Content That Lev <3 Likes

Lev <3, BSN, RN 43,432 Views

Joined Jun 3, '11 - from 'Another planet'. Lev <3 is a ED Registered Nurse. She has '4' year(s) of experience and specializes in 'Emergency - CEN, upstairs, troll bashing'. Posts: 2,664 (52% Liked) Likes: 4,918

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  • 2:47 am

    I am intrigued by OP's career goals. I've never heard of the Institute for Functional Medicine, so I gave it a Google. It appears to be focused on Naturopathy - which is still considered a "fringe" element of medicine in the US. This status means that traditional reimbursement sources are not available - so services are largely dependent upon private pay rather than insurance. If so, it would be very difficult to actually earn a living if your practice was entirely focused in this realm.

    It is frustrating to hear the common complaint of "losing nursing skills" associated with working in any area except inpatient acute care. In the US, rapidly evolving healthcare models are predicting the shrinkage of inpatient acute care and expansion of services in all other areas. Why is is hospital care still considered as the gold standard for nursing 'skills'??? On the other hand, surgical nursing is predicted to be a continuing area of need - with more and more procedures conducted in short-term settings. So - in terms of a long-term strategic career advantage, OR specialization would seem to be better than hospital bedside nursing, wouldn't it?

  • 2:39 am

    It never hurts to send a short and sweet thank you letter thanking them for their time and reinforcing your interest. I would send it sooner rather than later though.

  • 2:33 am

    What I just can't stop wondering is if someone REALLY think that people must enjoy that mechanical pleasanties exchange? In LTACH, where I work and where there is just no place for such things, as it is kind of impossible to use on our specific population (consisting of 50+% sickest of the sick totally deconditioned vents), patients and family members indicated more than once that they were, in fact, sick and tired of scripting. Eventually, and correctly, many of them started to figure that it was intended to cover from them facts and that things about Mother Dear were not really going so "great" and "awesome". I inquired why they did not asked about it, and the most common answer was that "we thought it was part of "their" jobs to be pleasant, and we do not bother others if they just do what they are paid for". In other words, these poor souls felt and perceived correctly that they were quite balantly lied to but accepted it as a "rule of the game", even when the life of their loved one was at stake. I was quite surprised by this observation and wonder if anyone who produced those silly scripting phrases ever thought about this possibility.

  • 2:32 am

    Quote from Jedrnurse
    Hi all.

    I just got off the phone with a self-storage space. The staff answered the phone by saying "Acme storage, how may we meet your storage needs?"

    I almost laughed, but gave the staff person points for not vomiting while they said that.

    What are your most silly scripting experiences?

    I once worked for a place where we answered the phone "Thank You for calling XXXX how may I exceed your expectations today"?


  • 2:32 am

    "Did you experience something wonderful today?"
    The patient smirked and answered most heartily: "sure, honey, I DID FINALLY S*** today!"
    The poor nurse (from our host facility, where staff is driven to robotic parroting reg. scripting) exclaimed, completely automatically: "this is SO great, how can I help you to experience this further?"
    After that admission/transfer preop report had to stop... for quite a while

  • 1:08 am

    Quote from lovaza
    I work as an RN in medsurg/tele unit in one of the hospital in Illinois. When I came to work last night I was surprised and upset because charge nurse put me as PCT. There were 4 nurses on night shift plus our charge RN and one PCT. There are 16 patients on the unit but only 1 PCT available. That's why they put me as second PCT on the floor. I was upset because they could have devide the 16 patients to 4 nurses including me, then give 8 pts to PCT and 4 RN's would take 2 pts for complete care. I feel like being bullied in my work place and my patient the other night when I work as RN was asking me if was demoted. Is it fair assignment or do I need to talk to my manager about this matter. Please advise. Thank you.
    So let me get this right. You have a problem with being assigned one job (PCT), but are okay with being assigned to do two jobs (RN and PCT)?

  • 1:08 am

    Sorry, not a bullying scenario. It's actually fun to do the PCT thing once in a while.

  • 1:08 am

    PCT is within your scope of practice. Where I work you can be delegated to do that work.

  • 1:08 am

    Pleeeeease! ‚ÄčI hope and pray my job puts me in a PCT position tonight!!

  • 1:04 am

    Less of a nurse? Is that like less of a person?

    True you may not have the same exposure as another facility might give you but only an idiot would say you are less of a nurse.

    I'd hate to think you hang with idiots so are sure you accurately interpreted their intent?

  • 1:01 am

    Hell no!
    if anything, working in a small hospital makes you more of a nurse because you have to do more with less.
    less resources, less specialists, often less equipment.

    my first job was in a 60 bed hospital and that's where I learned to think on my feet and improvise when necessary

  • 1:00 am

    The person who told you this is wrong. And why would you even listen to it?

  • 1:00 am

    These are the types of people who say that unless you become an acute care nurse in med-surg, you are not a "real" nurse. They probably also say that we all have to live life the same way. This is totally untrue. Working in a smaller hospital gives you a different experience, that's all.

  • 1:00 am

    It's no more true than the debates about ICU nursing vs. med/surg nursing, ER nursing vs. floor nursing, acute care vs. ambulatory care nursing. You know what they say about opinions, right?

    "No one can make you feel inferior without your consent." -Eleanor Roosevelt

  • 12:59 am

    Quote from TheCommuter
    ..... I now weigh 118 pounds and receive more attention than ever because most nurses in my area are overweight or obese. You see, the majority does not stand out...

    Anyhow, a nurse's body weight does not affect his/her skill set, intelligence level, competence, proficiency, intuition, educational attainment, personality, or the attributes that really matter in the nursing profession.
    TheCommuter, I agree that a nurse's weight does not affect his / her skill set, intelligence, competence, etc. Unfortunately it seems that those I work with think otherwise, and this includes management. I hope someone in a more compassionate environment will hire her and give her a chance.

    On another note, congratulations to you on your weight loss. That's amazing!