Jessy_RN 23,097 Views
Joined Sep 11, '04.
Posts: 13,408 (3% Liked)
This will vary greatly on location. In my area, they don't hire CNAs in the ER. They hire EMTs who also have their PCT. They also hire paramedics instead of LPNs and so on.
Your best bet is to try Med-surg or the like to get CN experience.
My place of employment crucifies second victims. One error and you are immediately asked to leave and they will contact you. Then you have to come in several times and talk to charge nurse, assistant manager, manager, director, risk management and whoever else. Then, once allowed to come back to work (usually after a week after), you have to report to a panel of nurses in what people call the room of shame. The panel is comprised of mostly managers of different departments and staff nurses. They basically have you tell your story, what you could have done better, what you will do and then you are basically colored a target on your back. Then, in morning report and unit staff meeting they make you retell your story. They make you put together some kind of poster with 'educational' session and once again the walk of shame in front of the entire unit.
I have never seen any nurse be right after that. They withdraw, have PTSD, issues at home or just grieve forever. Management makes an example out of them forever. It comes up in every review, every time another even happens even away from the unit. It is such a horrible thing no matter how small the incident was. I personally believe it is the wrong approach but it happens more than anyone thinks. I don't think you can ever move on from the event as long as you stay employed there. One coworker who had a patient fall off and subsequently died was practically blamed because she was busy in another room during bedside report with the oncoming nurse and checking drain output on that patient. Management tagged her for missing hourly rounding and not signing the sheet on the door. This coworker went through all these steps and subsequently committed suicide. All was kept hush hush and claimed she was depressed.
Yeah, no kidding! Nursing is the worst when it comes to being unsupporting. Like someone woke up that morning with the intention of hurting someone or making a mistake. Sad!
I'm working on getting my cna license while finishing up my A&P courses. I will have some in between time before I can apply for the nursing program so I figured I should get some experience under my belt before I start the program. Where should I look for work experience as a cna? I don't want to work in a nursing/retirement home as an Rn. I'm leaning more towards DR offices Mon.-Fri.
I think the BON has bigger fish to fry than a petty complaint. Sounds like they purposely sent the check to the wrong address out of spite. You did not abandon any patient and you weren't going to just abandon your car to take Uber. I wouldn't worry one bit about any of this other than the bad reference they will provide any prospective employers of yours.
In the future, do try to keep it professional and don't put things like F....you in writing under no circumstance. If you can't help yourself, just turn phone off or put it away. Good luck
You sounds like an amazing manager. FAR from what I have experienced. Our manager(s) never step out of their office unless it's for breakfast, lunch, snack and meetings. Touching a patient? Unheard of. I am willing to venture that they wouldn't remember how to start an IV nor would I think it's safe for my pt. This is nowhere near the representation of all managers and I have worked in soooo many places given we move a lot due to being active duty. Kuddos to you.
I also work in the OR and as your place, the team that has worked in the wee hours of the morning for the most part are able to stay home and rest. Then call in by X hour (set by our policy) to see if they are needed. It's not about anyone's "mentality". It's called common courtesy and respect for that team. There is nothing worse than working a long tedious shift only to come back on call and work till the wee hours of the morning and still expected to come right back all fresh and sharp. That is simply not safe! If anyone came and changed that I can tell you that there would be a TON of disgruntled employees who would take a hike, start calling in and overall the our unit's morale would take a dive. We are actually "the" OR people want to work at in my large town because of our "mentality".
We have 3 shifts and they work beautifully and affords us to have strong support for keeping us safe, alert and home when we need to! We have 6:30-1500, 6:30-1700, 0700-1900 and 1100-2300. After 1700 we have 2 OR's going for any specialty except for heart. The heart team takes different call and are called back for only hearts if needed. We are all well rounded and do every service. It's a very nice unit to work because of that support. We take care of each other and do not see it as a drag or inconvenience if we are missing a team the next day because they got to stay home.
How is this a demotion? You may not be ready to hit the floor running in the ICU and need to take it back a bit before going back. This is not a demotion, it's saving your butt. They could have easily just as you to resign or let you go by not passing you from orientation. After all, you are a new grad, right? Don't be too cocky. You're not better or worse for starting in the ICU and working your way back from step down.
Like anything, you have to have minimal competencies signed off. Just like I wouldn't expect just anyone to float to NICU or circulate/scrub in the OR. If you are not signed off on chest tubes and the like, then you aren't competent to float there; however, I've worked for Tenet for many years and they do the yearly competencies fair and if you stood by a chest tubes station, possess ACLS then you were signed off and are considered competent. At the end of the day, if you're not comfortable then ask for some orientation to certain tasks but you will not get to not float. GL
Honestly, I don't think there is more to the story. I think it's exactly how it happened - nurse brought baby in to nurse, mom fell asleep because of narcotics and Ambien, and suffocated her baby.
While we do not routinely give sleep aids to women postpartum, once in a while we have. And all postpartum women are ordered narcotic pain medications - we give that out every 4 hours round the clock.
Yes, limited. By limited I mean simple stuff since the orientation is very limited. It's basically geared to scrub hernias, lipomas, choles/appys and the like. A heart? Never
Surginet and Powerchart (Cerner).
You stand based on room layout, type of surgery and physician preference of course. In our victorian style/aged OR's there is always some tweaking that needs to happen. Ideally, yes scrub is directly opposite but when there is a first assist, students, type of surgery, amount of equipment then you make it work however is best for that particular case.
Our hospital protocol and manufacturer's recommendations is that we place the Bair Hugger blanket directly onto the patient's skin. There should be no gown or blankets under that blanket. There should also be no hosing (using the unit without the disposable blanket), cannot use Bair Hugger with another brand because they are designed to work only with it's same Make/Model. No alterations of the unit(s) whatsoever. I have never seen any thermal burns when used properly as recommended. Check with manufacturer and your unit should have a policy in place.
I've worked in many areas of nursing and the OR is extremely unique. The strongest personalities reside there. Nursing school doesn't prepare you for this field in the slightest way. It takes at least one year to feel somewhat comfortable so you must give it time. I'm not condoning or dismissing your concerns but depending on the case or specialty, there isn't a lot of talking going on from the circulator because they have one ear on the field at all times. They have one eye on the field and the other on paperwork/next case etc. The OR is like a dance and there is a time and place to ask a ton of questions and there is a time and place that it's not possible. When I precept, I ask for a certain order of things that need to happen. We do a lot of talking when were opening and setting up for the case, when we get to a 'comfortable' level in the case and after the case. It helps to have repetitive cases to build on and same surgeons until we take it up a notch and move on to the crazier stuff. The circulator is always watching, planning, anticipating and making sure everything runs smoothly. It's one of those places where you just can't be talking the whole time educating your preceptee. My mind is always going but I am listening like a hawk to the field, taking care of my team, organizing, getting ready for specimens, counts, updating family, etc.
Why he was upset is irrelevant. You did the right thing and possibly saved a life! This physician sounds like he was passing the buck and dumping the problem the next person and could care less what happened to his patient.
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