Latest Comments by A&Ox6

Latest Comments by A&Ox6

A&Ox6, BSN, RN 12,465 Views

Joined Apr 16, '12 - from 'Starbucks'. A&Ox6 is a Psychiatric Nurse/Student Advisor/Writer/Speaker. She has '2' year(s) of experience. Posts: 588 (51% Liked) Likes: 883

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    Also wanted to add that at my current, non-hospital job, I carry my personal and work phones everywhere and answer calls, texts, and emails as needed.

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    Kitiger likes this.

    Just have a crazy question. OP noted in a subsequent post that she will leave her phone in her locker when it is assigned. Out of curiosity, is it reasonable to be expected to leave your phone (cost is now upward of $400) in an unlocked, nonsecured area? At my last job I did not have a locker, so I carried my phone, my keys and my wallet at all times. I would never leave these items in a staff room. Even if the room is locked, it is shared with strangers.

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    Congratulations. You have worked hard and succeeded. However, This may be better received in the Spirituality and Nursing forum.

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    Quote from ixchel
    You know, I'm kind of into this idea.

    Here's the deal...

    About 3.5 months ago, I went on FMLA for a medical emergency. My PCP had mercy on me and wrote me out until surgery that was scheduled for mid-April. I scheduled that back in January, with full support of management.

    Unfortunately, the 5 weeks off PRIOR to surgery complicated things. First, for the emergency that created the need, second, for the almost lawyer-worthy issues that came of it, third, I needed every second of my 12 week FMLA for surgical recovery, but by mid April, I'd used up 5 weeks.

    After receiving verbal assurance that I'll be worked with at the end of FMLA, I went through surgery. Now, at ten weeks, I've been off for 3.5 months and my brain just can't be further removed from nursing most days. I have a giant pile of ideas for this thread when I make my weekly OPs while I'm working. While I'm not? It's a struggle!!! And I feel like keeping the thread fresh and relevant really does need a good OP.

    A lot of you have stepped up in a pinch, and I love you for it! If any of you has some ideas for a really dynamic, fun OP, get in touch! I also love it when students or nurses from specialties other than my own chime in because you're looking at nursing-relevant topics that I am not. It keeps things varied! Interesting! And most importantly - we all actually learn something. That's kind of the point, right? Part of it, anyway.

    So, yeah, if any of you wants in on OPs, I'm still out for at least 2-3 weeks, possibly a few more months if my recovery doesn't jumpstart soon. I do have thoughts for this week, but after that, who knows what I'll have!
    Hugs ixchel!

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    NotAllWhoWandeRN and ixchel like this.

    Quote from NotAllWhoWandeRN
    And that poor ixchel could use a sign-up thread so she doesn't need to go hunting everyone down and messaging separately.
    Or maybe a rotation?

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    Farawyn likes this.

    Quote from Farawyn
    Humor me. Please. Pink it up.
    Of course, even in the summer I'm fetch.

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    Quote from smartassmommy
    This week I learned that I got an A in med math. Now I am enjoying my two week break before my next class.
    Trying to put into words why I want to be an RN without sounding stupid or corny is a challenge.
    It's been a slow learning week.
    Hey, what's wrong with corny? I'd over some corn on the cob right now.

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    Quote from nutella
    A&Ox6 -- congratulations to your BSN and also to getting into NP school! I had toyed with the idea of a mental health NP masters but was not sure if I really wanted to be a NP... I will graduate with my MSN with concentration in patient safety and quality in spring 2017.

    What you write is very interesting - I learned a lot!!!! So cool!
    Thank you so much. Your MSN concentration sounds fascinating.

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    Quote from OrganizedChaos
    Not a whole lotta new learning going on. Just can't wait to not have the stress of living month to month not knowing if we're going to make it or not. Also excited to have real insurance again. I'm thankful we had Medicaid but it has made things a little difficult.
    My heart goes out to you OC. Some would say you are learning the hardest lessons of all. You know what they say:

    Life is the hardest class because you get the tests before the lesson...

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    Quote from Julius Seizure
    I feel like I just read the transcript on a documentary all about nurses shoes. Great answer!
    I would definitely watch that.

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    Hi all! I am so honored to be writing the WILTW for ixchel. It is sometimes hard to believe that I have been a member for more that 4 years.

    Anyway down to what I learned this week (or month, or year-days have a way of fading into each other).

    Child Welfare
    I have been at my new job for over a month and every day I learn something new. My new job is a great combination of my past experiences as a psych nurse and a school nurse. I am now working as a nurse in a child welfare agency that caters to medically fragile and complicated cases. I am lucky enough to live in a state that has a decent child welfare system with many features in place to ensure safety of children and families.

    I had the opportunity to sit in family court for a day. I learned that family court runs very differently than criminal court. For one, in order to maintain safety of children, it is not expected that neglect or abuse and other charges be proven beyond a reasonable doubt. Only a preponderance of evidence is expected. As such, a child can be granted visitation with a parent from who she was removed due to findings of sexual assault because said parent was not found guilty in criminal court and is not a registered sex offender.

    The judge also provided a lot of insight regarding how nursing documentation and the reports submitted by mandated reporters are used. He also explained some of the thought process behind the court decisions. I was so excited to hear that he recognized that fallibility of the system as well as the subjectivity of decisions.

    I learned that contrary to what I had come to recognize as normal in the nursing/healthcare world, in the social service, welfare and social work work HIPAA is not readily used and understood. The explanation that I was given is that many social workers feel that they are already involved in confidential relationships so they haven't been as educated on what HIPAA is and isn't.

    This also means that many social workers feel uncomfortable sharing information between staff who are working in the same case. They feel that this violates the client-therapist confidentiality.

    In fact, I found out that many social workers in private practice do not even write visit notes. The reason I was given was that if their documentation is subpoenaed by the court they will be breaking their confidentiality and the therapeutic relationship.

    Our agency is trying to improve HIPAA compliance, and there is so much confusion between disciplines and departments. There are staff that as having difficulty understanding why they need to have all documents locked, but there are also staff who think that it is unreasonable that HIPAA restrictions don't exist for TPO.

    As I stated, I am lucky to work and live in a state that has regulations to keep children safe and healthy. As part of my role as a foster care pediatric RN, I am expected to provide information and counseling to all tweens and teens regarding reproductive health, contraception and pregnancy. I am in the midst of a 6 session training program in which we learn a variety of items including techniques in sexual reproductive health (SRH) counseling, child and adolescent growth and development, and decision making in contraceptive options.

    I relearned information about Adverse Childhood Experiences (ACE) and how they affect health in adults.

    I learned really eye-opening information regarding the increased risk that foster children hold when related to pregnancy, STIs and sexual abuse.

    The Copper IUD (ParaGard) is the only non hormonal birth control method other than condoms, and it is also extremely effective as emergency contraception.

    EllaOne is more effective that Plan B as emergency contraception for women with a BMI over 25 or between days 3-5 following unprotected sex.

    DMPA can be used safely in sickle cell anemia patients.

    I learned that I am really good at having these discussions with my clients. I was able to discuss SRH, genetics, STIs,BC... with great success.

    From a non-clinical, and yet still related perspective, I graduated with my BSN summa cum laude. I was selected as valedictorian of the undergraduate students but did not speak at the ceremony due to time constraints. However, my capstone project was mentioned multiple times throughout the ceremony when discussing the accomplishments of the students.

    It was such a thrill to walk across the stage and accept the degree. I had never worn a cap and gown ( I attended a very religious school for K-12 and cap and gown were considered very secular. I attended my AAS pinning ceremony, but we wore scrubs), and there was something way more official and thrilling about the ceremony.

    I get very frustrated when people bash online RN to BSN programs now. I worked really hard to get there, and what I learned in this program really has been used in my daily practice.

    Continuing Education
    I am back in school. I am now in a MS PMHNP program. In fact, I started the program prior to graduation. I am seeing even more that my BSN program was exceptionally rigorous. I am so glad to have had that experience.

    I also finished an amazing Coursera class, instructional techniques in healthcare education. It was so great for any wannabe nurse educators. Very interesting and multidisciplinary.

    My capstone project was accepted for poster presentation at APNA national conference in October. I am so excited!

    What did you learn this week?

  • 1
    ixchel likes this.

    Quote from ixchel
    Thank you for your PM, love! If you don't mind, I forgot to say in my response - can you post a link to your post here?
    Will do. Should be posted in a little.

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    Quote from ixchel
    I'm running terribly late. (Obviously!) Anyone want to do a start of this week's thread? This weekend kicked my butt, and honestly, I have very little to contribute.
    I can write it if you'd like...

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    Quote from OHNBJL
    On line classes are not only expensive but do not do anything for clinical experience.
    I can't speak to all programs, but I have to say that my online RN to BSN program had two clinical requirements. Each of these were tailored to fit both course objectives and career goals. So yes, I think that my ONLINE program has helped me and my classmates clinically.