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HisTreasure, ADN, RN 8,012 Views

Joined Apr 27, '04 - from 'New York'. HisTreasure is a BSN student. She has '10' year(s) of experience and specializes in 'Pediatrics'. Posts: 822 (16% Liked) Likes: 434

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  • Feb 7

    Quote from systoly
    OP, i know you mean well by trying to cover for or excuse the sleeping
    my question to you, if something happens to the pt. while the nurse is sleeping and you know this is going on
    aren't you (going to feel) responsible?
    to everyone who thinks it's ok to nap, sleep, rest: are you going to be ok with the fact this happened on your shift
    of course it's hard to stay awake, but i'd rather sit on a thumbtack than having to explain why i don't know when the
    pt stopped breathing
    Ultimately, because she was my foster daughter I was responsible for her safety whether we had nursing coverage or not, which is why when we caught her sleeping the initial time we became more vigilant with our spot checks the following nights. I do believe in first chances, and even second chances in some instances, and therefore I felt compelled to allow her to come back. As I've very honestly said, I've dozed off on night shift before. Not laid out, but I recall my eyes getting heavy, reminding myself I needed to walk and opening my eyes 6 minutes later and I knew I had dozed off. For SIX WHOLE MINUTES! Unacceptable!!!! It happened and I am not proud. I went into that shift well rested, I drank coffee before and during the first half, I had busy work, I was in a well-lit area, everything... and it happened. So, I can't, in good conscience, hold someone to a higher standard than I hold myself knowing I've made mistakes. I had a second chance. I re-evaluated how I worked at night to ensure that I never dozed off again. I learned from my mistake, and thank God, no one was ever harmed. I wanted to offer that same chance to her to become a better person, a more proficient nurse, and/or learn that nights does not really work for her. Meanwhile, we were hyper vigilant in the following nights to ensure our child's safety. Does that make sense? We misjudged her. Plain and simple, and I am thankful nothing bad happened. And yes, I would've felt responsible if something happened on her shift, but I would've felt responsible should anything had happened on anyone's shift.

  • Feb 4

    Thank you for your reply! (Everyone else too!) We don't have the camera for the nurses, we have the video baby monitors because all of the foster children placed with us are MWO (maximum watchful oversight). The cameras are provided by the foster care agency due to issues in the past three placements. I can't really get into it, but it has zero to do with trusting the nurses and everything to do with the placement contract I signed with my private agency and the county social workers. As I mentioned, the nurse has access to the other monitor to use when not in direct contact with the children; we keep one in our room and one downstairs so it's not to watch the nurses- it's to watch the children, only. The sibling has a baby monitor in their room as well, so it's a total of 4. Not just in Gem's room. I understand how that can make people uncomfortable, but there is very little I can do to change the situation; I simply have to pray people are sent into my home understand the reasons for the monitor and know that we aren't sitting there staring at the monitor, hoping to "catch" someone.

  • Jun 26 '16

    Congrats to everyone! I remember getting the letter and all the anticipation leading up to the first day. I remember my first day so vividly even though it was almost two years ago (WOW!) This is a very exciting time in your life. You will learn so much about yourself and your classmates really will become a strong support system- a family. I won't scare you with how difficult it is, because I found it to be trying and it had its challenges but it wasn't the end all/be all for me personally. You will get out of your education what you put in, and while you won't be totally prepared for your first job as much as you may want to (reality is a rude awakening in nursing!) you will be very knowledgeable. Nursing school teaches you not what to think, but HOW to think. Good luck! Enjoy your schooling because boy will it fly!

  • Mar 29 '16

    Worst job was as a child care associate. I loved the kids- always had a tender place in my heart for them, always will, however, this center was poorly managed and inadequately maintained. I didn't know about child-adult ratios at the time but I knew it wasn't right for a 17-year-old to be left solely in charge of 6 toddlers for any long stretches of time. Sometimes the main teacher would be floated to another room and I would have the whole 2-year-old room from nap time until around 4, 4:30 when kids started going home and the rooms could be combined. The director was mean and nasty from day one, and the last straw (or close to the last straw) was when I witnessed the main teacher withholding lunch from one particular baby for the third day in a row for "misbehaving." I thought it was cruel the first time it happened, but by the third day I realized she just didn't like the little boy and would use any excuse to abuse him. I reported her to the director, who in turn wrote her up on suspected misconduct and the teacher started being really mean to me but at least she left the little boy alone. I quit a week later.

  • Mar 28 '16

    Worst job was as a child care associate. I loved the kids- always had a tender place in my heart for them, always will, however, this center was poorly managed and inadequately maintained. I didn't know about child-adult ratios at the time but I knew it wasn't right for a 17-year-old to be left solely in charge of 6 toddlers for any long stretches of time. Sometimes the main teacher would be floated to another room and I would have the whole 2-year-old room from nap time until around 4, 4:30 when kids started going home and the rooms could be combined. The director was mean and nasty from day one, and the last straw (or close to the last straw) was when I witnessed the main teacher withholding lunch from one particular baby for the third day in a row for "misbehaving." I thought it was cruel the first time it happened, but by the third day I realized she just didn't like the little boy and would use any excuse to abuse him. I reported her to the director, who in turn wrote her up on suspected misconduct and the teacher started being really mean to me but at least she left the little boy alone. I quit a week later.

  • Mar 27 '16

    Worst job was as a child care associate. I loved the kids- always had a tender place in my heart for them, always will, however, this center was poorly managed and inadequately maintained. I didn't know about child-adult ratios at the time but I knew it wasn't right for a 17-year-old to be left solely in charge of 6 toddlers for any long stretches of time. Sometimes the main teacher would be floated to another room and I would have the whole 2-year-old room from nap time until around 4, 4:30 when kids started going home and the rooms could be combined. The director was mean and nasty from day one, and the last straw (or close to the last straw) was when I witnessed the main teacher withholding lunch from one particular baby for the third day in a row for "misbehaving." I thought it was cruel the first time it happened, but by the third day I realized she just didn't like the little boy and would use any excuse to abuse him. I reported her to the director, who in turn wrote her up on suspected misconduct and the teacher started being really mean to me but at least she left the little boy alone. I quit a week later.

  • Mar 27 '16

    Is your hospital currently hiring PCTs? As a student you may be able to be employed as a tech which will bring a lot of useful experience and opportunities to learn. You will already have a working knowledge of the technical aspects behind phlebotomy and tele which will prove invaluable once you start skill labs and clinical. Your employment as a tech may also count towards your overall tenure at the hospital once you become licensed which may help you get moved into an RN position of your choice or give you preferential standing if you apply for a BSN residency program at your hospital once your pass your NCLEX.

    After your first semester you can probably challenge the CNA exam and get certified. This will be useful if you want to work LTC or perhaps rehab. There is a lot of value in going that route, as you are the first line care giver and the time management aspect of floor nursing will be lessons you learn early on. There is still a likelihood of future employment as a nurse, especially if your facility is associated with a larger hospital system that you can transfer within, should you so choose. Working in acute rehab I was able to better mentor the CNAs, especially the student nurses or those who showed an interest in completing school in the future. CNAs are able to form a closer working relationship with both the staff and the patients, as they are longer term. Maintaining multidisciplinary relationships and perfecting your bedside manner are important skills whose importance should not be overlooked or underestimated.

    To think outside of the box, I know a gentleman who finished his pre-reqs then took an EMT course in the interim between pre-reqs and waiting for his time to start nursing school. He would do 24 or 48 hour shifts while in nursing school. The pay wasn't what he hoped but he said the experience was invaluable all around. The schedule was also a good fit for his education and studying. He still works pre-hospital on a volunteer rig a couple of shifts per month for our town. He's a great guy, planning to go for his PA in the next few years since he does have an interest in the medical model and feels he can be a better provider coming for both an EMT and nursing background.

  • Mar 27 '16

    Worst job was as a child care associate. I loved the kids- always had a tender place in my heart for them, always will, however, this center was poorly managed and inadequately maintained. I didn't know about child-adult ratios at the time but I knew it wasn't right for a 17-year-old to be left solely in charge of 6 toddlers for any long stretches of time. Sometimes the main teacher would be floated to another room and I would have the whole 2-year-old room from nap time until around 4, 4:30 when kids started going home and the rooms could be combined. The director was mean and nasty from day one, and the last straw (or close to the last straw) was when I witnessed the main teacher withholding lunch from one particular baby for the third day in a row for "misbehaving." I thought it was cruel the first time it happened, but by the third day I realized she just didn't like the little boy and would use any excuse to abuse him. I reported her to the director, who in turn wrote her up on suspected misconduct and the teacher started being really mean to me but at least she left the little boy alone. I quit a week later.

  • Mar 5 '16

    Well, I had the OCD mom who counted everything. From the number of times I filled up my water bottle (from the tap, mind you) to the number of paper towels I used when I washed my hands, to the number of diapers that were in the pail by the end of my shift. Literally, 10-20 minutes before my shift ended, as I was cleaning up and getting ready to empty the pail for the next shift she would run into the room, don a glove, and take out the diapers one-by-one asking if it was wet, poopy or both. Sometimes she would just smell. Once, she said, "this doesn't feel like it was wet at all! Did you just throw it in the pail to make it look like you changed him more than you did?!" Awkward. Who does that?! Seriously. Counted. Everything.

    BUT THIS TAKES THE CAKE. She came to me one day and said:
    "I've noticed you never put any tampon wrappers or pads in the guest bathroom garbage. You're not putting them down the toilet, are you?" I just looked at her incredulously and blinked. Then we had to have the super awkward conversation about my menstrual cycle frequency and my choice of reusable, environment sustaining hygiene products...



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