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Fiona59 40,068 Views

Joined Oct 9, '04. She has 'Ten plus' year(s) of experience. Posts: 8,188 (39% Liked) Likes: 8,734

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  • Apr 23

    My only experience with Medical Tourism is when things go wrong. I work on a Post Surgical floor in a hospital that is a Center for Bariatric Excellence so we have received several patients that went to Mexico to get their weight loss surgery and shortly after acquired problems. One interesting case was where two sisters went down and did some kind of "buy one, get one half off" kind of deal and one sister developed massive problems along their way home. She required a PCA and was with us for a long time. The op note from the surgeon said something about, upon opening the patient, the previous surgical altering was "very unusual" and wasn't reflective of the Roux-En-Y surgery that she requested. The sister, at least at that point, was fine.

    So yeah, based on my experiences I'm not a huge fan.

  • Apr 23

    The surgeons/dentists back home are really reluctant to see the medical tourists for any post-procedure problems. They figure they may end up holding the bag for any issues, and they conveniently have malpractice insurance and can be sued locally, as opposed to filing a suit in Mexico or India.

  • Apr 23

    My advice is to take some more course work to get your GPA up.

    Any school that will accept you with a 2.5 is not a good school in my opinion.

    Also, you're not a FNP, so your username should not say you are an FNP..

  • Apr 23

    Not too late to get the license, but don't be discouraged by a lack of enthusiasm to hire you because of your age. If you emphasize that you only want to work part time, that should help.

  • Apr 22

    The classist undertones of OP's post is kind of nauseating. Just because a person has a "blue collar" job, doesn't mean they're automatically loud, rowdy, and obnoxious. Some of the rudest, most vulgar people I've met are your "white collar" suits...

  • Apr 22

    I agree. My unit seems to be going downhill. Loud laughter, dirty jokes, mocking pts.
    I want to be a respected professional.
    While it's nice to have fun at work, there is a need for some decorum.

  • Apr 22

    There have been many threads here about the "calling" in nursing. Personally, I think it's bunk. Yes, nursing interests me. But I sure as heck wouldn't be doing it for free! It offers me a job that is resistant to recession (not recession-proof), a decent hourly wage (although getting my hours lately has been an issue), and I rarely bring work home with me (it's actually not allowed by my employer- if I'm working from home, I'm supposed to clock in).

  • Apr 22

    I graduated from Rye & had a job lined up before I graduated. I can't think of anyone in my class who didn't. While in school I did a LOT of networking and tried hard to always make a good impression. In my clinical placements I got to know the staff and managers and made sure they knew me -- not in a kiss up kind of way but I asked a lot of questions, thanked them for their time, said good morning to everyone, etc. This seems like common sense but you'd be surprised at how many people come in, barely talk to anyone, hide in the nursing station, steal chairs from the nurses (for reals, don't ever do this!), and basically interact as little as possible. I applied for a job in the unit I consolidated on in my 4th year -- they were happy to have me because they already knew me, were familiar with my work ethic, etc. If I didn't get into that unit (bc no openings or whatever) I'm sure getting in at that hospital on another floor would not have been a problem.

    I also participated in as many non-class things as I could (within reason, I was working and stuff & I know time is always an issue). I went to a ton of free healthcare/professional seminars, conferences, RNAO events, etc. My area of focus at the time was oncology so I attended events that focused on oncology, special populations, end of life care, etc. Even online webinars count and you can add that to your CV. I wouldn't bother with taking IV or phlebotomy classes, those count far less than being involved and networking (plus it's a huge waste of money because your facility will teach you all these things after you are hired).

    Grades are important. Attending class is important. You can't coast and think you'll cram for the NCLEX, it doesn't work that way. It's a VERY heavy commitment, something to consider if you have small children. You will need a lot of support because there will be days that you want to throw it all out the window and quit. You need cheerleaders in your life & people that can help you when you are struggling. A LOT of people quit after first year or partway into the second year. It's not easy -- but it is definitely worth it! I have zero regrets whatsoever.

    Bottom line: Make yourself as competitive as possible.

  • Apr 21

    Quote from Nursing_excellence
    Thank you guys for your responses. as for the complications, what is the most likely complication for this kind of patient? is inhalation injury possible?
    After maintaining pt's ABCs. what do we do next? How would doctor's orders look like? do we need BMPS? ABGs?
    You can easily look this up and your teacher expects you to do your own work. More importantly I'm a little concerned that you are not hearing us when we tell you that burns are horrific and there is absolutely no way anybody will find humor in this topic. Well nobody who isn't some sort of psychopath which I'm a bit suspicious describes your teacher.

  • Apr 21

    What an awful assignment!!!

    I wonder if alteration in body image will prove funny when suicidal ideation occurs!

  • Apr 21

    It is frustrating and lonely to be the only one awake at work.

  • Apr 20

    Quote from ThePrincessBride
    So, I get a "note" from management. Yes, the policy was technically broken and I take full responsibility (and it had been my first time doing this procedure since starting my new shift). It had to do with dual sign offs (I'll leave it at that). To get some perspective, I asked ta couple more seasoned nurses/mentors for their insight because I was flabbergasted. They are shocked that this coworker went up to management about this issue and have even stated that they couldn't believe this coworker went to management over something extremely petty.

    And then I find out that she was apart of a really bad sentinel event (d/t negligence) not too long ago (think loss of limb). APN confronted her and she took a blase attitude over what happened and even defended her actions (in front of someone she was training!) and that is when APN took it up the chain.

    It kills me. I admit that I am not perfect, but to have someone with a stye in their eye complain about the speck in mine gets me. She not only made this mistake, but she didn't care. She reminded me of the policy (which, at the time, totally left my mind) and I thought it would be left at that.

    To seasoned nurses, how does one deal with a person like this? I am fighting the immature urge to confront her...but how do you deal with someone who throws people under the bus not for patient safety (b/c her sentinel event was enough to get her license tossed), but to make themselves look better? I have never had any negative instances with her before and I wasn't aware of her history, but this has thrown me off guard and ticked.

    I take responsibility for my actions and going forward will not make the same mistake again and will keep my distance away from this one.
    No one is perfect. But if you broke the policy, own that and deal with the fallout as gracefully and with as much integrity as you can. The other nurse isn't important, although I fully understand the urge to let the air out of her tires or something. It's about YOUR practice, and you want your practice to be the very best you can make it. If you want to be truly evil, thank her sincerely for calling attention to your error so that you can fix it and never make the same mistake again. Trust me -- it will mess with her mind!

    Management knows all about the sentinel event, so she's not making herself look any better even if she might THINK she is. There's also the possibility that she was more affected by this sentinel event than you think, but she's too prideful to let on to anyone else how much she cares. I learned this the hard way when a friend was involved in a sentinel event.

    And third . . . don't trust her again. Just don't trust her. Watch your back. This was always the most difficult one for me. It would never even occur to me to throw someone under the bus, so I was never alert enough to watch for the possibility. One particular nurse threw my husband under the bus, though, and I've had an eye out for her ever since. She tried to throw an orientee of mine under the bus on two separate occaisions (two different orientees) but I was able to document (or have the orientee do it) thoroughly enough to de-fang her.

    There's one particular person you have to watch out for everywhere. Usually it's not as bad as all that, but I must confess that the Evangelicals who tell me I'm going to hell for not attending their church with them and the Mommie's who insist everyone buy candy for their kid's schools both have me on high-alert status.

  • Apr 20

    Quote from chacha82
    The formula lately I have seen is 1) pre-nursing student wants to go straight for NP or CRNA, 2) nurse asks for advice or opinions, they are genuinely given, sit back and watch the fur fly. Rinse, repeat.
    And even worse... somebody gets all butt-hurt because they didn't like the answers they got even though nobody was rude or hateful, just honest, and the thread gets removed, not locked, because I guess AN is now a "safe place". It happened recently when a nurse caused herself some grief at work, got schooled here, didn't like the answers so pulled out the bully flag, performed a classic internet flounce, couldn't resist coming back for more and then somehow managed to get the thread removed. It was unfortunate because there are people who could have learned from her mistake before making it themselves. Yet posts like " Do you think I'm ugly" remain. It mystifies me.

  • Apr 20

    I love when the pre-nursing students give career advice.

  • Apr 20

    Quote from tnbutterfly
    Just want you to know that although no staff has posted in this thread, we are reading your comments and value your input.

    I certainly agree with the title - "Allnurses needs nurses." We always welcome more members......nurses and students alike.

    We realize that students post mistakenly in the "nursing" forums, especially the General Nursing forum. We try our best to move those to more appropriate forums as quickly as possible, but we do not have enough staff to dedicate one person to focus 24/7 searching for misplaced student threads. Fortunately, we have many Guides and members who help us keep an eye out and report misplaced threads. We really appreciate those extra sets of eyes. You can help us keep the nursing forums cleaned up by using the report icon to notify the moderators of the errant threads/posts. We will address your reports as quickly as we can.

    allnurses is for all nurses and nursing students. We are not going to split the students off in another site. Students can benefit from talking to real nurses. And there are some of you who are excellent mentors and take the time to patiently respond to what sometimes seems like endless questions of students. I don't know about you, but I would've loved to have a place like allnurses when I was a student....a place where I could go and get some great advice. Some of the posts in this thread are from members who joined when they were students. They shared how much they learned from being on allnurses. And guess what.....They are now nurses and are still here.

    You talk about the duplicate topics and questions that keep popping up. Remember....this is the first time this member has asked that question. It's all new to them, just like everything nursing-related, as well as allnurses-related was new to you once. Do you think that questions you asked when you first came to allnurses, or even questions you ask now, have never been asked before?

    For those of you who are not interested in communicating with students, take the advice that Rose_Queen posted. She gave details on how to mark all the student forums as read and then use the What's New to view all the non-nursing threads that are new. Thank you, Rose_Queen!!

    Some of you mention that there are not specialty topics that you are interested in. Have you read the School Nurses forum lately. It is the liveliest specialty forum on the site. It wasn't always that way. One member made it her personal goal to increase activity in that forum, and it is now booming with activity. Thanks to all of you who have contributed to the revival of the School Nurses forum.

    This can happen to other specialty forums as well. In post #45 of this thread, calivianya posted some great ideas.

    Once you post more articles/threads in your forum of interest, you will eventually get more traffic. Click on the specialty tab above and look how many of the featured posts are from the School Nurses forum.

    Once again, just wanted to let you know your comments are appreciated. We cannot implement all your suggestions, but we are reading them.

    Thanks to each of you for your participation on and dedication to
    Regarding the questions that are asked over and over -- some of them are WORTH starting a new thread every couple of years or so. Not the NETY or PVT ones, but the ones about how to thrive on the night shift, what to expect from a preceptor, what's the dumbest mistake you've ever made, and how do you deal with demanding visitors can always benefit from someone's fresh experience or more experienced take.

    I wish I'd had AN when I first started out -- reading some of those threads could have prevented me from making a complete donkey of myself a time or two. Many of the threads answer questions I would not have thought of asking but would have benefitted from having had answered.

    Many posters introduce themselves to the group by offering up a scenerio that they believe is TOTALLY unfair to them and asking for advice. The advice that they are given by experienced nurses isn't what they wanted to hear and they get angry and tell everyone off. The truth is, while that thread may not be giving them what they wanted, it may be giving them what they need . . . and other newbies who are reading the thread can learn from it as well (and potentially not make the same mistake.)

    Often times, the only way we realize how mistaken we are is to see someone ELSE get chastised for the same thing we've done or are considering doing. AN is very valuable in that respect.