juzme 4,128 Views
Joined Oct 12, '10.
Posts: 128 (44% Liked)
How long have you been in your nursing program? Im sorry but your wife is very disrespectful toward you. I have not seen many RNs with such a negative view of LPNs. I do get a lot of "go back for your RN" but that being said I have yet to run across this LPN is not a Nurse belief. How is your relationship other than that? Is she threatened by the fact you are in nursing school? Has she been supportive the whole time you were applying for Nursing school? I think there must be something else going on in her head because she clearly wants to belittle or put you down on a personal and proffessional level.
I always thought I wouldn't like nights too but once I tried it I found I liked it.I am a terrible sleeper at night, but I found I can snooze just fine during the day.I also like working nights because it is quieter.No families, no managers,no doctors.
Perhaps you should take an English class or at least learn to spell properly before you worry about getting a job.
You need to take care of yourself before you worry about the job. Call in sick and see your physician.
I agree that it's not necessary to palpate the brachial artery. Placing the stethoscope in the center of the antecubital fossa is sufficient to hear Karotkoff sounds in almost all patients. It's also not necessary to decrease the pressure in the cuff by 2mm of Hg every second, as you're taught in school. I can easily take an accurate BP in less than 30 seconds.
Kortikoff sounds (spelling) is what they are called. You don't need perfect placement. They are pretty frigging loud and for the most part the brachial artery is in the same place on everyone.
Gay nurses, Lesbian nurses, Hetero nurses, Gay physicians, Lesbian physicians, Hetero physicians....sexual orientation really has nothing to do with one's profession here...or with one's professionalism.
My best to yah.
Do not fall for the "death stare" routine. Some nurses use this--especially on newbies--to intimidate, even when the other nurse did her best.
As previous posters have said, nursing is a 24/7 job. There will be times when you got a late order or the night blew up on you and you simply could not have gotten to everything, even on roller skates. What you do then is prioritize. Get the most crucial items accomplished, and keep chipping away at the rest. You'll get more efficient with experience, but you are where you are in development, and that's all there is too it.
Be open to constructive criticism, but don't look to someone who gives the death stare for affirmation and approval. That just teaches them how to push your buttons and sets you up to feel inadequate. Don't fall all over yourself apologizing for only having two hands. You can offer a simple, "Sorry," if you mean that you're sorry they have to start the day running. But if you did your best (and I'm talking a reasonable best, not perfection), you don't have to fall on your sword or open yourself up to their snarky attitude.
Think about what happens when you are the oncoming nurse. I'm sure things get left for you, too. How do the off-going nurses conduct themselves? Are they straightforward and calm, or do they cave in on themselves and act like they've committed serious wrong by passing some tasks on to you?
Keep in mind, too, that you are working in an area with heavy responsibilities. Sounds like you're doing just fine as a newbie nurse.
The more matter-of-fact you are about what you're passing on, the less exploitable you'll be.
A former supervisor once said that we have more than one shift for a reason. Unfortunately it is inevitable that some things are endorsed to the next shift. From what you described, it was unavoidable. I prefer not to pass things on either, but sometimes you have to.
I absolutely would NOT carry a tape recorder for several reasons. First, your employer told you not to. If you do anyway, they will have grounds for disciplinary action. Second, it's a potential HIPAA violation.
As I replied in one of the other threads you posted about this same issue, I think you need to start looking for a new job. This job is not a good fit for you. Sometimes you have terrible co-workers and there is no getting around it. It sounds like you have done what you can to "fix" this problem and it's not gotten any better. Unfortunately, you may or may not be labeled as a trouble maker/drama llama. (Not saying it's justified, just saying it could happen). Once that happens, you are fighting all uphill.
I guess my point is, maybe it's just as much a socio-economic thing as it is a gender thing.
I work in Peds, not LTC, but we often have parents/family who say the same thing about their child.
If the family says the child needs something for pain, I will ask, "What makes you feel that way?" That gives them a chance to explain what they have observed (if anything) that makes them think the child is in pain. If the child was recently medicated, or has been showing no signs of pain, I'll usually suggest alternative methods first- holding, feeding, distraction, less stimuli, etc.
If it's an older child, I'll ask the child directly if they are hurting. If it's an infant, I'll sometimes explain the FLACC pain scale that we use to assess pain in infants so the parents can understand how we are judging if their child is in pain.
If the parent does NOT want a pain medication given, and I feel it's necessary, education is key. Explain that the dose of medication is an appropriate dose for the patient's pain. (If it's a lower dose, say that.) Explain that using a narcotic pain medication periodically or for a short period is not going to cause addiction. Explain the difference between tolerance and addiction. Believe it or not, we have many parents who don't want their fresh post-op, NPO child given IV morphine because they think they are going to end up addicted.
For an alert and oriented resident, just ask the resident directly if they need something for pain. Keep in mind that some older people do not feel comfortable expressing to the nurse that they need something. Many residents feel that they are burdening or bothering the nurse by pushing the call bell and requesting something for pain. Others may be used to the "tough it out" mentality with which they were raised. They may be more willing to verbalize pain to their family.
I try to remember that, before the patient came to the hospital, they were cared for at home by their family. The families often know the patient the best. In my job, this is often most true of children with chronic medical conditions who cannot communicate (such as CP with contractors.) This is also true of LTC residents. They have gotten to know how their loved one usually reacts and behaves, and what mannerisms they exhibit if they are uncomfortable.
If the resident is not able to communicate their needs, has a PRN order, and giving the medication will not cause harm, consider just giving the pain medication and chart "upon request of the POA/family." Pain can be difficult to assess in the elderly who cannot communicate. Normal age-related changes, arthritis, joint stiffness, being contracted, or even lying in bed for extended period can cause pain. Remember that sleeping or the appearance of sleep does not mean that the resident is not in pain- if the nervous system is overwhelmed by pain, it may just shut down. So at the very least you're making the family feel as though their loved one is being well cared for, and you may even be treating pain as well.
Before I became a nursing assistant, then nurse, my only two jobs had been in construction and a moving company. I had had almost no female coworkers. Since coming to nursing, I obviously work mostly with women. Now, I would never make comments like RubyVee posted in the first post there. But, I don't think I'm misogynistic to say that, in general, women are much more emotional than men. Working with men and working with women are two very different experiences. How could they NOT be?? I wouldn't say it's been unpleasant or anything, but it HAS been an adjustment for me. Coworkers being so open about their feelings and their personal lives still makes me uncomfortable. I worked with guys for YEARS in my old job, and still knew very little about them. Can't say the same as a nurse. And I had to change how I act and talk, too. I learned quick that I couldn't use even a fraction of the language and "dirty" humor I used before with my new female coworkers. Not even in the break room. Women really are more sensitive to this stuff. Guys tend to think it's funny, women not so much. As for the other stuff, the stress and the backstabbing in nursing, I attribute that more to the nature of the work than to gender....
EVERYONE makes med errors once in a great while. Anyone who says otherwise is either lying or to stupid and unobservant to notice.
What business of yours is it how or if she's being punished? If you're planning on being a nurse you better learn fast how to tone down the immaturity and the "drama queen" factor.
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