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martinalpn 6,436 Views

Joined Apr 24, '11. Posts: 137 (50% Liked) Likes: 183

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  • Sep 7

    Here's one my mother sent me - made me think about a few of our residents we've had over the years........

    Two little old ladies were sitting on a park bench outside the local town hall where a Flower Show was in progress.
    One leaned over and said to the other, "Life is so darned boring; we never have any fun anymore. For $5.00 I'd take my clothes off and streak through that stupid Flower Show!"
    "You're on!" said the other old lady holding up a $5.00 bill.
    The first little old lady slowly fumbled her way out of her clothes and, completely nude, streaked (as fast as an old lady can) through the front door of the Flower Show.
    Waiting outside, her friend soon heard a huge commotion inside the hall followed by loud applause and shrill whistling. The naked and smiling old lady came through the exit door surrounded by a cheering crowd. "What happened?" asked her waiting friend.
    "I won 1st Prize as Best Dried Arrangement!" <noscript></noscript><link media="all" href="http://us.js2.yimg.com/us.js.yimg.com/lib/pim/r/medici/16_3/mail/us/mail_ice_all.css" type="text/css" rel="stylesheet"><script src="http://us.js2.yimg.com/us.js.yimg.com/lib/pim/r/medici/16_3/mail/mailcommonlib.js" type="text/javascript"></script><style type="text/css">.replbq{width:100%}</style><script type="text/javascript"> var LetterVals = { UIStrings : { __last : 'not used' }, StateDynamic : true, yplus_browser : false, premium_user : false, smsintl : "", SidebarSyncActionType : "read", SidebarSyncAuxActionType : "", SidebarSyncUID : "33566", SidebarSyncAuxUID : "", getString : function(id) { var result = this.UIStrings[id]; if ( result == null ) { return "Not translated: '" + id + "'"; } return result; } } </script><script src="http://us.js2.yimg.com/us.js.yimg.com/lib/pim/r/medici/16_3/mail/letter.js" type="text/javascript"></script><script src="http://us.js2.yimg.com/us.js.yimg.com/lib/s2/yshortcuts_1.1.31.js"></script><script src="http://us.js2.yimg.com/us.js.yimg.com/lib/s2/ysc_mail_config_1.1.31_us.js"></script><script type="text/javascript"> var YAHOO = window.YAHOO ? window.YAHOO : {}; if ( !YAHOO.ShortcutsExt ){ YAHOO.ShortcutsExt = {}; YAHOO.ShortcutsExt.CustomConfiguration = {}; } YAHOO.ShortcutsExt.CustomConfiguration.PartnerName = "Yahoo!"; YAHOO.ShortcutsExt.CustomConfiguration.HelpUrl = "http://help.yahoo.com/us/mail/shortcuts"; </script><link href="http://us.js2.yimg.com/us.js.yimg.com/lib/common/widgets/2/container/css/container_2.0.5.css" type="text/css" rel="stylesheet"><link href="http://us.js2.yimg.com/us.js.yimg.com/lib/s2/yshortcuts_1.1.31.css" type="text/css" rel="stylesheet"><table class="applicationcontainer managementview" border="0" cellpadding="0" cellspacing="0" width="100%"><tbody><tr valign="top"><td class="content">
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  • Sep 7

    Quote from CoffeeYogaNurse
    I get it, we're building a rapport and in all honesty I'm asking them some pretty dang personal questions too, but I see so many patients and sometimes just don't want to answer/ feel like it's anyones business.
    You've got a handle on what you want to convey, I sense you're just not sure the words to use, eh CoffeeYogaNurse?

    How about something like, "You seem like a caring person who shows interest in others. That's a very good trait to possess. However, this process is all about you, so would you just tell me everything about your meds, your diagnosis, etc?"

  • Sep 7

    Also, to the extent possible, try to keep things "focused" properly. You do this with your demeanor, etc. When I go into a room, I'm doing so for a purpose. I don't stay planted in one place too long unless I'm engaged in "active listening"/therapeutic situation. I don't want it to sound like I'm rushing in and out and not interacting - - it's hard to describe. There are people who, when you see them doing their work, they are in social mode, not business mode. More relaxed, chit-chatty, sometimes taking an awful long time to do a simple thing...every time a patient or visitor says 'boo' they stop whatever they are doing and give them their fully-engaged attention...

    That is not my personal preference. lol. I like to keep things moving. Like myself. Hey, that's one of the perks of the ED. MMJ's and Wuzzie's suggestions above would work well for my "type." I'm here to find out what's wrong with you and how to get you feeling better, not to entertain the peanut gallery.

  • Sep 7

    You're in the South? Then you know all it takes is a " well, bless your heart" and that should take care of it!

  • Sep 7

    Welcome to allnurses!

    I just smile and say, pleasantly, "I don't talk about my personal life at work," and keep going with whatever I was doing, or talking about, when they asked the question. If you keep repeating that, pleasantly, each time the questions are repeated, they will usually get the message and quit asking. Another option I use (if the first one doesn't work and I have to spell it out more directly for them) is, "We're both here to talk about what's going on with you, not me." Keep reminding yourself that you are under no obligation to answer such questions just because they ask. It's a professional relationship in a professional setting; the client isn't doing anything terribly wrong by asking and probably just doesn't know better, but the responsibility is on you to set and maintain the appropriate boundaries.

  • Aug 26

    I do feel for you, but the mistakes you have made could have potentially serious consequences. Have you asked this other nurse for help? Have you identified that you have problem with medication administration.
    I can understand the nurse you are working with having concerns especailly as recently i worked with somebody who made similar mistakes and in the UK she is not only practicing on her own registration but on the charge nurses registration, if that nurse knows of the problems and does not report it, then they made loose their right to practice. There is a person who trusts and relys on us to look after them and they tend to be very vunerable. I suggest when you are giving out meds you take your time and double check and ask for no interuptions.
    How we solved this problem was by the use of supervised practice which meant she had to do meds with another trained nurse until it was deemed she was ready to go it alone.
    We also implemented that the nurse who was giving out medication does not get called to phone or interupted for anything other than an emergency.

    Remember it is easy to make a mistake we are human

  • Aug 26
  • Aug 26

    Okay guys - several posts have been deleted due to TOS violation.

    And...quite frankly I'm surprised several of you with rude comments didn't know about this. These UA containers have been around for years and years. I used them when I worked in the ED which was >11 years ago.

    Just because YOU are not familiar with a device doesn't mean it doesn't exist or that the nurse did something wrong.

  • Aug 26

    Quote from TazziRN
    Dutchgirl is right, very few sticks lead to infection, and the most common infection contracted this way is hepatitis. If that student converted to HIV+, was the source pt positive? I'm finding it hard to believe that the stick was responsible.

    I have had so many sticks in 19 years of working ER that I lost count and don't even blink anymore.


    Wow. Those are interesting comments you make.

    The instructor who was telling us this story did not elaborate, but she did definitely imply that yes, the patient was the source of the infection. I think that was the whole point of her telling the story. This story was also told to our class after having shown us a video with interviews of nurses who had gotten Hepatitis B from needle sticks (the nurses had never recieved the Hep-B vaccine, obviously).

    So Tazzi - as a strictly hypothetical question - are you saying that you would allow a needle that had been used on an HIV+ patient (or any patient, for that matter) to be poked into your skin?

    Also, you say that you've had several needle sticks and "don't even blink anymore". I'm curious - when you get a needle stick, do you simply do nothing and continue about your day? The reason I ask is because part of the video also included discussion on very crucial follow-up procedures, such as making sure that an RN who experiences a needle stick from an HIV+ patient recieve an accelerated vaccine within 2 hours of the incident.

  • Aug 26

    Quote from Jedi of Zen
    Thanks to all so far for the responses....
    Jedi:

    When you are placing or removing a needle from a patient best practice and your full attention to that proceedure need to supercede everything but a pre-code situation. I try to review the proceedure in my head then make sure I have the tools needed and finally secure the sharp rapidly and appropriatly.

    Safety first. We cannot practice effectively in fear, so confidence and skill are next. And all this is gained through experience. If this is a proceedure that is new to you it is certainly reasonable to ask a more experienced nurse to mentor you throught the process. Discuss any new proceedure with yor peers and glean experience from their experiences.

    Almost 20 years in nursing and starting IV's since 1975 without a needle stick, knock on wood. [insert banging on my head here]

  • Aug 26

    I started out as an LPN and no hospital would hire me. I did LTC, subacute and homehealth. Now as an RN I still work outside the hospital setting. I get this all the time! The "oh" when asked where I work. Doesn't bother me. When I go to the hospital with my patients, the floor nurses are all interested in what I do and grateful for my help.

    We are all real nurses and can learn from each other.

  • Aug 26

    This article highlights many interesting points but I will add one more...the hierarchy when you are working at bedside. Let me give you an example when I worked in cardiac I was considered a "real nurse" because of the complexity of the patients. Well now I work in post partum and all of a sudden I am not a "real nurse" mother baby nurses just hold and feed babies all day. That is the general assumption among family, friends and even patients. I once heard a bedside nurse say "mother baby nursing is cake I wish I could work there" well guess what she did and she didn't last an entire year. Nursing is a huge field with so so many options...some like bedside some like more direct patient care like home health and some like working at home or tele medicine. You are new nurse and you will see that and hear many negatives regarding this topic...just let it roll of and keep it moving. As long as you enjoy and love what you do then it's the right nursing for you!

  • Aug 26
  • Aug 26

    I do wish i had a tape recorder too on multiple occasions.

    My most memorable is the time when i was in the post natal department. I was showing new parents how to bathe their newborn. While I was cleaning the newborn's face:-

    Newborn's father: After each feeding, is it possible to wash the baby's mouth out with Listerine?
    Me: Why would you want to do that?
    NF: Well isn't it obvious? Are you dense? The baby's mouth will smell after from all that milk!
    Me: Sir, why would you want to use Listerine of all things? (I was still trying to get him to see sense, i failed)
    NF: I like minty fresh besides i'll just get the baby to gargle it out.
    Me: Can newborns gargle?
    NF: Of course they can!! If they can vomit, they can surely gargle.

    *Mentally smacks forehead*

  • Aug 26

    Quote from djh123
    And what about that current thread where a nursing student is asking if all we do is 'pass meds and chart'?
    pass-meds-and-


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