Latest Comments by Kooky Korky

Kooky Korky 20,421 Views

Joined Feb 12, '10. Posts: 3,263 (52% Liked) Likes: 4,386

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  • 0

    Quote from CelticGoddess
    It might sound awful but depending on the type of cancer, it can skyrocket your risk for a DVT. They are also at an increased risk for pneumonia And a lot of pts getting chemo will feel awful every single day. It's better for them to get OOB, walk (if possible) or even get up in the chair helps.
    I think I remember reading that the patients had to sit in a chair until after lunch, at which time they could lie down for a nap.

    I am somehow envisioning forced sitting in miserably uncomfortable chairs. I know what you're saying is true. Certainly life is motion, motion is life. We were made to be mobile and it does prevent the hazards of immobility, as they were taught in school - stones, constipation, ulcers, pneumonia, etc., just as you said. I guess, though, I am thinking that a less strict approach is called for. Some people have back issues and can't tolerate certain positions well, not for long anyway.

    Anyhow, just my 2 cents.

  • 0

    Quote from elkpark
    Your example doesn't really apply. One can't access rx medication without the pharmacist (and you might be thinking of RU-486, since the "morning after pill" is available over the counter), but people are entirely capable of praying alone. They might like someone with them (for what, an audience??), but they don't need someone with them in order to be able to pray.
    No, not an audience. Fellowship, focus, God promising to be present when 2 or 3 are gathered together in His name, which doesn't mean He's not there when we are alone, just that companionship is something most of us need and crave, especially when we are afraid. We appreciate the caring that other people provide.

    I don't think people are always entirely capable of praying alone. Fear, depression, medications, pain all affect us and not usually/necessarily favorably.

  • 0

    Quote from Libby1987
    I'm not religious and have no particular belief system but if I have the time and it doesn't involve sacrificing a lamb I would pray to a sun god if a patient requested, a minute of my time goes miles for them. I haven't been asked in a long time, though.
    They probably heard the bleating and saw the knife and altar and figured tomorrow would be another day, LOL.

    Just kidding, Libby. I respect and appreciate your views and your (I assume, tell me if I'm wrong) humor.

  • 0

    Quote from ANMpreN
    I totally agree with you. Religion makes me so uncomfortable, and before I came upon this post I honestly thought that all nurses would be required to show some kind of spiritual support.

    But I guess not.
    OP is supportive. She calls the appropriate spiritual/religious worker.

    If she wanted to, she could tell the pt that she is not religious and doesn't feel right getting involved in prayer or doesn't want to hinder the pt's own prayers because of her own lack of sharing the pt's faith/beliefs. Or just keep on doing what she's doing - honor the pt's views and need for spiritual assstance and facilitating same.

  • 0

    Quote from Davey Do
    Perhaps some of the responses I use will assist you in dealing with your needy co-workers, NurseDisneyPrincess:

    No.

    You see, I had a vasectomy in 1986, before I got married, so I wouldn't have to take time off to watch Little Johnny play ball. Being childless has afforded me the freedom from such superfluous endeavors and has freed those around me from having to enable me to live vicariously through my offspring which would provide me with a delusion of immortality.

    No.

    You're going to have to shower your baby on a weekday just like everybody else.
    Watching our kids play ball is living vicariously?

  • 1
    kp2016 likes this.

    Quote from Jessy_RN
    Does your employer require you to answer your phone on your scheduled days off? If not, then simply do NOT answer. I'm sure you have a smartphone where you can send them to voicemail or simply block them on your days off and unblock the night before you're due to return. Trust me, they will get the message. Did you get the no weekends or calling you on your days off in writing? If not, then you might have a problem. Never trust what anyone promises or says off the grid. If it is not in writing it quickly becomes non memorable or worse.......true! Good luck
    If you are REQUIRED to answer your phone when you are off duty, you are not fully off duty. You are on call and have to be paid. Check with the Dept. of Labor on that - state, federal.

    For OP - I wish your RN sis had told you to just turn your phone off. Or just not answer.

    As for trade requests, harden your heart and nicely say "No, I'm sorry. I'd like to help you but I already have plans". If you think you must give a reason - which you don't - be invited to lots of weddings, showers, anniversary parties, kids' sports games, your own choir practice and chess tournaments, graduations, christenings, bar mitzvahs, housewarmings, barn-raisings, float trips, Civil War re-enactments, sewing circles, quilting bees, Sunday school classes to teach, bowling and pool tournaments, chili cook-off's, weekend getaways, ski trips, and so on. After all, you have 17 siblings, lots of in-laws, tons of nieces, nephews, cousins, you are a twin, and on and on.

    Oh, and the family reunion out of state. Twice a year. Oh, and the ever popular "car trouble". This has now got my creative blood pumping. My canary is sick. My fishing bait died and I'm in mourning.

    LOL

  • 1
    brownbook likes this.

    Quote from Bamafan2011
    Pt. D/C with foley, give leg bag.
    I don't remember the full order since it was done about 3 days ago. I'm off right now.
    He sees the doctor in 3 days, he was discharged a couple of days ago. The patient knows how to take care of the Foley.
    OK, thanks. You aren't sure if there was an order to give a syringe? But he's apparently going to the doctor tomorrow.

    Was there any information given to him about what to do if the Foley got yanked and he started having terrible pain? Normally, if this brought to a patient's attention?

  • 0

    Quote from Been there,done that
    You are going through the stages of grief. This is not the time to " feel bad for the teammates who get paired with me".

    You are in shock, take care of YOURSELF first. You are not escaping reality.. you are taking time to process grieving.

    When my mother dropped dead, I was in the shock phase of grief. I knew I would not be able to take care of sick and dying patients. I asked for one month off. Nursing administration denied my request. I quit on the spot. Nurses are humans.. and deserve time to grieve.
    I'm sorry about your Mom, BTDT, and sorry that your bosses did that. How are you doing?

    I couldn't agree more about shock. Denial, disbelief, not real, shock. That gets us through at first, when the loss is so severe. Without the numbness and denial, we might not be able to make it those first few days and weeks.

    I hope you are well. God bless.

  • 1
    billswife likes this.

    I also find it easier to get back into the "normal" swim of things than sit home, especially if I'd be sitting there alone, which might be
    your new situation.

    I think you would be wise to work if that is how you find some peace, some time away from feeling the severe loss you have suffered.

    You might want to get involved with a grief support group or 2 or another type of group that gives you comfort and stamina.

    Please don't take this the wrong way. But don't expect everyone to be in your corner, though, or for more than a fairly brief period.
    America, where I assume you are, is not the most enlightened place when it comes to allowing people time to grieve, or, for example,
    40 days to primarily rest after childbirth the way some cultures seem to do. It seems we expect of ourselves and our fellows that we take
    a very brief time and then bounce back. Most employers give 3 days off for bereavement or maybe 5 if you have to travel out of state.
    Many places do likely give longer if you ask.

    When my loved one died, people were sympathetic for a couple of weeks. Then my boss told me I needed to "come back",
    meaning mentally and emotionally, as I had already returned to work physically. It was quite a slap in the face, but she was right. Hurtful though her words
    were - yes, she could have been kinder about her way of saying it - I did realize that I could be sad for 16 hours per day and only had to
    be "normal" for 8. And that has been my way ever since.

    You will go through many and maybe varied emotions over the next weeks, months, years. Sad, angry, scared, indecisive, joyful, grateful
    for the good years you had together and the many memories you made together, both happy and otherwise, etc.
    You don't need permission to grieve in your own way. In time, you might want to make changes - move, meet new people, have a
    social life again, write about your experience, do volunteering, travel, revise your house, etc. - but do it all in your own way, your own time.

    Don't talk a whole lot about it at work, even though people are nice. It is still the workplace. I'm not saying it to be cruel, just relating
    what I have experienced, both as the grieving person and the coworker. They all do still have their own problems, they still have work
    to do. I think it's cruel how life seems to just go on no matter what devastation we suffer. But it definitely does. And I needed to not talk
    about it myself all the time. I needed work to be comfortable, as it had been before and so did they. And it's fine to let people know that you do
    realize that everyone has their own hurts and that you want to be there for them and want to help them, just as they are there for you.

    Also, it is not unusual for people to go back to work but find they need more time off after a while. If you do need it, don't feel badly. I think
    most people, including your boss, want to help, they just might need you to say what you need.

    God bless you and comfort you, give you strength and peace. Thank you for sharing here.

  • 1
    brownbook likes this.

    Quote from Bamafan2011
    It didn't say for him to remove foley until he sees the urologist to help examine the urine.
    What exactly was the order?

    Where does this stand now?

    When does he see the doctor?

    Does the patient know how to do Foley care?

  • 0

    Try using an automatic dialer. It will keep re-dialing the number for you. Good luck.

    Maybe you could get your California state Congressmen/women and Senators involved. They need to know how miserable people find dealing with this agency. They need to know that Consumer Affairs is not doing a good job of regulating the BON, too.

    It really is outrageous that the people who determine your ability to keep your job, earn money to feed your family, and pay your mortgage are just somehow not doing a smooth job. What are the real reasons for this? Too few staff? Disorganization? Punitive action because the staff are in a bad mood and misuse their power? Other?

    Good luck.

  • 6
    macawake, h00tyh00t, Zyprexa, and 3 others like this.

    Quote from blondy2061h
    My patients never got to pick when they slept. We made them wake up and eat (if they weren't npo- and some of them were- for weeks if not months), walk, and work with PT and OT. They had to be sitting in the chair by the time the doctors rounded. If they were perceived as sluggish their sheets got taken away and their bed not remade until they were allowed a brief afternoon nap. Keep in mind these were cancer patients that felt miserable. We also didn't cater to their every whim. They were encouraged to fetch their own snacks and such. They were like prisoners, without the hour of yard time a day or the ability to socialize with the other "prisoners" (too much infection risk). And this is how many of them spent the final months of their lives. So no, I wasn't envious.

    I can sleep in and color on my four days off a week if I want. And eat what I want. Socialize. And go outside.
    Why did cancer patients who felt miserable get forced to get OOB and sit in a chair? It sounds really awful.

  • 15
    Maritimer, h00tyh00t, not.done.yet, and 12 others like this.

    Quote from amoLucia
    Just to be fair and hear the other side of this issue is to recognize that the staffing coord or nsg supervisor is being EXPECTED to make the calls from the higher PTB. So that person has little choice except to make the call. I've been THAT person many times.

    Also there is no real effective way to keep track of any previous calls made. So again, calls are made.

    And yes, I have made phone calls to folk on vacation. My error and I apologize. But there could be worse things to happen.

    Just don't answer the phone or let technology handle the call.
    In the olden days, we would get a piece of paper, like in a notebook, and write down who we called, when, and response.

    I don't understand why you say there is no real effective way to keep track of previously made calls. I'm sure the same method I described could still be done by hand or even on a computer.

  • 1
    gypsierose likes this.

    Quote from ProperlySeasoned
    One thing that disturbs me about all the "person vital sign" equipment is who ensures they are in working order? Calibrated? Up to industry standards? Not worn down from years of repeated use, which home equipment is not designed for? I get that many people have their own stethoscopes, but an automated blood pressure machine is a different beast.
    LOL I was suggesting a manual BP cuff.

  • 3

    Quote from purplegal
    Be honest--do you ever the patients you take care of, even just a little bit?

    It probably sounds wrong, but I often do envy the patients I take care of. Ultimately, they get to choose their schedule their way. If they want to sleep in, they can. If they want to stay up all night, that's their choice, too. They don't have to wake up to any responsibilities. They can sit around and watch TV all day, read, color, or pretty much whatever they like. They're able to order around staff members and can get upset when things aren't just the way they want, and get away with it. However, if I were to start demanding things from others...well, you can guess how well that would go. I wish I could have a call light to press every time I needed every single little thing. One patient stays in bed all day and all night, except when she goes to the bathroom; as someone who loves to sleep, I would totally love to have that life. Instead, I get to work two jobs and some nights get barely 5 hours of sleep while they do basically nothing all day and have all the time in the world to sleep.

    Is there any way to speed up my life so I can finally reach the age where I get to sleep all day, lol?
    I think you're just low on sleep if you think it's enjoyable to have your every move controlled by someone else, your every move on camera or under the scrutiny of workers.

    No real privacy, very little free will.

    Get more sleep. Live on less money if you have to. Get more sleep.


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