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rnccf2007 3,531 Views

Joined Jan 10, '11. Posts: 202 (52% Liked) Likes: 307

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  • Oct 5

    Not to mention the fact that if you were to go around with the attitude of "cleaning up poop isn't part of my job" - well, when the poop hits the fan, you're gonna run short of "volunteers" who will help you

    It's a team effort and a team job.

    A helping hand never hurt anyone.

    It's important to delegate when the staffing allows it, but you need to set a good example and never assign anything you're not also willing and able to do yourself.

  • Oct 1

    Fluids and electrolytes made incredibly easy is s good place to start

  • Oct 1

    When I saw those articles, I knew they were written by news reporters who has no clue about nursing who just want to make eye catching propagandas. For example, a patient died when the nurse was not in the room. The nurse supposed to check on the patient every 30min. The patient was not checked every 30min. So the article implied that the nurse's negligence caused the patient's death, she should not be a nurse ever again, and she should be sued for malpractice.

    Although a lot of members of the public might think, wow, what a bad nurse, how can she kill people like that? But I find this kind of accusation bone chilling and irresponsible.

    First of all, a lot of facilities assign 30min check duties to CNAs, not nurses. The 30min check sheets are only on CNA's clip boards, not nurse's clip boards. Nurses should check all the sheets and make sure they are completed at the end of the shift. But it is impossible for a nurse to be checking for CNA's whereabouts all the time, or the nurse won't have time to complete other work. The whole point of having CNAs is to take off some burden from nurses.

    Second of all, a 30min check is just a one second pop the head into the room check, not a full assessment. Unless during that 1 second observation by the CNA, the patient is exhibiting apparent symptoms, the 30min check would not have saved the patient's life. The article sounded like, if a CNA pop her head into the room to glance at the patient for 1 second every 30min, the patient would not have died.

    Last, it is common sense that malpractice lawsuit is only possible if a nurse/doctor's practice resulted in harm/death, and it can be proved that the practice caused the death. In the above case, no one can prove the patient's death was caused by not having 30min checks done on time.

    This public attitude is disgusting. They say nurses are respected, but in reality nurses are blamed for any adverse out come whether it has anything to do with the nurse or not.

  • Oct 1

    Depends on acuity. The step-down I work on can get pretty acute, more so than general M/S. Personally I find cardiac more interesting to work in.

  • Sep 27

    One other thing to go in this group....

    A Graduate Nurse believes the lab when they call and tell you the speciman clotted Experienced nurse knows that the lab either lost the speciman or left it out so long they could not use it.

  • Sep 27

    The written Allergy Plan on file with the school said, "Epi pen first," -- the RN should have known that and given the Epi pen immediately. No if's, and's, or but's. That plan is in place for situations exactly like the one that occurred.

    And the school should have been sensible enough (and sensitive to the importance of appearances, public relations, etc.) to send a school representative to the hospital -- not in the ambulance, but in a separate car -- to stay "with the situation" until the parent arrived.

  • Sep 27

    Quote from meanmaryjean
    Here's the problem with prospective students doing their research, specifically about issues like accreditation.

    If you are uneducated about college in general (say you're the first person in your family to go to college ) you really don't have a reliable person to help you through the process. There's no point of reference.

    Couple that with the seeming incongruity of regional accreditation 'trumping' national accreditation and well, you have a perfect storm for a naive student falling victim to an unscrupulous for-profit school admissions person.

    I'll repeat what I said in another thread: Those of us fortunate to have successfully navigated college need to mentor these prospective students who lack that person in their life. My Uncle Bob is the reason I went to college. My parents never went, and did not encourage or expect me to go. Not did their parents. Uncle Bob helped me, and now all four of my kids have gone to college- changing our family completely. I've mentored other family members through the process. Highly satisfying.
    Everything you said! I so agree that schools like this prey on vulnerable, trusting, naive students who most assuredly see this as a chance to change their lives. They haven't yet developed the critical thinking skills that would have raised red flags about the program.

  • Sep 27

    My sincere hope is that more of these types of schools will bite the dust.

    I do feel bad for the students - but researching schools is super easy these days, and anyone should be doing that before signing their life away or plunking down hard earned cash.

    In my opinion, the existence of these places is the fault of the Department of Education, who needs to start cracking down on diploma mills and worthless schools across the board. I can think of four right off the cuff that need to disappear....

  • Sep 27

    Quote from shauntil07
    Well the Dept of Education is looking into getting them into other nursing schools who will accept them. Hopefully they will be good schools who have a reputable educations, whether for-profit or state funded.
    They can look all they want, ITT was not regionally accredited. That is the problem. That's where personal responsibility comes into play. People have to research the school they are attending.

  • Sep 27


    ....can you tell I work detox?? lol

  • Sep 8

    Quote from medicjohn
    i'm a fairly new nurse also and, of course, got sentenced to med surg. this is not nursing..its just looking at the clock and throw pills and antibiotics at patients. anyone could do this. there is no assessment, intervention, nothing, just delivering meds. and u mess one tiny thing up, even setting a normal saline rate at 75 when it should be 80 and someone is writing you up! two more months and i can transfer to er.
    if you're primary care, who do you think is going to assess the patient? who is supposed to implement interventions? med-surg isn't a 'sentence'- it's hard work, and the foundation for anything you do...especially ed.....

    no- "anybody" can't do this..... yikes if you really feel this way, how do you expect to be able to deal with patients in the ed? they aren't all full on traumas and codes....lots of puking kids, ear aches, 'simple' fractures, and other boo boos..... good luck to you.
    i hope you see the opportunity you have, even having a job....

    if you have time to look at the clock, you have too much free time.

  • Sep 8

    I'm guessing you're a new nurse It's SO normal to feel overwhelmed- that means you're paying attention to what needs to be done, and are doing your best to get it done. You will get into a groove of your own, and learn ways to handle labs, calls, etc. It takes time, and in the meantime, you're gaining incredible skills. Once you learn a system that works for you, you'll still have crazy days, but more skills to deal with them. Do you have anybody on the floor you can talk to and ask what works for them on that floor? Be sure to ask questions- you won't look silly or dumb- -- the ones who don't ask questions are the ones older nurses are afraid of

    You will get the hang of things

    Be thankful for the technology- even though it can drive you nuts- back in the good old days, all of the charting, orders, etc were done by hand. There were no accucheks, staffing ratios on days could be 1:7 or 8 on an acute floor (i was on nights on neuro and had 14 patients with no CNA or unit clerk- me and one other RN for a 28 bed floor- and I lived to tell about it

    Take your days off to do stuff for you- be selfish with the time you have, to relax and do things that are fun.

  • Sep 8

    I just need to vent away my feelings today at work. It was so horrible that i feel like a walking robot that keeps on going and going and ignoring my time to eat lunch and bathroom because the workload is just too much to handle! I was literaly crying inside. Fast pacing my walk from one hallway to the other. In my head, i need to keep going because im still behind with everything. I hated it. I hate getting piled up with so much things to do. Do this, do that, phonecalls, labs, dr on hold, pain meds, family complain, admission is here, discharge in 10 minutes, pain meds again and again and again, etc. I asked my other co-worker whos been there for 1yr and she told me, just keep on going. Shes right. Even though the workload keep piling up every minute of the hour, i just have to keep going because otherwise, i would have to stay for god knows how long just to finish my unpaid charting. And you know what, no matter how hard i worked without any breaks today, i still ended up staying for 2 hours to chart! Why? I didnt get to chart properly all freaking day long because so many things would come up that its literally impossible to stay in one place without someone calling your name. Ugggghhhh!
    Some of you would not understand this situation. But some of you whos been there and done that would understand. So please dont judge me right away. I love nursing. But this type of nursing is toxic and detrimental to someones health overall. I dont want to be in this type of work for so long. I would go nuts! With the economy being so bad, its impossible to find work asap, even as an rn. Yes, thats right, even as an rn. There is no nursing shortage, even as predicted couple of years ago. If they were right with their estimated nursing shortage (look in your nursing books) in 2020, there wouldn't been complains about nurses not finding a job left and right in this site. Its all crap. Its business, and its all about the profits. I just wish someone would do a documentary film about med/surg nurses and see the real nursing as it really is, live and raw! Not the edited ones by johnsons and johnson commercial where everyone is smiling, clean, and happy.
    Oh by the way, im still waiting to get that o.r. Job. But i dont have the result yet. Thanks for reading my vent. Sorry its so long. This is my only way of releasing my stress. I love this site.

  • Aug 22

    I am now so superstitious that I forbid my husband to jinx any future plans by saying something positive ahead of time.
    I am probably certifiable.

  • Aug 22

    I was visiting my Dad the other day. He is in LTC/Rehab. First my mom said, "he's been really good lately!"
    Of course, he was Satan when we got to him. On the way back I said, "Oh, the traffic looks light!" and BAM, 20 minute back up.

    My mom and I were freaking each other out because we are BOTH nurses and know how it *really* is.

    Thought of this thread.