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Joined Mar 28, '12. Posts: 40 (35% Liked) Likes: 34

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  • Aug 25 '12

    Nurses- we really need to start calling in the complaints to our labor boards.!!!. Or these corporate CEO's and their Nurse manager entourages will soon have a free workforce!!!

    They have the young nurses, new nurses desperate and groveling for positions - free work for clinical experince so they can start their first paid nursing position, they have us old nurses groveling for positions- any positions, now matter what the wage even it it is far below our experience worth, to drive down wages.

    They have got this far with threats and intimidation and god knows how many have been terminated for overtime. Only these administrators are too ingenious to call it terminated for over time. They will write youup for ridiculous and bogus stuff and then terminate you on the thrid write up. They are deceiptful, illegal, dishonest and unethical.

    Thank you Commuter for another insightful article- good article.

  • Aug 25 '12

    Quote from Hygiene Queen
    Am I wrong, or did it not used to be commendable that a nurse (or in my case at the time, a CNA) would tie up all her loose ends before punching out?
    It was considered a death knell to your percieved work ethic and reputation to leave stupid things for your on-coming staff.
    Management expected us to stay and they paid us for it.
    What on earth has happened?

    Please, stop being martyrs!
    Work has never given me money for free and I'll be darned if I'll give them work for free.
    That's not how this relationship is supposed to work!

    I hear everything you're saying, and I agree whole heartedly, but here where I live depending on where you work, after being written up 3 times for overtime, you will be terminated. They do expect you to get your work done before you leave, and if you pass it on, then you have to deal with being ridiculed by the other nurses. You should see some of the stuff some of the nurses do to clock out on time... As for me, I plan on returning to research/ education positions.

  • Aug 25 '12

    Being able to clock out when all of my work is actually finished would be a dream come true, but in real life, it just does not work (not where I work). I have worked in quite a few facilities that will reprimand and write you up if you are on the clock 7 minutes past your shift. Management does not care if you had 2 new admissions and a full code on an 8 hour shift. They want you off the clock! It's sad, but they are fully aware that nurses are charting off the clock, and they never, ever, mention a word about that. I have been a nurse for almost 20 years, and it was never like that before, but now the almighty dollar rules! I see so many nurses taking way too many shortcuts just to finish on time. If nurses did things like that 10 years ago they would have been fired on the spot, now management just turns a blind eye to everything. I work thru my lunch breaks and never go to the bathroom during my shift. I make sure all of my "floor work" is complete, and then I go find some cubby to hide in to do my charting. I am not sure when things got so bad... I know they say it's a nursing shortage, but it sure does not seem that way where I live, you have 10 nurses waiting to take your job if you want to complain about anything. P.s. I am not trying to be negative; I am just telling the truth about what I have experienced.

  • Aug 25 '12

    Quote from sistasoul
    We are told it is our time management skills that are lacking and not the workload. Also, you will be written up for overtime and then you can be written up for working off the clock. Catch 22. Managent doesn't want to hear how it was the shift from hell- that is why they are in management- too get away from the crazy bedside.
    Have you ever noticed that Nursing is full of no-win situations for nurses?

  • Aug 25 '12

    For the record...

    You don't have to be ugly to be a computer/Star Wars/Lego/DnD geek. Just throwing that out there.

    Also, I never said I wasn't old.

    Carry on.

  • Aug 16 '12

    As a society we should be pushing as many high school kids as possible into trade-specific vocational programs. We need more unemployed "liberal arts" majors like we need a hole in the head.

  • Aug 16 '12

    Yes, we all judge. I know I have. But, I have enough insight to recognize when I am guilty of prejudice, and remind myself that I need to have compassion and empathy. We don't have to like everyone, or agree with their choices. However, as nurses we should always keep in mind this: We really have no idea what factors contributed to the state that person is in. Sure, you can read a medical history, but that's only a glimpse.

  • Aug 16 '12

    Quote from KatieP86
    I'm going to come out and admit I judge people. We're all lying if we deny it. It becomes a problem if our judgements cloud the care we give, IMO.
    I'm there with you. It is hard not to judge someone when you get the scanner report that they plowed through numerous barriers, then struck a car. Or the parents that come in with 5 kids that obviously dont know how to take care of one. You judge. Everyone does. Your care cant reflect it though at all. THAT is the hard part.

  • Aug 16 '12

    It's human nature. We're really cool mammals that can process a crazy amount of stimuli incredibly quickly to make decisions, but one of the downsides to that is our need to "group.".
    From a purely logical standpoint, does it make sense to form a bias against all Muslims because of 9/11? No. From an ethical standpoint is it ok? No. But our primal need there is to feel safe, not to be altruistic and loving, so we may form broad definitions and avoid or attack everyone in them to protect ourselves.

    The same goes for every other kind of prejudice you could think of. Right? No. Expected. Yes.

    Fortunately, we're more than our predispositions and we have the ability to look at our beliefs and treatment of others and modify our thinking and behavior. So in some ways, it's good to be human

  • Aug 15 '12

    Quote from SC_RNDude
    ... By law, a panel of government officials will be empowered to make changes to Medicare ...
    My best guess is that you're referring to the "ethics panel" myth that circulated a while back. Turns out, it's completely false. Panels to deny tests/treatments/procedures for "rationing" purposes are not part of the ACA (Obamacare), nor were they even in earlier versions. An overview of the myth: snopes.com: Seniors Beware

    What's interesting about this myth is that it is favored by those who also favor protecting the right of private insurers to indiscriminately ration care.

    Back to the OP's question; Health Reform in Action | The White House

  • Aug 15 '12

    OP: The 700 billion SC_Dude is mentioning is in savings not cuts! He is definitely putting a political spin on it because he does not mention the fact that Ryan (the GOP VP pick) has the same "cuts" (same dollar amount over the same time) in his Medicare voucher program. Of course this is not mentioned because he would have to expalin that ONLY the very wealthy will benefit from Ryan's $700 billion in cuts! The rest of us will continue to be underinsured and uninsured using privatized voucher programs!

    By the way, there is no such thing as Obama Care. The health plan program you are probably referring to is called the Affordable Care Act. Basically, in a nut shell, it is AFFORDABLE for all Americans with or without pre-exisiting conditions. So, you as a Nurse will be able to care for people who have health insurance and so they can be more proactive in preventing poor outcomes.

    SC_Dude, congressional men and women and their families and those in the Senate received government run health care! The same people that say it is not good enough for our elderly and those of us in the future refuse to except privatized insurance plans in this country for themselves.... I wonder why? Could it possibly be because it costs too much out-of-pocket and the outcomes for most private insurance companies are poor???? Also, our military men and women and their families plus our military vets receive government run health care with very good outcomes. But of course, this is "OK" for all of the American groups I have mentioned, but not for the rest of us.

    No the rest of us will continue to use our Emergency Rooms as our primary doctor when we can no longer ignore an illness because we cannot find a private company to accept a voucher (No private company will be forced to accept vouchers under Ryan's plan). This raises the cost of private insurance many folds and causes good hard working Americans to suffer the penalty of bankruptcy in an attempt to pay off medical bills and poor health outcomes in an attempt to ignore health problems.... Again, this is "OK" with you since government run insurance is sooooo scary to a small minority of people in this country despite being a good system in other westernized capitalist nations. Fox News Entertainers mention that the British citizens and Canadians hate their government run health insurance. I have yet to meet one in person that agrees. I also have yet to meet a person living and working in Massachusetts that hates his/her government-run health program.... You know.... Romney Care that the Affordable Care Act is based upon??????

  • Aug 14 '12

    I used to work Agency. A Lot. It's like having to learn the street smarts of nursing 101 in a crash course. The one thing I learned was to NEVER give an answer to a question until you knew the motivation of person asking the question. (Why they wanted to know.)

  • Aug 14 '12

    Set limits, ask them a ton of questions since you are the
    guest, agency nurse.... ask questions relating to you
    doing a great job while working this facility.
    Then, as Caliotter states above think generic for answers.

    You are so lucky, because being agency you can keep moving...
    to another assignment.

    Take away message-you owe them no explanation of your hours,
    agency etc... be a stealth nurse, arrive, do your job,depart the
    airspace. If you set limits with your behavior, they will get the hint..
    and if not, be direct.

  • Aug 14 '12

    It used to be that MRSA was pretty much confined to hospitals and other care facilities. Then came what was called "community-acquired MRSA," and it was thought that you could tell the difference. Now, eight or ten years into the MRSA era, there are no more distinctions made. That's because MRSA is ubiquitous (everywhere).

    If your patient was on contact isolation and you ought to have been wearing a gown, then the sleeplessness and shame you are feeling will be enough to keep you on the straight and narrow regarding isolation requirements from now on. But the chances are very slim that you will become the modern MRSA Mary, so try not to think about it anymore.

    And hey-- if you thought your uniform was contaminated, you could have covered it with a gown for the rest of your shift, or changed into scrubs. For next time.




    Note: to get full impact of this message, it should display in Comic Sans, green. Thank you.

  • Aug 14 '12

    Quote from Life's Exp

    Always remember the actions you do will reflect on your nursing license. Always remember with a patient when checking vital signs (resps)) Less than 8 intubation! You stated "you were told to give Dilaudid" an the patient's resp went to 10. That is too close for comfort! You are a new nurse and I want to see your career last. So next time go to your preceptor and tell her you are uncomfortable giving that and let her do it, if any adverse reaction then it's on your preceptor's license.
    First, I'd like to note that in 35 years, I've rarely seen anyone lose their license and when I did, it was for egregious acts of COMISSION and not an honest mistake or judgement call such as giving a patient Dilaudid and then having the respirations drop. Giving dilaudid and never checking on them again until they're found cold and blue, maybe. But what the OP did is in no way license-endangering.

    Second, a respiratory rate of 10 with adequate oxygen saturations and good blood pressure is a might slow, but why are we concerned about slow respiration anyway? Inadequate ventilation. Look at their color and yes, keep checking.

    Third, it sounds as if the OP DID discuss the situation with her preceptor before giving the drug.

    Hang in there, OP. The first year is very difficult. There is a lot to learn.

    And before I forget it, sliding scale insulin is usually short acting and won't cause a late night hypoglycemic reaction. I'd be more concerned about the dose of longer acting insulin the patient got that day.


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