Content That OCNRN63 Likes

Content That OCNRN63 Likes

OCNRN63, RN Pro 32,810 Views

Joined Aug 27, '10. Posts: 7,088 (75% Liked) Likes: 27,129

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  • Jun 24

    Quote from Sagegrr
    My sister in law, just got her BSN, and she is working as a student nurse at a veterans hospital in California. She was shocked when they said if she does not pass her Nclex on the first test that they would not hire her as a real full time employee. I have never heard of that before. I think it is wrong if you pass, you pass it shouldn't matter how many times you have taken it. Also, when you apply for jobs, are they able to see how many times you have taken the test?
    Ahhh, but it does matter how many times you have to take the test. At least it matters to some. Honestly, would you want your loved one to receive care from an RN who took 7 tries to pass NCLEX? What if all that nurse accomplished during the 7 tries was how to successfully dissect the NCLEX question format, rather than actually increasing her knowledge base?

    This is a hot topic here, due to the folks who come here moaning about how nursing is their dreeeeeeeam and they just know ​that they are meant to be a nurse, but after 5 tries they just can't get it. Some states do have limits, but I personally think all states should limit.

  • Jun 24

    She doesn't sound like a nice person, but "evil"? That word is usually used to refer to child rapists and murderers who shoot 50 people in a nightclub.

  • Jun 15

    First, I have never witness a nurse being mean (patronizing, etc.) to a nursing student--even if said student was not up to standard.

    It does go both ways. I got to work, got report on my patients. Started the routine of assessing/medicating my patients. A group of students strolled onto the unit at 0755. One came up to me and said "I have Mrs. Smith in room 2" (name changed to protect the innocent). I replied "OK, well she has a history of A fib. She is here after cardioversion." The student replies to me "well, how about a real report." I wanted to tell her "well, that happened an hour ago," but I held my tongue and did give her more of a report. (I don't know about anyone else, but when I was in school, we always arrived before shift change and listened to report...that does not seem to be the standard now.)

    Yes, it's a shame that nurses aren't always appropriate in their treatment of students; however, it can be a stressful experience for an overworked nurse to have a student come to him/her and demand that the nurse stop everything to "explain stuff" when other things need to be completed ASAP.

  • Jun 15

    They are busy and your teacher should teach.

  • Jun 15

    Being responsible for a student nurse is sometimes considered "extra work" by the nurses. If they have heavy assignments and/or their pt's status is very unstable, they won't have time to guide and explain every little steps to the student. Don't take offense when they refuse a student nurse. They don't get paid extra for taking a student.
    And for your own good, cut off the accusatory tone and attitude in the future.

  • Jun 10

    Quote from emtb2rn
    Diploma rn here, went through rn-bsn program. Also have bs in another field.

    My question (which has been brought up by others recently and is also your question) remains: do any of these studies delineate diploma/asn to bsn nurses vs initial degree bsn nurses?
    Diploma trained nurses are the BEST. I think those that know, know that.

  • Jun 10

    Quote from Itsybit56
    Nursing boards for an ADN/ASN are exactly the same for a BSN. I am very concerned with nursing care related to shortage. We already have a nurse shortage nation wide. I feel hospitals only wanting BSN nurses is going to increase this shortage. The focus is wrong. We need to utilize all our nurses MSN, BSN, ASn/ADN and LPN to decrease the nursing shortage and that would improve patient outcomes and reduce deaths.
    There. Is. NO. Nursing. Shortage.

  • Jun 10

    Quote from hppygr8ful
    It sounds like you are working in long term care so bear in mind that this family could be paying several thousand dollars a month

    Eventually, the private funds run out and they file for Medicaid, which then pays their expenses. Fewer and fewer LTC patients are private pay these days.

    But, on topic...

    I rarely advise contacting an attorney, but what this woman is doing is slander, pure and simple. Others have advised having an attorney send her a strongly worded "knock it off or we're going to go Medieval on your ugly butt" letter.

    That sounds like an excellent idea. The situation has spiraled WAY past "ignore it, grow a thicker skin, she's just whacky". It could potentially impact OP's livelihood. The facility could decide that the easiest course of action would be to get rid of OP and not lose any revenue if other families pull Gramma out because they believe the lies.

    If it continues I might even have my lawyer contact the facility lawyer for a friendly little sit-down.

  • Jun 7

    Perhaps, administration should realize that short staffing will not be covered .. by a short staff?

  • Jun 2

    A good friend of mine's hubby is waiting for a hip replacement surgery. He's the farthest thing from a drug seeker I can think of. He's in a lot of pain, bone on bone. He's a karate instructor as a sideline, probably that repetitive motion contributed to this problem, he's in his mid 60s.

    He didn't like the oxycodones which made him itch, but Tramadol helped. The doctor wouldn't let him have 1-2 every 6 hrs like he had before. They wrote the script for 1 every 6 hrs. They told him he needed to wean down before surgery, that it would make pain control afterwards easier.

    If they checked the controlled drug database, they'd see that this fellow hasn't needed pain medication until now. Are the doctors under so much pressure to meet goals to satisfy the overseers that they are under medicating?

    Previously I always thought that the policies on opiates were too liberal and contributing to addiction. But now I sense an almost puritanical attitude on the part of some.

    Isn't there a middle ground?

  • May 30

    I think it's easy to assume that he wasn't planning on committing suicide because he didn't have anything in his system, but what if his mom caught him with a bunch of pills right before he ingested them? Of course she would still take him to the ER, because she would want to be sure that he didn't take any of them, and he wouldn't be honest with her about that.

  • May 30

    Quote from Anonymous865
    You had a patient that presented to the ED stating they had attempted suicide. You seem to think that because his drug screen came back negative, he doesn't have a psych issue. Just the fact that he went to the ED and said he had attempted suicide should be enough for you to assume a psych issue.

    Then your behavior toward him caused him to escalate from ignoring you to screaming and punching himself in the head.

    You stood there and mocked him by saying he was pathetic and his behavior was terrible. How did you think that would de-escalate the situation?

    Other staff had to call security for a patient who had been calmly talking to his friend until you started lecturing him and demanding he respect you.

    What part of this interaction do you think you handled well?

    Yes. His behavior was inappropriate. He is not the professional. You are.
    The OP really whacked the patient over the head with how inappropriate he was being, so he got defensive and escalated. Your reply is doing the exact same thing to her. You can point out better ways to handle the situation, but still do it in the spirit of trying to assist. In forums, and in life, you'll get more change if you approach people as if they are doing their best, and need guidance.

  • May 30

    If someone I just met told me I had growing up to do and called me pathetic I'd speak language so blue you'd need to be able to see in ultraviolet just hear me. And I'm a relatively stable, adult type person. If I were unstable I'd strangle you with your stethoscope.

  • May 30

    Quote from James W.
    ( Seriously though, some of the harshly judgemental posts on this thread
    so critical of the OP - do present as a tad pot-kettle-black, IMO.)
    If a patient cannot be bothered with accepting medical care, you attempt to discuss/educate, you document their refusal, and you move along to your next task or patient.

    OP has proudly announced that she told a suicidal patient to grow up and that he's pathetic. All we know is that he didn't OD on benzo's; that doesn't prove he didn't OD on something else or that he doesn't have suicidal ideation. If he's not truly suicidal, he's still displaying obvious mental instability of some kind (BPD has been mentioned) by deciding to tell someone he is. When he started harming HIMSELF the response was to reprimand him... and we're supposed to offer a high five? There is no pot or kettle here.

  • May 30

    Quote from VerticalHorizon
    But he didn't try to commit suicide, he just said he did. He wanted the attention and he obviously has issues. Just because you are a patient does not give you the right to act like an animal and treat people who are trying to help you with disrespect.
    Psychiatric patients don't behave as you expect they should and to challenge him at that point was not only useless but dangerous. Why escalate?? What do you hope to gain?