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malamud69 7,261 Views

Joined May 10, '12. Posts: 469 (60% Liked) Likes: 946

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  • Oct 17

    I agree pretty much with what bsnbedone wrote.

    Also, you ask if there will ever come a point where you get everything done. Well, not really. You get faster and more efficient as you gain experience, but youre still only one person. Instead, you mainly get better at prioritizing correctly and confidently, and at recognizing those emergency situations where you need to call for reinforcements to get the critical tasks completed. When you prioitize correctly, sometimes some things won't get done, and that's fine.

  • Oct 17

    If you can, try to think of these shifts as layering on experieence. Truthfully, if they were all smooth this early on in your nursing career, you would be stuck in your growth. It's jus tnot remotely realistic for you to not feel completely over faced. Every nurse you admire has had to grapple through tremendous challenge. Every shift you make it through, you are adding to your skill set and building wisdom.

  • Oct 17

    Everyone has those shifts. Everyone needs help sometimes. And if the oncoming nurse complains chances are she's one that is always going to complain even if you do everything.

  • Oct 17

    one thing i've learned after working as a grad for almost 9months is that...if someone is deliberately giving you a hard time or trying to embarrass you, **** them.

  • Oct 12

    Sad thing is with the rampant corruption in these programs, you know darn well that the "approved" people doing the evaluations would not recommend anything but the most serious grievous "treatment" and corresponding, never ending contract. Until we are allowed to choose our own person to do an accurate, meaningful eval, nothing will change.
    On the upside, this is the first time I have seen any inkling that any BON/state/peer, what have you has even come close to admitting that these programs are entirely too punitive to the point of being abusive, along with admitting the complete lack of oversight.
    Vino raises a good question, why is there no group that can push for change. I think it is because these bullies have so many of us, so cowed, regardless of what our issues are or what we might have done. We are all worn down and afraid of doing anything that might invite further scrutiny, ergo more abuse. I think we, myself included just want to get back to work and get on with our lives.
    I don't have a problem with consequences for a stupid move (or 2, or 10) but generic flat "sentences" and the attached never ending punishment for all comers is just plain wrong. Make the punishment fit the crime. If your aim is to "advocate for the impaired nurse" then either do so or stop claiming that!
    I've come to the conclusion that "individualized contracts" for these programs simply means "we enforce what we want, when we want and however we want.
    I don't know what the fix is. Whatever it may be will not come in time to be of any help to me, However, it is a start.

  • Oct 12

    At least someone is looking at these things. I am amazed at the lack of accountability, and the lack of anything objectively defining outcomes. Nursing and medical practices are increasingly being evaluated and based in Evidence. The monitoring programs should be as well, and should be as accountable for their policies and practices.

  • Oct 7

    It is my hope that others find this information useful, and welcome other contributions.

    Here is another resource, again from a physician oriented site. I'm not glad to see docs going through similar things to us nurses, but it also tells me we aren't alone and the programs need to be monitored themselves:
    The Looming Fraud Case Against PHPs and Medical Boards | Center for Physician Advocacy

    I am not saying the monitoring programs are all bad, as I know they have saved lives. What I think is missing from the discussion is real accountability, oversight, and transparency on their actions and their relationships with each other. What is sorely needed and often absent from monitoring programs is any kind of due process for those that become involved with them.

  • Oct 5

    Congrats!!! Sometimes going out with a whimper is better. You can breathe easy for the first time in 5 years. No longer is anyone on your arse waiting for you to screw up.
    Take a deeeeep breath and know that you have survived this. It's finally over. Irrespective of what brought you into this nightmare and whether or not you considered helpful, IT IS OVER!! again CONGRATULATIONS from myself and I am sure, the rest of us still behind you.

  • Sep 20

    Decent $ without a lot of school/debt and flexibility- I started college as a premed major then decided I didn't want to spend that much time and money on school.

  • Sep 15

    It's the highest levels of Bloom's taxonomy: synthesis and analysis. I forgot evaluation.

    It's actually a buzz word that gets on my nerves. It's not unique to nursing, it's not anything fantastic: it's just higher level thinking. Engineers do it, teachers do it, everyone does it. All it is is synthesis and analysis, followed by evaluation. Look at a situation from all angles, consider possible outcomes from one's actions, make a decision based on all available information. Higher level thinking, plain and simple. You don't need a nursing license to do it.

  • Sep 6

    These complaints have been going on for decades. When will nurses unite and demand fair working conditions ?? A national union, where nurses do not work for a hospital as hospitals only seem to know how to take advantage and the nurses allow themselves to be abused. A national run business of some sort that hires and pays nurses so as to eliminate the constant cycle of abuse and licensure risk. Look around your hospitals etc. how many new non nursing departments have been created with those employees getting their breaks and meals. Just a dream I guess but someone must be able to think out of the box. Why do nurses have to be paid by hospitals?

  • Sep 2

    must be nice. I end up signing my people off- and I always come back to hell breaking loose. Bleeding, falling, not toileted. I dont trust anyone to watch my people. they just dont do it.And Im still liable for those pt's outcomes. Its too stressfull.Plus even if I found someone I could trust, they are now watching 12 people on an intermediate stepdown floor. Not good.

  • Aug 28

    Quote from dishes
    Canada has not seen the price hikes that US has and some Americans are ordering epipens online from Canada for $110 per pen.
    Again which proves the benefits of having government negotiate prices for drugs. Almost every other industrialized western nation does so except the United States. Here we are left largely to be fed to the wolves in the name of free market.

  • Aug 20

    Nursing was never a passion, childhood dream, or higher calling of mine. I entered the nursing profession as a practical means to an end. It has provided me with the flexibility, stable income, career mobility, and educational advancement I desire.

    As an aside, I was raised by two parents who worked mind-numbing manual labor jobs for a living. Their financial situation was precarious and always on the edge. However, the door to better job opportunities and higher pay had been closed off to them because they had no education beyond a high school diploma.

    Since I grew up without many middle class comforts, I wanted a career pathway that provided stability and a certain standard of living without taking up too much of my personal time. Nursing was the answer.

  • Aug 20

    Job security, a lot of options for advancement, good pay.