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pitt81 1,902 Views

Joined Dec 22, '12. Posts: 25 (20% Liked) Likes: 8

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  • Feb 12

    Quote from Lisacar130
    Stop working for this nurse on your day off.
    This, twice over. She could have very easily have warned you (reported on her patient) about all of her misgivings on the "drug seeker". Maybe the person wouldn't be "seeking" drugs so much if her pain needs were met like you and the doctor tried to do that shift. More power to you.

  • Feb 12

    You were exactly right. I would've done the same thing. Your coworker doesn't have the right to say that her sickle cell patient isn't in pain. Pfft.

    Kudos to you for doing the right thing and advocating for your patient.

  • Jan 17

    You need to be evaluated. That is all we can say here.

  • Nov 14 '17

    I am glad that you are interested in advancing your career! As mentioned above CRNA school is extremely competitive. Most applicants have a cumulative GPA > 3.5. That's not to say that if it is less than that you wouldn't get in. Pharmacology is VERY important to the CRNA faculty and you should retake it and get an "A". While grades are very important it is not the only factor in getting in. The GRE is VERY important as well and is a crucial component to the totality of you application. Working with CRNA students, those with lower cumulative GPA's had higher GRE scores. Clinical experience is also an extremely important factor. A minimum of one full year (OUTSIDE OF ORIENTATION, usually at least 3 months) in a critical care unit is required. The more experience the heavier that weighs in on your overall application. Certifications like CCRN, CSC, and CNRN also add weight to your overall application.
    The "D" will be on your transcript, but when you retake the courses if you get an A, you can elaborate on how the first time you took it you had a rough start.
    The interview is crucial, I had a friend with the PERFECT CV, GRE, and GPA and bombed his interview, he didn't get in the first time, but got in the second time around. If you interview really well and are able to explain physiological processes really well (I am sure there are horror stories about how intense this interview is, questions like how does Propofol work at the molecular level or explain the path of a PA catheter and the ECG rhythms associated with it). If you can ROCK the interview, even if your grades are slightly lower, you may still be offered a spot in the program.

    All this to say, you need to re-take those courses for your future as an RN! While it is important to think about the future and going the EXTRA mile to get all A's and B's in nursing school! You will first and foremost be a NURSE! Some people are really tuned off by that, but whether a CRNA, NP, or Midwife, you are still and NURSE! The are certainly other paths to consider to be a mid-level provider (PA in primary care or anesthesia or Anesthesia Assistant), that you may want to consider if you'd rather go a different direction than nursing.

  • Nov 12 '17

    Quote from ILoveRatties
    Just keep telling yourself that......
    It's not something I'm "just telling myself". Again, I'm sorry that your experience was so bad, but I know it's not that way for everyone. Good luck to you!

  • Nov 12 '17

    Quote from ILoveRatties
    Sorry, jls, you are wrong. And I am not going to post what program I was in. It is not a matter of the program; it is a matter of if you are the type of person who can tolerate what is common in CRNA programs. The poster immed. after you is correct. There are not 'good' and 'bad' programs. This is the way it is in SRNA clinical education. Not every CRNA or MDA, and not every day in clinical, but it is the norm and you have to know it and figure out if you are emotionally tough enough to follow the all important rule: stay below the radar.

    It is true that the PD of the program I was in is nuts. But no one has to hear from me what program it is: the PD is known to be nuts. If you do any type of due diligence prior to interviews, you will get an earful about this PD if you happen to be interviewing with her.

    SRNAs are not going to tell the world the truth about this to just anyone. PDs read these boards, too.
    Like I said before, I know a lot of people who have either graduated or are currently in CRNA school here in Cleveland and around the nation, and we don't talk on this forum. We converse via personal email. They have shared times when they were with CRNA's or MDA's who undesireable and even mean, but never physically abusive. And they were reprimanded very hard if not prepared for the days cases and some told to leave the OR and some reprimanded in front of others, but that 's only to be expected. I don"t plan on going to school and being treated like a princess. It will be very hard and as in any field, There are Jack***'s. It just the way life is. I do have very tough skin. Little bothers me. I'm it will be the hardest thing in the world to do. We'll see, and when I do go, I'll share with others about all my experiences (good and bad). I still think you should share where you went to school. How will anyone know on this forum who you are? Sorry about your experiences.

  • Aug 1 '17

    Thank you for writing this, and as many have commented did the right thing and advocated for your patient. So many times, it is very nerve racking to have to approach a doctor and report your concerns (especially when it questions their orders). I do find my inner strength to do so because I tell myself, even if I question them and they get angry, I would be doing the right thing and all that I can to care for my patient. I appreciate other nurses feel the same way.

  • Jul 27 '17

    Quote from adventure_rn
    Unless you're witnessing a blatant safety issue, you shouldn't feel guilty if you decide not to speak up.
    I can't agree with this. Wounded dignity might hurt a person every bit as much as for example a sacral pressure ulcer, sometimes even more. Not all abuse or neglect is physical.

    I don't think it's about feeling guilty, or not. I think it's about doing what's right. I think protecting our patients' dignity is an obligation we have as healthcare professionals, even as students.

  • Jul 27 '17

    When I worked in the hospital (peds neuro), we had a teenage patient admitted for elective EEG monitoring who had a history of being a sex offender. He had molested his younger sister, I believe. Perhaps this is different because it was a peds hospital, but it was most definitely documented in his notes, passed along in report and he had security planted at his doorway.

  • Jul 27 '17

    When I worked acute care we had a contract with the local federal prison and the county jail. I never wanted to know what their charge was that way it wouldn't influence my care or how I treated the patient.

  • Jul 27 '17

    I agree with the others; snooping into the patient's background online is inappropriate. I would neither chart on this information nor pass it on in report. All of these are unprofessional acts that are not undertaken in the patient's best interest. Anyone so concerned about the ankle monitor should be more concerned with checking the area for pressure points, circulatory compromise and skin breakdown in a very ill bed-bound patient than why the patient is wearing it!

    That said, there are situations (different than the OP, obviously) in which the patient verbalizes concerns about legal restrictions or concerns about complying with probation conditions while hospitalized - or some other issue directly related to his/her legal situation. A social work consult is often appropriate if available. Legitimate nursing actions undertaken at the patient's request should be factually documented without going into unnecessary detail and passed on for follow-up.

  • Jul 27 '17

    Absolutely not. It's not relevant to the care that you are providing, and you shouldn't be searching for info on patients online in the first place.

  • Jul 27 '17

    Quote from Not_A_Hat_Person
    Presence of an ankle bracelet, and why, should definitely be passed on in report. The charge nurse and security should be made aware that a registered sex offender is on the floor, if they aren't already. If it's a small community hospital where patients of all ages end up on the same floor, or he ends up with a roomate who has minor visitors, there could be problems. You may also need to worry about vigilantees.
    I completely disagree with you. Sure, you can pass on that he has an ankle bracelet on, but it's absolutely not appropriate to pass on what his crime was, especially when the nurse only found out about it by searching his name online. If he has an ankle bracelet on, I guarantee he will be in touch with his parole officer and will be letting them know that he is in the hospital. If his parole officer feels he is a threat, they will contact the hospital to make sure the public is safe. Its not up to us as nurses to search our patients and discover personal things about them and to have this impact the care we give, or to treat them differently from any other patient.

  • Jun 5 '17

    Have you ever considered actual ICU? I don't mean to downplay your particular department. I just mean that perhaps if you were a unit for critical care, you'd be able to devote yourself to two very sick patients vs. five who could turn that way at any moment.

    I did floor nursing and ICU, but I never ever did stepdown. My hat's always been off to stepdown nurses. Half of those patients probably do need the ICU but the ICU is full or they "technically" don't meet sepsis criteria or just barely get by without pressors.

    I think since you have your assessment skills and experience with very sick people, the ICU may be a good fit. I know several nurses who felt that ICU was less stressful than stepdown. It's much easier to split yourself in two than five. And the resources available in the ICU tend to be closer at hand.

  • May 27 '17

    Quote from MunoRN
    Maternity (FMLA) leave is a legitimate and legally protected time off, that's much different than taking advantage of the fact that administrators won't typically want to the hassle of denying a bogus religious exception claim.
    and in this case the employers decided to still hire the nurse with her stating she needed Sat. off. They could have told her they were unable to accommodate or they could have just picked another candidate and not stated why. Regardless, the point is whether the nurse who just had a baby was protected or not, had she left and management not adequately staffed the unit, the anger would be at management, not the nurse. People would see the responsibility fell on the administration to ensure adequate coverage and that it was not the nurses fault even though they chose to have a family knowing this is a 24/7 job.

    If administration was unable to accommodate staffing by hiring this nurse, then they should have picked a different nurse. However anyone would be a fool to think the issues in this unit all boil down to one nurse.

    Focus on the root cause of the issue and where blame truly lies.