gonzo1 15,864 Views
Joined Jun 8, '05.
Posts: 1,665 (45% Liked)
I spoke with my child this morning who reluctantly and sadly agreed to to the report, with the stipulation that she not be there. So I went to the police station, explained what happened, the officer went to his sergeant, came back and said that with the lack of detailed information the most it would amount to is a case of battery. They didn't make a report and weren't really interested. I explained about that the girl had told my child about having sex with her cousin, and going on to have sex with a fourth grader...all they said was I could go to the child advocacy center and if THEY wanted a police report someone could meet me out there. So I went to the child advocacy center, told the whole story over again, they more more compassionate, but just ended up giving me a phone number to pass the buck onto the next place, where they said someone would follow up and interview my child and the other child. At this point I am waiting for her to get home from day camp to let her know, and see what she wants. I know she doesn't want to talk to anyone, and I have done due diligence in reporting. Two agencies have passed the buck. If she wants to continue, we will.
As a nurse you're also a mandated reporter--acting out sexually is a HUGE red flag that she has been a victim herself. If she doesn't get help, she will probably continue. Also, not all decisions are a 10-11 yr old child's to make. Your daughter did nothing wrong, and she has nothing to be ashamed of. If she were in college instead of fifth grade, would you agree that shame is a good reason to keep quiet? Granted at that point it would be her decision to make, but would you ever counsel someone not to report because they are ashamed?
In any case, I am sorry for what happened to your daughter. That had to have been scary for her.
You are so right about being careful about who you appoint as a POA. When my dad was making his advance directive, he had a long talk with my sister & me. He made it clear that I would be the primary POA & she would be secondary but that we were to make decisions together. He told her in no uncertain terms that if she & I disagreed on anything, my decision would be final and she was not to challenge it. Fortunately, there were never any disagreements because he made his wishes crystal clear & when the time came that he told us he was ready to "go home", we were well prepared.
I'm very glad that there were only the 2 of us and we didn't have to worry about some long lost relatives trying to override anything.
Yet another story of how the family members have trouble agreeing on a course of action with an elderly family member. Happened in my family. Has happened in other branches of the family. Needless suffering for all involved. I've made it clear that I want to be treated with the proverbial "pillow" when the time comes. And everyone knows I'm dead serious about this.
Right. I only stuck once, his meds were all incompatible and we're all ordered stat. I explained to him that he needed quickly, they could not be given through the same iv at once and a second iv would help him receive them quicker. One stick and he was furious. Thanks for the replies tho! Charge nurse it is!
I'm touched. And as others have said before me, please try to reassure yourself that you didn't fail her, it was her family and "the system." We do everything we can within the limits we're given - we're not the Angels that we're portrayed to be - as much as we hate to admit it. You do an amazing thing every day, you go to work and you CARE.
You told your story, and her story, so beautifully. Both have touched so many more people than they otherwise would have. I'm certain that you have changed more lives than you could possibly know. Well done.
Because it's my Instagram and I can do what I want with it
All the mental illnesses and learning disabilities fall under that umbrella of "something doesn't meet what is considered 'normal.'"
Just like diabetes, HTN, seizures, the list goes on, science has discovered things that help. Fix it? No.
It's a shame, though, that needing to take psych meds for things like depression and anxiety or stimulants for ADD/ADHD have become signs that a person is "weak" and "hasn't tried the non-medicine route." That "positive thoughts lead to positive results, so just choose to be happy and able to focus." "You need to try X, since that's all a person needs."
The stigma is changing, slowly, but needing medicine is never a sign of weakness. (This from a woman whose marriage fell apart partially because of the mental health views of her then husband...he saw me as not trying. I saw him as refusing to even try to understand.)
My reason for wanting to disclose is null now that I know I can apply for FMLA via HR and leave mgr. out thx so much!
I worked out on my nights off when I felt like it when I first started nursing. I guarantee there's at least one 24 hour gym in your city, so if you like working out, join it and just work out when you're up. 2 AM is a perfectly acceptable time to go to the gym if that's when you're most awake and have the most energy on your days off.
Make sure you get adequate sleep - lack of sleep can lead to weight gain. Sleep at least eight hours before your shifts. It's easiest to do if you sleep the same time every day.
What kind of stuff did you eat before you went to nights? Bring that kind of stuff with you to work and eat that instead of what you're eating now. You don't have to eat out of the vending machine just because it's there.
HeySis, thanks for the encouragement. The problem is I'm not a new grad. I've been working for 3 years as an RN. I don't have this problem on every shift, but it happens once in awhile...
There's no excuses for it. I should have asked the cath lab nurse to explain the access site, but for some reason it got missed. I was running around like a chicken with my head cut off all shift, hoping I wouldn't miss anything, and I didn't even think about the access site after asking the doctor the one time. Boy did I feel like a stupid nurse when my relief came in.
This relief nurse has a way of making me feel really uncomfortable whenever we get report. She's always interrupting me asking questions and never having the patience to listen to what I'm saying. I lost my confidence and could barely communicate with her. It basically looked like I was a dumb dumb.
Some people don't seem to think they'll ever make a mistake, but trust me I am sure that nurse biting your head off has given her fair share of crappy reports. We are expected to know everything, but the problem is, we're human too. Don't let her own ugly personality make you feel inferior. Google search your heart out, call the cath lab on a day you're not so busy and inquire then. Learn from this to better yourself as a nurse but don't let it make you feel so horrible. Best of luck!
Thanks for this information. Do you know of any really good resources on CVADs?.. There are so many types and I'm often confused about them... Yes, I assessed the site and checked for blood return. I also tried to get more information from the physician, but his description of it was so vague.
I think the nurse was angry because I questioned myself and didn't quite believe that this CVAD site was also the site of the PCI procedure. It seemed strange to me. I think she was mad that I wasn't more certain of what I was reporting. I get that. I just wish she would have been more respectful and listen to me rather than interrupt every 5 seconds. I would never treat anyone the way she treats me during handoff.
I'm so sorry, sometimes you just have a bad night.
And I've given report to people like that, and I have spoken up with "chronic interrupters" and said. I really am trying to get my report down to the most important communication I need to tell you in an organized (SBAR?, Systems?) way, please let me finish and when I'm done, if I've left out anything you need to know, ask. I'll answer the best I can and I'll add those items onto what I need to report to you in the future.
I find it does three things. 1. Draws attention to bad behavior on their part. 2. Lets me make a note, so I can tailor her report to what she needs. (and find out if I'm missing something without getting mixed up) 3. Maybe build her confidence that if she listens first, I will get to the info she needs in an organized way.
You may have had a cruddy night and not asked about the port, but it sounds like you never accessed it and caused no harm. Sometimes when we are short staffed, or it's been a "full moon" type of night, we have to take consolation in knowing we did the best we could and we did no harm.
And you can always find the answer now and add it to your knowledge base.
Don't push this issue. You should be happy with the outcome. Imagine if this patient didn't want a black person providing his care. Would you get defensive over his preferences? Age is just another barrier to a patient's comfort (or in this case, the family).
As it has been stated, you are now out of the line of fire. When this patient eventually takes a turn for the worse (whether it be in two months or two years), you will look back and breathe a sigh of relief.
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