Latest Comments by Ntheboat2

Ntheboat2 6,200 Views

Joined Nov 6, '12. Posts: 393 (57% Liked) Likes: 671

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    You could probably get a lawyer to legally change your name.

    Just kidding.

    Send a private message to the administrator maybe? Or a moderator might come along and help.

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    LTCNS, Ir15hd4nc3r_RN, sapphire18, and 1 other like this.

    I think the nurse did the right thing. It's not like she called a Code Blue. She probably wasn't sure what exactly to do in the situation and needed some support. Isn't that what a Rapid Response is for? You're damned if you do and damned if you don't. Had she done nothing then she would've been criticized for that as well.

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    I'm on the "don't report" train. Even if it is used for addiction (which would be impossible to tell from a pharmacy record), I still don't think it could be reported if the nurse is a patient.

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    I work in a facility where we have a lot of patients who are addicts, recovering addicts, etc.

    Sometimes we have nurses, former nurses, etc. as patients.

    The question came up the other day.....if a patient comes into your facility and their medication list shows that they are on methadone, and that patient is also currently a working registered nurse....is that something you are supposed to report, or would it be a HIPAA violation to do so?

    My personal opinion is that you could not report them. However, I empathize with people who have issues with addiction a lot more than I've found that some of my fellow nurses do. I can see some of my co-workers having an issue with this and trying to report it. I believe it would be a HIPAA violation to report a nurse for being on a prescribed medication when the only reason their use was disclosed is because you had access to their record which is entirely different than reporting a co-worker who you suspect is impaired.

    What do you think?

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    uRNmyway and wooh like this.

    I think it could be that you're being sensitive. Who knows really without knowing the entire story, background, tones, etc.

    I know that when I first started working (at 16) I worked in a fast food place which I stayed at for several years off and on. I became really good friends with some of the people I worked with. At one point, I practically lived with my friend/co-worker who was a single mom and I helped her look after her kids. I was fairly young, pregnant myself, and she was a great friend and support. I'm still grateful to this day for her.

    As time went on and as I gained more education, we drifted apart. Some of it was due to the fact that I was busy with school, had another job, and had my own family. Some of it was due to the fact that she started returning my calls less and acting strange when I visited. Finally, she said it...in a "joking" manner of course....that I was "too good" now. I'm the one that kept reaching out, but I think because of her own insecurities our friendship changed. Her mother passed away and I went to visit her and went to the services, but we really aren't friends like we were before. Most of my friends/acquaintances now do happen to be people who I went to college with or worked with post graduation. It wasn't on purpose, but I just got tired of feeling like I had to defend myself or avoid talking about certain subjects because it might make someone jealous. It happens at work sometimes too. I can be talking about how expensive my kid's sports equipment is and a tech will say something like, "I don't even want to hear it," or I mentioned that my kids got laptops for Christmas (which I didn't even buy, and they're pretty cheap now anyway) and get a comment like, "It must be nice."

    It gets exhausting having to worry about if what you're going to say is going to offend someone else or not. That's my theory on why people of similar "status" tend to associate with each other. I'm NOT saying that RN is greater status than LPN either, but there are obvious tensions between people with different education levels, incomes, etc., and I don't think that tension is always the fault of person with the higher education, income, etc.

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    anotherone and FMF Corpsman like this.

    I work in mental health and I'm disgusted by some of the things I hear my fellow nurses say. "Pill seeker" is a common phrase they'll use towards ANYBODY on narcotics, even people who have a very legit reason like a fresh post-op if they have a history of abuse. I know that people have really strong feelings about addicts, but really....get a different job if you feel that strongly because you're in the wrong place!!!! I thought I would work in mental health forever, but I'm already feeling the burn out coming on, and sadly...it isn't because of the patients. It's because of the staff and their horrible attitudes.

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    Vespertinas likes this.

    I didn't realize so many nurses were perfect. I come across medicines all the time that I have to look up. Luckily, I have a computer at my side when administering meds and a button I can click to give me all the info. within seconds.

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    Thanks for the replies. I guess I just need to get over it and realize everybody isn't going to like me. It sucks to feel like nobody likes you though. Really, the nurses all seem to like me a lot, but the aides not so much. Particularly the older aides. It doesn't seem to matter how much I do to "help out" or how much I don't do either. I still get the same attitude/get ignored/etc.

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    I'm going to try to keep this short, but basically I look younger than what I actually am. I know...sad, right? JK. Honestly, I'm wondering if looking like I'm 21ish has anything to do with how I'm received by co-workers...specifically CNA's. I'm not flattering myself. I've had several co-workers, some who are younger than me, tell me they thought I was 20 or 21/22 when they've learned my actual age.

    I really, really try to avoid asking for help or asking them to do anything because of the amount of attitude I get whenever I do. Sometimes, it's not so much what they say, but just the body language or tone of voice when I ask them to do something. They don't do that when my RN co-workers who are older ask them to do something or even TELL them to do something. It seems to me that there's just this obvious respect for the older/more experienced nurses that they don't give to me.

    Do you think people in general have an issue with someone they believe is so young being "in charge"...?

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    SoldierNurse22, psu_213, Violach, and 1 other like this.

    When I had my children, I never knew who the nurses were unless I happened to catch a glimpse of their nametag.

    Where I work now, we have color coded scrubs. Trust me, the patients notice. They know exactly who the nurses are and who the aides are. They might not know right when they come in, but they catch on quickly.

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    Aviationurse likes this.

    One of my RN co-workers was talking about all the bills she had to pay/repairs she had to do at her house in front of a patient one day. It wasn't really that unprofessional in the setting we are in because that's mostly what we do in psych is talk to patients and sometimes they get tid-bits of what's going on in our lives. The guy was talking about his wife working and things they had done around the house which is what brought it up.

    Except...he had just lost his job. That's partly why he ended up in our psych facility was the depression that stemmed from losing his job. So, after she ranted for a few seconds about her bills, etc., he says, "Well, at least you have a job." It kind of puts things in perspective.

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    anotherone, marydc, RNJill, and 1 other like this.

    I work in psych and I love it.

    I got jabs from nursing school buddies about their jobs as a "real nurse" but I just blew those off. Why? Because most of them hate their jobs, are always looking for a way out, and I have no intention of leaving mine.

    I worked on a med/surg floor as an intern, and I can't imagine working there as an RN, and getting paid the same as I get paid now. The idea makes me cringe.

    Don't worry about how others view psych nursing or where it is on the hierarchy of specialties as long as you're happy where you are. I never dread going to work and my patients are always happy to see me come back on day 2 so that's all that really matters.

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    Hygiene Queen, squidbilly, elprup, and 1 other like this.

    It's a sad reality that the higher education you receive, the more removed you are from hands on patient care. I was thinking of this the other day when I realized I had been at the desk for much longer than I would have liked to be. One of the aides (although she said nothing) was giving off attitude vibes as if she thought myself and the other nurses weren't "doing anything" because she was the one up and moving around and we were sitting down. At the same time, her work was caught up and I was way behind. I've been an aide and I spent way more time with the patients hands on than I do now. I also didn't have to have an education ( I did, but it wasn't required for that particular job) and I got paid a lot less. I was just thinking to myself....I hate that she assumes we aren't doing anything or don't want to do anything because I would love to have more direct patient contact. That's why I wanted to be a nurse. The reality is that I'm the one who has to document everything and it consumes the majority of my time.

    I said all that to say this... I try to remember that I haven't been a doctor and I can't possibly know what their job really entails or where their heart was when they got into the field. They spend way less time with the patients and get paid way more than nurses...just like nurses generally spend less time than aides but get paid much more. It's not just the medical field. In most professions, the person doing the hardest work gets the least recognition financially, verbally, etc. It's easy to point fingers, but I don't know that there's anyone to blame.

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    MaybeaNurse7, Juryizout, SC-RN, and 1 other like this.

    I love psych nursing. I worked as an intern on a med/surg unit throughout nursing school and it was great getting experience with starting IV's, inserting foleys, etc., but med/surg is definitely not something I would want to do again. Can I handle it? Yes. I did great and my manager was irate when I quit. Do I want to handle it? Heck no. It's just not for me.

    It's good to have some medical experience because many patients come to us because they went to the ER d/t a medical issue and then the ER staff noticed they were having hallucinations or something. I see a lot of high BP and there's a lot of patients detoxing which you know can be serious. Every now and then you'll find something or something will happen where they'll need medical attention, but they get sent back to the ER so it's nowhere near what you have to deal with in a med/surg or ER setting. At the same time, I feel like staff at the "regular hospital" tries to send patients to us before they're medically stable enough because they don't want to deal with the psych aspect. I know it can be hard working on med/surg trying to juggle all your patients when one of them is taking their clothes off or doing bizarre things. It's also frustrating for us when we have 10 patients who are supposed to be medically stable, but one of them has a blood pressure of 76/46 and we don't have IV fluids. We simply don't have the equipment/supplies to deal with medical issues. They aren't even in the supply closet. A lot of psych patients have positive symptoms because there's something medically wrong. So, you don't have to do all the hands on nursing skills in a psych setting, but you still need to have the knowledge. Just like when an elderly patient gets confused when they have a UTI, a psych patient who has been doing well may start having symptoms when they have renal issues or something. The hospital wants to send them to us because they think it's a psych problem, and we want to send them back because we think it's a medical problem.

    You have to be a real advocate to work in psych. You get to know a lot of the patients because you see the same ones over and over, or you've gotten familiar with symptoms of a particular diagnosis even if you don't know the pt well. You can tell when Suzy is REALLY having abdominal pain even though she's been known to say there's a litter of kittens living in her belly. You can keep up on your medical skills if you want to. Just like a professor once told me, "If a nurse wants to sit at the desk, they can always find a reason to, and if a nurse really wants to be with the patients then they will." Every patient who comes in the door has to be assessed. It's not a requirement to do a complete physical assessment, but if you want to do one then you can. There are TONS of labs drawn in psych so if you want to draw blood and keep up on that skill then you can, but if you want to sit at the desk and let the lab guy draw labs for you then you can.

    You won't know if you like it until you try it. I personally love it and never dread going to work.

  • 1
    MotherRN likes this.

    I don't have any problems hearing, but I had a hard time finding a stethoscope that my ears could handle. My ears are really small and it would literally hurt to wear a stethoscope. I'm not a wimp, but it was so painful that I could barely stand to leave the stethoscope in long enough to hear the BP and also be able to concentrate bc of the pain. I can't even wear ear buds for phones or music because my canals are so small they won't fit or stay in. Luckily, I found some soft tips that work well and don't hurt.

    Anyhow, I first blamed the trouble hearing on the stethoscope and discomfort, but after I found a good stethoscope I realized that I couldn't hear the BP's unless I was inside the patient's room with the door shut, TV muted, etc. However, as I got more experience, it got easier to hear. Now, it's easier to hear when it's quiet, but if I focus then I can hear even in a room full of people talking, etc. So, I think it is just one of those "skills" that gets easier with time after you figure out a good technique and gain confidence.


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