Content That Autymn Likes

Autymn 3,138 Views

Joined: Apr 27, '12; Posts: 71 (32% Liked) ; Likes: 42

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  • May 28 '12

    I went back to school after almost 20 years in the business world. I had 4 children ranging in age from 3 to 11, I worked full time and held a part time job at night on the weekends. Yes I was married (and still am) but he was in the midst of his own career change with full time classes and studying. I honestly don't know how we did it. I remember yelling at the kids to go to bed so I could study. "Do you want mommy to fail!? Get back to bed NOW"! Oh the guilt!I am proud to say I completed all my prerequisites, corequisites and RN classes in 3 years.We all survived and I graduated 2 months after turning 40. Do you want to know some benefits of being an older new grad? The whole "nurses eat their young" doesn't scare you because you've had the life experience to deal with those jerks. You also have family and friends who have had health issues and you know what they expected from their nurse. Being a parent you have already learned to mouth breathe when dealing with a code brown and you have learned how to not vomit when holding someone's head while they vomit. You have dealt with blood and choking and tantrums and know that it's mostly the TLC that makes it all better. Your children can't complain about how hard school is because you're doing it while taking care of them and working! Kids do what you do, not what you say and this is the ultimate example to set. You have also had loved ones die and know how that feels. Pillow fluffing doesn't save lives but as an older new nurse you will understand the importance of it. I commend you and wish you all the best! I hope more will follow in our footsteps.

  • May 17 '12

    School is ending for some ... but for many studying is still part of their day.

    Any tips you can share for memory? What food is good for the brain / memory?

    How about those energy drinks? Do they work?

    Click Like if you enjoyed it.

  • May 17 '12

    Congrats!!!!!!!!! your story reminded me of my own. Except i was a single mom through divorce, and was told by my instructors that I would never become a nurse. This is my third career. I had one of God's angels in form of one of my friends that told me everyday that I could and would make it. Today i am a RN with 2 teenage daughters and love my job.

  • May 14 '12

    You know how you don't get sick when you go camping, but there must be a ton of germs out there? All those "outdoor" germs cancel each other out in the woods. It works the same way with bedpans in nursing homes and forks in restaurants.

    Just don't wash the bedpans and forks together. That would be gross.

  • May 12 '12

    Quote from Brian Ruff, CNA
    OSHA has responded to this via their Blood Borne Pathogens and Needle Stick Prevention act. It requires that employees create an environment in which precautions are taken to reduce these incidences. For example, nearly all needles come with a safety device such as vanish point syringes in which the needle attached is spring-boarded back into the syringe before the needle is even removed from the patient making the risk of accidental sticks next to nothing. Other syringes have needle covers attached to them. Anyway, my point is that there have been great measures in place to reduce these things, especially since the AIDS epidemic. However, accidental needle sticks ARE the result of carelessness, and can easily be avoided by always paying careful attention when dealing with needles and syringes.
    Brian.....not all needle sticks are due to carelessness and while there are many fail safes in place these days there continues to be equipment failure, combative patients requiring intervention with chemical restraint and as hard as it is to believe in this day and age...not all facilities nation wide utilize safety needle systems of needleless IV's. The use of these devices are recommended but are NOT required by law.

    I recently had a nurse have a chunk taken out of her arm after being bitten by a psych patient that had "calmed" and physical restraints had been removed and spit her skin on the floor.

    Many procedures with needle involvement like spinal taps, thoracentesis (drawing of spinal or chest fluid) and central lines do not contain "safety" recapping needle systems. Suturing of lacerations are also done without "safety" needles. Many exposures occur during emergency procedures and code situations when the focus ifs the patients life and combative patients hurling body fluids at staff.

    Again the actual infection rate is very small it is the prudent thing to protect yourself and be educated about the risk.

  • May 12 '12

    I love being an LPN and i'm ridiculously blessed because I have my dream job and work in an ER, participate on codes, take my own acute patients as a primary nurse (except shock rooms), administer a wide variety of IVP medication, and actually make a difference in the lives of many people who are acutely ill..... and now for the expected "BUT"


    I'm so frustrated.... Because I think my job is in danger or being devalued and I'm going to lose autonomy so I need to vent because I'm upset and scared.

    Yes yes yes everyone has heard this 100 million times and its just rehashing the LPNs vs RN feelings but I'm so frustrated. I read on here that several RNs would not feel comfortable having an LPN administer some IVP meds like Benadryl, Toradol, or Dilaudid. Well, I do on a regular basis... and if u think that is scary then listen to the misconception an RN that I work with had thought.... she thought Adenosine was a slow infusion!!! Yes, a slow infusion. I finally grabbed the Cardiac meds book and had to show her never push it slowly! Now what's more scary? Pushing meds is simple with proper training and the appropriate knowledge that is very easily learned. My license in my state lets me do it!

    The hospital, however does not allow me to push cardiac medication, and i'm fine with that. However... I can give SL nitro, but not Nitro paste? Weird rt? i also can't give subQ epi per hospital policy... huh? yes, that's right. A med that people take at home. How annoying.

    I also need to be responsible for finding an RN on my team to perform an assessment or at least agree with my assessment. If I write an assessment, the RN goes in after me and evaluates all key points and then writes "Agree with LPN assessment or LPN charting" is that so hard? Instead that just simply takes too much time. Once in a blue moon an RN contradicts my assessment - and to throw this out there, i am very meticulous about my assessments because i want to be taken seriously and be reliable so I always pay close attention to detail. Well, in this particular case I made comment that "a deformity exists on the proximal end of the tibia" which was rebuked by the RN and then get this... the radiologist used the EXACT same words I did in his report of findings. When I pointed it out to the RN to adjust her charting, she only responded with "Well, when I looked I didnt see anything" UGH... or even worse when the RN goes in and says for assessment "A/Ox3, respirations are even and unlabored" when the pt is there for a kidney stone. What does that have to do with anything?

    The Emergency Department is truly an Urgent Care Clinic... so few true life and death emergencies come through those doors, so what makes me less qualified to deal with a kidney stone or a pt with anuria? Am I not ridiculously cheaper than an RN? I hear so much about budget this and budget that. An LPN starts at 14.35/hr. An RN starts at $22.50 and recieves shift diffs in excess of $1.50 MORE than my own differentials. Wouldn't budgeting be better to have more LPNs?

    Our best IV starter is an LPN who also has an EMT-P cert.

    I'm just so upset and distraught that my role as primary nurse may be taken away soon and instead i'll be a glorified tech.

    I mean I only make $1 more an hour than a student nurse. A month ago a SNE said to me, "the only difference between you and me is that you can give meds". Wow.... bummer man.

    So far this is just talk and stupid gossiping by the ladies. I confronted management and was told "The LPN role has grown very strong here and we have no intention of removing it from the ER"... but after 3 LPNs superseded their licenses we have only replaced them with RNs... i think the phasing out has slowly begun. I am so happy as an LPN and so happy to work where i do but i'm so scared and I needed to vent this.

    I start school this summer in June to do a bridge program and perhaps as an RN, I will be able to reinforce the idea that LPNs are a strong asset to the hospital and due to our expansive nursing practice act can be some of the strongest members on a healthcare team.

  • May 12 '12

    Quote from grpman
    I believe that food is a basic right and I give money and food accordingly which buttresses my beliefs. Likewise, those in favor of socialized health care should give of their resources and time to help those not insured. With all the support that this topic has, I'm sure that those in favor could raise a lot of money. However, it's often hard to give up gym memberships, new model cars, or a drop in our standard of living. I wish we weren't so hypocritcal, myself included, yet we are.
    I agree that many if not most of us may be able to "give" more to charitable organizations to assist those less fortunate. We have, as a society, been trying for some time to bridge the gap medically for those without resources. Many of us have volunteered our professional time or participated in some other fashion right here in the good ol' USA to provide health care to those in need.

    What is evident is that the health costs of the society are increasing at a rate that is not sustainable in our current system...even factoring in charitable care. This has nothing to do with just how charitable people are (and whether or not we give up gym memberships, new cars, etc) but has everything to do with ever increasing profit margins for share holders and our current health care delivery model.

    Personally, I find the comments directed at supporters of health care reform which suggest that we somehow ONLY want the government to provide care while intimating that we are not willing to engage in the charitable arena simply very ASSUMING in nature and does NOTHING to further the dialog necessary to actually accomplish reform.

    Just sayin...

  • May 12 '12

    I used to use as a touch stone for what nursing is, But some days I cannot believe some of the nasty crappy things that RNs say or feel about their patients. It makes me really sad. If you feel so entitled as an RN spend a couple more years in school, become an MD and then pass judgement. My patients love me because I care about them, not because I care how they are paying their bill.

  • May 12 '12

    Maybe in your suburb it's acceptable to be a discriminating RN, but in my home town of Chicago, you take care of people regardless of their ability to pay

  • May 12 '12

    I was getting report on a patient and the nurse mentioned that the patient (according to their suspicions) was homeless. My response was, "How is this relevant?" I actually don't give a ****** about how the medical bills are paid for . That is why I became a nurse instead of a physician. People ask me all of the time " why do you spend all of those years in school and you are ONLY a nurse and not a doctor? (I have over 10 years of higher education under my belt and I'm only an RN and proud of it). My response has been " I care about taking care of people and unfortunately being a physician these days is more about being a figure head and less about caring for people, so I am very happy being an RN."

    So I could give a s***** about how the bills are being paid, I am doing my job taking care of people in need. Let the nasty dirty money people do their job after I'm done bringing your mother back to life.

  • May 12 '12

    I was one of those unfortunate nurses who went to a liberal school which believed that basic health was a human right and that our practice as nurses should not at all be affected by how much insurance one or one doesn't have. Believe me, I have protested to the administration when we discharged patients home who could barely walk or even answer a phone to their homes yet let those patients with fancy insurance languish for days while we waited on them hand and foot because their insurance paid for it and they were perfectly capable of taking care of themselves and did not need nursing care.

    Healthcare is a right, not a gift. Those nurses who think otherwise are lucky to have their jobs.

  • May 12 '12

    Neatnurse: You have no idea what you are talking about. My daughter lived in a rural part of a soluthern state for several years. She and her hubby both worked. NONE of the employers in that area provided insurance, except for two places: a university and a hospital, probably because they wouldn't have been able to hire faculty or health care staff without it. Everyone else in the area either was uninsured, paid $400 plus per month for mediocre coverage, or paid less for policies with a $1000-$5000 deductible and 20% co-pays for everything. Because so few people there made more than $10 an hour, in that community a major illness or accident meant bankruptcy. Unless desperately ill, everyone self-treated for any problems.They did everything they could to NOT get tests done because they didn't want to deal with the results. If you had a problem, you just got by and hoped your diabetes wouldn't ruin your kidneys before you got to 65 and could get Medicare.

    This county showed up aon NY Times map as one of the many counties in the US where folks, especially black skinnned ones, now have shorter life spans that their parents.

    Are you aware that 50% of the pregnancies in this country are unplanned, and that a good number of them are the result of BC failures? Should we say that all of those children shouldn't get health care because their parents had no business having sex if it meant risking a pregnancy? Or are you one of the GOPers who think we should no longer cover birth control, with the next step being to ban it outright? When will you be satisfied? When millions go hungry, including children, or when we revert back to living short, nasty, brutish lives of never-ending work?

  • May 12 '12

    Quote from romie
    Wow! I am completely awstruck by the positions and rationales that are taken by many of this forum. I have to keep checking my URL/ HTTP web bar to make sure that I am, in fact, on the forum. In my nursing school we were taught that healthcare was not a privilege but a matter of social justice. People have a RIGHT to healthcare. While I am acting as an RN and providing healthcare I don't give a rats a.. who is paying the bill, but that it is my duty not only as a licensed healthcare professional to provide that person with expert healthcare, but it is also my duty as an ethical human being to help them. In nursing school we spent a whole semester (wow, one semester, which included weekly journal type papers and one research paper) on ethics. I'm probably a little biased because my nursing school is one of the primary sponsors and advocates of Emergency USA, which is a little like Doctors without Borders but has a nursing focus and we had regular speakers from the program. Emergency USA builds and sustains healthcare clinics in war torn regions and the latest press release from Emergency USA was a letter urging NATO to stop their barricade and open a humanitarian corridor to let injured civilians from the recent Helmand, Afghanistan bombing through to receive the free healthcare they need from Emergency USA nurses and physicians.

    And I'm not some whimsical new grad idealist. I have worked two jobs as an RN at the same time. The first job paid my bills, the second job I made enough to just cover the medical benefits for myself and my spouse. I paid over 800 a month for health insurance and I'm still stuck with the bills and getting reported by collection agencies because I refuse to act like a bank and provide a temporary loan to the insurance company until they can get their act together to figure out who is suppose to pay what. Obviously this free market thing isn't working.

    We are going to pay for it collectively whether we like it or not. Wouldn't it be more cost effective to pay for prevention and encouraging healthy behaviors. Our government doesn't think so. Our government won't pay a specially certified diabetes educator nurse 100 a week to counsel and monitor someone but will gladly pay 50,000 or more to amputate their leg and the ensuing aftercare.

    The integrity of any culture or society is based on how well the weakest members are cared for. Do we want our society to be remembered for the Desperate Housewives of Atlanta, Dances with the Bizarres, Flee or for the quality of care and respect that your premature infant or elderly aunt received in their most desperate times of need?

    I really need to avoid this topic because it really burns my soup.
    What "really burns my soup" is that....I can only hit "like" on this once!

  • May 12 '12

    Quote from neatnurse30
    If the family has no insurance, then that means they are not working. Maybe they should have thought about birth control before conceiving a child which they can't afford. .
    You can read my other post where I expained that my husband is working a minimum wage job and the cost of basic health insurance for three of us would be $900 a month. A difficult amt to cover for someone with a better paying job. And what if they lost their job/health insurance after the child was born? Or what if they can never afford health insurance, I guess they should never be allowed to have children then, huh?

    This argument is not black and white and no matter what anyone says it never will be. No matter the decision someone will have to "pay" in some way. So either some people have to pay a little more in taxes so that maybe they have to skip the Starbux once a week, or omeone else is left with no health insurance and has to spend the rest of their lives struggling with it.

  • May 12 '12

    Quote from LynnLRN
    Plus, I know a lot of people who could get insurance but they would rather have the extra 100-200 bucks in their pocket a month not looking at the future and the possibility of 10,000 of debt in hospital bills. I blame most of the problems on our society and the stupid choices we make.
    $100-200 bucks, huh, that's all you think insurance costs? Through my husbands just over minimum wage job he can get basic health insurance for the three of us at the low low cost of $900 per month (note my heavy sarcasm). We are both in school full-time and we keep our bills at an absolute minimum, have not had a vacation or a simple trip in 5 yrs, share one cell phone, etc...the insurance would cost more than he makes in month. Even if he was working full time, the cost of insurance would take one whole paycheck out of two in the month, how is someone supposed to live off of that?