Content That cfaith Likes

Content That cfaith Likes

cfaith 3,461 Views

Joined Feb 24, '11 - from 'North Carolina'. cfaith is a Clinical Quality Improvement Manager. She has '26' year(s) of experience and specializes in 'Addiction'. Posts: 55 (27% Liked) Likes: 22

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  • Mar 24 '14

    If someone hits me I'm pressing charges. I've almost had a patient hit me and I gave him the death look and not even thinking I automatically took a defensive Karate stance and he backed off. I took Karate for 6 years and my fight or flight is fight so before I knew it I was ready for whatever was coming at me. And why shouldn't I be able to defend myself from being attacked by someone who was about to throw a fist towards my face?


    No other profession has to take this abuse so why should we? But I know where you are coming from. Tired of the verbal abuse and I usually nip it in the bud right away but I get tired of battling with people. We are not the enemy! Trying my hardest to get away from the bedside and make the same amount that I make now.

    Sent from my iPhone using allnurses.com

  • Mar 24 '14

    It is not acceptable for any health care worker to be physically abused by a patient. NEVER.
    Your first duty is to keep yourself from harm as you cannot provide care to any patient if you are injured.
    The employer should have a responsibility to protect the employees from physical danger.

  • Jul 8 '13

    Nurses, here is a quick hand drawn video for you! Enjoy!

  • Jul 8 '13

    In the hospital's I've worked in the House Supervisor position is not a natural stepping stone to any management position. They are operation based, not management based meaning they do not have direct reports but do have a supervisory position in operations. I'm sure transitioning to management from House Supervisor can be done but the skills would not be very helpful in my opinion. I have not seen Supervisors working a lot on quality measures, policies, or hiring etc. If they have an issue with a staff member they call HR and the Manager (or Assoc Manager) to handle it...

    I obviously vote to go for the Assoc Manager position as this is an easier transition to Manager then Director then CNO...

  • May 23 '13

    The search for my first nursing job was hands down the most brutal, draining, demoralizing period of my life. After all the hard work of getting through school, with all the hopes and dreams that sustained me all those years, I was just not prepared for the grinding, grueling work that getting a job entails. The fact that others seemed to breeze through this stage effortlessly only added to my sense of panic and self-doubt. I felt I just could not cope with the debt, the humiliation, the repeated rejections, the feelings of uselessness and despair.

    I quickly learned that, if I was ever going to be effective in the job search, I had to first get a handle on my emotions. I had to learn how to face my fears again, and again, and again, to deal with rejection (again, and again, and again), to reach deep inside myself to find the strengths I knew I had, even when the world seemed to be telling me otherwise.

    I put together this post with some of the tools I found helpful in this process. This post is not about job search or interview tips per se, but how to manage the emotional issues surrounding the job search, so you can stay confident and strong enough to keep at it (and hopefully land that dream job soon!).

    1) __ It's a game. The job search and all that it entails is a game. It might not be a game that you enjoy or are very good at, but still you must learn to play. Imagine if I told you that getting a nursing job depends on how good you are at tennis. But I hate tennis. I'm not good at tennis. If I wanted to play tennis I wouldn't have gone to nursing school. Why did that person get the job - just because they're good at tennis? What does being good at tennis have to do with being a good nurse!

    Just remember this - if you've been in the job market for a while without success, it doesn't reflect on how good you are as a person or a nurse. It does not mean that you need to change your personality or identity in order to land a job. It just means you need to work on your tennis game.

    2)__ Don't compare your situation to others. Not your classmates, not someone who graduated a year before or a year after you, not some poster on allnurses.com. You may feel that you deserve a decent job, that you've worked as hard or harder than the others, and it's not fair that you have to struggle so much. But by making these comparisons you'll only be eating yourself up and it will do nothing to help or improve your situation. It will only turn you into a bitter, resentful person - two traits that will only work against you in your job search.

    3)__ Acknowledge the stress! Job searching in a difficult economy is one of the most stressful experiences of a lifetime. It's a process you have little control over. You don't know when it's going to end or where. You also can never let go because you feel every moment that you ought to be doing something to find a job. Acknowledge to yourself that it's difficult. Allow yourself to feel the anger, the hurt, or whatever negative emotions come along with job searching - in order that you can then let go of those feelings and move forward.

    4)__ You are not your job, and your job is not you. There is so much more to you, and you have so much more to offer, than your current job description. Don't let your successes or failures in the job search define you. Your life is bigger than this. Yes, it's hurtful when you get those question and looks - you graduated how long ago? You're still not working? Yup, it hurts when you don't get to do what you've been striving towards for so long. But don't let your ego and self-worth be bound up in the job search. Who you are, your character, your relationships - these will always be there regardless of what you do. Don't let your frustrations with the job search ruin the most important things in your life.

    5)__ Learn to do your own hand-holding. Be very selective with who you vent to, both in real life and on line. Some people will give you brutally honest "advice" which may not be what you want or need to hear at that point. For some reason people think it's okay to offer all kinds of "constructive criticism" to people who've been unsuccessful in the job search. Be prepared for comments about your personal appearance, your weight, your clothes, your hair, your attitude, your personality. They will also get huffy if you don't accept their advice and accuse you of not really being "motivated" enough. Don't bother arguing with them or defending yourself. Just thank them politely for their help and move on.

    Also, if you are constantly venting about your bad luck, people will come to see you as a failure. You need to be around people who respect you and will encourage you to keep on going. So, choose only a few trusted people to vent to, and keep up a strong front for everyone else.

    6)__ Don't ruminate. You didn't get a call back? The interview was a flop? Dust yourself off and move on. Don't waste time or energy on what ifs, analyzing every word you said, beating yourself up over the wrong answer during a job interview. Chances are there are many different factors why you did not get the job (or rather, why somebody else did), and a single answer on a job interview didn't make it or break it. There are many good articles out there with resume and interview tips and advice. Read them only for guidance on how to move forward - not to look back with self-condemnation.

    7)__ Don't ever burn bridges. As in, never ever, ever never. As tempting as it might be to give a piece of your mind to that nurse recruiter who was rude or the interviewer who strung you along for weeks before rejecting you - never do it. Don't even send them a polite letter expressing your disappointment for how they treated you. You never know when another opportunity may come up with the same company, or who you may be working with in the future. Try to always leave on good terms with recruiters and interviewers. Yes, it's annoying how much carp we need to put up with as supplicants for scant nursing positions. Just focus on your tennis game.

    8)__ Get help! If you've been trying all the above and you're still feeling overwhelmed, depressed, suicidal (yes, it happens and it's real), there is no shame in seeking help from a counselor or mental health specialist. You need to know that you are not alone, that you DO deserve to be successful, and you will be. Actually, don't wait until you're feeling awful to get help. It's a good idea to talk to someone even at the beginning of your job search, to head off those problems before they start.

    9)__ Help others. That's what you went into nursing for, right? Don't wait until you have a job to do it. Volunteer now! It can help you build nursing skills and contacts. But don't volunteer in the hopes that it will lead to employment. It might, but then it might not, and then you'll end up feeling resentful (been there, done that). Better to just give with no expectation of getting anything in return.

    10)__ Enjoy life.You may find a job and then realize that bedside nursing isn't all it's cracked up to be. In the meantime you can have the last laugh. Enjoy your nights of undisturbed sleep, the sunny days that you're free to enjoy. Don't squander them while you have a chance! If you can't afford to travel, seek out interesting places to visit locally. Yes, the job search is seerrrrrrrrrrrrrrious business but you are allowed some time off of it occasionally. Don't have anyone to go out with? Give me a call! We can play some tennis.

  • May 23 '13

    Well since you decided to throw in your own personal opinion... I guess the fact that him and I study together for certifications, keep each other up to date on the latest and greatest, and SAVE lives doesn't matter? Then we get to come home and kiss on our little girl, and spend the same days off with her as a family. Guess all that is NOT a good idea.

  • May 23 '13

    So I found this website with a bunch of great practice material for anatomy and physiology and I wanted to share. Not sure if I can post a link but if you google "web anatomy self tests" and its the second link. I got a 96 on my first practical in my summer course thanks to this site!

  • May 23 '13
  • Apr 29 '13

    I worked in a private top of the line detox that was closed and merged with the psych unit. I got the same thing a lot. I would tell them that if they really wanted to recover, they were going to have to learn to tolerate a little discomfort and they may as well get some practice during their detox. Just the pecking order of the psych world - heroin addicts think they're better than crackheads, crackheads think they're better than meth-heads, alcoholics think they're better than drug addicts, and they all think they're better than the mentally ill.

  • Apr 29 '13

    I read it a while ago and felt it wasn't very radical. That said, I think they have some good ideas about how to improve nursing education. But that, like nursing practice, is at the mercy of budgetary limitations. I think every one of their ideas will take more time and money. The call to increase faculty salaries is the perfect example. I only teach part time for that exact reason. Stress to churn out students will only get worse in the future. Taking more time to produce better students is a great idea, but will it work? Sorry if I'm cynical about the state of nursing. My current job is falling prey to bean counters and budgetary priorities. To answer your question I think they have great ideas, but are idealistic.

  • Apr 5 '13

    There's SMART, which is more cognitively-based than spiritually-based.
    Self Help Substance Abuse &amp Addiction Recovery | SMART Recovery«

    NA is Narcotics Anonymous. That encompasses addiction to almost any drug including alcohol.

    Al-Anon (and Nar-Anon) is for the families of alcoholics. While your patient would certainly not be turned away from a meeting, it's also not the ideal fit for him. It's more for those who are, for lack of better words, one step removed: not the actual addict but those whose lives are affected by the addict's addiction.

    You and your patient also have a few misconceptions about AA. Assuming there are no court orders, etc. stipulating otherwise, he does not have to attend 3 meetings a day. He does not have to get a sponsor. He doesn't have to sign up for sober calls. He does not have to be an active participant in meetings. He does not have to work the steps. Granted, these things can be of immense value in his recovery, but they are not mandatory. His recovery is solely in HIS hands, and it's what he is willing to make of--and do for--it.

    All one needs to join AA is a desire to stop drinking. AA doesn't force anyone to do anything they don't want to do. He can sit in a daily meeting for years without saying a word, and he will still be welcome at the next meeting. He can relapse every night of that year and he will still be welcome at the next day's meeting.

    Suggest to him that he just attend one meeting a day. That's it: just attend. If he wants to participate, yay. If he doesn't, yay. If he doesn't like one meeting, have him try another meeting. But have him just go with no other strings or commitments attached, and see what that does for him.

  • Mar 26 '13

    Quote from SaoirseRN
    When I have a patient ordered oral potassium who can't swallow pills, I call the pharmacy and have them send liquid KCl instead, no doctor involved. Usually though the doctors don't specify "tablets", rather just the dose PO, so as long as what I'm giving is the correct PO dose, the form shouldn't matter.
    Exactly what I was going to say... I was thinking the oral potassium as an example too...

  • Mar 26 '13

    Quote from SaoirseRN
    When I have a patient ordered oral potassium who can't swallow pills, I call the pharmacy and have them send liquid KCl instead, no doctor involved. Usually though the doctors don't specify "tablets", rather just the dose PO, so as long as what I'm giving is the correct PO dose, the form shouldn't matter.
    Me too. Most of our patients are on potassium replacement protocols that specify either oral or IV. I can order liquid or tablet under the protocol.

  • Mar 26 '13

    If it is going to cost more, you may need a doc's order, esp. LTC

    Quote from SaoirseRN
    When I have a patient ordered oral potassium who can't swallow pills, I call the pharmacy and have them send liquid KCl instead, no doctor involved. Usually though the doctors don't specify "tablets", rather just the dose PO, so as long as what I'm giving is the correct PO dose, the form shouldn't matter.

  • Mar 26 '13

    Quote from morte
    If it is going to cost more, you may need a doc's order, esp. LTC
    In Canada, so maybe that's the difference but it has never been a problem. I just tell pharmacy that the patient cannot swallow whole pills and ask for the liquid, and that is what they will send.


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