rainstorm83 1,155 Views
Joined Jul 14, '10.
Posts: 22 (18% Liked)
There have been 2 occasions so far, both times I was a new STNA and working part time from 5:00 pm to 11:00 pm. Both times, I really needed to get milk before coming home. I had a toddler who needed it for breakfast. Both times, I felt so gross! All I wanted was to get home and get out of those gross scrubs that I'd worn through all my pm care, bed baths, toileting barely ambulatory residents, not to mention the majority of Cts were in depends...
My third day as an STNA I rushed to the first Nurse I could find to inform her that my Ct told me he was going to kill himself, and was now chewing on his IV, and was frankly scaring the helll out of me. (I was one on one with a bad gunshot wound in a rehab wing in LTC facility, a no restraint facility might I add.) At this moment I, like my Ct believed air bubbles in his IV would be deadly. She was a housekeeper.
I get the reasons for scrubs and don't mind others wearing them. But it does seem like very poor management to allow confusing situations when you're talking about possible life and death situations or a person's confidential information. A simple badge or patch identifying housekeeping, dietitian, STNA, Nurse, etc would be inexpensive and really improve patient care and satisfaction. As a Ct, I'd definitely want to know who I'm talking to.
If you don't care for yourself, your work as a nurse will suffer. Consider it a favor to your patients.
If you feel guilty, assess yourself before anyone calls. Ask whether you are in need of rest, socializing, whether your other relationships should get some of your time, if you have anything planned, etc. Basically decide first thing if you can honestly go to work that day without causing negative consequences for yourself, your patients, or your loved ones. Then either answer the phone or don't based on what you've already decided. (I'm assuming this is not your on-call day.)
This is my favorite but there are a lot of runners up. Who knew how many talented nurses were out there?
My understanding is if you give proper credit and in no way profit from the work, you are in compliance with copyright laws. Muwah!
A Day in the Life of a Nurse by Tim Holloway, RN
Physically exhausted, emotionally drained,
my body goes numb as it deals with the pain.
As I walk to my car, thinking back on my day,
I turn to look back as though I've something to say.
But the silence is deafening, the air quickly chills,
and time, for the moment, becomes terribly still.
I'm left there standing as though frozen in time;
the evens from the day slowly flash through my mind.
I began my day watching as she drew her last breath,
then comforted her family in mourning her death.
I stopped and I listened as the chaplain quietly prayed,
my eyes swelled with tears when they took her away.
With the passing of Rosie still fresh in my mind,
I glance at my watch and see I'm two hours behind.
Yet no one will know how my morning began,
just that the wait was too long for that needed bedpan.
There were phone calls and call lights, treatments and meds,
questions from families about what the doctor had said.
Then as I'm placed on hold, calling stat consults,
I'm told the lab's on hold with some critical results.
But before I have time to complete either call,
a patient climbs from his bed and takes a bad fall.
More phone calls and call lights, new treatments and meds,
now it's the doctor who want to know what the family has said.
The patient in 20 is demanding more pain meds.
The patient in 30 is demanding to go back to bed.
There's an IV pump alarming, "infusion complete,"
as I explain to the family why he's not able to eat.
Lost in this maze of demands on my time,
the passing of Rosie is still on my mind.
Though the smell of her death is still in her room,
I'm to get a new admission in sometimes around noon.
I guess the rest of my day went pretty much the same,
and thinking I may have made a difference eases my pain.
There are some days that are better, some that are worse,
very few understand the demands in a nurse.
I'm physically exhausted, emotionally drained,
but I'll be back tomorrow to do it again.
But as I turn to leave, I feel a warm rush of air,
perhaps it is Rosie saying, "Thanks for being there."
- TIM HOLLOWAY,RN
This poem was written by Tim Holloway, RN, who says that he hopes other nurses will relate to his poem "... and realize that they are not alone in their struggles to cope as they perform their job."
Holloway,T. 2001. RN. 64(7). P 54.
I should have clarified that this is when they are walking a normal sized person with a safety belt, like when getting a newly deliverd PP Mom up to the bathroom the first time who may faint. I also emphasize not doing anything to risk hurting themselves, and to only use it when things are under control. Otherwise, yell for someone to get a wheelchair, and don't risk it when the fall cannot be controlled or prevented, or if the client is huge or combative.
I've been taught that in my state - Ohio - you are not supposed to catch a falling patient. Instead, we are taught a method of guiding the fall. When we are able, we are supposed to help them fall slowly with less injury. Supposedly, it's safer for us and for the patient. (I've never had to use it as almost everybody where I'm working is wheelchair bound - aside from people who are entirely bedridden.) The rational is that if the patient falls you can help them or get help but if you are seriously injured trying to catch someone, nobody is helping either of you which is worse.
I'm a little curious what you mean by setting up?
If they are going out of their way to point out mistakes of someone rather than helping them because they feel that person is incompetent , even if all they need is a little training specific to that facility, it is pretty obnoxious. However in that case it is still your actions or lack of which that determines if what happens to you.
However, if they are claiming you did something you didn't, or vice-versa if they are claiming you didn't do something you did, that is really dishonest. No matter if they think someone deserves to be fired or not, it is their own actions that a person should be fired on, not on a story someone thinks will get them fired. That just shows they probably don't have a good reason to want the person fired.
In cases like that, I'm inclined to wonder why and have to suspect poor practice whether due to laziness, incompetence, or whatever. They get rid of the person who won't "fit in" the environment. Even though it may not help the original victim, observing the underlying problems and filing complaints about the facility may get enough attention on the facility to change the environment and eliminate the culture that's behind it.
Still very curious about the details though. What is going on?
I don't think your score looks bad but I'd probably try to take it one more time.
I do think you will probably get in with that GPA and TEAS. However, there is no set criteria that will tell you in advance that you'll be selected. Usually there are around 3 applicants for every spot in the program, however they've had higher rates recently and you never know how much it will vary.
Now that you know the test a little better your score will probably go up slightly.
Congratulations! I'm in the program too, although not in the same quarter as you are.
The program at COTC is really great. It's really fast but students work together and the school has a lot of resources to help you.
Actually a lot of students do work. They offer a lot of classes on nights and weekends. Nursing classes are usually in the day though, especially the clinicals. Still many health care jobs need people for all shifts so you could probably find something. Recently they had surveys about class times for the purpose of determining whether to offer more class times so who knows...
I originally planned to go to OSU but was really frustrated with the wait-list. I chose COTC because they are a "competitive program" rather than a "wait-list program." In many nursing schools the students who are accepted into the program wait their turn, so to speak until there is a spot for them in the program. However, at COTC every quarter they select the students they feel are the best. I decided I couldn't wait 2+ years to start my life so I decided I'd rather gamble on myself, that I could be chosen in a competitive program.
Both schools I considered had a really strong nursing reputation which was important to me because need to be able to find a good job when I finish. I'm a mom and while that poor college lifestyle was fun once, it doesn't work as well when I need to provide food and shelter.
I really love COTC, the classes are hard but the instructors are great. You have clinicals from the beginning so you really know what you are learning and will have a lot of experience. I've learned so much. I'd never imagine how much information I could learn so quickly, but the way it's taught really flows. Let me tell you if you don't pass the first quarter, you are kicked out of the program, and although they let you reapply, it's hard to get accepted twice. However, seeing as it's competitive in the first place, I can't imagine how that would even happen.
In the real world I have admired someone's veins.
Conversely, in the medical world I have said as a goodbye, "See you soon." They were a bit grumpy about that comment, despite my trying to explain that it was just an expression, I did not know something they didn't, and that I was new.
Weirdest place I've fallen asleep? No comment. (But it has nothing to do with Nursing.)
Good luck! I hope you get the job.
I really don't think that your stomach will have any great affect on their selection, unless they plan on hiring a robot.
Disclaimer... I'm not in your field. I'm a student in an RN program and an aide in long term care.
But I can give you the other side. As a parent, I love when my son's aide give me ideas and techniques that can be useful in teaching him, regardless of whether it's academic, social, or behavioral.
Trying to look at it clinically which is unlikely when it's my family, when people ask me how I am it often leads to exposing our real issues and leads to forming a plan to address it.
Good communication skills are so important, more so than in many other fields. You need the family to follow your instructions while your not there so they need to understand the plan including the reasons behind it and why you think it's best. And you need to understand what will strengthen the family as a unit so that they can help him too. If that is unclear, for example there needs to be things that the family can all do together enjoyably, even if it is limited to small things at first. Otherwise, life is always work with no break. Like every child, this child deserves to be a source of joy.
Also, it's a immeasurably better when there are ways the other siblings can play with the special child or help out, especially if the NT child is younger and doesn't get why his brother doesn't play with him and get's special therapy which looks like fun. The DD child is your number one priority by far but it really cuts down on jealousy if the NT child can be somehow involved in some of the therapy. Less jealousy equals happy kids that will actually play nicely with each other.
I hate it when anyone voices low expectations or speaks negatively about him, especially if it's a professional. I don't mean stating facts. It would be crazy for anyone to expect you to be able to help their if they are never able to address anything. Telling me that my child doesn't talk, ok especially if it comes with advice. Telling me that I shouldn't expect him to go to college one day (and this was when he was just 2) only tells me that you are not going to try and I need to get someone else.
Also, you never know exactly how much a child understands so if you have to address something extremely negative, I suggest trying to do so in a separate room from the child. The reason is even if you are trying to change that fact, hearing it may be damaging to the child's self esteem. He'll improve less if he believes he is stupid or a bad boy, which no child deserves.
I hope this is helpful and not completely stupid.
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