RN58186 4,967 Views
Joined Jun 19, '11.
Posts: 145 (62% Liked)
How did it go? I wrote it years ago and I am sure it has changed. So much has changed in renal nursing since I started so many years ago.
ITNS has a "Core Curriculum for Transplant Nurses" that is an excellent resource. Right now the first edition is on sale for $30 and available on their website.
I've never seen pts or family members help themselves to anything more than a juice out of the fridge. However, if she is visiting someone in the hospital, my sister will lift every roll of plastic tape that she sees lying around.
arrector pili - the muscle around each hair follicle that produces "goose bumps"
catarrhal exudate - my instructor wrote "aka snot" on the board for this one.
I still make hospital corners on my bed at home.
I echo your thoughts Viva! I have been a patient numerous times and the psych nurses I dealt with were the best. I appreciated that they listened every time I had a concern or problem and never judged me. I felt very secure and well supported. I could never work in mental health, but I am very, very appreciative of those who do!
85 year old lady on a geriatric assessment unit. MD had ordered Premarin vaginal cream at HS. I went in early in the evening, explained to the lady what it was and why it had been ordered. Doing my HS med rounds, I went in to her room and I reminded her of our earlier conversation and asked permission to proceed. She told me to go ahead, and when I got the applicator full of cream in place she said (rather loudly) "Oh! I haven't had anything in there in a long time!!" Good thing she had a sense of humour because there was no way I was able to keep a straight face.
Our doctors are great. I have heard attending doctors tell residents that "nurses who have been here a while know more about renal than you ever will unless you become a nephrologist - listen to them!" The medical director of our program has been known to tell a resident that "if a senior nurse tells you to come, don't ask why. Just get your butt in there." And recently when a resident from another country told one of our staff doctors (with me in the room) that it was bad enough he has to listen to a female medical director and there was no way he was going to spend the next few years taking orders from "a bunch of nurses - and female nurses at that". While I tried to figure out my reply, our staff doctor just looked at this guy and said "One thing you have to learn right bloody now. This is a NURSE run clinic, and WE are here to do what THEY need. THEY call the shots around here - not us. Our job is to facilitate whatever needs to happen so the nurses can do their job. If you have a problem with this, then perhaps you should re-think this position and return home." I work with the best doctors.
If you are still looking, UBC offers a course every fall in Vancouver
Diabetes Educator Course Vancouver Fall 2013 - UBC Interprofessional Continuing Education
I took it last year and although I still did a lot of study before writing the CDE, it did give me a good basis to start from.
I have been a renal nurse for my entire career. I would never move to another specialty. I work in transplant now but it is still an area that I love. One of my pts told me that he thinks the best nurses are all renal nurses. I know renal gets frowned on because our pts can be challenging, but given what some of them have been through, I'd be a challenging pt too!
The High River hospital is evacuated, Canmore hospital is sheltering in place, Drumheller health centreis evacuated, a number of LTC facilities have been evacuated, the Sheldon Chumir Health Centre in downtown Calgary is closed as are a number of outpatient clinics. A number of the outpatient labs in Calgary are closed as well. All the hospitals here in Calgary are okay thankfully. I have been thinking about those pts in the evacuation zones who need dialysis and other life sustaining treatments. Scary.
I have been an RN for 23 years, and work full time. I will finish this summer a Masters degree in Theology that I have been doing online. I have no plans to go into professional ministry, I took my Masters because it is a topic that I am passionate about and just wanted to learn more. I serve as Chair of the Board at my church as well as Chair of the Deacons'. I will forever be a nurse but have thoroughly enjoyed my studies for my Masters. When I told one of the doctors I work with that I was going to do it she looked at me and said "I think it will be awesome to have someone with that kind of skill set around here" (I work in a busy outpatient clinic). If you are interested in seminary courses I say go for it. Happy to answer any questions if you have any.
I did the Nephrology exam, I worked full time the entire time while doing so. I studied mostly for 3 or 4 hours per weekend and the occasional weekend. Good luck!
One meds error I made as an inexperienced nurse was avoidable but the room assignment should never have been made in the first place, according to the NM.
Bed 1 - Mary Smith
Bed 2 - Mary Smith
The first patient was AA and the second was Caucasian. When I made my error, Mrs. Smith, in bed 1, was out of the room.
I must say, my manager would NEVER tolerate any of her nurses being spoken to that way. She is like a mama bear looking out for her cubs. One does not abuse her nurses. She would have stepped in immediately if one of the MD's did that to one of us.
Having said that, the doctors I work with are great. They have a huge respect for nurses and treat us accordingly. Our doctors listen to us and will often ask us for an opinion because we know the patients better than they do (we do case management and the MD's rotate through every two weeks, so the nurses are the constant). And in turn we have a lot of respect for them.
You are so right that until one experiences it, one does not "get it" about mental illness. I thought I did. I was wrong. I have been on meds and in therapy for well over 10 years. I have three suicide attempts to my name. For me like for Sleepy RN, I meant to die. I have been certified more times than I can count, and have had more than 15 mental health admissions. I have never hidden my struggle with depression and will be honest with anyone who asks. My management has historically been less than supportive, while my peers at work are awesome. Today I am the healthiest (mentally) that I have been in many years. I still see my psychiatrist weekly and still take multiple meds. That's okay - I am functioning. I am safe to be at work and can trust my clinical judgement. I know that I am a good nurse. I just happen to be a good nurse who battles depression. I am currently working on a Master's degree in Theology, and am doing my final project on the church's response to mental illness. Because that is another area where there should be a lot more support than there is. Thanks for writing this and reminding everyone what it is like to be the one in the bed. It helps to know others understand.
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