OCNRN63, RN Pro 34,031 Views
Joined Aug 27, '10.
Posts: 7,102 (75% Liked)
I think you'd be better off staying put for a host of reasons, the main one being that you may not be able to get a peds job straight out of nursing school. Your current job will help you gain confidence working with sick adults; you can apply that knowledge and skill to other areas, including peds.
I want to make it clear that I LOVE my job. I'm concerned that saying anything will jeopardize my job in some way. Other people have witnessed this, but I never kept a journal. I really didn't think it would last this long. I have no desire to get a lawyer.
I have tried avoiding him and I walk away after he says or does something. Yesterday I walked away after he made a comment and he followed me and said "you don't need to be embarrassed around me and you don't have to walk away."
There's no way I can't be under his supervision. He is the boss of all the nurses in the entire hospital (he's the boss of my boss (the nurse manager)). He isn't with me all day, but he sees me many times each day on the weekend days that I work.
I guess I need to be more firm and actually say this is making me uncomfortable. I have preferred the more passive and avoidant approach because I wanted to avoid repercussions from him. I believe he could have me fired if he wanted to.
Other than using some of the above, as well as using the ventrogluteal site as often as possible, I have no other suggestions.
The technique you describe sounds rife opportunities for infection.
I agree that there is definitely something special about older nurses. They were dedicated, concientious and very professional. The world of nursing loses good ones every day.
I am personally a hybrid. ( I will be 50 this year). I definitely remember the old but I embrace the newer technologies and skills. I was blessed to receive a package in the mail, the other day. It was from my mentor, that is one of those "older nurses." She recently retired and sent me her stethoscope, calipers, scissors, nursing pin, etc. I actually treasure those items even more than my newly obtained BSN diploma. I would not be who I am today without Cyndy's encouragement and example of what a nurse should be.
I comprehend just fine. No need to insult anyone's intelligence. And this subject is well-done by many. You need only search more recent threads. This is what some people call a "zombie" thread, lol.
Wow...I'm so glad I decided to read this article.
I'm so very sorry for what happened to you, but very happy that it hasn't destroyed you.
Oh, and cats are awesome companions!
"Standing on the shoulders of giants" is an old expression that is relevant here. We contemporary nurses "stand on the shoulders" of all the nurses who have come before us. Our vision and accomplishments rest on the foundation they built for us.
May they rest in peace ... and be fully appreciated by those of us who have benefitted from their labors.
How could you ever be a nurse without undergoing clinicals - which are bedside?
What experience will you draw on to bolster your advanced practice nursing degree? You can't be advanced anything without being the basic version first.
I continue to be amazed by the number of folks who want to *be* a nurse without actually, you know, *being* a nurse.
OP@CryandNurseOn, RN-I have to be honest and tell say that when I first saw this topic along with its anguished photo about the Highly Sensitve Person (HSP) personality type, I had a kindof a reactionary take on the subject matter. As in "buck up and and get
moving" followed by "if you can't take the
heat...." After all, why would anyone with this
kind of intra-psychic hyperesthesia ever in
their right mind what to be a nurse? Isn't it
tantamount to person with a fear of snakes
wanting to be a herpetologist?
So to address the issue. In this field I have met personalities down through the years who were at various stages on the continuum of empathetic. Some very nice but warm and fuzzy, not so much. I believe the reason for this, and no excuses here, has to do with over coming the mental indecisiveness that has to do with keeping cognitive dissonance at bay.
An extreme case but not too unusualoccurrance for trauma folks is having an accident victim being rushed iinto a bay followed by his tramatically amputed left foot chilled on ice in a zip lock.
So what is the point. Simply this. We are all only human and subject to this or that revolting thing. But the necessity to be able to transcend the barriers to effective performance is essential to most areas in nursing.
I would like you to know that although I have been an LPN for many years and trained new employees in that role. I just graduated with my RN this April, I am in a residency program and being precepted around my facility (as we do several shifts on any units that our "home unit" interacts with regularly.)
The advice I gave was what I do when interacting with my preceptors. I have not had a negative experience, so I was honestly hoping to help OP have a more positive situation.
Maybe I am the only person to overhear a conversation and thought I understood it totally, just to find out later that I was wrong. Her statement said she didn't feel well and then went on to say how the situation I can understand how this would make her not feel well, but it is very different from having a sore throat, cough, N & V, which she didn't mention at all.
I'm not excusing anyone's behavior, but since her preceptor isn't here I can't advise her to take responsibility for her actions. I can only ask OP to look at the situation, see how she take responsibility for making the best out of it.
My preceptors didn't get paid extra, and often didn't know I was assigned to them until the morning I showed up on the unit. That can be really hard, and we may not always see people at their best.
OP is no longer a student, and she does need to speak up, in a non-confrontional way, when issues arise. Which is what I was advocated. And no matter where you work, you will find at least one person in which those skills will come in handy.
And just as you want to give OP the benefit of the doubt, why am I so bad at wanting to give her preceptor, (who she never actually talked with about the issues and is not here to give side of the story) the benefit of the doubt. And why do I eat my young because I say "So take a big breath, remember how much you have learned and that you can do this. Give yourself a break for not being perfect and give others the same break."
I'm not copping a tone here, so please don't read that into my post.
I still believe that OP can learn to advocate for herself, present questions in a way that shows what she already knows and learn to be assertive without being confrontational, before taking it up the chain of command.
That cake belongs on Cake Wrecks.
If you're going to potentially damage someone's career and jeopardize their livelihood by reporting them for narcotic diversion, you should be willing to stand up and do it without being anonymous. If you say you KNOW this person is using drugs, then stand up.
On the other hand, if you think the person may be using drugs but aren't 100% sure, then you have no business reporting that they are. Report what you SEE, not what you THINK.
If a medication is due every eight hours prn, then 15 minutes on either side of it is not a big deal. An every two hour prn med would be different. If the patient has been waiting for everyone to get out of report so she could have her pain meds and is in significant pain, it seems kinder to go ahead and medicate her before going into report so that the next nurse doesn't have a patient in uncontrolled pain to deal with.
You already talked to your manager; you've done your due diligence. It is now up to your manager to follow through. It is also not your manager's duty to report to you how the situation is resolved. If there is disciplinary action, you don't get to know about it. It's confidential.
I don't see any facts in the original post -- except the 7:15 and 2:45 times which seem pretty sensible to me. Are you sure your concern is narcotic diversion or potential narcotic use rather than getting someone into trouble?
There's no such thing as privacy anymore.
ABC News reporting that suspect called 911 after shooting pledging allegiance to ISIS.
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.
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