Content That katierobin23 Likes

Content That katierobin23 Likes

katierobin23 2,499 Views

Joined Dec 31, '12. Posts: 147 (44% Liked) Likes: 141

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  • Apr 26

    Quote from sailornurse
    1. So the pregnant nurses are new employees that started after your request?

    2. And because they are due in the summer (June/July/Aug) NO BODY can go on vacation?

    Yeah hightail it to HR but let the PTB know that you are doing this, send emails to your boss, their boss etc etc.
    Reminds me of when I was an RN, I was pregnant and my dad wanted to take my mom & me out for lunch on mother's day since I was about to be a mom soon. SO I request Sunday Mother's day off.
    Standing at nurses station when BossLady hands out the May schedule. Oh,Of Course I am scheduled to work!! So grabbed the request book and in front of all standing at nurses station asked why when no one else from any shift requested Mother's day off, why am I scheduled to work? Here response, "Oh well just switch with someone". My response: "NO, I requested it off, I have plenty of PTO, It is a legitimate request and I expect you to honor it. But since you chose to ignore my request, I am notifying you that I am calling in for Mother's Day, I will not be coming in. You have been notified as per policy (call in must be 4 hours prior to shift) I am calling in today/4 weeks in advance." I am also going to HR right now to file a complaint about this". As I head to the elevators with the brand new schedule & request book, she tells me to stop, she will reconsider. "Do what you want I am still filing the complaint about this". And I did. Got back to the floor, she had changed it so I was off. This is passive/aggressive crap and should not be tolerated. Same boss lady once commented as I submitted vacation request for 6 months from that day, ;a couple weeks after I returned from vacation to Europe. "What's this? You just went on vacation?" "Yup sure did and I'm going again got plenty of PTO". Always made copies, always asked her to sign & date she received it. Also made copied of request book periodically.
    I don't know how pregnant you were in this scenario but in my head you're hugely pregnant and waddling to the elevators and shaking the request book over your head as you say "Do what you want, I'm still filing a complaint." I'm dying over here. Don't mind me. I'm tired and giggly tonight.

  • Feb 3

    6 miles. Mon-Fri 9a-5:30pm. This is the farthest I have ever lived from my primary job. I think people who commute over an hour each way are nuts.

  • Jan 28

    Personally, I am GLAD that nurses who choose to not vaccinate themselves are not welcome to work in hospitals.

    This article was sketchy at best. Not once did it provide a concrete source of research, only alluding to "studies shown". It also said that there is not a pneumonia vaccine available when in fact, there are currently 2 types of pneumococcal conjugate vaccine (PCV13 or Prevnar 13®) and pneumococcal polysaccharide vaccine (PPSV23 or Pneumovax®).

    This article, like many other anti vaccination articles provides dangerous misinformation. If any nurse decides she doesn't want to vaccinate, then she should not be welcome in the hospital. ESPECIALLY during flu season.

  • Jan 24

    I live by the mantra that I am there for my patients, they are not there for me. Not being nasty, but feel that any cologne/ perfume/ body lotions may cause reaction to my patient trumps me smelling good. People also smell differently, my wife and I smell the perfume Fendi as roach spray, we honestly can't understand why people wear it, we are sure it doesn't have the same effect on others. A good bath, deodorant and you should be good.

  • Jan 15

    I thought I would update .... I received the job offer for the clinical data analyst position, and start Feb 1st!!!

  • Jan 12

    There may or may not be a thread like this but I couldn't resist sharing. This weekend I was digging through my patient's chart trying to learn more about his history when I came across a note by the attending cardiologist. It said, and I quote: "Patient is stable, no complaints. Was screaming 'Kibbles and Bits!' repeatedly upon my arrival. Of note, patient does not have a dog." I couldn't help but laugh. Anybody else come across some interesting notes in their charts?

  • Jan 6

    As MMJ said, a lot of the psychosocial stuff is done on the fly. And often the same information has to be reframed and restated multiple times. With the kids, having a good "kid" vocabulary is important. You'll be telling the 4 year old, "Okay, you have a tube in your nose that's helping you breathe. That's why you can't talk. And it has to stay there for now. You have a tube in your (private parts - ask for terminology from family) that drains your pee away, so even though it feels like you have to pee, you're not going to wet your bed. And it has to stay there for now. You have some little tubes in your arm that let me give you medicines and take samples without having to poke you. And they have to stay in there for now. You had an operation to fix your (whatever) and that's why your (body part) hurts right now. I have some good medicine that will help you feel better." Things along that line. The older they are the more complex your descriptions can be. Most shifts I talk almost continuously to someone... patient, parent, orientee. But this is important: Make sure you know what you're talking about before you say something. I once heard a nurse who was not new on the unit describe CPP (cerebral perfusion pressure - the difference between the mean arterial blood pressure and intracranial pressure) as "central" perfusion pressure and didn't explain what s/he meant. And one of our educators (!!) taught a group of new grads that Cushing's Triad was HYPOtension, TACHYcardia and apnea, and argued with several very experienced nurses that his version was correct. So don't ever make things up just to have a response to a parent or patient question.

    Another aspect to PICU's version of psych-soc care is that there will be a maelstrom of emotion swirling around the bed. Fear, guilt, distrust, shock, pain, grief and many others will manifest themselves at different times and in different ways. The best way to deal with the shoulda-coulda-wouldas is to tell the parent they did everything right and nothing they did or didn't do would have changed what happened. (Unless the kid is a non-accidental trauma, and then you'll be dealing with a whole lot of other stuff.)

  • Jan 6

    The fact that kids do not derive ANY pleasure from the sick role. All they want is to get better and get out of dodge.

    That and the popsicles.....

  • Jan 5

    I try to make sure that I've always got one thing covering the top half of me, and then another thing covering the bottom half. I find if I forget either of the things people notice.

    I have difficulty telling whether things go together. So, all of my clothes match each other (according to people who know these things). Thus, one thing on the top and another thing on the bottom.

  • Dec 31 '15

    It's good that you are trying to do the right thing, but next time, remind the nurse in private. Do not do that in front of family members.

    How would you feel if the tables were turned? You were in the middle of doing something--say, you were feeding Mrs Smith, and your nurse came in and told you that she had asked you to get Mrs Smith the newspaper for the day and why haven't you done it yet?

  • Dec 23 '15

    The best CNAs I have had on the floor do this - help me keep up with intake and output, don't mind changing diapers, and tell me when something is abnormal (vital signs wise).

    Babies are eating and peeing all the time. Keeping up with accurate I&O is just amazing for my CNA to help me do, because I may not see every bottle a baby takes. Also, most places have a policy about diaper dermatitis and how often the babies are to be changed. It drives me crazy if in the middle of the night, my CNA goes in and wakes up a kid to get vitals, but doesn't also change their diaper (cuz' that means I have to wake them up again!).

    And lastly, it's always great if you communicate whats going on with vital signs. Like,"Room 12s blood pressure was really high but they were crying, do you have a chance to go retake it in a few minutes or do you need me to?" or whatever. Whats so frustrating is when the CNA charts that BP, doesn't put a note that the baby was crying, and then I see it in an hour and it looks like I never did anything about it.

    That's my advice, anyways. Good luck!

  • Dec 22 '15

    I tried to do the above. She told me that's "Not the way it works."

    I was also told that she could work 9-5 as a Psychiatric NP. I rolled my eyes. I love when family gets together. It's heart warming.

  • Dec 22 '15

    Long story short, my sister has decided that she wants to become a Psychiatric Nurse Practitioner. She has a master's in psych, and believes this will be an easy thing to achieve, but she just simply doesn't want to clean poop.

    I do assist with peri care, sometimes with a tech, and sometimes because the tech is with another patient. It's not the biggest part of my job and it is not the worst part of my job. It gives me a chance to assess skin issues, to change any bandages that may be on the coccyx, and to let the patient know that I'm there no matter what reason they need me.

    I tried to explain this to her, and she just doesn't 'get it'. I get this idea that becoming an NP is practically the same as a MD to her, and that worries me. She'll learn, I suppose. I just hope that she will understand that assisting a patient at a time when they can't even go to the bathroom by themselves is not a bad thing. It's not horrible to help someone. It's what we do.

    I'm just bothered by it. Thoughts...comments? Ways to make her understand? all appreciated.

  • Dec 21 '15

    I wish people would stop thinking their stethoscopes have a pediatric and adult side. They don't, the different sides have to do with listening to high and low frequency sounds, please read the instructions!

    Annie

  • Dec 21 '15

    Quote from RNperdiem
    I don't think your wife would be able to get through school without some exposure to men in all their glory. Nurses and nursing students deal with incontinence care and catheters in the hospital, and half the population is male.
    Define "glory"

    Do I have to whip out my "Work Penis vs. Recreational Penis" line?
    Because I have it, right here, ready to go.


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