Latest Comments by Kooky Korky

Kooky Korky 15,741 Views

Joined Feb 12, '10. Posts: 2,685 (51% Liked) Likes: 3,417

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  • 0

    I have worked in a couple of Catholic facilities, have never been asked my religion. I have been asked if I had children and who took care of them, whether I had reliable transportation, whether I had elderly or sickly family for whom I was responsible, & what my hobbies were (anything dangerous?). I think all of these are illegal, but I think employers need to know if I can get to work and if I scuba dive or sky dive.

    Have worked with Jewish folks, 2 of whom were Orthodox, so needed to not work Friday evenings through Saturday one hour after sundown, and needed certain holy days off throughout the year. They made up for it by working Sundays, Christmas, Easter.

    Worked with a Muslim woman who had to have prayer time at a set time every evening. It was difficult because it conflicted with a very busy time of day every day. Other staff were unhappy with her not being able to work for about 1/2 hour every shift at this particular time. It was not counted as break or meal time for her, it was just like smokers taking extra breaks to go smoke. This was not, to my knowledge, something that had been agreed upon before she was hired and I don't know that she did anything extra to help her co-workers, although she was a pleasant person and a good worker. Staff, doctors, visitors, and patients all seemed to like her. She came to the wedding of one of my children.

    What was the interviewer's response to your response?

    Hey, good luck.

  • 0

    What action are you going to take?

    I am taking a class. The Instructor is tremendously knowledgeable, but he can't teach worth a darn.

    We students are beginners in this topic and he has 35+ years of experience. However, he does not follow the textbook so we can learn the basics. We do not need to be hearing his anecdotes and all of the exceptions to the basics that he has encountered over the past 3.5 decades.

    His syllabus has the wrong dates on it in several places.

    His overheads are too small for us to really see.

    He lets one student bring up advanced issues that leave the rest of us struggling to comprehend. This student never stops talking. She answers questions instead of letting the teacher answer, and he lets her do this.

    When he does explain something, his explanations are incomplete. You have to complete his thoughts for him. It is hugely frustrating.

    He has us get on the computer only about 2/3 of the way into the class session, which isn't long enough for us, as we are still learning the software. He has us role playing, which might be important later, but first we need to get the theory down and learn the software.

    He gave absolutely no introduction whatsoever to the software. None. N O N E Yes, I am frustrated at the waste of time.

    Yes, we have spoken to him and he is making some attempts to address our concerns. I hope your Professor will do the same.

  • 0

    I'm so glad no one has told the student to do her or his own homework.

  • 5
    Marisette, sevensonnets, AJJKRN, and 2 others like this.

    Don't assume the nurses aren't doing much. Appearances can be deceiving.

  • 0

    Do you know how the child is doing? I guess it's a little soon for much to have changed. But I am just wondering.

  • 0

    Quote from aurora119
    Thank you for the feedback. I was told the expectations earlier, and their primary concern is that I'm not comfortable with the high acuity level of the patients they get up there. The ratio is typically 6:1, while I can usually do fine with 5, depending on each patient's level of care needed. I was told that they think a less acute floor would be better for me, and that's why they brought up tcu and hospice... But like KatieMI said, hospice might not be a good fit for a new grad with no exp... It just feels like a huge blow to me that this happened, but I appreciate their honesty. I'm just very unsure what to do. When I try to get help on something I'm not familiar with, it usually takes some time for the other nurses to come show me how. I think another area that was identified as an expectation by this point is that I would have gotten in the habit of looking up protocols and stuff on my own. I keep forgetting to do that, but now I definitely will make that a standard part of my practice. It's just my first instinct (and I'm not sure if this is a new grad thing or not) is to ask for help instead of looking up things on my own, which I guess I did too much of, and that's something my colleagues have pointed out to the NM, hence why this meeting occurred.
    Sounds like they are either too busy themselves or rude, selfish, and unfriendly. Maybe they feel like they're not getting paid to teach, so why should they? Or maybe they are malicious dogs who forget how it was when they were new. Or ??? is there a Charge Nurse you can turn to for occasional help?

    I can't say which path you should choose, but I do wish you the best.

    Do look up the protocols and procedures/policies. Read these manuals thoroughly and repeatedly. Memorize them.

  • 0

    Quote from Ruby Vee
    Sometimes true wisdom comes from a place where you'd least expect it.

    A family friend is a lovely, intelligent young woman who has worked very hard to put herself through school, buy a condo and furnish it in a comfortable, stylish fashion. She inherited some lovely things from her parents and grandparents. She started dating a man who raised alarm bells among her friends. He had no job, no money, crashed on the sofas of various friends and borrowed her car frequently because he had none. But she loved the guy, so she married him. Less than a year later, she showed up in the ER with a broken nose, broken ribs and bruises all over. Her husband, although he insists that she fell down the stairs, has cut and swollen hands.

    It seems the poor girl is really clumsy and falls down the stairs a lot. "She should leave him," my husband said. "She shouldn't have to take that." "Why doesn't she leave him?" Asked the child's biological mother. "Why stay with an abusive loser?" The child's stepfather says that if she was HIS kid, he'd "take care of that man," and gestured to his wall of gleaming swords and knives.

    The child, who it seems is wise beyond her years, said "Why should SHE leave? It's her house, her stuff, and HE's the one causing the problem."

    Why indeed?
    The child is a child and thinks like a child, I think, if I'm understanding correctly.

    The short answer is that she should leave in order to stay alive and stop getting hurt. And keep the child safe.

    The longer answer is that maybe she could quietly and unobtrusively start packing and moving out the things she can't bear to part with. She could store them, maybe ask a friend to keep a few things.

    She could start disentangling their finances quietly. If it's a joint account, she can close it immediately. This might endanger her if he finds out she did that.

    She needs a lawyer to figure out who owns the house and other things. Is there a pre-nuptial agreement? She needs to notify law enforcement I think, to make them aware of the situation, although they might side with him. This could endanger her further. She might have to let the house go. It's hard to say.

    Can she relocate far away, find a job, do all that is needed to make her break as safely as possible from this evil man? Does she have family to help? Friends? Organizations?

    How old is the child?

  • 0

    Quote from morte
    the only permanent solution, is the abuser permanently stops breathing.
    Please do not be the one who makes him stop breathing. That kind of trouble you do not need.

  • 3
    oldpsychnurse, ProfRN4, and KatieMI like this.

    Whoever fired you, with no chance for you to be on some sort of improvement plan, no chance to give input or rebuttal or anything - perhaps they will fall afoul of this vicious individual and find themselves fired.

    Is there anyone at all you can speak to? DON, CNO, Hospital President, Chaplain's boss (someone hired her, someone can tame her or fire her), HR Director, anyone?

    Talk about bullying. I am sick of this word. It is overused. Not saying it doesn't happen, just I am sick of it.

    Never accept a patient with family like this chaplain if you can help it. You should not have taken the patient, given that you knew this miserable individual did not want you caring for her child. Don't do it again.

    It seems the monitor should have a record of what settings the alarms were on. Can you check with the people who maintain these monitors?

    Is there a camera that shows you going into or out of the room at a certain time?

    Can other staff (techs, aides) vouch for you?

    The patient suffered no harm, I am assuming. How far will the bosses let this woman go in maltreating staff? Who is she sleeping with, who is she related to, follow the money to figure out why she is so damned powerful. Sorry to be crude. It just makes me mad that she can tear your life apart and disrupt the whole ward with her apparently unfounded complaints.

    I guess she's scared for the child's well-being, but this is over the top (to fire you if you had absolutely no c/o against no and had perfectly great reviews).

    How long were you an employee at this place?

    I do wish you well.

  • 1
    KindaBack likes this.

    Quote from RiskManager
    As I posted on another similar thread. There is no coverage under your malpractice policy for you being fired.

    Going back to the OP, I am amazed at the number of responses to workplace complaint issues to 'call your malpractice insurer'. The malpractice insurer does not care about this since they do not cover you for your workplace complaints or conflicts. They are not going to keep a record of your call nor are they going to open a file unless you are calling to report something that will trigger your coverage, and I have spoken extensively here about events that will trigger your coverage.
    They might very well keep a record of her calls. I would not call them unless threatened by circumstances that the insurer covers.

    They might decide to not insure her any longer if she calls them about things like this.

  • 0

    Quote from NotAllWhoWandeRN
    Lose vowels...

    I'm loosing it
    No. You are losing it. You are not making it looser (less tight). Bowels can be loose. I guess they could also be lost (colectomy).

  • 1
    BeenThere2012 likes this.

    Quote from NurseGirl525

    You were not negligent in patient care, nor diverting meds. That is why you would lose your license. I would honestly roll my own eyes that the doctor did that. He probably just didn't want to disimpact her.
    I'd bet my eye teeth that she got an oil retention or HHH enema(s) by the nurse, a flat plate or other imaging by Radiology, and the doc did an exam, maybe including a rectal. No doc disimpacted her - unless that's now in their job description.

    Whoever let her go for 11 days without an observed BM should really catch the devil. That is so negligent, so cruel and unusual punishment. She needs a routine bowel management protocol.

    And the doctor who wasn't available - what are you supposed to do on Nights, weekends, holidays, outside of perhaps 0700 - 2100? Don't you need an order to send a pt out? Are you supposed to call your nursing sup? Doc should be in hot water for being unavailable.

    Screaming for 2 hours? If I were her family, I'd be tempted to lay someone out for letting it go on that long.

  • 0

    Quote from LPNtoRNin2016OH
    Last year I returned to LTC PRN after 5 years of working in clinics,, we are a billed as a low acuity LTC w/ 8 beds dedicated to rehab patients. When I first started working, the rehab patients were stable, mainly hip fractures needing PT/OT, and stroke patients that were needing a little extra time before they went home.

    The types of rehab patients they have been taken in lately are more sick than they ever been. Because we are supposed to be low acuity, we don't really have the capability in terms of time to take on more critical patients since all 25 of my patients are separated into 3 different halls.

    My last shift was a double, I had 17 LTC patients, 6 rehab patients, and two empty beds. My 6 rehab patients consisted of a PICC line w/ ATB for sepsis (he was pretty stable though), patient w/ multiple wounds(one on the coccyx so constantly needed changed because he had many BM in a shift) and patient had c-diff. 3rd patient was pretty much self reliable, 4th was hip fracture w/ low hemoglobin who I was constantly monitoring due to pain and possibility of hemorrhage (she was like 2 days post op and hemoglobin was trending down), 5th patient walkie/talkie but very agitated with no orders for any type of anti anxiety due to family request, and my 6th patient on IV fluids, with hypokalemia/CHF who I was also constantly monitoring to make sure she wasn't filling up with fluid plus I was very concerned about the fluids + already hypokalemic situation so I was in contact w/ on call often. Plus my 17 other LTC patients. I never took a break (which lets get real, who does in LTC) nor never sat down besides to chart for 16 hours.

    My boss happened to come in for the other side because no one over was scheduled to work. I ended up calling her at 2100 because one of my aides called to inform me one of my LTC patients was bleeding from the rectum which is the first time this has happened for this patient. I couldn't leave my rehab patient because she was starting to fill up with fluid, I stopped infusion per MD, and was in the middle of getting all of the other orders for her together when this happened.

    My boss acted like I was incompetent. Now, I am no LTC expert so I am wondering if from your all's perspective if I may need to change my time management habits or if this is an actual heavy assignment. I am due to graduate with my RN in April and I want to make sure if I am not being efficient enough with my LTC patients to complete all of my tasks that I start figuring out why that's happening before I work in a hospital and have more critical patients than what I have now....
    This load is ridiculous. Unfortunately, it is probably not uncommon. Just the fact that you couldn't take even your unpaid meal break should tell you that too much is expected of you.

    Why not just throw people into the dirt if this is the kind of care they get when old, infirm, paralyzed, neurologically damaged? It is so wrong to treat helpless patients with such disrespect.

    Can you imagine the care given to queens, kings, presidents, wealthy people and how it differs from the average nursing home/LTC/SNF/Rehab gets?

  • 0

    Jocelyn Are you already licensed?

    What question did you ask your teacher?

  • 1
    Marisette likes this.

    [QUOTE=Libby1987;9194175]The only low stress high paying nursing jobs out there are filled by people not carrying their weight. They simply don't exist. Every nursing position has a productivity expectation.

    I am trying to undertand the logic of saying that people who need low stress and good pay are not pulling their load. To me, the two don't necessarily go together.