Latest Comments by macawake

macawake 56,345 Views

Joined Jan 1, '13. She has '10' year(s) of experience. Posts: 1,273 (97% Liked) Likes: 10,052

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  • 4
    rn1965, KatieMI, mindofmidwifery, and 1 other like this.

    Quote from Aunt Slappy
    LMAO I challenge you to claim where I said I know as much as a RN. The whole point of this thread is that he *should* know more than me.

    We can hardly draw the conclusion that he doesn't in fact know more than you, from the three examples you mentioned... To me they don't reveal any major knowledge deficit on his part. Since we have no way to to find out about all the things that he might know, that you don't, your examples are simply not enough basis to compare your knowledge against his. It's quite likely that he knows many things that you don't.

    Also, as many posters have mentioned, it's much better to ask if one is unsure about something than to pretend that one knows. To me that's a sign of personal and professional maturity.

    Quote from Sour Lemon
    I have no idea. What are we testing for? A stool sample might be OK with urine in it. Urine for culture definitely wouldn't be OK with stool mixed in. I would have called the lab and asked.
    That's what I was thinking too. Not my area of expertise at all, so I would have called to find out. But it seems we should all have known that macroscopic amounts of food/stomach contents are a no-no... OP, how about the microscopic amounts of food that are likely present in many sputum samples? Are they okay?


    Nurse Idiot, MSN

  • 5
    rn1965, KelRN215, blondy2061h, and 2 others like this.

    Quote from Aunt Slappy
    #3 During a case study presentation in a clinical staff meeting, in which the patient has been described as being 50 years old and 17 weeks pregnant via IVF, he asked what IVF stands for.

    I just.......really?! This guy has, when you count RN prereqs I haven't taken yet, two more years of education than I do.
    I don't think the focus during those two additional years was learning all abbreviations in various medical specialties, nor should it have been. From what I remember from my BSN obstetrics classes we covered things like the stages of pregnancy and fetal development, deliveries (vaginal and c-sections) and pregnancy-related complications and emergencies. So while I left school with a decent grasp of, among other things; pre-eclampsia & eclampsia, abruptio placentae, shoulder dystocia and Apgar scores, I don't remember covering IVF's in any detail. I honestly don't recall if they were even mentioned.

    Although it's admittedly difficult to conceive through intravenous fluids or the intervertebral foramina, perhaps you could cut your coworker some slack since the medical field is chock-full of abbreviations which often have more then one meaning Perhaps he actually had heard the abbreviation before, but had a temporary brain fart/oh, duh! moment.... Most of us do occasionally...

    Sometimes abbreviations are specialty-specific and if you haven't worked in that specialty, you might be clueless. While I expect that some/most nurses know what for example ASA, MAP, CVP, PSVT, PEEP, FRC, RBBB and TRALI mean, I would guess most outside of my specialty don't have a clue what I mean if I were to chart TMJ (dysfunction) or SLV.

    Quote from Aunt Slappy
    #1 He's collecting an induced sputum sample in clinic. (I work in a public health clinic dedicated to TB testing, detection, treatment, and prevention.) He comes to me with the sputum sample tube, thankfully in a sealed specimen bag, holds it up, and says, "She vomited a little food when she coughed. Can we still use this sample?"
    Can we?

  • 5

    Quote from chesanurse
    Can I contact the board of nursing to show them all of the comments publicly made about me on facebook? Is it ok to contact her employer to let them know as well?
    Quote from chesanurse
    How would the BON feel about this behavior and is it unethical for me to reach out to her employer?
    Asking whether it's ethical or not isn't the question I'd ask. To me it's a question of whether it's the smart and appropriate thing to do.

    Quote from amoLucia
    The BON's responsibility is to protect PATIENTS. They are not marital discord referees. I'm hoping you have a good lawyer to assist you in your situation.

    Keep your distance; do not engage her in any interactions and follow an attorney's advice. That's the attorney's job to deal with all this crazy, not the BON.
    I completely agree with amoLucia's post and also what Sour Lemon wrote. Frankly, the events that you've described sounds like an episode from a tabloid talk show of the more lurid variety. Personally I don't see how what's happened between you, your ex and your relative concerns patients and nursing. I don't see how you could bring this to the BoN's attention without some of the apparent dysfunctionality rubbing off on you as well. Since I don't know all the details of your story, I have no way to judge whether that's fair or not. Sadly many things in life aren't fair and even if you happen to be entirely blameless in all of this, I fear that the optics might not be 100% in your favor. I don't know this for a fact and of course I can't tell you how you should proceed. That choice is entirely yours, I'm just sharing how I perceive this.

    Quote from chesanurse
    On top of making my children miserable...
    Is the father of your children fine with his children being made miserable? Personally, that part would bother me much more than whatever his new wife is up to. The children are his flesh and blood and I would expect more from him.

    Quote from chesanurse
    ...she also publicly post stuff about me on facebook (inaccurate stuff that is very unflattering) and has even talked about punching someone in the face (albeit she didnt say me, but I get the idea its me).
    Quote from chesanurse
    Id love to put an end to her behavior and over the years have not been able to do much about it as legally if she doesnt touch me, theres little you can do.
    Do you know this for a fact? Have you consulted a lawyer or representatives of law enforcement regarding this? I definitely don't know the law of all 50 states and besides it's a moot point, since I can't and won't offer legal advice. However, I wouldn't be surprised, depending on the nature of the stuff she posts, some of it might be in violation of some legal statute or other. If it were me I would try to obtain legal advice from a suitable/reliable source regarding the options available to me.

    Quote from chesanurse
    However, I recieved a response from her today offering an interview. I did feel she should have asked another person to respond as she has been asked not to email me, but whatever.
    What do you mean by "but whatever"? Are you seriously considering scheduling an interview with your cousin/ex-husband's new wife? Do you want to work with/for her?

    I don't envy you your situation and I hope the whole thing can settle down a bit and that you and your ex can find a way to do what's in the children's best interest. Of course that would require emotional maturity as well as his willing cooperation. I don't know if that's possible for you to get. I hope it is.

    Best wishes!

  • 33
    Nurse Lulu, Ree250k, kakamegamama, and 30 others like this.

    Congrats on your new job OC!

    I'm going to share my thoughts on your post and if you at any point feel like I'm being harsh or unfair, please know this is exactly the advice I would offer you had you been my best real-life friend.

    Quote from OrganizedChaos
    I want to like my preceptor, but...
    It's not really important if you like your preceptor or not. Sure, it would make the upcoming weeks (however long your orientation is) much more pleasant, but it's still inconsequential. What really matters here is that she likes you, or rather that she respects your professional capabilities and your professional demeanor. She's been employed by your new employer longer than you have, and she likely has their ear. Her impression of you, will likely have a direct bearing on your future on that floor.

    Quote from OrganizedChaos
    No, I'm not here complaining about NETY or any form of eating. Lol! I am a couple days into my preceptorship & it has been going well, I'm just not fond of my preceptor. I find her teaching methods harsh & direct. I'm not a new nurse, hell, I've been a nurse longer than her! So obviously I don't need a lot of coaching or hand holding since I'm just new to the hospital.
    Personally I've found as I've transitioned over the years from one specialty to a new one, that despite gaining more and more nursing experience through the years that on some level, I'm still a rookie when I start a new specialty. Have you worked hospital med/surg before? After seven years of nursing I wouldn't expect you to need a lot of hand holding but if the specialty is new to you, some coaching might still be beneficial.

    The orientation period is a time for you to get to know the ins and outs of your new workplace, but it's also a time for your new employer and coworkers to get to know you. Even if her precepting style might grate on your nerves (and I definitely allow for the possibility that your annoyance could be well founded), I still recommend that you just go with the flow. The orientation period is "self-limiting" timewise. Do it her way for the required number of weeks, and when you're "on your own" you can do it according to your own mind/methods.

    Quote from OrganizedChaos
    I get text book lectures & how everything is *suppose* to be, when I know this is the real world & doesn't go by the book. She also tells me to do this & that which gets under my skin. I can't tell you why, it just does. Lol.
    Suck. it. up.


    Do it her way.

    Quote from OrganizedChaos
    We had a pt. admitted for chest pain & ETOH withdrawal. She was young & I was trying to gain her trust, especially since she really didn't want to be there & was talking about signing out AMA. I can gauge people & how to talk to them, so I dropped the f-bomb infront of my preceptor. Obviously this was a special case & I don't cuss in front of *every* patient. But by the end of my shift, she was very relaxed & stayed. She was more relaxed with me than she was with my preceptor. I know you have to speak to every patient differently. But holy COW did I get an earful after that.
    I used to be in law enforcement and my language can be crude enough to make sailors blush. And I've worked the local police station's arrest cells enough times to understand completely what you mean when you said that sometimes a cussword or three can help facilitate communication Given my personal background I might have told a f-bomb dropping preceptee (with one slightly raised eyebrow for effect) that "well, that was a bit unorthodox but in this case I guess it did the trick". However, I'm not your preceptor. From what you described about her reaction she probably feels that you were being quite unprofessional. That's not the impression you want to make. Whether or not you're strategy might have been effective with this particular patient is not the issue. I think you need to be mindful of how you are perceived by your coworkers. You've worked corrections and are likely more accustomed to hearing colorful language. Your preceptor likely has a different frame of reference. What you said was likely off the charts inappropriate to her.

    Quote from OrganizedChaos
    I try to joke around with her & nothing, just straight faced.
    Maybe she doesn't have a sense of humor. Perhaps she does, but it's different then yours. Or perhaps she wants to set a more serious tone and interprets a lot of joking around as unprofessional. I don't know which of the above that apply. But I think that the takeaway is to lay low on the jokes front. She's clearly not on the same page as you on this. Again, try to keep in mind that the orientation period is an audition of sorts. Look at this as an investment in your future employment.

    From what I gather from your earlier posts, this job opportunity is welcome. As I've alluded to earlier in my reply to you here, I'm not necessarily thinking that everything your preceptor does is perfect. My point is only that it's in your best interest to make a favorable impression. Don't blow this.

    Quote from OrganizedChaos
    My preceptor will come up to me & tell me to go do this, go do that. Instead of asking me what have I done & explaining what needs to be done next, she just spouts off a list of crap that needs to be done then walks off. Generally when I'm in the middle of something. I'm not your *****, I'm your preceptee. I'm here to learn & I can't learn if you just tell me to do the crap you don't wanna do. I can tell that's just the way she.
    You can are certainly free to think to yourself that you're not her *****, I just want to caution you that your poker face has to be good enough that she doesn't get those vibes from you. I really think that it will be to your detriment if she perceives that attitude. Careful!

    Quote from OrganizedChaos
    She does knows a lot but man. Lol. I was with two different preceptors before I started with her & they were great! But then when I started with her I was really bummed out. Hahahahah! I know it's not permanent so I'm just gonna suck it up & just keep swimming.
    I think that you've arrived to the same conclusion yourself as I have been yammering on about in this entire post Low profile, show an interest in learning how things are done on this specific floor and be willing to listen to her (you said it, despite being somewhat incompatible personality-wise, she knows a lot), suck it up and freaking exude professionalism from every pore of your body

    As I started off by saying, congrats on your new job! I'm genuinely happy for you Now just tread carefully and I'm sure that you will rock med-surg!

    Best wishes!

  • 11

    Quote from Tele RN 92
    On my unit I leave late every shift because of charting. The other nurses always leave on time, and they leave A LOT of charting blank.
    Quote from Tele RN 92
    I do SO MUCH work through a shift and I want it all charted. What if I go to court one day and it looks like I did nothing my whole shift?
    Quote from Tele RN 92
    I have had 5 jobs and they are all like this. Any feedback?
    (my bold)

    Reading your post I have to wonder if perhaps you chart excessively. You say that you've been leaving late at all five (!) places of employment and that everyone else in all these places managed to leave on time. I find it hard to believe that every single nurse you've worked with has failed or fails to chart appropriately.

    I think your fears about that day in court might be somewhat exaggerated. I'm not a U.S. nurse so I don't know this for a fact, but I would expect that you wouldn't have to account for every single minute of every shift if you ever have to testify. I would assume that you would need your charting to support/show that you did the relevant/appropriate things for that specific patient and situation, but not every single thing done or every single word uttered, in the shift.

    Is there someone you can ask for advice and who might be able to tell you if you do indeed chart in unnecessary detail?

    Good luck!

    Quote from Sour Lemon
    Those are the nurses I observe leaving 1-2 hours late every shift. I think they're nutty.
    Nutty's a bit harsh I think a lot of it is anxiety. Sure, some people are just naturally long-winded, but I do think worry is often the root cause. I remember when I was a new/recent graduate, I certainly charted more out of fear of omitting something relevant. My charting is much more focused and bare-bones today

  • 2
    elkpark and SummitRN like this.

    Quote from SummitRN
    What is with AN and this cascade of pseudoscience and fluff articles?
    I've been thinking the same thing. I'm glad that I live and practise in a country where physicians and nurses can have their licenses revoked if they promote treatments that are not evidence-based.

    Quote from SummitRN
    What is with AN and this cascade of pseudoscience and fluff articles?

    Are we going to have articles about homeopathy next?
    That's all we need. Best-case scenario, it's sugar pills with no plausible mechanism of action (because no, water doesn't have memory even when it's been subjected to violent treatment and diluted according to some magical thinking ritual.. and no, like doesn't cure like...) and no effect beyond placebo. Worst-case scenario... Well...

    FDA warns consumers about homeopathic teething products

    Quote from elkpark
    There's a reason these kinds of places aren't allowed to operate in the US ... I'd love to see their "proven results of success."
    So would I. People who promote alternative methods seem to forget the fact that alternative medicine and quackery is a huge profit-driven multi-billion dollar industry. The difference between alternative medicine and evidence-based medicine is that the latter has to prove efficacy and safety through high-quality clinical trials, the former does not. When alternative methods are proven to work they cease to be alternative and become evidence-based.

    Quote from SummitRN
    There are plenty of healthy answers without turning to pseudoscience.

    But if you ignore science, anything could be possible! Oh wait... that's not true. BS is still BS. When you promote it, you urge people to waste time and money on fake treatments that can have real adverse effects!
    I agree. It's scary. Several of the alternative methods mentioned are known to carry serious health risks. Also, by using them instead of conventional proven treatments, patients risk having their disease progress to a point where cure is no longer possible. By the time they turn to treatment that could have cured them, it's too late. The only one who benefits is the woo practioner who's likely laughing all the way to the bank. It saddens and infuriates me when seriously ill and desperate human beings are taken advantage of.

    Quote from SummitRN
    OP Are you being paid by Sanoviv to promote their treatment center in Mexico?
    I too would appreciate an answer to that question.

    Quote from Carol Ebert
    One thing I've learned after 50 years of experience with healthcare, health education, prevention and wellness is to be open to all possibilities when it comes to achieving optimal health.
    I don't think that anyone's arguing that we shouldn't be open to possibilities. After all, what is science if not a quest to find out and learn more But there is a difference between being open to possibilities which is a good thing and on the other hand suspending critical thinking and lowering standards as far as evidence goes.

    Quote from Carol Ebert
    Healthcare doesn't always have all the answers and we personally need to take an active role in staying healthy and investigating all opportunities that could benefit us. After all we are in charge of our own health and need to rely less on healthcare to fix us and more on our own efforts to stay well.
    It's true that medicine doesn't have all the answers and people taking an active role in their own health is positive. But none of that in my opinion justifies the promotion of scientifically unsound/dangerous and unproven treatments by licensed healthcare professionals.

  • 6
    nursej22, elkpark, chare, and 3 others like this.

    That's why they can use other healing modalities we are not allowed to use in the U.S. with proven results of success. They still treat patients with major chronic degenerative diseases in traditional ways (like stage 4 cancer when the patient has been written off by our system), but they also offer a functional medicine approach that focuses on the whole body, mind and spirit in consultation with physicians, nurses, chiropractors, nutritionists, dentists, psychologists, and spa therapists.
    How do these people treat stage 4 cancer?

    When I look at the list of therapies offered I'm horrified. Colon hydrotherapy, chelation therapy and rectal insufflation ozone?? And reiki Well, at least that one isn't harmful. I haven't even heard of all the ones on the list but the ones I know are enough. There's a reason these treatments aren't allowed in many countries with more strict regulations, and that reason isn't Big Pharma. It's the lack of evidence that the treatments work and a lack of evidence that they are safe.

    I agree with flatline. I believe that nutritious food and spending time in nature is beneficial for most of us. Other than that, my opinion is that nurses and physicians have an obligation to promote only evidence-based medicine and steer clear of pseudo-science and outright woo.

  • 1
    heron likes this.

    Quote from Farawyn
    This is why I love you.
    Aw, thank you! And right back at you

    Quote from Emergent
    I argue that, perhaps my response may very well have a ring of truth. Society, in the last 50 years, has become emasculated. Strong male role models are increasingly rare, with the breakdown of families, feminization of the educational system, lack of discipline of our youth, loss of religious values and delineated moral codes.

    And what is the result? What I observe is rampant drug abuse, mental illness and violence. I see a decrease in civility. There are regular mass shootings of innocent people. The societal decay is self-evident.
    I'm kind of sensing that you aren't inclined to discuss this with me I was really hoping that you would bring some clarity to the claims you made. You've made some big statements about society, male role models, the educational system, the state of families and our youth and religious values. Yet you can't, or won't, define a single one of these parameters? Why is that? If you believe that your claims are factual, it should be easy to present some supporting data.

    I'm still trying to figure out what the heck an emasculated society even is? Never mind the rest of the things in your post. We both know that society doesn't have genitals. Right? So, I assume that an "emasculated" society doesn't actually mean that someone physically chopped valuable body parts off of poor, unfortunate society? So it's code for something? A bit more in the metaphorical realm I assume...? (gee, I'm smart ) Do you think that men don't get to decide enough in our society? Is that it? If that happens to be it, have you taken inventory of world leaders, the rest of the politicians, business CEOs , billionaires, the judiciary and the heavy-hitters in the banking and finance sectors and powerful lobbyists and found them to be majority female?

    I didn't comment on your last paragraph yesterday, but I have a few questions regarding that one as well.. (I know, shocker... )

    It is true that you are faced with several serious societal problems. But do you really blame the regular mass shootings you have and mental illness on an "emasculated" society, the "feminized" school system and loss of religious values? Really? It would be so easy for me to point to a number of western countries with a much less noticable religious presence than the U.S., but likely equally afflicted with this blighted "feminized" school system, which don't have even a tiny portion of your mass shootings.

    Correct me if I'm wrong, but you seem to have a wistful yearning for the time approximately fifty years ago? If I share one good thing that in my opinion has happened in the last fifty years, will you share something that in your opinion should change back to the way it was? (re-masculating society if you will...) Fifty years ago men could rape their wives at will. Today marital rape is criminalized. That's a good thing in my book. In yours too, I hope?

    So emergent, how do you propose to sildenafilize society?

  • 9

    Quote from Simonesays
    I have to conclude that it's your phrasing (masculine/paternalistic and feminine/maternalistic) that's been rubbing people the wrong way. Admittedly, I'm not sure if I love it myself. Although interesting in theory, I think it draws attention away from your actual thesis (which seems to be a holistic model of compassionate care, something that most people could probably support). Instead, the focus turns towards stereotypical gender roles and how we might fit in as male and female HCPs within a binary system (maybe why some of the responses have been defensive?).
    I agree 100 %

    OP, I read your post yesterday but I didn't have time to respond. I knew as soon as I started reading it that it would generate a lot of friction. But I think you made several good points, eventhough I personally would have avoided assigning gender stereotype labels to the different approaches to the healthcare provider-patient relationship. The reason for that is twofold. Many people as has been clearly evidenced in this thread, tend to get quite defensive so it's probably not a very effective strategy to convey your message. The other reason is that I'm not convinced that labeling the different approaches as feminine and masculine is accurate.

    That is to say, the masculine ethic of care is strongly concerned a more "hands off" approach to treatment. This duty of justice considers the patient as the sole, responsible party and, therefore, the fundamental agent of change and wellness. The way in which this is carried out is via a power dynamic in which the provider maintains an omniscient, fatherly role that emphasizes provider knowledge and patient obedience. Put another way, the masculine view stresses the notion that strong willpower and knowledge give rise to success. This method routinely omits empathy and patience from treatment and discounts the addiction research demonstrating impaired freedom of will (Vohs & Baumesiter, 2009). The result is a sense of failure and hopelessness felt by the patient.
    The feminist approach highlights the importance of the patient-provider relationship through the exercise of empathy. Central to this perspective is interdependence and the balance of power between the provider and the patient. By maintaining this symmetry, then the provider may foster open-communication, elicit change-talk, and identify barriers and strengths to recovery. Furthermore, the nurse and patient can work together to use those factors to tailor the treatment plan and evoke patient autonomy in a way that increases the chance of positive health outcomes.
    Just a minor point, but isn't it supposed to be either masculine vs feminine or masculinist vs feminist? To me the -ne describes someone's attributes but the -ist decsribes a person who subscribes to the related -ism. If you call a medical or nursing model feminist and state that feminism rocks, you'll likely lose half your audience and perhaps even send them into anaphylactic shock

    I understand the meaning of the word paternal and its male connotation but I never thought of the paternalistic physician-patient relationship in the olden days to be especially "masculine". Instead I've always interpreted paternalism as referring to a parent-child dynamic, rather than father-child. I take it to mean a medical model where the physician, the parent, has all the knowledge and knows what's best for the patient-child and will tell the child what's best for them and how to behave/act, and the patient is expected to obey.

    OP, I think your post was interesting and a lot of what you say has merit, but trying to gender-label the different models was a mistake.

    Quote from Emergent
    I argue that, perhaps my response may very well have a ring of truth. Society, in the last 50 years, has become emasculated. Strong male role models are increasingly rare, with the breakdown of families, feminization of the educational system, lack of discipline of our youth, loss of religious values and delineated moral codes.
    Wow, Emergent. I have about a zillion questions after reading this. You're not the first person that I've heard espouse similar views but I have never understood what it means. I've asked many times but I have never received an answer that I understand. I'm being dead serious here. I'm hoping that you can supply some enlightenment.

    Quote from Emergent
    Society, in the last 50 years, has become emasculated.
    emasculate | Definition of emasculate in English by Oxford Dictionaries

    1 (usually as adjective emasculated) Deprive (a man) of his male role or identity.

    2 Make (someone or something) weaker or less effective.
    What specifically does an emasculated society have or not have compared to society 50 years ago? (I'm not sure what to call that society... Omnipotent family jewels still firmly attached-society? Seriously, what's the appropriate name for a non-emasculated society? ) Patriarchal?

    Quote from Emergent
    Strong male role models are increasingly rare,
    What's your definition of a strong male role model? I guess that I know and see so many men that I like or love and admire, that I'm having a problem understanding why you believe they are becoming increasingly rare. Perhaps our definitions of a strong male differ, which is why I'm asking if you can describe the attributes, personality traits and values that you equate with a strong man.

    Quote from Emergent
    with the breakdown of families,
    What does this mean? What's a broken family? Is it every combination that isn't mother, father and child? As I said, I don't understand what the things you write mean and I don't know how you think/feel. So, I'm asking. Were the old days when a women had no source of income of her own and was forced to stay in an abusive marriage because of the stigma of divorce and the inability to fend for herself financially, better than what we have today in our part of the world? Are two loveless or abusive and/or dysfunctional parents better for a child than two loving and emotionally stable moms or dads as long as the dysfunctional pair is 1 male + 1 female? What is your definition of the breakdown of families?

    Quote from Emergent
    feminization of the educational system,
    What specifically characterizes a "feminized" school system? What does it have or not have that a "masculinized" school system has or doesn't have?

    Quote from Emergent
    lack of discipline of our youth,
    The older generations have been complaining about the terrible youths since the dawn of mankind I'm sure that the generations older than yours had plenty to say about your generation, when you were younger. So what is it that young people should or shouldn't be doing that they did or didn't do, 50 years ago?

    Quote from Emergent
    loss of religious values and delineated moral codes.
    Are societies with a strong religious presence in your opinion inherently better and more moral than a more secular society? Is it religious values that makes a person good? Is religion necessary in order to be good and moral? Or can you also be a good person by drawing your moral code from a humanist persuasion? And I have to ask, are religious values masculine? I'm trying to figure out if this purported emasculation of society is somehow connected to the perceived loss of religious values?

    What are religious values? The ten commandments? The golden rule? I'm a heathen but I'm completely onboard with treating people with respect and kindness and I don't think that murder and theft is acceptable behavior (along with a few other things).

    This is of course purely anecdotal... I've lived in a dozen countries, give or take. Some of them with basically no religious influence, like my own country and others whre religion seemed to be omni-present and most people would attend some kind of house of worship (depending on the dominant religion), on a very regular basis. And let me tell you, the U.S. and one country in the Middle East was were I was hit on more often than a stuck drawer by every married man within a 10-mile radius. Repeatedly. Persistent *****s. So, does religious values equal morality? Personally, I don't think it's religion that makes a person moral or ethical. Some people are religious and "good", some are religious and "bad". Some people are non-believers/atheists and "good", some are "bad".

    I fear that you might think I'm nitpicking with this barrage of questions, but I'm being genuine here. The things you wrote are just catchphrases to me and their true meanings are cloaked in a murky fog.

    What I'm basically asking is; what was so darn good about the 1950's?

  • 3

    OP, is this how you turned in your assignment? Or is it an abridged version?

    I'm not a native English speaker so I might be missing some of the finer points/misreading this, but these are my 2 cents for whatever they're worth.

    One piece of advice that I would like to share with you for future assignments is this: when I was in school, the last thing I did before I turned in an assignment was to check and double-check that I had actually answered the questions that were asked.

    Quote from lilfayfay
    Does this sound like an ethical dilemma? I'm not sure what grade my teacher gave me but I did my calculations on my overall grade in Blackboard and it seems like she gave me a 2/40 for the assignment. The ethical dilemma was the last assignment to be graded.
    I'm sorry, but it's not really possible for us to know if the 2/40 is the grade your teacher intended or if it's some type of typo. We can only guess.

    Quote from lilfayfay
    1. Identify the clinical setting the situation occurred in. Describe the situation and ethical conflict in detail. You will not receive full credit if you do not describe the complete clinical setting/situation along with the ethical conflict. (4 points)
    After I read your reply I wasn't even sure exactly what the ethical conflict was. Read your own answer and see if you think that you've clearly described/identified the nature of the conflict (and the clinical setting/situation).

    Quote from seaofclouds21
    If how you worded things here is how you wrote your paper, you never clearly stated what the dilemma was. Are you claiming the ethical dilemma was that the patient did not get to choose her treatment, the lack of diarrhea control, because the patient wasn't cleaned up in a timely manner, or something else?
    OP, this is what I was asking myself as well after reading your answer to 1). I think you need to be more precise when you attempt to describe the conflict you've identified.

    Quote from lilfayfay
    2. Select the top 3 Principles/Rules of Healthcare Ethics involved and describe them in detail utilizing references. (16 points)
    This part of the assignment asks you to select three principle rules of ethics and describe them in detail. The way I interpret this is that this wasn't the place to discuss the various meds your patient was given or symtoms she had or really anything about the patient. This asks specifically about ethical principles. The actual principles, not how they relate to your patient. It's a patient-neutral question, not patient-specific. You can get sixteen points for this question so when it asks you to describe the ethical rules and describe them in detail, I think more detail was required.

    If you remove the information about the various drugs and what information the patient received or didn't receive (which is repeated in your answer to number 3) anyway), all that basically remanins is a bare-bones definition of autonomy, beneficence and non-maleficence.

    Quote from lilfayfay
    3. Select the top 3 AWHONN Standard X. Ethics involved in this issue and describe them and how they specifically relate to your ethical conflict (in detail). You must utilize references. (16 points)
    This is where I believe you should have tied the two concepts together. Your specific patient/identified situation-specific ethical conflict and the chosen top three ethical standards. Again, you can get sixteen points for this question. That implies that they were looking for much detail ánd discussion. And clarity.

    Still, the third question is where I think that you got closest to actually answering the question asked. Even though I'm still not sure what the ethical conflict was, here I see you linking the three chosen ethics standards with the patient in your case.

    As I started off by saying I might be misinterreting your assignment, but this was my take on it.

    Quote from Rose_Queen
    Well, it is a holiday and your situation isn't an emergency. Personally, I would have waited until classes were back in session and spoken to the instructor face to face.
    I think that's good advice.

    I understand that you might feel anxious and want answers as soon as possible for peace of mind, but I agree with Rose_Queen, this is better handled face-to-face.

    Take care and good luck!

  • 13

    Quote from nursingnurse2b1
    is nursing for shallow people?
    Why, yes... It makes the non-caring painless

    Quote from pixierose
    Yes. My hair is always flowing and well oiled

    I hate to admit it, but I actually miss his posts... They were quite entertaining.

  • 16
    Reyn04, Cat365, Orion81RN, and 13 others like this.

    Quote from Noctor_Durse
    As I understand it neither poster thus far has any specialized knowledge to impart on this highly motivated nursing student, eager to learn.
    Careful, unless you want other posters to perceive you as being arrogant. People are taking time to answer your post and you shouldn't assume that you know what knowledge they have or don't have.

    Quote from Noctor_Durse
    Hi everyone! I am a nursing student trying to prepare to be the safest nurse I can...
    I commend you for having the goal of being as safe a nurse as you can be.

    Quote from Noctor_Durse
    ...and I have been trying to memorize as many drug interactions, contraindications and major adverse reactions as possible lately.
    I agree with other posters that this isn't the best way to learn. When you start working, you'll notice that you'll become very familiar with certain meds or drug classes simply because you administer them so often and you'll learn a lot about them. My advice is that should always look up the particulars about a drug before you administer them, do not rely solely on memorized contraidications and drug interactions.

    If you want to learn more now and be as prepared as you can be, you might want to study more pharmacology in general instead of memorizing specific details about specific drugs. In my opinion you'd be better served by having a solid grasp of physiology and pharmacology and how the two "interact". For pharm I personally like this book:

    Rang & Dale's Pharmacology, 8e: 9787253627: Medicine & Health Science Books @

    If you for example know that metoclopramide is a dopamine D2 antagonist, you'll easily understand why it's generally not recommended to prescribe to a patient with Parkinson's disease.

    Some of the medications that you've listed in your post are meds that most nurses might not even administer a single time during their entire careers, depending on where they end up working. I am a nurse anesthetist and I have had exactly two of my patients develop Malignant Hyperthermia. I honestly think it's a bit of an overkill to study the specifics of Dantrolene while you're still in nursing school. Don't get me wrong, I value knowledge and I like people who are driven to collect lots of it but I think there are more efficient things to spend time and energy on than learning the nitty-gritty details about narrow-use drugs that you are years away from administering.

    Good luck!

  • 4

    Quote from hherrn
    This is how adults interact.
    No threats. No revenge. Two people talk, and then do rational, caring things.
    I completely agree with this. The situation is something that should be able to be solved by talking, one adult to another. I really don't understand why one would have to resort to "tit-for-tat behavior" in order for the other person to understand.

    Reading some of the posts in this thread makes it sound like one should "train" a husband the same way one would train a puppy. By repetitively demonstrating through a repeated action what you wish the puppy's behavior should be. That's not how I want to interact with the people in my life, especially not the people I love.

    Quote from hurricanekat
    Sure you have the same conversation nearly everyday - but maybe he needs that reminder until he gets it. Sometimes crap just doesn't occur to guys.
    I agree with most of your post but I disagree with the part I've quoted. The average man is no more dense than the average woman. Saying that stuff doesn't occur to them in my opinion lets them off the hook for bad behavior, instead of expecting accountability which is something I expect from any adult. I honestly also find it a bit patronizing.

    Quote from HermioneG
    My husband used to wake me up really early when I had been up late the night before for clinicals, studying, etc. It would usually be one of the only chances I would have all week to sleep in, and he would wake me up extremely early.

    One time I finally exploded at him. It definitely was one of my more shameful moments, but I think he finally understood after that.
    Assuming you'd told him in a clear and direct manner that you wanted to sleep in and not be woken up extremely early after you'd been up late the night before, prior to that day that you exploded, then I don't think you have anything to be ashamed or remorseful about.

    Quote from missmollie
    Let me know how it works for you, because my husband still likes to create the most noise to alert me to the fact that he is putting away dishes, or cleaning, or doing laundry.

    My next house will have a finished basement with a room that will be my bedroom, I swear.
    Quote from Ruby Vee
    Not the basement! He'll clomp around in heavy boots or clogs all day! Or he'll throw balls for the dog to chase.
    These two quotes in my opinion illustrate unacceptable behavior. Again, assuming that the person acting like this has been told by his partner/spouse that they need their sleep, this has nothing to do with not understanding that simple wish. I'll quote myself:

    Quote from macawake
    For whatever reason he chooses to not respect your request. Be it resentment, power games or simple selfishness, I don't know. But it is disrespectful.

    Quote from Horseshoe
    I was offered day shift soon thereafter, but this has bothered me ever since. He's otherwise great, but I remember this occasionally when I read these kinds of threads. I would handle it so differently if this happened today.
    I'm sorry Horseshoe. Things like that people you love say or do can have the power to sting even many years later. Much more than what people who aren't as important to us, say or do. I think it's just a sad fact that sometimes even good,decent people behave in a crappy manner.

    As is probably evident from some of my comments, this thread has been a strange read for me. I really, really can't identify with the idea of having to train ones partner.

    I also wonder where OP is?

  • 2
    Rocknurse and matcha-cat like this.

    Quote from frances81
    Also, tbh, I'm very scent sensitive and just am grossed out with my office so close.
    Quote from Rocknurse
    Sometimes you just gotta take a deep breath and move on.

    Quote from frances81
    Am I over reacting? Should I let this go in the interest of office peace?
    While I personally agree that it's a pretty weird habit to leave the bathroom door wide open after you've finished your business, I don't think it's worth raising a stink about it...

  • 2
    Nurse Leigh and ruby_jane like this.

    Quote from angiebelle440
    The guard asked me if the patch was important in the patient's treatment plan. I replied there was a doctor's order for it, and as long as it was safe to give to the patient, then yes, it's part of his treatment plan. (OK, we all know he could live without a nicotine patch, and he'd probably be better off without it in the long run, but I had never had an issue with something like this, with the guard questioning a doctor's order.) The guard had a real problem with this- she called her supervisor, talked to our supervisor- ugh.
    I guess it's possible that there's a more benign interpretation of the guard's behavior and since I don't know all the details of the situation, I'll have to give her the benefit of doubt. However I wouldn't be very surprised if it was just a power struggle, I've witnessed that more than once. Both from LEOs and nurses. I detested that attitude back in my law enforcement days, and it still annoys me. Some people just enjoy having someone under their thumb.

    Unless it's medically counter-indicated I will administer the medications that are ordered and I will serve coffee. Of course I wouldn't serve it scalding hot as I don't want it thrown in the guard's or my own face but apart from that, I'd give any patient coffee as long as they're allowed fluids by mouth. I might serve it in a paper cup if there was a risk that the hospitalized inmate would use a "real" coffee mug to injure themselves or someone else, but I see no point in withholding the coffee.

    While it makes sense to hear the guards out since they might have knowledge of safety risks regarding a specific inmate, I wouldn't let them dictate how I carry out my nursing duties in areas that do not pertain directly to security. If something did, we'd have to come up with a solution that works for both parties, bearing in mind that the patient is hospitalized for a reason. They need medical care and should receive it just like any other patient.