MedChica (7,191 Views)
Joined May 18, '10.
Posts: 533 (51% Liked)
I never learned how to lie properly so I just tell the truth.
"I'm running late but I'm 10 minutes out."
"She's not gonna be done. She's never done on time."
Yes, I was talking about another nurse. I know that some are reading this and thinking, " *gasp* The 'orda-sit-y'...!" *laugh*
Okay. That's fair. Here's my thing, though: Why lie?
Every time I come in, it's an hour until I get the keys but I have to show @0645 or Why do I have to be on time? This one lady, she chronically takes forever. Admit or not. She's holding the MAR/TAR hostage and she won't get off the cart. That's the crux of the issue. Soon as you get done with the medpass, bare minimum, you make sure the count's okay. Count's okay? Okay - gimme the keys and get the fudge off the cart! *laugh*
After wrestling the keys away from her a good 40min into my shift, she once took 30minutes to give report. She's over here, shuffling paperwork from one corner of the desk to the other with a furrowed brow. I went & gave a heparin inject. Got my PEG stuff labeled & ready. Did a round. Assembled labs for lab draw/pickup. Flagged the MAR/TARs. Came back to the nurse's station chewing on ice and she continued, "Uh, Mr Reynolds...yeah. He's, uh...well...."
I thought we were done!
She writes nothing down. That's what so there's always a lot of hemming and hawing during report time.
"My scrubs are still wet. I forgot them in the washing machine."
"The road's closed. Trying to find another route."
Not an excuse.
"There's a big pit in front of my house and I can't get him to leave."
"I'm stuck on the access road and the train's not moving."
I have been caught by a stalled train twice. Trapped on an access road with many drivers.
I don't see how you'd be doing this alone. You're not in that facility all by yourself.
When the facility alarms go off, everyone (CNA, Nurse, Housekeeping, Maintenance, etc...)should be making a beeline for the exits to recapture the pt.
Yes, running. You can't work psych in cute Koi clogs, I'm sorry.
Someone should already be on the phone with the A/DON. Yes, you must FOLLOW the pt and coerce them back. Call the daughter on your cell if that helps. If not, call the police and state the cause. Get a cop out there. You cannot lose your pt.
We've pulled residents off city buses. It can be done.
Is the neighborhood attentive? If you've got watchful homeowners nearby, they WILL alert you to a resident trying to escape.
Your pt doesn't seem all that aggressive. How exactly are you 'distracting' the pt? Why not give them something to do?
Reality orientation doesn't work when someone's mind is completely broken. It could actually create aggression.
Sometimes, you've gotta run with the delusions. I don't mind talking to residents for hours on end. Psych pts are funny. Characters. They're hilarious. I let them follow me around, too. It doesn't bother me. I'd rather them follow me around, a bug in my ear, than trying to break out. The discussion will be weird but fun.
"How do I get to giant eagle?"
I'd say something like, "I dunno. What's a giant eagle?"
Interesting dialogue will be had. If it's a destination (like, where they used to live before coming there. Home), lead the convo off on a tangent.
-- "How do I get out of here?"
Give them direction. Just don't provide the right ones. I just keep sending them to dead ends. They'll just walk to the other end, get distracted, come back around 30 minutes later and ask again. Good exercise.
Do they have friends in the facility? Sometimes, I put two talkative pts together and let them yack the other's ear off. If you eavesdrop, the discussion will be utter gibberish but they like it. Everyone needs to socialize.
-- "I'm trying to get home."
"Where do you live?" Then, redirect the discussion to something more interesting.
"It's dark outside/too much traffic, papa. Stay here with us until the traffic thins out/tonight and you can leave tomorrow."
I used to have a resident who wandered (sundown) and tried to elope every other day. He either had to pick up a car or go to work or was looking for an item for work or was waiting on a vehicle to pick him, etc...
-- "Papa, the car is in the shop. It won't be ready until tomorrow. Just wait here with us."
-- "Papa, you don't work today. It's --" ...nighttime/Saturday/Sunday/the weekend/the holiday, etc... " You're off. Why do you want to work on ____? You should be resting. I wish I was off. "
-- "Papa, it's night time. Why do you want to be running around at night - it's dangerous? Let's wait to leave until tomorrow when you can see? They'll pick you up tomorrow.
-- "Well, you should eat before you leave. You're gonna get hungry. C'mon - they're making --"
-- "...you can wait here for the night. We have a room for you with a tv in it and everything else. You don't have to pay for it or anything. Stay with us and leave tomorrow."
It's okay to phrase statements in an asking tone but you don't redirect a pt with questions. That gives them opportunity to shoot down whatever you're offering which shuts the dialogue down. "Is that something you'd like to do?" ; "Are you hungry?"
Ask questions when you're probing for info. You don't redirect a pt with a question.
You suggest. You make statements.
"Let's do --"
Food helps. I used to settle a pt with pudding every time he made a run for the exit. Talked him down; then, "I have some chocolate pudding...?"
I never worked ALF. I was just geripsych. So, pardon my confusion.
But others work in psych units or private offices where the dress code ranges from scrubs to business casual.
Our elders need our help, too.
...and I've found nothing monotonous or depressing about the nursing home environment. Old people say the darndest things, y'know.
There are good times. Lots of good times.
Just because they're in the home doesn't mean that they're dead.
They're living and breathing. They sing. They dance. They play instruments, too.
One of my little ladies plays the violin. Her fingers aren't as nimble but she can bang out a tune. She has pictures all over her wall of her in concert. One of the little guys in my unit plays the guitar. The LTC even set a time for him to play on weekends and all the residents go into listen to it.
They're just not as spry as they used to be.
We, grad and student nurses, all have goals and such. Nothing wrong with it. I love hospital culure. Always have. But... I've simply had my fill of this, "Eww...a nursing home. Ew...old people. Eww...I'm too good for this" attitude.
There is a sort of strange visceral reaction to working with elders that really isn't observed elsewhere. I dealt with this attitude throughout nursing school from the 'I wanna play with babies all day' crowd. They were far and few. Still - it was annoying. I don't necessarily want to work with children, but I would. I've always been uncomfortable with Peds b/c they're so fragile. In my head, at least. I could never work NICU b/c I can't handle dealing with child abuse cases and infant mortality.
Pedi is a skill that I wouldn't mind developing, I'll say.
I'm not a nurse, yet. Just a GVN, but there is absolute honor in being an LTC nurse. In working LTC.
My nurses could work in hospitals. They simply don't want to. They like elders and some just don't like the hospital environment.
If I ever hit 70 or 90 and end up in a home? I can only hope that someone cares enough about me to stretch my limbs or brush my hair and teeth or feed me or cleanse my body or speak softly to me or turn me over because I can't do it myself or socialize and talk to with me or comfort me when I'm lonely or calm/redirect me when I'm afraid and lashing out, etc....
They care for the most thrown away members of our society (with the mentally ill running a close second)...and they don't do it for the 'fame' or the bragging rights that come with working a fabulous hospital job.
This is the essence of nursing, imo. They render care, when no one else will. Not even the family members...though I refrain from judgement most of the time.
I'm at a psych LTC. I could've gone to the hospital. Had a contact in there, but eh...
I have no desire to work with the military right now. Spent too long with that org and honestly? Me and the military? Frankly, it's akin to a bad marriage. I'm just not ready....LOL
Civilian hospitals pay too little for me. I rather like my little ladies (though they drive me completely crazy...most of the time), anyway.
I think -- there are many virtues to working LTC. You learn how to prioritize and some serious time management skills, that's for sure.
So, tell me? Are you currently working as a PCT in a hosptial? Are you networking your way into a hosptial position as we speak? Do you have contacts?
If so? Great.
If not? Trust me... your tune will change come graduation and no one wants to hire you....
That's not a dig. It's just non-sugar-coated realism.
Ive worked for one when it was nonprofit. I continue to work there now that its for profit.
Biggest difference? Staffing. When it waa nonprofit, we werent as shortstaffed because the old owners would hire staffing to help us out. They didnt mind when we everyone worked OT, either.
We also had end of year bonuses.
I handle nursing by 'detaching'.
I talk about my work situations with friends who find these interactions hilarious.
I don't think about nursing when I'm not there. I think about the money that I'm going to earn as RN. Keeps me going.
I also work out.
- Get your own equipment
- Don't say behind anyone's back what you wouldnt say to their face. You dont know anyone. Resist the urge to cry on anyone's shoulder "in confidence". Youre the new girl
Everyone is watching you, ie, how you work, how you mesh with the environment, etc... even if they dont look like it.
Youll never go wrong being 'the quiet teamplayer'. Everyone likes a hard worker.
Ive never endured it but Ive seen it. One place, the nurses on the floor were just harsh. You walk in, they look through you. Youre to train with them, theyre sucking their teeth and such. Youre doing your tasks and theyre talking pooh in the corner.
I get what youre likelt going through. It was impossible to keep nurses or aides. The floor dynamic ran them off. I still pull shift on occasion but not much.
We had a baby nurse start when I did. Her nurse coworker was just abrupt, unhelpful and full of attitude. Trust me, I had to get her all the way together in the nurse's station when she "tried" me. Wouldnt advise you to do as I did. Stand up for yourself but dont burm bridges. You cant just tell her off and not care. Youre too new. You NEED your senior nurses. You try to float on your own and youll drown.
New grad nurse broke down in the medroom with me. I was over there to get something. Her, too.
I listened, confirmed all that she was feeling and told the new nurse to seek greener pastures because that wasnt a new grad friendly environment. Period.
"Why ya think Im PRN? Girl...." For a reason. You cant be sure of the work environment youre walking into. Most facilities suck ass and cant keep people for much the same reason. They dont deserve FT dedication. Let em scramble. Let the FT and PRN staff q a Its what they get So, I do PRN or PT. It pays more, anyway.
She laughed, "So...you get it? Its not just me bein' crazy? Okay." It wasnt just her.
She said that she had a job lined up.
I honestly don't know.
Nothing sticks, though. I worked psych. Psych pt's have the honesty of children, so after routinely getting my soul ripped out in 10 words or less, nothing bothers me now. I've been called every name in the book! I am stone.
Actually, I get sexually harassed at work. It's not even the men. Men really aren't that bold. Women, on the other hand? I have one pt who calls me 'big booty' whenever she sees me. In the beginning, she gave me compliment. Called me "pretty". Now, she just calls me 'big booty'.
That's my name: Nurse Big Boody. She yells it down the hallway, too. She doesn't care. She'll be in that gerichair yelling for me, 'Big Boo-dy!'
It's embarrassing when it's done around nonnursing healthcare professionals, like, the medics and paramedics? They just laugh.
Not only cat-called, I get slapped on the butt.
It's these elderly women. Coming in their wheelchairs, "straightening out" my tops. Rolling past, popping me on the butt. They're not gay. They're just a bunch of old freaks! Stone-cold freaks!LOL
Honestly? I kind of have a complex about my behind. Like, if someone keeps making remarks about a specific body part, you're going to wonder about that body part. So, I'm always thinking, "Well, damn. Is my butt really that big?" I really don't think my behind is that big! I'm well-proportioned, I think.
22 + shift diff ($1-2). PRN
Or 21.5 w/end 12s & 18.75 week.
$18.50 c $1 shift diff
$25...but I dont work here. It's out in pinellas. Too far away.
Just hit 3 years of experience. Snf/geri/psych/corrections/clinic
Think im topping out, in terms of floor nurse salary. Only way to hit close to 30 is to do case management/adon/etc. I dont want to do that. Yet. Id have to go ft and im not doing that until i get my rn. I think im just gonna concentrate on building my skillset and gaining more experience. The goal, as always, is to be a stronger nurse.
Whoa, I see that I'm not the only 'introvert' around here. I assumed that I would be.
Interesting. What does that mean, I wonder?
Well, we are not all typical...though, there are some things that 'we' are privy to.
I tend to masquerade as an 'extrovert', myself. I've always been in professions where I've had to deal with people all up in my grill 24/7. I just recharge when I go home. I soak up the quiet and stillness.
Most would think me an 'extrovert', but, honey -- if I ruled the world --> Mandatory 1 Hour Quiet-Time!
Most people talk entirely too much. About nothing, usually.
I'm an INTJ.
...and since the INFJ's are repping their personality type?
What I'd like to do? I tend to think 'long-term'. So, an advanced degree is in my sights.
Bedside nursing is fine now but I'm going to get old and tired and crabby. I know that I will not always want to run around the floor arguing with docs and crazed pts.
'A' is for A-U-T-O-N-O-M-Y. <-- My favorite word. It is what I seek. Sure, I don't mind working with people but I do like to be left alone if I can.
I take suggestion, well. I've just never been the type that required constant direction and 'micro-managing'. I'm used to 'sink or swim' type environments so I can hang with it.
Just show me once...I've got it.
I take copious notes.
ALSO? I don't like 'routine'. I like 'putting out fires'. I like doing important and fulfilling things.
I like...fluffy and pretentious titles.
Pending research and future options/feasibility, I am looking at:
I like having the week off to do 'whatever the hell I want', period.
I work Sat-Sun. 7-11p. The funny thing is, everyone but people in nursing thinks this is a cool shift. You'd think I would have to fight my coworkers off for this shift...yeah, right. My coworkers are so conditioned to work through the week - they think I'm 'missing out' because I don't have weekends off.
'But you work during the week end...?"
'...but I have 5 days off.'
"Yeah, but you miss everything that happens on the weekends."
"You mean what happens on SATURDAY because 'Sunday' is the day to sleep it off before I have to drag myself to work at the buttcrack of dawn on Monday. Did I mention having 5 days off..."
You can pick up another job. I did.
You can go back to school. I am.
You can lay around and blow farts all day. No comment.
Most times, I'd just drive around. Walk around the store. Go to the spa. Piddle about the house.
Honestly, I understand that some things are just plain better 'in theory, only'. The less I have to work, the less productive I am.
Last Friday, I resigned from my clinic job upon deciding to return to school. I bought Grand Theft Auto 5 about 3 weeks ago. I've been playing since Saturday. My boyfriend just shakes his head. To be perfectly honest, I just might spend the better half of the week on my 360.
...and not a single hint of shame shall be felt about it.
Looks like it has been removed from the google play store.
Sent from my iPhone -- blame all errors on spellcheck
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