Content That lhflanurseNP Likes

Content That lhflanurseNP Likes

lhflanurseNP, MSN, NP 9,291 Views

Joined Jan 6, '13. Posts: 573 (41% Liked) Likes: 433

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  • May 26

    I have been a nurse for almost 40 years. I would love to say I have never made a mistake, but that would be a lie. I have made more than my share. The fact of the matter is that you are human. Many things contribute to making errors, but the bottom line is that you are human. We make mistakes, and sometimes they can be big ones.
    First of all, nobody was injured. You took accountability for your actions. You did all the right things. Since I do not know what the error was, I have no idea why you were fired from your position.
    I am a Nurse Manager now, and an educator. My job is to support my nurses, even when they make mistakes. Unless they keep doing the same thing over and over, and unless it is something they could lose their license over (violation of the Nurse Practice Act), making a mistake, no matter how large, that did not result in injury to the patient would probably not lead to termination.
    Your nurse manager CANNOT divulge to a prospective employer what you did. In most states that is illegal. If that happened, you could and should file a lawsuit.
    Get some counseling, but above all FORGIVE YOURSELF AND MOVE ON! Don't give up your career for this. Early on in my career I was fired from a job. Yes, it really hurt, and yes, I seriously thought about quitting. I am glad I chose the right course, which was to move on.
    I hope you will move on and find a job where you can be the very best nurse you can.

  • May 16

    Clinical Guidelines in Family Practice by Uphold & Graham is good for the current guidelines, especially for wellness like mammograms, Pap's and preventative guides.

  • May 14

    Caps; white dresses; white hose...

    patients could smoke in their rooms....

    staff could smoke at nurses station and there were ashtrays at the desk....

    there were med nurses who gave meds/ blood to the entire floor; and floor nurses that did everything else....

    We still counted narcotics manually; and wrote them in the narc book....

    we gave alcoholics beer; and Jim bean.....

    there was liquid cocaine in Th narc box for our ENT patients..... (Nasal packing)

    during my OR rotation; they used Everclear to preserve specimens.....

    u really didn't speak to dr's unless you were the charge nurse; we would tell the CN whtever issues we were having w the patients; she would call the dr and get the orders. I went months as a floor nurse w/o speaking to a dr over the phone.....

    we we would take the "dsg cart" from room to room w the surgeons for rounds and THEY changed their surgical dsgs....

    pts had to PAY for their tv's to be turned on every morning.....

    we we still had semi- private rooms; Ik they still exist but it was STANDARD back then; also had 2 4-bed wards on my floor. If I had a dollar for all the musical beds we played bc a white person didn't want to be in the Same room as a black person.....

    patients came in for surgery and were worked up the day before.....

    lap surgeries weren't common yet; everything was "open" ppl would b in hospital for days for a gallbladder or an Appe....

    Glass chest tubes....

    Urine dipsticks for glucose....

    HIV pts on isolation.....

    we mixed our potassium in our IVF....

    MARS/labs/orders all handwritten and done by the secretary.....

    kardexes.....

    imsurance wasnt a rip off.....

    ppl were not nearly as sick as a whole as they are when admitted these days....

    we still gave back rubs at night as part of "hs care" and the charge nurse would literally ask the patients if they'd gotten their back rub for the night. We also passed out juice; diabetic snacks; and picked up our own trash.....

    shifts were 8h; the paperwork was a FRACTION of wht it is now; and we actually had time to CARE and LEARN about our patients. It was not uncommon to have 7 or 8 pts; but the acuity was MUCH less than now; and It was RARELY overwhelming as compared to putn fires out all day with 3/4 pts.....

    pts tht are now considered stepdown pts; or even just busy floor pts would've bn n ICU then.....

    peds pts were put n rooms w adults if our SMALL pediatric unit was full. And yes; iv taken taken of peds/ adults same shift w one less pt as the peds pt counted as 2.....

    i could go on and on but that's just off the top of my head

  • May 11

    "We are nurses and we need to continue to define ourselves differently from physicians."

    I am curious as to why you feel this is imperative?

    I believe the NP is taking an educational and professional step into the role of diagnosing and prescribing, period, and it is incumbent that we are optimally, clinically prepared.

    I do not believe that rehashing cultural competency, cultural competency and nursing theory is in the best interests of patients, providers, or our profession.

    Yes, we need to be culturally competent and have some nursing theory -- however, I have not felt that any of the focus on this in graduate NP school has been of any benefit to me, whatsoever.

    Yes, I am thankful to have the opportunity to advance my career and to diagnose and prescribe, but the focus of these fluffy courses is truly akin to jumping through hoops in terms of usefulness, has and does DETRACT from the beneficial aspects of the M:NP program.

    Julia

  • Apr 29

    I consider myself reserved. I also considered myself a mediocre student at one time, and surrounded myself with people who (probably) believed they would be better nurses than I am. It's ok.

    First of all, if you're the smartest person in the room, you're in the wrong room. Second, people often find attributes in someone else to look down on - it's a defense mechanism/confidence booster; it's not cool, but it happens. I am a victim of it and guilty of it, as well. Thirdly, so what. You do you. Control what you can control, and control your attitude and reaction to those things you have no control over. In the end, or on the way, or wherever you land is exactly where you need to be. At some point, and it will happen, everything will click and you will feel like you are in exactly the right place at exactly the right time...

    ... And it'll be all kinds of awesome. Enjoy it before you move on to the next thing that you'll be awesome at.

    Good luck and keep your chin up. The people you're in school with, if you're living in a town with more then 200 people, will all fan out into the void after graduation and you'll land a job and work with people who are more like you than not.

  • Apr 24

    I would have bought that man lunch and flowers on the spot. And also written a note of praise to administration on his behalf, because you just know that patient is going to be complaining about him.

  • Apr 20

    Oh, it's a DOT examiner, lol.

    I was thinking pathology, autopsy, etc.

  • Apr 14

    I forgot about running the tape on an IV bag and marking the hours out as a guide. Maybe that's why the pumps were such a relief versus a stress when we learned how to operate them.

  • Apr 14

    Quote from Pixie.RN
    She used to tell me stories about clinicals, like being admonished for her metal bed pans not being shiny enough.
    Making cast material, putting plaster on bandages. Reusable glass syringes, Anyone else remember taping red rubber catheters to male patients?

  • Apr 14

    I work white, pantsuits and dresses, white hose, my pin, my cap. I was so proud.

    8 hour shifts.
    Cardex - we wrote in pencil the info on patients and when a symptom/treatment/medication was D/C'd we erased it!!!!!!!!!!

    We sat down and gave face-to-face report shift to shift. Then we moved to leaving our shift report on a tape (cassette)

    We got up and gave doctors the chairs at the nurse's station.

    For each of our own patients: we passed pills, started IVs, did wound care, helped make beds, helped with bed baths, gave back rubs if we were on the evening shift. We were totally responsible for everything that had to do with each of our patients. There were no "teams" - except for respiratory.

    We wrote in blue or black ink for days, green for evenings, and red for nights.

    We rotated shifts.

    Counted drops for the IV infusion rate.

    Patients stayed in the hospital for much longer periods so there were relationships developed. The patients went home with a good education of what to do and were well on their way to healing.

    Now I work in hospice. I will still put on my whites and cap if I know I'll be spending a lot of time in a SNF or ALF. That group of folks recognize that attire and will listen to me.

  • Apr 13

    Since when is it "news" that opioids cause constipation?

  • Apr 13

    This is new?

    Not trying to be sarcastic. This has always been a recognized issue.

    Is this perhaps a "sponsored" article?

  • Apr 12

    Nah, there was never a talk about PhDs. Those are research only degrees. They have not other purpose. There's no talk about making practitioners get research degrees. The blab you heard about was the DNP - a degree that is also equally useless unless you're academia or in some niche where you're able to sell the benefits of a not research-research degree.

    Just get your ball rolling and do whatever is required of you when you arrive at the option of getting NP training. If I were in your shoes, I would not waste time working but IMMEDIATELY begin taking whatever MSN/NP courses you can take. Many programs require documented work experience prior to enroll in specialty courses. Others require experience before enrolling in any nursing master's. However, if you can get in and start taking anything that can be counted toward your degree plan, while you're working as a RN, then do it. Don't waste time dumping bed pans if you want to be a NP.

  • Apr 10

    There is the thought that a person may not want to die with family there, and holds on till they step out

  • Apr 5

    Quote from PsychGuy
    Announced today: DNP required nationally. Mandatory DNP-PhD by 2018 as well.

    Stock up on coffee and Amazon gift cards.

    Option of DNP-MD transition beginning 2019.


    I'm totally kidding.
    I almost googled until I kept scrolling down!


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