Content That OCNRN63 Likes

OCNRN63, RN 51,553 Views

Joined: Aug 27, '10; Posts: 7,239 (75% Liked) ; Likes: 27,962

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  • Jan 15

    I know this is not a very satisfactory answer but I just hit "like" when I like a post. Do I like it when people like my posts? Sure but that's not why I write them. I find this site full of interesting conversation about topics that interest me & enjoy joining in

  • Jan 7

    Med-Surg. YOu'll see a lot of different things, and every patient is going to be different, even if they have the same diagnosis.

    I worked for a critical access hospital and we got everything from med-surg/ortho/tele/psych and I learned a lot. No one patient is the same.

    I then worked for a teaching hospital on the Onc/Palliative unit (with med-surg overflow) and again, not a single patient was the same, even with same diagnosis.

    I have never worked on a unit or in the ED so I can't say what they are like. I'm sure others will chime in. I wish you all the best on your journey. And I hope you find a unit that you are happy on.!

  • Jan 7

    Are we talking about a stocking with a bunch of unwrapped sticky gummy bears just waiting for some one to stick their booglie hand into, feel 'em up and put 'em back for the next guy to finger??

    Good thing there is a security camera on the job.

    Remember: It's not the crime, it's the cover-up.

  • Jan 7

    Quote from jodispamodi
    Scarier issue is that there is a camera watching the nurses station...
    You didn't get the memo?? That is for your safety only, of course!

  • Jan 7

    And how many times do doctors dip into goodies left for nurses?

  • Dec 30 '17

    Sounds more like it hit a nerve than the bone.

    In my experience, most nurses give the deltoid way too low. It should be only 1-2 inches below the acromium (I do 2 finger widths).

  • Dec 29 '17

    Quote from AnnieOaklyRN
    Hi,

    My only suggestion would be getting a co-signer with good credit. Perhaps you have a parent or sibling who would do that for you, otherwise you may have to try and pay as you go.

    Annie
    Respectfully, a co-signer is a terrible idea. Why? Because should OP default on the loan or (God forbid) die/ become disabled- the co-signer is responsible for the balance of the loan.

  • Dec 26 '17

    We are talking about the legal rights of women who pump at work, but what about the legal rights to standard lunch and breaks?
    I watch your patients while you pump and you watch mine while I take a break.
    It's called teamwork- no resentment
    however, it sounds like some of these nurses are taking advantage and not reciprocating.
    At that point I think the manager should get involved, because ultimately it is the employers duty to give the nursing mother the time not the staffs responsibility.

  • Dec 26 '17

    Quote from Wuzzie
    Not supporting the traveler's bad behavior but I'll admit to being irritated with a staff member that pumped every two hours for 30-45 minutes each session AND took her 30 minute lunch AND her two 15 minute breaks during her 10 hour shift. You do the math on that one.
    There may be many other factors involved that the OP is omitting or unaware of.

    I worked with a nurse who exploited the fact that she was a nursing mother to take frequent, lengthy breaks off the floor (to allegedly pump) leaving our skeleton crew of nurses to constantly pick up her slack. She barely carried half her load and was still taking home the same salary as the rest of us who were breaking our backs because she #HadABaby. As someone who will never receive this kind of accomodation (because I don’t have a baby), it’s irritating to be taken advantage of by people who throw the “think of the children/children come first/as a mother...” position at you as though statement were an unquestionable defence or fact in an of itself. Why would anyone think that the patients they serve, and other staff deserve to be inconvenienced because they chose to have a baby? I think that is the bigger underlying question here. We all have to be accountable for the life choices we decide to make. What happens if a mother decides to continue breastfeeding when their child is older than 12 months? Are we supposed to accommodate your frequent breast pumping breaks indefinitely?!

    Nursing is not an industry like others, a person with certain medical conditions can even be precluded from the profession if their condition(s) prevent them from carrying out nursing tasks or puts patients at risk. If a person needs such an extensive accommodation in an industry where the people covering for them are often working injured, going without bathroom breaks/eating, etc...perhaps you need to find other employment. I can’t imagine how this would work, for example, on a busy ICU floor. I support nursing mothers, but not people who use their accommodation inappropriately as a strategy to pass off their workload onto someone else. I’ve seen this happen so many times I’ve lost count.

  • Dec 25 '17

    You asked for it, you got it. You also failed. Nobody should miss a MAP. Your preceptor knows you are not ready for 2 patients. How can you feel "bored", when you have so much to learn?

  • Dec 23 '17

    My own "duh" moment: being in the trauma bay after an ED thoracotomy and ROSC. I can literally SEE a beating heart. I saw some wackiness on the monitor and asked if we still had pulses. One of the docs reminded me that I could just look at the heart. D'oh! Not used to having that immediate visual confirmation of a pulse.

  • Dec 23 '17

    Let's use a little critical thinking here. If you need a sample of pulmonary sputum for testing, and it now includes gastric contents, is that a valid sample?

    Actually, you sometimes can use a sample like that. In patients who cannot produce a sputum sample, you can withdraw gastric contents from a salem sump ng tube first thing in the morning and test it. You are testing the gastric contents mixed with the sputum swallowed during the night. It's an interesting process.

  • Dec 22 '17

    I would also question why you would be confiding in a patient's family about financial difficulties.

  • Dec 22 '17

    That situation is definitely outside the bounds of an appropriate professional relationship. Also, there is a danger that someone may accuse the OP of taking advantage of her position as caregiver to a vulnerable patient.

    I would avoid this situation like the plague.

  • Dec 10 '17

    Well.... How do we know the pt didn't sign a POLST under duress? How do we know it wasn't forged or altered in some way? How do we know the pt didn't change his mind ten seconds before arresting -- even with a proper POLST?

    Generally tattoo artists limit their inking to what a client requests. Considering the Ockham's razor principle, that tattoo's presence is more simply explained by "this man commissioned this tattoo," vs "the tattoo artist drugged the man and acted without consent, having been paid off by a murderous wife who wants to collect his life insurance and move to Fiji with her young Latin lover."

    One acting in a feduciary capacity is supposed to make the decisions that to the best of their knowledge is what the PATIENT would want.

    I can see "DNR" might be problematic, since it could mean "Daffodils 'N Roses" or "Dine Nightly on Ribs" or could be a loved one's initials strategically placed near the heart. But "do not resuscitate" with a signature? In the absence of other information, that sounds pretty clear.


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