kablammo 2,393 Views
Joined: May 14, '12;
Posts: 3 (33% Liked)
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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.
I'd go with gift cards to the local liquor store.
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!
Yes, we are all very shallow people.
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.
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.
lol. Those are huge assumptions given the current state of NP schooling and employment.
You're not alone, I work in psych and I can only wish some of my patients could sign out AMA...
"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.
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 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?
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'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.
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.
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.
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