Content That ktwlpn Likes

Content That ktwlpn Likes

ktwlpn 21,706 Views

Joined Aug 17, '00. Posts: 4,686 (32% Liked) Likes: 4,779

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  • 8:13 am

    Quote from thecrossfitrn
    I recently moved back to my home state and took a position at a large hospital in a small unit. I started working a few weeks ago, and it is the most cushy nursing position I've ever had. I went from taking 7-8 patients while being charge on a high acuity med-surg unit to taking no more than 5 patients on a unit that is relatively lower acuity. I'm actually finding myself having downtime, which I've never had before.

    As I'm starting to get to know my co-workers, I'm finding myself sitting at different nurses stations just to get away from them. All they do all day is complain about how hard their job is, how the pay stinks and trying to get out of taking admits. It's ridiculous to listen to. I feel like I want to slap them. They have no idea how good they have it on our unit, how excellent the pay is for the area (we make nearly $3 more an hour than the next largest metro area where the cost of living is way higher), and how easy our patient load is.

    I'm really having a hard time listening to their constant complaining. I realize nursing can be frustrating at times no matter where you go, but seriously... if they only knew how good it was on our unit. I guess it's a good reminder to not become that type of nurse. Always be thankful when a facility treats you well, pays you what you're worth and helps protect your license by staffing well with good ratios. I guess I won't be making any friends on my new unit anytime soon, but at least I'm no longer coming home frustrated by chaos.

    Maybe, just maybe that's the only place they've worked and have nothing to compare it to as far as being better or not. Try to keep an open mind and give them a chance...

  • 6:24 am

    Quote from terr2003fl
    I am not a nurse yet, so, I have not had the opportunity to experience any of the situations mentioned before. I will start this fall in an RN program. I am an older student and this is my second career. I know all careers have their challenging moments since we are dealing with human beings from all walks of life. However, I get the impression that many nurses are just jaded and extremely over-worked. Like the last nurse who commented, not all people know and understand "the rules". Visitors and loved ones are worried, scared, uncomfortable, nervous, etc. to see their friend, father, mother, grandmother, etc. in pain and sick. As nurses it is important to understand this and have empathy and sympathy not only for the patient, but their family as well. It is not our place to judge other people's intentions, motives, behavior...what might be unacceptable to you and your family, might be the norm for others. Some families are loud, some are reserved. Your place is not to judge. If the loudness bothers you and inhibits your duties, say something, otherwise, it isn't your place to judge. It is a nurse's job to explain to everyone what is needed for you to care for the patient. If that means sending 6 of the 10 people out of the room, just tell them to come back later. How difficult is that? If you need everyone to leave so you feel confident in your care, explain that...being kind and honest is usually a good choice. Tell people the rules in a non-condescending manner, yet, be authoritative in explaining why. Don't expect people to know and think like you do. Expect people to hear you and abide by the rules, once they know them. Some people have never been in a hospital before, you have to be empathetic to all situations. People handle stress and sadness in different ways...I thought they taught this in our fundamental nursing classes...I was just shocked at the tone of the article.
    You'll be even more shocked when you actually start nursing and have some gems of your own to add.

  • Jul 22

    I say "my Pharmacist", "my Nurse Manager", "my Pharmacy Manager", "my Intake Coordinator", when referring to my colleagues all the time. In the same note, they probably refer to me as "my nurse liaison."

  • Jul 22

    When I think about all the horrible injustices which are perpetrated across the world on a daily basis, I just cannot get worked up about something like this.

    Yes, I think you are making a mountain out of a molehill. I don't believe for a moment that the physician believes or is implying that the nurse is a "piece of (his) property." Seems like just looking for offense.

  • Jul 22

    "What is the history?" "Complex and complicated, 3 weeks of it, you most certainly can review the chart for specifics."

    "Now lets get back to the more appropriate last 24 hours..."

    If she wanted to get the day one blow by blow, there's a lovely chart she can review for whatever it is that she is searching for...but correct me if I am wrong, and I am oh so not a NICU nurse....don't your patients have the potential to change literally every shift....meaning that NICU babies turn corners or tank at the drop of a hat? Was this nurse not typically a NICU nurse?

    In adults then yes, the complete story is helpful dependent on what they are there for. But I would think with the babies you have those that thrive, those who do not, and those that do both within 12 hours.....

  • Jul 22

    Some would find it offensive that you gawk at caged animals for entertainment and eavesdrop on other people's conversations.

  • Jul 22

    And don't hesitate to look that provider square in the eye and quietly say, "Don't. EVER. Speak. To. Me. Like. That. Again."

  • Jul 22

    If it's truly just a matter of you feeling 'disrespected' (how I loathe that term)- get over it. He/She is a voice on the phone. He/She likely treats all persons like this. There are people like this in all walks of life. Give up your career over junior high behavior? Grow some thicker skin OP. You'll last longer.

  • Jul 16

    Oh no! What a horrible thing for all parties to be involved with! I'm so sorry to hear you had to go through this.

    I am going to make one slight edit to your title. "A 10 year old boy died, and your CPR didn't reverse that."

    If he needed CPR he had died. Unfortunately, our resuscitation techniques aren't perfect.

  • Jul 15

    Quote from BuckyBadgerRN
    I'm not sure progress notes are appropriate for a CNA to chart.
    That's what I was thinking. When I was a CNA, there was paper charting. There was a CNA charting book that basically had tasks for each resident. The CNA on each shift would initial that they were done on that shift. Examples would include "turn and position q2h,' 'bunny boots while in bed,' or 'encourage fluids.' The CNAs would also chart VS and I&Os.

    I'm not trying to put anyone down by saying this--I think about how much trouble it can be to get some nurses to chart properly (when it was covered extensively in nursing school), and can't even imagine how difficulty it would be to give a CNA a 30 minute 'crash course' and expect the charting to be appropriate, legally sound, etc.

  • Jul 13

    Quote from BSN16
    For example "Ambulated patient. O2 dropped down to 88 with activity". this is technically related to the progress of a patient and isn't appropriate for an RN, who didn't walk the patient, to chart this.
    If the aide does chart that, they also need to be charting that they followed up with the RN about it...

  • Jul 9

    Wow you mean they actually have RNs who complete admits ? Wow ! I would come on for an evening shift and as an LPN be expected to admin meds to 38 residents, complete all routine charting, and orders, and complete a full new admit on s full resident. That facility sounds like a dream job !

  • Jul 9

    It's not really appropriate to have CNA's charting "progress notes", it's one thing to have them chart observations in a narrative form, but a true nursing progress note, which involves applying the nursing process to a patient in written form is not within a CNA's scope.

  • Jun 24

    Quote from NurseGirl525
    It was an attack on this country. I weep for those in Orlando as I did for 9/11 and for Boston, among other attacks on our country.

    I dont go around saying but that was a heterosexual theater or building!! I bet there were heterosexual people in that club that night as I know sometimes I would go out with my homosexual friends to party back in the day when I did party. This is the problem, we are focusing more on the people's sexual orientation instead of what happened. People died. People were horrifically injured. Let's grieve that loss.

    People cant have it both ways. Either we are equal, or we are not. I weep that people who were so young and had their lives tragically taken or forever changed that night, should not have. I weep for the potential that is gone now. These people should be remembered for losing their lives way too early. Not who on earth they slept with. Because, I don't care who they chose to sleep with. I care that they were human beings who had potential to make a great difference in this world. And hate killed that.
    I'm a student nurse lurker who felt compelled to post about this. I appreciate your sentiment, but your refusal to acknowledge that this was, in fact, an attack on the gay community and that the gunman did, in fact, target these people in this place because he knew most of his victims would be gay makes you part of the problem.

    It's tacit homophobia like this - the refusal to acknowledge LGBT people and their spaces as their own - that snowballs and grows to create a culture where we're seen as "less than," or where our unique and continued struggles are ignored because "we're all humans." It's no different than saying "I don't see race - we're all American citizens" when the unfortunate fact of the matter is that white and black Americans have incredibly unequal experiences today.

    I appreicate your viewing this as a "human tragedy"...but maybe take a step outside your perspective and be willing to view this as an attack on a community that's not yours, and that you don't understand (I'm willing to bet on this considering you claim you "would go out to party with my homosexual friends back in the day" - there's nothing we love more than being objectified).

    Try to understand what it feels like to have one of the very few safe spaces you have - maybe the only space in your entire community where you feel completely free to "be you" - be completely violated.

    Empathize with us. Grieve with us. Acknowledge us.

  • Jun 22