Content That Nurse Maru Likes

Nurse Maru, BSN, RN 3,458 Views

Joined: Dec 22, '10; Posts: 51 (51% Liked) ; Likes: 91

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  • Jan 2

    Vickie's programs are VERY OVERPRICED!! There are cheaper ways to become an LNC.

    You don't need to take a course to do legal nurse work. You are reading medical records for attorneys and opining if the standard of care was or was not met. You know how to read medical records, you know what is supposed to go on in a hospital. You can do medical research to support your opinions.

    The AALNC, the ONLY officially, recognized, national organization of Legal Nurse Consultants, offers an on line program, that you can take in modules, and spread out the cost of the program, which is still FAR CHEAPER, than the VM program.

    There are state Legal Nurse organizations that you can join, and learn from experienced LNCs. They have regular seminars, that, once again, will not cost you your first born child to attend. The PACNW LNC chapter, is having a seminar next month, that costs $120.00 to attend.

    The national organization of LNCs, AALNC, has books and pamphlets that they sell in an on ine book store, including the bible of LNC work, "LNC Principles and Practice". That book has all of the information that you will need to learn about being a Legal Nurse Consultant, It costs abou $110.00. There are alot of materials in their on line bookstore about starting an LNC business, business practices for and LNc ,etc. Check out their web site, and the class that they offer. You will not be dissapointed.

    JMHO and my NY $0.02.
    Lindarn, RN, BSN, CCRN
    Somewhere in the PACNW

  • Jan 2

    Take a breath. You're brand new. Your facility should be giving you more than 10 days' orientation. Perhaps you could let your orienting nurse know you aren't comfortable with all the hats you're being asked to wear with minimal preparation and ask her what you should do (asking advice is always preferable to complaining--gets people on your side). Your other option is to go to your DON and explain that you think you will settle in better if you can concentrate on just one area, at least for a little while. Hopping around a bit won't be that bad in a few months, but right off the bat? Not fair to you at all. Hang in there.

  • Jan 2

    I am apparently understanding your question differently than the previous posters, if the patient has not been legally declared incompetent and is refusing all care from specific caregivers, and those caregivers provide care anyway then they are breaking the law. No facility policy or other rules override these laws. Facilities are not required to provide other caregivers to provide care to the patient just because a resident refuses certain caregivers, but no, you definitely can't ignore that refusal of care unless the ability to make that decision has been legally taken away from the resident.

  • Jan 2

    ^ there were plenty in my cohort who weren't in a hospital setting (some were waitresses, some worked retail) who were excellent nursing students. I actually don't think being any kind of hospital worker makes you a better nursing student - there were those who were, and there were those who weren't. I think it boils down to what kind of student you are.

  • Jan 2

    First year of nursing!!!! It's kind of like this....Remember starting nursing pre-reqs? I remember A&P being SO HARD! I was stressed out, etc. and wasn't even in the nursing program! Then I started the nursing program and I remember thinking how EASY A&P was compared to the nursing program. Nursing school is HARD, it takes a TON of time and motivation. Not to mention the countless hours of clinicals. Well then I FINALLY graduated in May 2017...Started by new job at a hospital as an RN....Wow, totally thought about how nursing school is EASY compared to being an actual NEW nurse. I have wanted to quit, I've questioned by career choice, I've basically have been thrown in an environment where you learn as you go, basically. There's a ton to learn so it's hard to teach you everything in orientation. I can say that I learn A TON of information each day I work. But the hours are long and hard. I rarely get a break, I'm usually running for 13 hours strait. It's tough. Being a new nurse is WAY harder than nursing school, in my opinion. The only perk is you get paid It's SLOWLY getting better but I'm not going to lie it's been a crazy eye-opener.

  • Jan 2

    A day of work is a whole lot less predictable than a day of school.

  • Jan 2

    I fondly remember an instructor telling us we'll be wishing we were back in nursing school. I of course didn't believe it at the time. but there are days when I do prefer being in a lecture/lab simulation than at work.

  • Nov 22 '17

    if we're honest about it, very few of us haven't been fired from a job at some point in our lives. unless you were
    fired for stealing, or another ethics issue, what matters more is the spin you put on being let go and not the actual
    fact that you were fired.

    you should never lie on a job application because it will come back to haunt you eventually. there are two types of
    lies -- lies of commission and lies of omission. omitting a job where you were fired would be a lie of omission. i have
    never filled out a job application that did not include a signature somewhere attesting to the fact that i told the truth
    and misrepresented nothing.

    where it says "were you ever fired or let go from any job and why?" simply put something like "will discuss during
    interview." another useful phrase is "different philosophies" as is "differing management styles." without openly
    bad mouthing your old boss or workplace, you've just politely said they were impossible to work for.

  • Nov 21 '17

    Do everything by the book. Follow all rules, policies, and procedures. Obey. Submit. Keep job, get paid. Be quiet and polite. Do not be a rogue or try to make your own rules.

    Best of luck to you.

  • Nov 21 '17

    I have found that the cog that does not fit with the wheel gets crushed in home health. One gets 'fired' for doing what is correct and one gets 'fired' for not doing what is correct, while observing others that literally get away with everything in the book and out of the book. But since you encountered this in other venues more than once, it seems it would be prudent to look at your own responses to work issues and whether or not you need to change your own behavior.

  • Nov 21 '17

    I wanted to share the good news! I was terminated from my job as a home health nurse a year ago on Halloween (read all about it: You’re Fired: The Story of How I Lost My Job and Gained My Calling - Safety First Nursing). I followed some good advice (don't be vindictive to your former employer, volunteer, network, create opportunities) from some great nurses (nurse Beth and Donna Cardillo ROCK). I was completely honest on my application and in my interview and though it was hard, it was healing as well. I am on the road to recovery! THANK YOU for being on - the support we all give each other means so much.

  • Nov 21 '17

    Quote from Sour Lemon
    Well, that sucks. Here's hoping you land on your feet and kick a few people in the head on the way down.
    Thanks so much. Not feeling the need to kick anybody. Just so wish, all of us nurses could be appreciated for what we do.

  • Nov 21 '17

    Hi! So sorry to hear about your experience I can relate. I worked as a tech for a year at a prestigious hospital. I was in the float pool, and soon found a unit that I absolutely loved: trauma/vascular/surgical. I got along so well with the other nurses and felt so comfortable there. When I finally passed my NCLEX, I actually held out until a position was available on that unit. THAT'S how much I loved it. Well a position finally opened up and I applied and was hired! I was so excited and nervous at the same time. Even though I loved and respected my co-workers, I felt as though I had more to prove since I worked there frequently as a tech. I was diagnosed with ADHD about a year prior to landing that RN job. When I was given a warning about being late at times passing meds, I completely panicked and told the nurse educator about my ADHD. I assured her that I often had a "slow start" when starting a new job, but once I got the hang of it, I excelled and always performed extremely well. I was known on that unit as being an "awesome" tech (if not the best, according to others) and let her know that in the beginning, it took me a bit longer than most to work out my routine/time management. She knew as well that I was a very good tech, and seemed understanding. She assured me that "everything would be fine" and that I would do great. She thanked me for letting her know about my situation and told me not to be embarrassed (I was sooo scared to tell her, since only immediate family members knew of my diagnosis). I felt so much better after talking with her, but unfortunately, the very next day, I received a phone call from my director saying that I was not to return to work until we had a meeting. Mind you, we had just had a meeting (the one where I was given a warning). We were unable to have the meeting until the following week. When I showed up to the unit, the director informed me that we would be meeting with HR. I knew what was coming. We went to HR and all the lies came out: I was "late administering insulin" (not true, NEVER gave insulin late), they had an MSN speak with me about my situation to offer help (not true, although I did briefly meet this woman, and all we did was introduce ourselves, nothing else), among many other false criticisms for which I strongly defended myself/proved them wrong. I explained that my first preceptor did not make time for me to teach me the correct ways in doing things, and so I requested a new preceptor, who did teach me well, but I was not given long enough time to show improvement, even though I did improve. In fact, the charge nurse the weekend prior made it a point to tell me that I was doing very well, appeared confident and managing my time well, etc. Basically, what I got from all of this is that the director completely freaked out when she heard I had ADHD and wanted nothing to do with me at that point. I regret ever saying anything about it... Anyways, so only 4 1/2 weeks into my orientation, I was fired, regardless of all the points I brought up. Mind you they expected me to only be on orientation for 6 weeks, preferably less. And this is a large level 1 trauma center with so much going on. I was so sad to leave the unit I loved and the coworkers I admired and appreciated. And especially the patients, who were always thankful and always told me I was a great nurse.
    I lost my dream job. I was devastated. For the first few months, I was too traumatized to look for another job. When I finally got enough courage, it was extremely difficult maneuvering around that giant question mark on my resume. Then I just simply removed that nursing job from my experience. I only included my tech job. That's when I started receiving callbacks. However, in job interviews, the fact that I went so long without a job looked bad. "Why did you quit the tech job?" "Why didn't you get a nursing job there?" Difficult questions to answer without lying.
    Almost a year after I was fired, I was finally given a chance by a subacute rehab unit in a nursing home. I want to point out though, that I physically went to this facility (as well as several others) as opposed to filling out online applications, which proved to be a waste of time. The director interviewed me right there on the spot and appeared ready to hire me, but decided to have me come in the next day, in which she could have a meeting with other supervisors/staff members. And I was hired that day! I was again excited and scared, but learned from my mistakes. I have been at this job for 9 months now, and I am happy with it for the most part, although I see myself going in a different direction eventually. I have come to the conclusion that I do NOT want to work at a large hospital again. Maybe a small one. Ideally, I would love to work in a wound care clinic, as I have become fascinated with wound care and really enjoy it. For now, I am getting my experience here, and hope to be certified in wound care once applicable (with continued experience) and eventually attain my MSN.
    Good luck! Don't let this destroy you! Like others have said, this was probably not the place for you. You will find something somewhere where you will feel comfortable and successful. Things don't always happen the way we want them to, but in the long run, it's usually for a reason. Good luck in your future. Believe in yourself. Gain confidence. You can do it! Don't ever let others define you. You know you are better than that.

  • Nov 20 '17

    I don't have any advice for you but did want to wish you well and tell you not to give up. Dust yourself off and start firing out applications. There are some terrible people in the world and some awful management. Don't let those who like to bring others down win.

  • Oct 10 '15

    We need to stop this, ethics demands that the pt has a say in their treatment. If we can tell a family their mom signed to be an organ donor and it's no longer up to them what happens to the pts organs why can we not tell family we are abiding by the written wishes of the pt for their living will.