Content That NRSKarenRN Likes

NRSKarenRN, BSN, RN Moderator 147,680 Views

Joined Oct 10, '00. NRSKarenRN is a PI Compliance Specialist, prior Central Intake Mgr Home Care Agency. She has '35+' year(s) of experience and specializes in 'Home Care, VentsTelemetry, Home infusion'. Posts: 27,404 (22% Liked) Likes: 13,604

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  • 4:38 pm

    First of all, I just wish I could reach through the screen and hug you. YOU handled this well. You never left her side, you did what you had to. I'm so glad she is getting help, and you are, as well.

    Yes, we are alone, a fact that everyone seems to forget until there is a emergency. It is scary, and a HUGE responsibility.

    Take care of you. Talk to your counselor. Talk to us. Talk to your family that loves you, a friend that is not in district. Talk to the school psych.
    The kids will probably need some help, too. The ones that witnessed this. Insist on being part of that.

    Get track now of those teachers that are CPR certified, and ask them and whoever else you deem responsible to attend a community run Narcan seminar.
    Find out from your medical director and your state board of school nursing what your limitations are with this.
    Find your allies. They are usually in psych and guidance, although Admin often plays a role.
    Connect with the other nurses in your district.

    Follow up with the student herself. reassure yourself tat she is fine, and that she is getting help. Do not be afraid to let her know this affected you.

    Eat pizza. Pet your dog and hug your kids.

    Love to you.

  • 4:36 pm

    Hi everyone,

    I have been reading the midwife thread for about a year now and after 2 years of pre-reqs and 1 year of applications, I found out this week that I have been accepted to a few of the midwifery programs that I have applied to. Therefore, I just wanted to write and say hi to everyone.

    Now I can say that I am a student nurse going into Midwifery and Women's Health.

    I also wanted to say thank you to everyone for all your comments and advice on the threads. It has been great reading about the profession and our role as providers to get an idea of what to expect.

  • 4:33 pm

    I have a MPH specializing in epidemiology (which is heavily research based) and I've worked in various quality positions since 2007. I think it all depends on what you want to do, ultimately. I think PhD or Epi is the way to go for research. Admin track- you'd probably want to get your MBA, MHA, or MMM.
    I see a LOT of job descriptions in those positions wanting Six Sigma training- if you want to climb the ladder in quality I'd start there.

  • Feb 13

    We use a wrist band that says "Respect". Simple and easy to identify for any healthcare worker.

  • Feb 13

    Quote from NRSKarenRN
    Thanks for being a patient advocate, your actions were appropiate to acheve adequate pain control. I've cared for hundreds of patients with Sickle Cell Disease.... they are admitted often for pain management and hydrationmany with vaso-occlusive disease causing cell and bone death, which many nurses don't understand. Following article informative of this disease.

    Sickle patients best managed by Hematologist. Having a pain management + care plan for handling acute crisis as part pf patients medical record is best practice these days.

    American Academy Family Physicians.
    Approach to the vaso-occlusive crisis in adults with sickle cell disease
    Thank you for that information! We see such a huge population of sickle cell patients in my hospital as well. Actually when I came on that day I was covering I found it odd the patient wasn't on a PCA. When we get med-surg overflow on my floor(which actually we mostly have more med-surg patients than Neuro patients on my floor at any given time) we get a lot of sicklers and they always come up from the ED with a PCA order. If not and they require q1hr or q2hr narcotic doses then we get a PCA ordered right away. So I was just doing what was standard on my floor by getting her a PCA.

  • Feb 13

    All of our SS pts get a PCA. It is a horrible disease and many of them have high pain/high narcotic tolerance because of the disease. PCA meds can be better regulated than having prn meds to give. You would spend your whole day medicating one pt.

  • Jan 30

    I feel conflicted on this. I do believe our presentation is a resume of sorts, and yes, there is a population that have a problem with multiple facial piercings and tattoos.

    As a hiring manager, however, I have hired people with tats and a nose ring who present professionally and as a good fit for the position. I am not so old as not to get it and myself, am getting my first tat soon, although in an area not too noticeable by many. I agree with others, crummy, lumpy, dumpy and worn out scrubs and shoes are a bigger issue for me. It shows lack of self-awareness of appearance and hygiene to me.

    But----You see, as a manager/leader I have to show somewhat of an example. A lot of my elderly or demented patients are frightened by multiple tattoos and piercings; not saying that's right, but it's a fact. I have to present the example. So I don't pierce my face and will keep tattoos conservative. But I will also keep in mind myself, to get to know the actual person with those things (and colorful hair) because I know people are people and like to express themselves differently.

    I have told my own daughter who has multiple ear piercings , a nose stone, and tattoos to keep them on the conservative side. She intends to pursue an advanced practice role and I said you won't want anything like a piercing or tattoo to get in your way. Her tats are on her shoulders, back and below the bra line. She has piercings (many) but again, mostly ears and in places you can't tell they are there. Her nose piercing is a tiny stone, not too crazy. I am not that out of touch to not know this how the millennial generation likes to express itself (and increasing baby boomers too) but again, some do have issues, some who would be there to hire you and judge you according to archaic or conservative standards. That will change over some years, but not just yet.

    As the older generation dies off and the millennial generation takes over, this will be less and less an issue. In less than 10 years, I see it as a real non-issue. But RIGHT NOW IT STILL IS for not just older, conservative patients, but hiring managers and HR representatives.

    Be careful not to shut that door of opportunity before you even knock on it, is my saying. My daughter and son, thankfully, are taking my advice and both have multiple tats and some piercings. But they are also are gainfully employed, and doing well.

  • Jan 30

    While I personally do not mind tattoos, everything about a person is their resume. I work with several nurses with visible tattoos but have respect for them and obviously they were hired on as nurses.

    However, I disagree with the main statement. I think your body is your resume. Everything about your presentation is your resume including your education, your experience and your physical appearance. Presentation of your physical self is self expression of who you are, so yes if you chose to wear many visible tattoos and piercings that is what you chose to present as a representation of self for everyone to see. It may not mean you won't be a good nurse however its meaning is interpreted by others whether good or bad. So the way you present your self is open to interpretation by others and their experience of people who have looked similarly.

  • Jan 30

    ... and I can't resist pointing out that the materials that the OP is reading are old. Even high-quality work needs to be "interpreted" in light of current circumstances to be useful.

  • Jan 30

    Your comment that all patients are lazy, don't care, and are on benefits comment makes me uncomfortable and I have to vastly disagree with you. Yes, some patients are like that, but in my experience, the majority are not. You are failing your patients if you judge them as such and don't give them the education to improve their health. Sure, they may not follow it, but the onus is on them, not you. Many patients don't know what questions to ask. I hope your attitude towards your patients is different from that in this post. I wouldn't want to receive teaching from you if you approached me in such a manner

  • Jan 30

    I agree with Triddin. I teach my patients all day, every day. Sometimes it is a formal sit-down session (new line, new drain, first round of chemo, etc.) Much more often it is done informally as I go about my care. It might be a new med that I'm giving, care that I am providing, or questions that are asked by the patient or family. They literally don't know anything sometimes. They might not even understand that a bag of platelets hanging is a blood product, because it isn't red. They might not understand what the doctor said, and need clarification.

    Yes, they might not always follow my advice....but then neither does my child. That doesn't stop me from trying to teach in both situations.

  • Jan 29

    I was a lead pharm tech for 9 years before nursing school. Yes, the techs can see all the meds a patient is currently taking and all they have taken going back several years. We were not able to "see" rxs filled at other retail pharmacies, but a quick call to insurance or a check of the state's PMP (controlled drug reporting website) could allow access to that info if it were needed.

  • Jan 29

    I'm one of the least glove wearing nurses I know. If I have any wounds on my hands and there's blood involved, the gloves need to go on. If it body fluids without gloves, gloves are for the ick factor only, but hand washing will get rid of the cooties. I see coworkers wearing gloves to handle a clean urinal/bedpan, and that seems silly. Gloves to touch bare skin, still overkill in my mind, unless there's a weeping wound.

  • Jan 29

    Here in the US, most nurses won't ever touch the patient without gloves out of their over - enhanced sense of security. It is not good for their assessment skills, but they do it anyway because that's what is hammered into their heads from day #1 in school.

    I've got my reputation of somewhat of a witch in part because I do assessments with my naked hands, policies be d***ed. But I know that I am not in the majority and I know it.

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