NevadaFighter 4,486 Views
Joined Feb 17, '11.
Posts: 157 (27% Liked)
oh, and if a heroin addict says "thats not a good vein" , they are right.
While you didn't technically violate HIPAA, there is likely a policy on social media use. My nursing program guidelines as well as policy at both facilities have have worked at have a no social media policy about anything from the workplace. A simple "had a great day at work" is fine. But anything more than that would be violating policy. Double check your handbook, but to be honest, the best practice would just be to never post anything about work or patients. Even if you don't break policy, you run the risk of offending the wrong person and getting targeted because of it.
If you want hands on experience, start with an ASN program (since you have hospital experience the clinical portion will be much easier). Also, you get a chance to make connections with staff members and hospitals will already have you on file (background check, etc). Most, but not all, BSN programs have little to no patient contact and hospital experience. Remember you can put "BSN in progress" at the top of any job application, you only need to be signed up, and most places will have no problem hiring you. Some places like the VA will even pay for you to get higher degrees and special training! While you're working you can do a BSN online no problem. Hope this helps!
Oh my goodness - you've really been through the wringer.
Throughout my career as a nurse educator, I have always relished the opportunities to conscript any specialty nurse who was relegated to 'light duty'. They provided invaluable service as subject matter experts to help develop & teach clinical courses. You could also help with the onboarding/coaching of new nurses or new grads.
With your experience, you could add a lot of value ... maybe polishing up the chemotherapy course? developing new content on other aspects of oncology nursing? Your knowledge & expertise can make hugely valuable contributions - you're worth so much more than the ability to do physical tasks.
You might just have to leave. Even the same type of unit can be very different across different facilities.
These are both ICU, so this is probably a bad example - but my PRN job is more aggressive about taking foleys out early and taking out central lines to prevent CLABSIs. The net result of this is constantly restarting bad PIVs and having to get up and toilet everyone. We have CNAs, but they can't be everywhere and toileting everyone themselves, so I do quite a bit of toileting my own patients. I swear to God every time I come in I have to restart at least one peripheral. They are better staffed, but it's 10X more aggravating getting up and toileting all the time and having to constantly stick people for new IVs.
My full time job has a tendency to leave foleys in forever for accurate I&O measurements, and the same thing with central lines - they pretty much only get pulled on ICU discharge, if even then. However, my full time job is way shorter staffed and we don't have CNAs. The thing is, I would rather work with 3 ICU patients with foleys and central lines with no CNA help than I would with 2 ICU patients who both have to be toileted and have peripherals. Stuff like having to toilet people all the time is a BIG deal, IMO, because it's such a time waster. Even having CNAs doesn't help because they are nowhere to be found most of the time. I would personally rather not have to deal with CNAs.
I haven't got the patience to work somewhere I'd have to toilet someone every 30 minutes. I work the minimum number of shifts to stay with my PRN employer and that's it. If that was my full time job, I'd be out of there. I haven't got it in me to work somewhere that I couldn't just stick a foley in for patients with urinary problems, like the little old lady example. We have too much else to do. That LOL with the urinary problems is eating up at least 50% of your shift, and if she can get up and walk, I very seriously doubt she's your sickest patient. It's just not fair to the sick patients to get our time eaten up by the healthy ones.
thats why i do peds
never liked adult patients and never will
I want to add that I am bipolar myself. I never have & never will disclose that I am bipolar to any manager/boss. It is none of their business what medication I take or what is medically wrong with me.
I have told my bosses that I have epilepsy & they have been fine with it. But I can only imagine what would happen if I told any bosses I am bipolar. I know it wouldn't be good.
Being bipolar myself, I would never disclose that to a manager. It will make you seem "unwell" and perhaps they may look down on you.
If you end up hospitalized or have an episode, it's none of their business.
Make sure you keep your illness managed appropriately so "fireable behaviors" are kept in check.
I bring healthy food and no money so I can't hit the vending machines. My gym is open 24 hours and I go my nights off about 2 am. But I will concede that not gain weight on nights is tough.
Don't do it. How are you supposed to give PRN meds? What happens if a patient passes away during the night? What happens if a patient, a family member, or even you were to have a medical emergency? It seems like you could very easily be working 24+ hours with out any breaks or relief, or even an extra set of hands to help out. Does not seems safe at all.
Yes. The administration can do that. She was on call and needed
I certainly don't mind a scenario where I could just come in and get paid a lot of money to help with ADL's.
The problem always lies within the fact that you cannot Un-Know what you Know.
It has always been difficult for me to just do the CNA duties. I always wound up working my buns off because if I saw an issue, and the other nurse could not, or would not, address it, I was ethically bound to take care of it.
Pain issues, wounds, treatments..... Couldn't just say "I'm in the CNA slot today; Not my circus, not my monkeys".
If the Nurse could be free to just do ADL's, and leave it at that, my goodness, I would take that assignment!
On the flip side, I had a patient have abdominal surgery and wake up with me in ICU. She was very startled that someone had shaved her pubes. She asked me why it was done and I told her that I honestly had no idea. Her surgical incision didn't go that low or anything, and ALL of the pubes were gone.
The lost pubes bothered her more than the surgical pain - just the idea that someone would shave her pubes without asking her was intolerable, apparently. She said if she wanted her pubes shaved she would have shaved them herself. Something about the whole situation struck me as really hilarious.
a CNA is not allowed to start an iv in any facility I've ever worked in.
PLease back to the pubs thanks u guys rock!!!!
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