Content That cchezem15 Likes

Content That cchezem15 Likes

cchezem15 1,728 Views

Joined Mar 1, '11. Posts: 41 (15% Liked) Likes: 40

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  • Apr 12 '13

    You know what I'm freaking sick of?

    Mixed-unit and mixed-discipline hostilities.

    Or at least that's what I call it.

    I'm talking about the constant complaints about everyone else in the hospital. Now granted, I've only ever worked at one hospital, but having talked to both my mom and my sister who both work at separate hospitals, it seems that it's the same no matter where you go. It goes something like this...

    RT giving attitude because the nurse calls them about a patient.
    - Don't worry, I'm only assisting with an intubation. I'll be sure to rush to your 89% O2sat.

    The nurse is mad because the telemetry monitoring people keep calling them.
    - I've got BM up to my elbows and all they care about is that the stupid batteries are dead.

    The telemetry people are mad because they can't see their patients.
    - Replace the freaking batteries already, it's been 15 minutes!

    The ER's mad because they're on hold.
    - Sure I'll sit and listen to the hold music for 10 minutes, I don't have anything to do.

    Everyone's mad at the ER for bringing them patients.
    - Just before lunch, of course they're dumping all their patients now.

    Hospitalist is ****** because he's overloaded and you're calling him.
    - I don't care about a morning K of 3.4!

    The day shift nurse is mad because the night shift nurse doesn't know how much O2 the patient is on.
    - What do you even do at night, the patients are sleeping?!

    The floor nurses are ticked at the house shift manager
    - We always get slammed when Suzi is on!

    Pharmacy is mad because the nurse is calling about the STAT med.
    - Well they need to chill, the order got put in 2 minutes ago.

    Are we getting the point? And this isn't even scratching the surface. I could go on for hours.

    It seems like lately, absolutely everyone has an attitude with absolutely everyone else! Over everything!

    I'm here to say I'M SICK OF IT. It makes for a hostile, unpleasant work environment that causes people to have more stress than is good for them, and is the main cause for massive burnout.

    So what can we do to help it?

    Well for one, we can stop getting mad at everyone around us. The next time someone's giving report and they don't know something that you ask, instead of sighing or rolling your eyes, how about giving them a little grace? Maybe they had a really rough day. The next time you're getting a patient from another unit, maybe try giving them the benefit of the doubt. Maybe they're getting another patient just like you are.

    Maybe we could assume that we all got into health care for similar reasons.
    Maybe we could value each others opinions, even if we don't like them.
    Maybe we could stop judging other units until we work a day or two on them.

    We're all on the same team.
    We all want what's best for the patient.
    We need to start acting like it.

  • Apr 12 '13

    Quote from jazziejp89
    Im a new nurse (LPN in OK) and tomorrow is my first day of work. Its a medium size nursing home with a skilled hall on it. What should I pack in my bag for tomorrow and days to follow. I have my stethoscope, pen light, scissors, pens, and what else?
    Ativan.

  • Jan 23 '13

    I have no personal experience on this, but I would assume that correctional nursing would be a positive notch on your resume. Correctional nursing isn't for everybody. In my opinion, it takes a very motivated, headstrong, and emotionally strong person to work in such a challenging setting. If it is looked down upon (and some hospitals may, some may not), it really would itch in my mind why that is so.

  • Dec 26 '12

    I recently quit my job in county jail. I did love it and wouldn't mind returning again some day. One of the things that bothered me though was listening to negative, judgemental talk about our patients (inmates). We had a lot of autonomy and many of my colleagues would always make the harshest choices they could make when it came to treatment options. Trying to implement high standards of care can be a struggle as you are swimming against the tide in that environment. Our Health Services Administrator was a young woman who has proven to be a genious in those hazardous waters. She has made very meaningful change and the changes have actually saved lives on more than one occasion.

    Always remember, these are the exact same patients you would see in the ER, hospital room or doctor's office. They, like patients in every other healthcare settings, are sons and daughters, sisters, brothers, fathers, mothers, uncles and aunts. People love them, they want to love and be loved. They are humans in trouble, deserving of healthcare to the best of your ability and resources. You still need to advocate for them and will be called to "go to the matt" for them, perhaps more than other healthcare environments.

  • Oct 24 '12

    Everyone, thank you all for your advice! I am finding it a mixed bag-some nights I have some backup, and people have the time to help. Most times we are short staffed, and I am on my own. One night this week we were short staffed and I was in the infirmary, I didn't have a CNA, and had 4 hospital returns, 2 admits (which filled the infirmary to capacity), and two walk ins.
    All I can say is while I "handled" it, the paperwork ended up being a total mess! But everyone else was pressured too. So I tried to wade through it myself, and it didn't go the way I would have liked.
    The best I could do was relay to day shift (also new!) what I needed help finishing (she didn't know either), and to tell someone more experienced.
    Some nights I walk out feeling good, some nights incompetent, and some nights mad (For the last time-"No-you can't have vicodin with your Q-ball, so quit asking me!").
    With that many patients it is hard for me (especially without a CNA most nights) to balance pt care and paperwork.
    I can see that the more I learn, the more I will do, and I am working for the day it all clicks!
    Thank you to everyone who replied, the words of the experienced give hope to the new.

  • Sep 27 '12

    I started last week and I love it!

  • Sep 4 '12

    Volunteer with the school nurse. Experience does not have to be paid. All kinds of businesses hire nurses.
    Did you know that casinos, and some pharmacies hire nurses. Some large companies do as well. Expand your
    list of potential employers. What is it going to hurt?

  • Sep 2 '12

    Quote from BrandonLPN
    What are you getting at? Practical nursing is a separate licensure and scope with a different role in nursing.
    I do believe this was said tongue in cheek. The LPN/RN debate has gone on for years as well.

  • Sep 2 '12

    The problem I have with your post is that you have generalized all BSNs and higher as being inferior to you. It's quite possible that *gasp* there may be one or two BSNs out there that are the exceptions to your rule? I can bet top dollar that there are.

    Quote from pattyslattery
    And I'm too darn old to go back to school.
    I graduated from my BSN program with a 62-year-old woman who runs circles around the 20-somethings. She obviously was not too old to go back to school. And she was a summa cum laude I might add. Clearly, age is just a number for the lucky ones.

  • Sep 2 '12

    I have an ASN so I understand the frustration but I don't share your sentiment.

    There are crappy and superb nurses at every education level. I won't downplay someone elses degree because I'm bitter or upset.

  • Sep 2 '12

    Quote from cchezem15
    So I am in dire need for some good advice. I just recently graduated LVN school (In May) and received my Vocational Nursing License (In June). As of right now I am still unemployed, and not because there is not any jobs, but because I am just being kinda picky. I am also having an issue with employers not being very supportive of me going back to school which is VERY important to me. Right now I am in between waiting for two jobs, one as a nurse at the jail and one as a continuous care nurse at a hospice company. Both of these I really really want, but the waiting game is just starting to get kind of lengthy. I have been waiting on the hospice job since June 20th!!!!! They keep telling me that they are waiting for corporate to open up the job so they could place me there. They also keep telling me that they really really want me as well, but how long is too long to wait? They were actually at my nursing graduation and saw that I had won awards and all that and that is how I got the job in the first place. The jail seems like something I would REALLY enjoy as well.

    To get to the point (sorry for the blabbing), I really need to start working, not just because of the money (my fiance has a good job and we make by with that), but because I feel that as each day passes I am just rotting away and going to forget everything I learned. I am half tempted to just go to some LTC facility and work there just to get the experience, but all the ones around my area are not so good places.

    HELP! advice and words of encouragement would be greatly appreciated

    -Chelsea
    I get that you're picky, and that you have a certain goal in mind for employment, however in this day and age, not working can be worse than having a month or two experience. Why not try something while you wait on your dream job to open up?

    I started out working in retirement, and believe me, you will get experience. I'm now quite confident giving a med pass to 90 people and running all shift lol

  • Sep 1 '12

    Thanks so much everyone!!

    Glenna, LPN- I actually have already been working! I got a job at a clinic where I did clinicals in nursing school! I started there the week after I graduated and have been working as a GVN until I passed my boards!

  • Sep 1 '12

    I am also starting a correctional position as well. My start date is the end of sept. We can keep eath other posted on the progress. I am a little nervous and excited at the same time. I wish you the best of luck on your new journey.

  • Aug 31 '12

    Congratulations! I bet that it will coming flowing back! I say that you should maybe refresh on BLS, I would bring a drug book or possibly your phone if you even can so that you can look up any drugs you don't know about...I bet you can find about the policies/laws for your state online that way you understand what the laws are on providing care to the inmates. I am pretty sure there is a correctional nursing forum here, maybe just do some reading on that...I do a lot more reading than posting because I am a new grad also!

  • Aug 30 '12

    Quote from BrandonLPN
    This is why I feel nursing school should mandate experience in nursing as a requirement to enter the program. No one should be allowed to enter a LPN program without having worked for a year as a CNA. And make a year of LPN experience a mandatory requirement to enter any RN program. The cumulative knowledge would make the new grad at every level a better nurse and would eliminate having new grads with zero experience.
    I have to disagree with this. I worked 8 years in a small ER soaking up anything and everything any of my RN's or Dr's would teach me. Granted I have no "hands on" experience, I can successfully walk through chest tubes, full codes, trauma codes, cardiac protocols, and stroke protocols. I know "theoretically" how to cath a pt, start and IV, place a NG tube, and a PICC line. I spent 2 years in a large facility working in the Education Department, TEACHING incoming staff hospital specific protocols and leading their PBDS classes. I've assisted with teaching ACLS and PALS and I'm a CPR Instructor. I know more about nursing than most of the CNA's I know. I've helped where I can during most everything and anything that came in to "my" ER. I know how to read a basic EKG and most lab results. I've had to deal with families during a code, after a pt passes, and pretty much anytime they are scared, confused, or just plain don't know what's going on. Even so, I don't have a CNA or a LPN, so does that make me less deserving of a spot in school? No.


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