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kablammo 2,393 Views

Joined: May 14, '12; Posts: 3 (33% Liked) ; Likes: 2

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  • Apr 21

    When I first came to this forum in 2015 I was already done with my monitoring program but was hoping I could add some experience, strength and hope to help others get through this process, There was a lot of real support that I don't see now. There's a lot of anger some of it very justified by people who were never impaired at work, who got in some kind of trouble prior to even becoming a nurse or for people sucked in due to mental health issues.You know who you are and this is not aimed at you. I myself was never impaired at work but I was a garden variety arm chair alcoholic that was slowly spinning out of control and I have no doubt it would have spilled over into my work eventually. I self-referred to my states program after a failed suicide attempt. Ultimately I did need the discipline the program provided and I feel I would be dead today if things had happened differently.

    If you are here for diversion of narcotics it might interest you to know that this was considered a felony before these monitoring programs started. Nurses were stripped of their licenses, prosecuted and sent to prison, sometimes for as long as three years.

    For those of us who battle addiction it's important to remember that addiction is a disease of self-will run riot. Those who suffer from it have 2 character flaws in common, anger and resentment. My therapist was a nasty woman who told me that I needed to start living or get on with dying. I had to let go of all my anger and resentment in order to reclaim my life. I followed every rule, went to every meeting, got an approved job and always asked for some stipulation or another to be lessened or canceled every time I went in front of the diversion enforcement committee. So much so that I had my narcotic privileges within a year. I was never bullied, belittled or made to feel less than because of my addiction and by choosing to be open with friends about my circumstances, I learned who my friends really were.

    I never burned any bridge with anyone.

    Today I am happy, grateful and free of the clutches of my addiction. The job I got while in monitoring ignited a passion for Mental Health Nursing that has become a career I love. It always hurts me to see my profession so looked down upon by nurses who think they are better than psych nursing. Frankly Psych nursing requires a lot of outside the box thinking.

    There's always a time to complain and B & M. But instead of egging on people's anger and despair maybe we should be trying to help by giving real examples of how to deal with the situation described.


  • Mar 26

    I'd go with gift cards to the local liquor store.

  • Jan 3

    Quote from Julius Seizure
    Don't be silly. The reward for meeting the CLABSI/CAUTI goal is a pizza party for the unit, or maybe a cookie tray from the cafeteria. Maybe a congratulatory email from management. Not actual money!
    That's whay day shift gets. Nights gets crumbs and the resultant mess to clean up.

  • Nov 24 '17

    Yes, we are all very shallow people.

  • Oct 1 '17

    Here are some statistics for you: The president is a Republican. The GOP is majority Republican. The Senate is majority Republican. I'm not sure where the statement "being conservative is frowned upon" would come from (reminds me of when white males complain that they are discriminated against), but don't talk about politics at work, and I think you'll manage.

  • Jun 9 '17

    Following this "logic", I proudly cast my vote for retiring "domestic violence". I never experienced it, and, according to my observations, it is termed incorrectly. It should instead be named "correction through love" and serves important purpose of teaching about communications and interpersonal relationship within the family.

  • May 10 '17

    Quote from dirtyhippiegirl
    lol. Those are huge assumptions given the current state of NP schooling and employment.
    People can flame away if they want, but the idea of a grad with one year (or less!) of experience going back to school for NP is crazy. Crazy with a capital c. I see it time and time again in our facility. Out of morbid curiosity I looked into some of the NP programs to see what kind of clinical contact hours and such were required. 500-600 hours. That's it. That's the equivalent of 6 months of patient contact for me (I'm part time-24 hours a week). I don't know if other schools require more in their NP curriculum, but I think the equivalent of 1 1/2 years of experience (given a year as an RN and then NP clinical hours) is NOT "advanced practice" in my opinion.

    I personally am an advocate of a minimum amount of experience before an RN can apply for an NP program. A year as an RN people are just starting to get comfortable in their skills, etc. A primary care provider 3 years after sitting for nclex-RN? Nope.

  • Dec 2 '16

    You're not alone, I work in psych and I can only wish some of my patients could sign out AMA...

  • Jul 30 '16

    Quote from Pangea Reunited
    "Patient attempted to strike nurse when informed unit pantry was out of chocolate pudding."
    Patient is a violent POS who should probably be in prison (and probably has been). Add him to the "do not admit" list in a hurry.
    That's so cool!!!! You have a "do not admit" list??? I want one!!!!

  • Jul 5 '16

    Quote from Wake88
    Agreed. I get sick of this condescending attitude which typically comes from a superiority complex.

    I'm not lying when I say I've seen this again and again on this site from certain people.

    This is a good website. This condescension towards other people sucks, though. I haven't encountered it on other sites as much as here. It sucks when people talk down to you, whether it's nurse to nurse, or nurse to nurse aide. It gets annoying because it's childish, and people should know better.
    I agree and now Been There, Done That is stalking my previous posts to this website and making snide comments. That is a high degree of emotional intelligence right there! Says a lot when a nurse of 33 years uses a forum like this as a catharsis to take out their issues on other nurses.

  • Jul 5 '16

    Quote from Been there,done that
    I realize it is difficult for a nurse with 5 years of experience to comprehend the knowledge base and depth of experience a nurse gains over 34 years. In my 20 years of charge nurse duties, on the front lines... I never made a wrong call. I knew when any staff nurse was in trouble, before s/he realized it. I knew the situation on all 30 patients on the unit.. watched them and the staff like a hawk.
    If a nurse said to me "I'm so busy".. I would know what s/he was busy with... with or without "inquisitive" questions. I knew what was going on,and supported each and every one when they truly needed leadership.
    I find it hilarious that you support your impressions with footnotes... from some article written by someone that has never schlepped the halls of a chaotic step-down unit. I am not old.. but I am wise.

    Can we get back to the OP's issue now?
    Several points to make based on your reply.

    1) This "footnote" is actually from a scholarly reference and is a piece of a concept analysis on "Wisdom" in nursing.

    Toward an Understanding of Wisdom in Nursing.

    Matney, Susan A.; Avant, Kay; Staggers, Nancy

    University of Utah College Of Nursing, Salt Lake City, UT
    Roger L. and Laura D. Zeller Distinguished Professor of Nursing, University of Texas Health Science Center, San Antonio, Texas

    Online Journal of Issues in Nursing (ONLINE J ISSUES NURS), Jan2016; 21(1): 7-7. (1p)

    Publication Type:


    Major Subjects:
    Nursing Knowledge
    Models, Theoretical
    Nursing Theory

    Minor Subjects:
    Literature; Concept Analysis; Paradigms; Psychology; Conceptual Framework; Work Experiences; Life Experiences

    Journal Subset:
    Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA


    MEDLINE Info:
    NLM UID: 9806525

    Entry Date:

    Revision Date:

    Error: DOI Not Found

    Accession Number:

    CINAHL Plus with Full Text

    2) As someone with an undergraduate degree in management, 5 years of military service, 8 years in business, management, HRM, and project management, and 5 years of nursing I feel I am pretty well qualified to discuss management roles and leadership qualities. My graduate education has also helped me to view the wider scope of nursing practice and my background has helped me to develop ideas, thoughts, and views on the profession.

    I do realize that for a person with 34 years of experience in anything, it might be hard to comprehend newer philosophies and theories in organization, management, and leadership with solid research backing up such principles. I also realize it could be difficult to have enough emotional intelligence to not be prideful or boastful of oneself and to state in a public forum that one has never made a wrong call. I also realize that it might be difficult for someone to recognize "footnotes" from peer reviewed articles might have some validity and could contribute to the direction and the evolution of the profession of nursing. I totally get it.

    3) I also totally understand that you would think your ranking of 33 years of nursing practice might allow you to come on this public forum and talk down to or berate nurses with less experience in nursing, even when some of those nurses are proven professionals in other fields. It is ok, I get it. I don't take it personally. But one thing you should recognize, aside from your superiority complex as both an experienced nurse and someone who has never made a wrong call, is that it is ok for other professionals to have differing opinions and different thought processes. It is ok for people to come into this profession with different backgrounds and challenge the status quo. Change is a good thing. Nursing in it's current state is unsustainable and in need of drastic change, the ways of the past will not work for the future.

  • Jul 5 '16

    Quote from Been there,done that
    I was a charge nurse for 20 years and received a leadership award from a huge health system.
    Just a side note.. when the charge nurse is "busy doing discharge paperwork and watching telemetry and answering the phone ".. what exactly.. could snowflake expect mother charge nurse to do?
    OP acknowledged snowflake's statement, informed her she would direct help from the returning crew. Snowflake did not say she was drowning... she said she was busy. Aren't we all? Any time I was assigned to monitor telemetry.. I could NOT leave the monitors.

    OP is not guilty of "unacceptable practice and deplorable leadership". OP was dealing.
    I disagree and think that there is a lot more to the situation than what is being described for the situation to result in termination. I also think that your reference of "snowflake" for the nurse who was asking for help is a reflection of the consistent issues plaguing professional practice.

    Anyone can win an award and time in service in any one job does not necessarily make you a subject matter expert. There is quit a bit of litigation against nurses who had a wealth of experience but made poor decisions. So while I respect any nurse achieving a high status, getting a higher level degree, or receiving awards, I don't see the merit in mentioning that in this discussion.

    A foundation of leadership is communication style, even when under pressure. When I served in the military during OIF I can recall a time when a JDAM fell off of one of our jets, this is live ordinance, and landed on the hand of one of the guys in my command. This became a live ordinance issue on-board a flight deck that could have killed 5,000 of us on the ship and there was someone with their hand stuck under it. The Chief who was up there was trying to coordinate getting the hand of his man out from under a bomb, a possibly deadly situation for everyone standing there. One of the new guys in the command came up to him during this event and asked a totally erroneous question about a jet on the other side of the flight deck and that Chief answered him and gave him guidance, then got back to the situation at hand (No pun intended). The new E2 mentioned this when we did a safety stand down and talked about the fact that the Chief who was dealing with such a dangerous situation was able to give him direction and not bite his head off for not realizing the severity of what he was dealing with. This was part of what earned that Chief a NAM which is a level of recognition in the Navy and Marine Corps.

    The reason I bring up that story is because I think that more transformational leadership is needed in nursing. I think that how leaders communicate to their people, how they read their people, and how they help their people is a reflection of their leadership abilities. I think that as the leader, the charge nurse is responsible for asking inquisitive questions like, "Are you ok?", "Do you need help?", etc. I think that if this charge had asked those questions and noted what was most likely a look of depravity on the nurse, rather than just writing her off the situation might have gone differently. Isn't that what we do a nurses all day? We walk into a room, we see a patient and can tell something isn't right, we ask questions, we take note of subjective findings, then we take action. I find it incredibly hard to believe that a nurse would be fired for simply the situation as is described.

    "Wisdom is assumed to be intrinsically associated with age and experience [but] age is not necessarily a factor in being a wise nurse. Wisdom is assumed to be intrinsically associated with age and experience. Although older people have more experiences, age is not the only characteristic associated with wisdom. Pasupathi (2001) has posited that those who are "open to new experiences, are creative, who think about the how and why of an event rather than simply whether it is good or bad, who demonstrate more social intelligence, or who are oriented towards personal growth display higher levels of wisdom-related knowledge and judgment" (p. 403). This is important for nursing because it means that age is not necessarily a factor in being a wise nurse."

  • May 22 '16

    I've seen this happen a couple of times in 30-plus years as a psych nurse. I've found that the nurse usually has at least as much pathology as the ex-patient they're dating. And it's not always the patient that's the vulnerable one. Some of these guys are cons and know how to weave their way into some idiotic nurse's heart. Either way, this is definitely a bad situation and somebody needs to have a talk with Nurse Hot Pants.

  • May 20 '16

    Quote from Irish_Mist
    Straight from the Department of Justice: "Sexual assault is any type of sexual contact or behavior that occurs without the explicit consent of the recipient. Falling under the definition of sexual assault are sexual activities as forced sexual intercourse, forcible sodomy, child molestation, incest, fondling, and attempted rape."

    There is no mention of shaving pubic hair without consent. You could argue that it is battery since this was done without her consent but the sexual assault argument does not hold weight at all.
    "The term "sexual fondling" means the touching of the private body parts of another person (including the genitalia, anus, groin, breast, inner thigh, or buttocks) for the purpose of sexual gratification."

    Since when is it ok to handle patients' genitals when it is not required for medical care?

    If that were me, I would feel utterly violated. I would raise heck. If that were my patient, I would raise heck. I would document and file an incident report and report to however many managers I needed for an intervention to take place. How do you define what is uncceptable to do to an unconscious patient outside medical necessity, if you think touching and shaving a vulva is ok?

    On the note of hair in general, 99% of the time it is NOT a hygiene issue. If it wraps around a Foley (which was recently discussed), get permission to trim it. If it's literally caking with feces, maybe get permission to trim it. As someone pointed out, shaving is likely to compromise skin integrity in an area that - esp with bowel incontinence - is saturated with unfriendly bacteria. In four years, I have never once had a patient that needed their pubic hair removed for the sake of hygiene.

  • May 7 '16

    I have a whole different take on this issue. This young man clearly has behavior/psych issues. Could be anything from borderline personality disorder to High Functioning Autism. The biggest key that there is a sensory issue is his refusal to make eye contact. so you telling him to stop what he is doing and make eye contact could be very threatening to him. I work in an acute psych environment and YOUR behavior could very likely end with your getting hurt. Every person who overdoses should be considered a suicide attempt until proven otherwise. Person's in the middle of a mental health crises can present as angry, rude, obscene, calm, happy, labile. As nurses we should not be passing judgement on these patients or their families who have likely been dealing with these maladaptive behaviors for years. Also where psych is concerned I have found that the mental health apple doesn't fall far from the tree.

    The fact that he started screaming and punching himself in the head could be clear signs of psychosis and not necessarily bad behavior.

    I honestly believe every nurse should work at least a year in a psych setting. These patients are not all locked away in psych wards anymore - they pop up on every unit.