Kooky Korky 13,737 Views
Joined Feb 12, '10.
Posts: 2,488 (50% Liked)
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.
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.
So, OP, now that you have been informed, what do you say?
Right. A state senator is going to take the time to get a BON employee fired because a nurse claims that person was "rude."
The bon's are out control.
Lindarn, rn, bsn, ccrn,(ret)
somewhere in the pacnw
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.
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?
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?
"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.
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.
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.
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.
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 ...
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.
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.
Talk, Discuss, and Share your experience at your favorite Nursing School.
Advertise With Us