Content That Pranqster Likes

Content That Pranqster Likes

Pranqster 1,558 Views

Joined Jun 22, '12. Posts: 61 (56% Liked) Likes: 73

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  • Dec 11 '14

    You can't even spell ativan correctly.... yea maybe you should keep your prospects open for another field.

    Life is what you make of it. I know some most excellent male nurses and admire them and love working with them!

  • Dec 11 '14

    Quote from BostonFNP
    There is nothing more upbeat and jovial than a code with your bros.

    Well maybe except for, you know, preventing the code.
    Afterwards, instead of cleaning up and restocking gloves, they probably kicked back with a few beers and watched a baseball game in the break room. Like MEN.

  • May 10 '13

    In our ER we have chief complaint driven protocols in which we can order stuff based on the CC on behalf of the doc based on pt presentation. So often things (lab work, line, X-ray, EKG) are done before the doc sees the pt. we can also give certain Meds (ie nitro and Asa to a chest painer or nebs to a sob). If a pt is on the fence (not sure if doc is going to want full work up) we let doc see pt before we do anything. Sometimes the doc beats us to the pt but other times its a huge time saver. I don't really have a problem doing these things because honestly the lab work and X-rays and EKG are data collection that gives the doc a better idea of what's going on.

    Also it's a time saver because while you're getting the pt settled in and doing their vitals you are also doing things that you know are going to be ordered anyway thus saving you a second round with the pt.

    J

  • Jan 30 '13

    //"You mean like insurance companies increasing their rates and hospitals piling on more for nurses to do, with fewer of them. Those are just two ways off the top of my head that I can think in which they will adjust."//



    You say that like this is something 'new'
    or somehow related to Obamacare or PPACA, whichever term you want to use. You say that like we all haven't already been footing the bill for the uninsured patients all along, for decades, paying ever increasing insurance rates, every increasing healthcare costs,
    by having our rates, our costs for each item, jacked up,
    and what is covered, and our deductibles, reduced, a bit more and more year by year by year,
    to help cover those patients who have no insurance.


    This is not new...it's been a snowball rolling down on us for eons and eons, a bit more each and every year. Hopefully, with more people BEING covered, the price the rest of us pay, could be reduced,
    but, in a "for profit" healthcare system, we might not be sure the profiteers will reduce their own profit margins at all.

  • Jan 30 '13

    The citizens of the US have been adjusting to our capitalist based health care system since we decided to include health insurance companies and attach access to employment.

    Since corporations are now considered "people" they need to learn how to adjust just like the rest of us people.

  • Dec 15 '12

    ^ this. And I'm quite amazed that you've infused blood as a student! They didn't allow us to do that.

  • Oct 18 '12

    Read "Vaccinated....One Man's Quest to Defeat the World's Deadliest Diseases."

    [In 1919] "Maurice Hillerman's mother died a day after he was born, and his twin sister stillborn. As an adult he said that he felt he had escaped an appointment with death. He made it his life's work to see that others could do the same..........his goal of eliminating childhood disease.

    But never mind science, lets not let facts get in our way.....we all know the big bad medical/scientific/pharmaceutical complex is just out to make money, the health of the public be dammed.

    I have always gotten the flu shot. I have never been sick.

  • Sep 18 '12

    Quote from VivaLasViejas
    It had been a good weekend, full of sunshine, relaxation, great food, and even better companionship, and I was still in a cheery mood when I walked through the door at work this morning. In fact, I was even whistling as I put my lunch in the refrigerator and nosed around the break room for stray notes with resident names or room numbers on them, which is a write-up for the offender if I find one. Satisfied that there were no potential HIPAA violations afoot, I proceeded to the med room, which is almost always my first stop of the day.

    Then I saw the stack of pill cards on the counter next to an empty chart and my heart plummeted into the depths of my stomach, for it could only mean one thing.

    Ellie* was gone.

    As I looked through the chart notes describing the manner and time of death, I wondered stupidly why I hadn't gotten a phone call when she passed. The staff ALWAYS calls me when a resident dies, no matter what the hour, because they know I want to know. Our night shift med aide is new, however, and I made a mental note to speak to her about it at our next staff meeting.

    I'd known things were going to go badly for Ellie the instant I laid eyes on her, as she was being settled into bed by the hospice nurse and aide. You can't be in this business as long as I have without knowing the "look".....unless, of course, you are related to the patient. And all it took was one glance at my friend and co-worker, Hanali*, to know that she had no idea whatsoever that her grandmother was literally at death's door.

    They say that love is blind, and never was it more true than of Hanali that morning. She's worked in assisted living for years and seen many residents off on their final journeys, but she didn't see the gray lips, the sunken eyes, the labored respirations. She didn't see the furrowed brow or hear the tremor in Ellie's weak voice as she tried to follow Hanali's animated chatter. All she saw was the grandmother she had loved all her life, the woman who had nurtured her when her own mother couldn't, the "Grammy" who treasured their weekly outings and visits from her large family more than anything.

    No, Hanali never saw how ill Ellie was until last Friday evening, when she took a sudden nosedive and began the active dying process. It was with a heavy heart that I noted the blueish cast to Ellie's nail beds......the cognac-colored urine in her Foley.....the obtundation. Hanali was officially on vacation, but when I called to update her on Ellie's declining condition, she was at the facility almost before we hung up the phone.

    That was when she finally saw the truth in Ellie's heavy-lidded eyes: death was on its way, and there was no bargaining with it or delaying it. The only question was when......and as Hanali wept, it was all I could do not to break down right beside her, for Ellie was one of my favorites and I knew when I walked out of that room that I'd never see her again.

    You know how you just know this stuff? This was one of those times I wish I didn't. Because in the end, Ellie will wind up as just another statistic: the one out of five women who die within a year of fracturing a hip. Who she was to the people who cared about her won't matter to the people who collect those numbers, let alone the state's medical assistance program that just paid out thousands upon thousands of dollars for her surgery, anesthesia, hospital and rehab stays, medications and so on. A pathetic end to a life that was so well lived.

    But I don't care about any of that right now. I'm too tired and too sad to allow my emotions to wander along paths better left unexplored. Maybe I'll be more rational about all of this tomorrow, or the next day. But tonight, a much-loved resident is gone and my dear friend is hurting.....and statistics be damned.


    *names changed to protect privacy
    Your first happy stop of the day is to search for write ups? And your first though upon seeing that a resident had died was wondering why you'd not been called? THIS is what's wrong with LTC.

  • Aug 3 '12

    I'm so glad I gave it a shot! I could never go back to having to treat a person like they are at the Taj Mahal after this!
    One thing I have always liked about correctional nursing is that you don't have to take any crap off anyone. As Jollydogg said, you aren't being discourteous. It's just a matter of not tolerating discourtesy toward you. Gone are the days when I had to placate and coddle people regardless of how abusive or discourteous they were because they were "customers".

  • Aug 3 '12

    I can attest to what the previous posters have said. My personality just fits perfectly with correctional nursing. Have you ever wanted to tell someone how it is, but in a stern, respectful way? You'll love corrections. This isn't to say that you aren't showing respect. If you show respect (in a stern way) to inmates, you will get respect back. Like someone said.... be confident. If their question isn't anything related to the medical care you are giving them, just tell them so. They may roll their eyes, or make a dumb comment, but they'll just move onto the next nurse and try their game with them. They are always looking for a way to get something from a nurse that they aren't supposed too.
    It also has a lot to do with your COs at your camp. Some are good, and some are bad. Some COs will try you to let you see what you're made of, it just happens.
    I suggest you give it a shot and see if you like it! The worst thing that could happen is you just find out it isn't for you. I'm so glad I gave it a shot! I could never go back to having to treat a person like they are at the Taj Mahal after this!

  • Aug 3 '12

    Quote from BrandonLPN
    Never say "but that's not how we were taught in school"....
    LOL yeah that's detrimental

  • Aug 3 '12

    Quote from ~*Stargazer*~
    Yep, poor judgment, but she is entitled to her opinion, as are we all, and we do have a right to free speech. I don't think she should have lost her job over it.
    You do have a right to free speech (in regards to protecting oneself from the Government) but the employer has a right to protect their business from politically incorrect statements that may harm their customer base.

  • Jun 22 '12

    If I'm your patient and need pain meds, please don't give me a tylenol or aspirin if I have a natcotic ordered. To suggest it's better not to give narcotics because count might be off is bizarre thinking.Always double check when you're signing narcs out. Look at the card AND the book before you pop the med. And when it comes to the end of shift count, always look at the book and the card to make sure the numbers match.



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