Latest Comments by SleeepyRN

Latest Comments by SleeepyRN

SleeepyRN 8,034 Views

Joined Oct 26, '11 - from 'Berwyn, IL, US'. Posts: 1,071 (53% Liked) Likes: 1,803

Sorted By Last Comment (Past 5 Years)
  • 0

    Quote from Libby1987
    I'm rarely sweet and apologetic and I don't ignore the yelling but I do validate their pain and delay in rx etc. Nor am I play acting, I validate from a place of sincerity.

    You're understaffed, yes? And the patients are truly affected by it? And probably act out not because they're just jackasses all around but because they have no control and some just can't maintain their composure under the conditions. It's not you persoanlly but the overall situation.

    And if what you're doing is not working for you, consider trying something different, even if it goes against your natural or conditioned inclination.
    Much of the time their anger is absolutely justified....and I'm angry FOR them. I stand up for them to management and when I'm not at work I'm educating the public of the state of healthcare today and what we all can do about it.

    The times I take it personally are when they are the very patient my heart is going out to the most, and I'm advocating for their behalf on the phone with doctors, but they don't know that. They don't know I go home in tears knowing the needless suffering they are going through.

    They are taking it out on the wrong person (me) who works 12 hours during an 8 hour shift, no break, no food....

    Their justified anger does not justify repeated verbal abuse toward me. That day we actually weren't short staffed.

  • 1
    Farawyn likes this.

    Quote from Farawyn
    *stalks SleeepyRN and the dude with the six pack*

    Sleeepy!!!
    Sleeepy was up all night stalking on Allnurses. Here I am still awake having to go to work in a few hours. Sleeepy is right! Yawn. Just can't sleep.

  • 2
    AlphaM and Farawyn like this.

    Quote from AlphaM
    Did I mention the six pack is indeed a six pack of beer?
    Sweet...I'm in!

  • 0

    Quote from Libby1987
    I would walk in briskly, acknowledge that he's had to wait too long and tell him I'm on it right now and then he'd see me hurry out to go get his pain med. In other words, he would see me (I'm moving briskly) and hear me ("you've been waiting on me and that pain med for over half an hour, I'm going straight for it right now") that he matters and that I'm physically making the effort to meet his needs. (Which as stated was not the perfect number of ice cubes*)

    He likely won't completely satisfy him and he'll still be mad at the overall circumstances, but it'll take the intensity down a bit. And then he'll go home and tell his home health nurse that his pain meds were always late but there was this one nurse who was too busy but at least seemed to give a crap.
    That is actually EXACTLY what I did. To a T. Then proceeded to be yelled at still for "d...ck...ing around out there."

    I ignored it and hurried out, got his medicine, asked if there was anything else I could do for him and left to the next patient waiting for me.

    I used to be able to brush off this behavior for years. I'm just in a place where I'm so done with it, but in no position to switch jobs right now.

    Thank you for your response. I'm really interested in how everyone deals with certain behaviors. Me, sometimes I'm firm, sometimes I'm sweet and apologetic...it depends on the situation and individual.

  • 3
    BCgradnurse, kalycat, and Farawyn like this.

    Quote from Larry2016

    PS: if we went by military standards, there would be a huge nursing shortage. A woman who is 5-7 and over 160 is considered overweight by military standards, which is usually the basis of height/weight/BMI charts.

    In my view, this is a better way to calculate it (SBMI)
    Calculate your BMI, correctly rated according to age and sex
    Yes, I completely disagree with the BMI calculation based solely on height and weight. At 5'5 155, I'm muscular and in great shape. I would be SICK at 130-140.

  • 7

    Quote from nutella
    I thought it has to be free - flowing?
    You're right. The nurse practice act states that hair style is specific to race and ethnicity. However, current research is being conducted into which race makes for a better nurse. They are close to an answer, so we will soon see a weaning process of certain certain races. Then everyone's hair will be the same too.

    Happy side note: I lost 5 pounds in our work's monthly weighing in process, so I got a .50 cent raise.

  • 1
    AlphaM likes this.

    Quote from AlphaM
    Actually in my field of nursing (aeromedical) we have a strict weight policy, BMI cannot be >30. This is done because of the helicopter's weight and balance requirements as well as the mechanics of working in tight quarters. Most do not like it but it's the price we pay for safety. This stupid six pack though makes my stomach look like a washboard
    Yes, flight nursing is obviously an exception.

  • 7
    emtb2rn, billswife, Farawyn, and 4 others like this.

    Quote from roser13
    I believe Illinois also requires shiny, well-oiled hair.
    Yep. I have to regularly pay a lot of money at the salon to maintain this critical requirement. I just tell myself as I hand over my debit card, "It's making me a better nurse."

  • 18

    Yes. You have to have a BMI of 20 for women and 22 for men. Studies show critical thinking and task performance are directly related to weight. I personally refuse care from a nurse who is overweight, as he/she cannot possibly care for me safely.

  • 0

    Quote from seks
    This pt had been on the unit for a few days. Had been on tinza and asa since admission to the unit.

    Start of shift, first day with him. He was c/o mild chest pain and bit of sob. A bit diaphoretic too. His SpO2 were fine but I cranked up the O2 a bit anyway. Paged the resident.

    Came in within 5 min and assessed the pt. Came out and told me he sounded crackly and that pt pain has subsided. Ordered 1 time dose of IV Lasix. NOTHING else. I was expecting maybe a nitro spray or chest xray or whatever.

    I came in next day...found out pt had a full code late in the night shift and passed away. Code team notes stated probably PE attack.

    I don't know...been almost a week and been thinking this death could have been avoided.
    Before continuing to read your post, I first read your assessment and considered what I would have been thinking and what I would have done. I immediately suspected PE so I thought, OK, check for that and r/o MI.

    So I read on. I'm a *relatively* new nurse and was dead on. I hope this resident learned from this and goes on to be a wonderful doctor. But, wow. What a mess up.

    On the flip side, I've missed the dumbest things myself a few ti.es, so I don't judge too harshly. As long as the provider learns and continues to grow.

  • 0

    Quote from RNdynamic
    OP: When I was in nursing school, I received the same sort of message from the instructors. I graduated in the top 5% of my nursing school. Here's what I had heard:

    .....


    "What we're asking is for you to dumb down the careplans a little bit."

    ....

    I'd like to say, "UNbelievable. Sadly, I believe it. What is WRONG with people? Were these instructors themselves B-C students who always felt intimidated by A students and gave them self esteem issues in their day? Do they look at this as an opportunity to finally displace their inferiority complex onto their students?

  • 0

    Quote from Purple_roses
    Disclaimer: Not a nurse yet.

    You asked if higher pay would lead to higher job satisfaction. I don't think I have to be a nurse to know that no, this is not true. Nurses make enough to live comfortably and to support families. More money would equate to more fun off the clock, but not to more satisfaction while working.

    The biggest reason grad school looks appealing to me is not because of the increased pay that would come along with it. It looks appealing to me because I see how stressed nurses are, I hear my friends complaining about being understaffed, I hear nurses stating that they don't have time for lunch or bathroom breaks, I see nurses and aids getting treated like **** from patients and family members. Nursing takes a lot out of a person and money doesn't replenish what was taken.
    I hear you about grad school and am in no way trying to discourage you from pursuing that avenue. I don't know what kind of nursing you want to do post grad, but I'll give the example of our nurse practitioners we work with in sub-acute rehab and nursing homes. They are stressed beyond belief. Constantly being on call for the MD, always being the one woken up, numerous times, in the middle of the night, interrupted during family time...They signed up for this lifestyle, so I don't necessarily feel sorry for them, but I do respect the heck out of them for the tremendous responsibility they take on. Trust me....I'm hear the stress in their voice, I see the stress on their faces. I'm close enough to some where they feel comfortable enough talking about it. Intense stress. Intense responsibility.

    For your own sake, please don't downplay the stress of post grad nursing careers.

  • 0

    I don't have any advice, just an empathetic ear. I too work sub-acute rehab, and in my year there, our load has gone from 13 ish patients to 17-18 WITH admits and hospital send outs.

    I really shouldn't say this on here, but I will anyway. I'll leave out specific details.
    One night I heard nurse to room 123 STAT overhead. I'll never be 100% sure, but I think this quite young relatively healthy patient died of a PE that would have been caught sooner if we weren't so short staffed. If she had only been checked on sooner....but I'm sure no one saw her for hours. I'm convinced the greed of my company killed a patient.

  • 0

    I kind of like the answering service people. We have to call so frequently, we even joke about such and such MD or NP having to be paged yet again. Just my personal preference, but I prefer the person to say you're welcome, have a good night too. But I get it too that sometimes they are flooded with calls and simply hang up without even saying bye so they can get to the next caller or task.

  • 2
    MattRN95 and ICUman like this.

    Oh, and not being able to hear the overhead pages in the halls let alone patients rooms when a doc is trying to call me back about something serious. Drives. Me. Crazy!


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