jeffsher 2,486 Views
Joined Mar 5, '11.
Posts: 38 (34% Liked)
I dedicate this ones to all of my friends who aren't nurses:
No, I don't just wipe asses
i agree with altra as i donn my flameproof helmet. it is not just the elderly with high re admission rates i see alot of "younger" than 65 types that either refuse/dont care/dont know how/to make the lifestyle changes necessary to reduce re-admission rates. if you have lung ca copd diabetes stop smoking and drinking for one.
i know that this sounds glib and its not easy to make changes, but it sort of seems that we are flaming insurance co. and hospitals and dont really push the personal responsibility role in all of this. that being said, we cant fix everything and chronic illness will not be fixed. it is a downward spiral.
Well - I have now had 2 days of clinicals in my CNA class, and I went Friday and registered for summer classes at the community college where I will pursue my ADN. I technically have until the end of April to let my principal know if I am not coming back next year, but I am planning to talk to her this week and make it official. I haven't done that much at clinicals yet, but I was able to actually, physically help a few people, and it felt really good. I saw how busy the CNA's were, and witnessed hurried pericare and emptying a catheter bag... but what sticks with me is the fact that these residents are all people who have had long, independent lives, and now need help with their ADL's. They deserve to be treated with compassion and respect, and that is something that I can do!
I am excited to get started with my schooling, and looking forward to eventually having a career where I can help people while also getting paid for my time and not bringing homework home. I feel happier and less stressed already, just thinking about not teaching anymore. It will be hard to say goodbye to my principal, who is wonderful, and to many of my students, but I believe I am making the right choice! Thanks for sharing your perspectives with me!
If all goes as planned (and when does it ever?), I will finish pre-reqs this December and get on the waiting list for my program, which can be a year or longer. During the waiting time I will try to get all non-nursing classes out of the way, so that once I am in the program I can do just the nursing classes. I also need to work as close to full time as possible, so after school is out in June I will be looking for a CNA job locally. If I can get into the nursing program starting in January of 2013, I would be ready to take my LPN boards in December of 2013, and then my RN boards in December of 2014. YAY!!! I can't wait to get started!!!
op: the only way i avoid feeling this way about patients and or family members is to accept the fact that i cannot change anyone. i also cannot make someone's life significantly better with one act of kindness. not to mention i have accepted the fact that many may not care or appreciate my help. also, i have accepted the fact that the patients got really bad over a long period of time (made bad life choices and/or had bad events happen to him/her over time). thus, a short time with me will not change his/her life overnight. so, how do i shut it off at the end of the day? i just do! as soon as i walk out the door of my unit, i am done.
of course, it took me a bit of time to be this way. i used to work in case management prior to nursing and was a lot like you describe yourself for years. however, a very well respected and wise msw pulled me aside and told me that if i did not change my approach to working with clients/patients (i.e. if i did not stop taking everything i did and the outcomes and reactions of patients/clients to heart and if i did not stop worry about people i cannot fix), i would easily burn out. she still works today with well over 30 years of experience. so i am again taking her advice as i embark on expanding my nursing career into case management. good luck and keep us posted.
I have no problem giving him both drugs together; however, I will not give phenergan IVP undiluted. CYA
I was called to a RRT (Rapid Response Team) where the nurse caring for the pt stated that they were having CVA Sx. We all arrived and sure enough, one pupil was large, flaccid on the left, slurred speech, and pt went from A & O x3 to totally disoriented.
After the team decided to get her to CT to determine if it was hemorrhagic or not so to treat with TPA, they all walked out of the room. Meanwhile this pt is scared, not knowing where she is, why she is there, and doesn't recognize anybody in her room (all of who are staring at her of course).
So I stayed with her to talk to her and re-orient her to why she was there in the first place, and explained what was going on, and what we were planning on doing for her.
While I stood there talking to her, she got stiff, her eyes rolled to the back of her head, and she started convulsing. I called for the RRT team to get back in there, and they saw her doing this ... SO!!! Because I stayed to comfort her, I also witnessed a seizure which was cauzing CVA Sx!!!
She did not actually have a CVA. And as it turns out, she has had seizures in the past but we did not know that, and they were sooo long ago, she had stopped taking her meds a few years ago too.
I felt like a great nurse that day!
I agree that medical neglect is considered child abuse, nurses are mandated reporters (and not just at work), and there are legal restrictions on parents' ability to refuse treatment for their children. It sounds like you are being informed about situations with her child that could be life-threatening. How are you going to feel if, the next time you advise this friend to take her kid to the ED and the friend doesn't do it, the child ends up dead? That's something you would have to live with the rest of your life.
In all seriousness, I would be inclined to either go ahead and report this to CPS (and the child would probably not be taken away from the mother and put into foster care -- DSS doesn't have enough places to put all the kids they get reports on; in my experience, they bend over backwards to avoid taking kids out of homes), or, at least, inform my "friend" that, the next time she contacts me about a situation like this, I will report it. In that case, she would probably quit calling you about this stuff, and, at least, you would be out of the situation.
I was helping do a bed bath on a bariatric patient. I'm not trying to be judgmental when i say this, but trying to give you a picture... the largest lady i've ever seen in person!! Well, we noticed some skin breakdown under her panus, so we were just going to put some viva in there and inform doctor when he came up. So as we were cleaning her panus out, i pulled out a half eaten CHICKEN WING! no joke. It was obviously rotten and been sitting there for a while, it ulcerated and was infected around this chicken wing.
Ick....im sorry! but just ick.
Suction!! I hate suctioning patients!
Old men and half full sputum cups and the noises they make to get sputum up
Are you doing an assessment including evaluating their motivation and stage of change? I find that this information really helps me figure out what makes someone tick or not tick. For instance I usually say, "no one wants to have uncontrolled diabetes so tell me why you think your diabetes is uncontrolled." After they tell me why they think theirs is, I come out and ask them, "So are you ready to do anything about that?" If they tell me yes, then I work with them to set a SMART goal(s), if they say no then I give them information about diabetes related complications and their risk. I let them know what is likely to develop if they continue to maintain an A1c of 10%. Ultimately it is their choice whether or not they work with you and while it can be very frustrating, don't give up. Eventually you will find a system that works.
Last weekend there was a new locum moonlighting in our local ED. Word went out via facebook that there was a new doc in the ED and all the frequent flyers were in there, STAT. I heard he only gives pain meds IM though, so the joke was on them.
As to the premise of the OP, I believe in natural selection. Their addiction is their problem, not mine. I give what is ordered. Or used to, I don't work in that environment anymore.
I love hearing how most RNs don't aspire to be APRNs....how glorious for our profession (and what is this based off of? speculation). Really, one can get an MSN online these days, and for not much money or free if employed with a hospital. Seriously - lets be realistic and not speculate.....there are many nurses who get fat/happy and lazy....they dont feel they need to further their education so be it. Thats their modis operanda (spelling?)....they can go their way I'm goin mine.
If you suggest that the market can't absorb more NPs, think again. Theres a real shortage - as primary care practitioners are in serious decline in numbers. NPs can help assuage the internal med MD problem. If you want to refute this then I give up.
Your rhetoric indicates your indeed in the category of the people that would purport to make be a bazillionaire.
RN7776 The more you post, the more you reveal that you lack even a rudimentary understanding of nursing in general. (not talking clinical, just the job market) Several of us have corrected your misperceptions already in this thread, and yet you plow doggedly on with blinders intact, instead of contemplating the input given by people who would be most likely to know - those people who actually do the job.
With some sort of fortitude, the "older nurses" would have gone back to school for MSN or beyond and be away from the bedside as a masters prepared nurse or better yet, AT the bedside.
Not for nothing but, if I had a dime for every ADN nurse who refused to go back to school and just wanted to work forever and collect a check without acknowledging that nursing is like every other vertical I'd be a bazillionaire.
Sometimes, getting a BSN, MSN etc will protect your job, keep you relevant etc. Would someone with a BS in Accounting or Finance rest on their laurels? no. Why would a nurse stop at an associates degree.
Things change...evidence based practice didn't exist 30 yrs ago....why would a 30 yr "veteran" nurse not want to adapt. This is NOT directed at those that have...however floor nursing isnt something that is meant to be for people in their 60s/70s. Realistically, like it or not - expecting....heck, feeling entitled to work into your 60s/70s is a massive assumption.
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