pitt81 1,902 Views
Joined Dec 22, '12.
Posts: 25 (20% Liked)
Stop working for this nurse on your day off.
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.
You need to be evaluated. That is all we can say here.
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.
Just keep telling yourself that......
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.
Thank you for writing this, and as many have commented before...you 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.
Unless you're witnessing a blatant safety issue, you shouldn't feel guilty if you decide not to speak up.
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.
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.
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.
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.
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.
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.
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.
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