CherylRNBSN 5,159 Views
Joined Mar 30, '12.
Posts: 184 (56% Liked)
That is not true.
Now that's just Big Ridic.
FYI: I volunteered at a hospice while waiting for an acute care position to open up. They later encouraged me to apply. Maybe you could look into that? I enjoyed it.
Good luck, don't let it get you down!
All so true!!
In my institution, pts get what they want!
Percoet 10, IV DIlaudid 30 min prior to discharge.
I literally have to WAKE SOME PTS UP for their Dilaudid! They fall asleep before I can draw it up and get to their room.
Most of them rate their pain as 10/10 consistently. Some go down to only an 8 or 9 immediately after IV Dilaudid.
I've been a nurse for a long time, and I swear I give WAY more pain meds now than years ago.
Had a pt the other day questioning me about why his PCA Dilaudid dose was lower than his previous IVP dose. He had cellulitis.
All I can say: drug seeking. And it's legal and catered to.
All in the name of "customer service".
I've seen it!!
Sexually harassed by Orthopedist employer (when I was all of 15, and worked as his BABYSITTER).
Had a surgeon (who was at least 15 yrs older than I) ask me out at work when he was separated from his wife. Eww. As if. I was let off that uncomfortable hook when he told me they were reconciling!
Had a cardiologist approach me at work (at my med cart), and ask me if "I tasted as good as I looked ." Double Eeeew. I ran into a pts. room to hide! He later apologized.
Was called into a stairwell by a cardiology fellow (married) who awkwardly hugged me, and said something that I can't recall! WEIRD!
How this story ends: I married a cardiologist. For 15 yrs. He left me for his 17 yr younger PA!
Believe me, it ALL happens.
Aargh, this reminds me a distant friend from the past, who would tell everyone, right in front of me, that she was a "teacher" when they asked what she did,where she was employed.
This girl was a teacher's aid. NEVER went to college. She knew it, and I knew it, I'm not even a teacher, and it really got under my skin.
I never called her on it, but boy, was it annoying.
She was completely misrepresenting herself. And her education and her qualifications.
I get OP's point. It's a little annoying. But I didn't feel it was worth mentioning. I just smirked.
We should all make our PROFESSIONAL titles clear, PERIOD. That is in the pts interest, that's why we wear name tags.
Not notpicking, just saying.
There IS a difference, and I think, in my institution, the techs and CNA's are "professional" enough that they DON"T DO THAT. EVER. I LOVE THEM. They are great at what they do. I value them, and depend on them, and respect them.
As another poster said, they would readily state "I need to get the nurse".
But while we do some of the same things, we are not the SAME thing. Just like the teacher/aid business.
Sigh. Both professions w some problems.
Perhaps both dominated by WOMEN? And UNDERVALUED?
BSN in southern state.
Hired at $27.50/hr. I think that's about 53K/yr. Day shift. Pretty much in line with what you've gleaned. I have kids; no OT or nights for me. There you go.
But if you are young and unencumbered, OT or agency can push it up.
There is also management, charge differentials, and specialty differentials that can help.
I am quoting you bare bones, day shift.
You will not get rich as nurse without being a business owner.
And I don't know ANYWHERE one can maintain a 5000 ft property on a nurses salary without a second income from spouse.
I'm also from Texas. I worked twelve yrs., and was out for twelve. I took a refresher course. I have been hired three times! THis is in Louisina, tho. First two jobs didn't work out, third time is apparently the charm. I'm back in the groove. I got my ACLS, did some volunteering at Hospice.
It can be done. Keep applying, polish your interview skills. Good luck. For all the no's, all it takes is one Yes.
Of course, tell charge nurse.
Document times, as you have already learned.
And don't worry; there is an ER doc in house if your pt needs immediate attention. Also: Rapid Response, Code Blue.
If your pt is seizing, you will have to document that time anyway! Of course, you KNOW you callled the doc right after that.
And I'm sure you know how long you waited for that answer. You don't have to be down to the second! You prob know if it took 10 or 20 minutes before you re-paged him.
Second seizure; you will once again have to document that, and know the time, right? I'm sure right after that, you called him again.
As a new, staff nurse, there is a chain of command. Charge nurse, house supervisor, ER doc.
All you have to do is document, go thru appropriate channels.
As long as you do that, DON"T WORRY.
Please do not take what I am about to say as ANYTHING but constructive criticism.
Your frustration is palpable, and I do not want to add to it.
First, you need to SLOW DOWN. Think before you act! Think before you type! This site has clear recommendation of no text speak. It makes your post difficult to read. Take time to gather your thoughts. You will get better advice. Compose yourself, take a deep breath, and proceed w care and caution.
Next, you have to follow the rules. I cannot imagine using a cell phone during a career make-or-break exam. If the issue was emergent, you should have gotten up and spoken w Proctor BEFORE taking the call.
Were you just not thinking? Why did you do that? I am sure the Board is or has asked you that question.
When you deal with the Board, you have got to appear pulled together.
Became an LPN. Worked my way thru ADN. WOrked my way thru BSN. No loans, no scholarships. Took 7 yrs after LPN to get RN. Another 7 yrs to get BSN.
LPN at 21. ADN at 27. BSN at 34.
BUT NO DEBT!
Now will work my way thru grad school...
Might Viva be referring to ETOH and sleep???
This is a no brainer.
YEEEESSSS yes yes yes yes yes.
Relationship + experience + work history + reputation = JOB.
I will say one thing I have noticed: the aides won't answer calls on their breaks. So they call the RN, even if I am taking lunch at 3pm. And I stop eating, to take a pt. to the bathroom. B/c I am ultimately responsible for care. Can't say "No". So I get your point, OP.Hang in there, you will figure it out.
First, the title of your post was am unfortunate choice of words.Second, as team leader, you simply say (IF they are sitting around), "I need you to..."I work w a fabulous group of LPNs and Aides; we cover one another. I always recognize their contributions, and they appreciate mine. I don't really have this problem. But if I did, a simple " I need you to..." will suffice. They will then have to explain why they cannot, or do the task.I don't really understand the issue here...
You handled that situation beautifully, OP.
As much as we hate to admit it, we're not going to turn a bigot into an open-minded, tolerant individual in the course of a hospital stay. Whatever makes someone that way, we don't know and we can't fix it. I do like Blue Devil's approach, and have been known to give good glare when stupid, insensitive, judgmental comments come out of patients' mouths. But again, I have neither the time nor the temperament to try to 'educate' these fools, so I just fix 'em with a bad look, mutter "I'm sorry you feel that way" and go right on doing my job.
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