pucky from them, either. If there had been, I'd have gone to the Senator again, even the news media. Ain't gonna let nobody turn me around. I like peace as much as you, but sometimes we do have to engage the enemy. Yes, discretion is the better part of valor, but sometimes we have to draw that line in the sand.

    All of the changes in equality for Blacks - the right to vote, the right to use any toilet, any drinking fountain, try on a pair of shoes in the store, eat where we want, live where we can afford, attend good schools, use any elevator, sit in front on the bus, and so on - people had to fight and actually die for us to have these rights. We overcame.

    We are still overcoming. And it doesn't happen without courage. That applies to dealing with government bureaucracies, too.

  • 2
    RN-Doula and BeenThere2012 like this.

    "Work with me, Doc, Let's stay out of Court".

    I guess when you're new, it's natural to be scared and take to heart all the trash your coworkers tell you. But try to be calm, be prepared as others here have advised, and just do your job.

    I've rarely had to deal with this and never more than once with any particular doctor because I let them know, nicely but firmly, that we are a team trying to care for our patient.

  • 0

    Quote from missmollie
    It's not all about you, and you have a lot to learn. That's okay!

    Everyone feels lost in that first year. You have to give it time, you have to adapt, and you have to become a nurse. What you learned in nursing school isn't what you need to know in the real world. You will get better. Things will roll off your shoulders with better ease, and you'll become accustomed to which service orders what. You will improve.

    It doesn't matter if you stay on your floor or go to a new one. You made it through nursing school and the nclex. This is just one more hurdle, and in one year you'll feel entirely different.

    Best of luck, op. I suggest you stay and work for a year. This is just the beginning but there is light at the end of the tunnel.
    canceled my post

  • 4

    Quote from JC0C0
    Well I can say you're better than me. I usually just report what was given to me/what changes today. I do look in the chart if I feel like something is missing or the previous nurse wasn't quite sure of something, but I don't tailor anything nurse by nurse.

    Those kardex's interest me. We don't have anything that fancy, but you mentioning them makes me wish we had. It would be nice to look at instead of going to a million different places in the chart to find one thing.

    I'm with you, I like knowing what is going on now/recently.

    They were nice when they were legible and when they were kept up to date.

  • 0

    Quote from CathyH
    I have been told by a friend who is a nurse in oncology that there are 40 openings for nurses at the hospital in our area. There are a lot of traveling nurses that come here to fill those spots. I thought about working per diem also. Thanks for your input.
    Sometimes jobs are advertised or openings exist, but there is no plan to actually hire people to fill them.

    Or some jobs are reserved for only current employees to take.

    I don't know that you are too old, but do check out the job market where you want to work. Are you open to things like working in a jail, prison, doctor's office, school, long-term care facility or skilled nursing facility, home health, mental hospital, Public Health (usually hired by a city, county, or state), or anywhere but a medical/surgical hospital? It might be easier to find work other than in a hospital. The Federal government also employs nurses in various departments/agencies.

    Something to think about - some surgeons hire their own nurse or dental hygienist to assist them in oral surgery when it has to be done in a hospital. If you could find a position like that, would you take it or still want to do Nursing? Just something to think about.

    Why can't you work chairside after being a manager?

    You will likely work til at least your full retirement age. I think, per Social Security, you would need to not file to receive your full retirement amount til age 67 or 68. Check SS website on that for correct information.

    My point is that you have a good 10 or more years still to work, so I guess spending a couple of those years getting fitted for a new career would be worth it. And nothing says you would have to stop working even after ten years. A lot of people keep working at least part-time even if they are past full retirement age.

    Best wishes whichever way you choose to go.

  • 1
    Julius Seizure likes this.

    Quote from Kitiger
    I also think she means preterm labor. I googled it, and got:
    Praise The Lord
    Pedro the Lion (band)
    Pass The Loo
    Part Time Lover
    Pay the Lady (National Thoroughbred Racing Association)
    Pushing the Limits (gaming team)
    Post Tenebras Lux (Latin: Light After Darkness)
    Passion Tea Lemonade (beverage)

    ... You did say that you wanted general nurses to chime in, but it's hard when I can't decipher your meaning ...
    I was thinking Praise The Lord - to help her stay calm, LOL. Then I recalled, from way down deep in my old brain, Pre-Term Labor.

    OP, I understand how someone's rudeness would upset you.

    Next time, instead of stewing about it, ask her about it. She needs to be courteous, just as much as you need to give her a little history. Be nice about it, just be direct and say you don't understand why she is upset and ask her to clarify.

  • 1
    Ruas61 likes this.

    OP, does your Mom need referrals for specialists?

    If not, just have her see the doctors you want her to see, including a Pain Management person. That might be the only way these days to get adequate pain control, tapering of Norco and benzo's, etc.

    Peri pain could be from her spine? See a Gynecologist - could be gyn Ca, not to alarm you.

    Is she still on Prozac? See a psychiatrist.

    And a Geriatric specialist.

    Best wishes.

  • 4
    Ruas61, KatieMI, LadyFree28, and 1 other like this.

    Quote from nutella
    The idea that pain is always "subjective" was meant well, as already written about above, but also led to a lot of over prescribing and easy access to narcotics.
    So far I have not met any doctor who will have problems prescribing narcotics for a patient who has cancer especially when there is no cure and only palliation. But there are a lot of other pain problems that also respond to non narcotic medication and other interventions. Narcotics are not the answer to every pain problem and have side effects as well. In my area, providers have been very conservative with narcotics and often refer complex cases to the pain management clinic. Patients have caught up on the 1-10 game and know that if they do not say 10/10 they will most likely have to wait and not get their pain medication any time soon...
    Is you mother addicted? Everybody who takes daily narcotics develops a tolerance and most likely will go through withdrawal symptoms when stopping them. There is physical dependence, pseudo- addiction, addiction, and tolerance.
    Since your mom seems to have other problems like dementia, it is probably best to get her evaluated for that by a specialist to figure out how that impact her overall functional status as well as the ability to communicate clearly.
    Someone here on AN posted not too long ago that she is seeing Tylenol prescribed for cancer pain and how inadequate it is for this population.

    As professionals, we nurses need to contact our lawmakers to teach them about the suffering we see because doctors are so scared to prescribe pain meds now. If we each gave up one or two visits here, we could probably contact all of our elected Senators and Congressmen and Congresswomen. Also AMA president and other listened-to and respected doctors.

    It's terrible that a doctor would cut off a patient and her daughters, not even hear them out, and cause them to suffer. I think doctors who do this should be reported to their licensing Boards. It is inhumane.

    Or sic a lawyer on them.

    And fill out those Health Grades surveys (and similar sites).

    I once cared for a pt with terminal Ca. Skin and bones, almost non-responsive, starting to Kussmaul.
    The nurse who relieved me said she was reluctant to give pain med because the pt was drug-seeking.