Latest Comments by Here.I.Stand

Here.I.Stand, BSN, RN 30,376 Views

Joined Nov 18, '13 - from 'Midwest'. Here.I.Stand is a RN. She has '13' year(s) of experience and specializes in 'SICU, trauma, neuro'. Posts: 4,367 (75% Liked) Likes: 15,726

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  • 3

    I like the above advice to follow your assigned pt -- practice your assessments/therapeutic communication/bedside manner. Give the amazing ADL care that staff doesn't always have time for (when time allows I love to fix hair and do foot care!) Use downtime to throroughly researd the pt's conditions, labs, and meds. Consider what nursing dx are applicable, and consider what interventions are appropriate. Observe non-nursing interventions such as procedures, tests, and therapies. Practice collaboration by teaming up with your fellow students.

    Direct questions to your clinical instructor. The staff RN is being paid to care for the patients; your CI is being paid to instruct at clinical. Would you direct microbiology questions to your English prof, or your pharm questions to your micro prof? Of course not -- you would ask your micro and pharm profs, respectively. Likewise you should direct your clinical questions to the clinical instructor.

    Maybe this RN was a jerk, but you don't really know him. He could be going through a divorce. Daycare is ready to drop him as a client if he's late to pick his child up. Maybe he's been counseled about incremental OT. And now he's expected to do the CI's job for her for free, while the CI is getting paid to NOT do hers. Sometimes giving someone the benefit of the doubt helps me feel better about tough situations.

    Years ago I precepted some LPN students in sub acute. Now I do enjoy students and teaching... but it does slow the nurse down. For med pass, the student would literally say out loud: "John Doe, metoprolol 25 mg PO at 0800, hasn't been given, isn't expired. John Doe, metoprolol 25 mg PO at 0800, hasn't been given, isn't expired. John Doe, metoprolol 25 mg PO at 0800, hasn't been given, isn't expired"... for Every. Single. Med. It typically took her 20 minutes to administer meds to a single pt. Once during low census on the OTHER subacute floor -- a full floor had 20 pts; my unit had 17, the other had 8. Since the TOTAL census was under 30, each unit was staffed with one nurse and one TMA. I was the lone licensed caregiver for 17 subacute pts -- not LTC residents. The icing on the cake was I also had to write a review after each shift -- when I was supposed to be on my way home. Speed/efficiency is a learned skill; lack isn't your fault. It is what it is. However it is also not the fault of the staff nurse, but yet it does negatively affect the staff nurse.

    Finally, yes I do remember that I was a student myself -- anyone who doesn't remember that needs neuro/psych consulted. The difference is it never would have occurred to me to expect the staff nurse to teach me; I rightfully expected my teacher to teach me.

  • 0

    Quote from Orion81
    Caffeine and energy drinks do not help keep me awake. And many times, yawning is involuntary. You try to hold it for so long, it just comes out.
    I am a classically trained singer, so have developed the ability to *not* yawn while voluntarily arching my soft palate. When my body otherwise needs to yawn? It's going to yawn.

  • 0

    Quote from ladyandthetiger
    An over 30 year old post is hardly convincing evidence base. Maybe something from this century?
    The knowledge that lime juice can ward off scurvy, that handwashing prevents infection, and that safeguards are needed when working with hazardous materials (phossy jaw, anyone?) is all a century or more old.

    What is your point?

  • 1
    HermioneG likes this.

    Quote from HermioneG
    that timidness may blossom into a beautiful gentleness and your patients will love you for it
    I LOVE this. I'm even tearing up a bit... my tear ducts are quite functional as well.

  • 1
    HermioneG likes this.

    (((Hugs))) Are you seeing anyone for your anxiety -- a therapist/counselor, not just the MD/NP who Rx'ed the meds? You are clearly a caring person who wants to do a good job, which are important attributes for a CNA. And honestly, CNA work isn't rocket science. That's why to me, it sounds like your anxiety is crippling you -- not that you are failing because of a lack of ability. I would highly encourage you to seek some additional help for your anxiety. (((Another hug)))

  • 1
    meanmaryjean likes this.

    A motivational speaker at my son's 5th grade graduation (middle school is 6th-8th grade here) did this excercise with the kids: he passed out paper and pencils and had them write down a piece of negative self-talk. Then they crumpled up the paper and threw the wads onto the stage.

    This speaker once thought himself to be bad at sports. He is now a champion triathlete.

    The most complex nursing math gets is single-variable algebra. If you have a prior degree, heck if you were able to gain acceptance into an institute of higher learning, I wholeheartedly believe that you can learn the math required to be a nurse.

  • 0

    I do think your letter was good, but as the previous two posters said, while the school has approved you, the school can't require a facility to allow you into their units. The school also can't require the BON or potential employers to ignore the misdemeanor -- and I agree completely that you shouldn't have to pay for this the rest of your life! It was a CD for pete's sake, and an 18 yr old has physical/developmental reasons for making stupid mistakes.

    But again, the school can't promise that the BON or facilities will have favorable answers for you, so they are ethical to inform you up front.

    Wishing you the best!

  • 0

    These are questions for your endodontist/dentist /oral surgeon; medical advice is against TOS. I do hope you feel better soon though! A couple years ago I had infection down to the surface of my jawbone. I feel your pain and wouldn't wish it on anyone!

  • 0

    Either the CNA or we strip the rooms -- linens bagged, bodily fluids flushed, disposables like urinals/O2 tubing/box of tissues thrown away, reusables like scissors/IV pumps moved to the dirty utility room.

    Housekeeping then removes the tied-up linen/trash bags and cleans EVERYTHING. They also change the privacy curtain if the room had been an iso room.

  • 2
    elkpark and chare like this.

    Either you are physically able to perform, or you are not. If you are, you shouldn't be receiving workman's comp. If you are able AND are receiving workman's comp, that is called fraud.

    If you are truly unable, than the lift restrictions would need to be in effect for clinicals too -- if the school will accommodate them. If they do, you want it in writing -- that way you can demonstrate to your employer, YES you do still need WC and you are not committing fraud.

    If the tendonitis clears and you are returned to full duty before clinicals, as meanmaryjean said, that would not be an issue.

  • 0

    Quote from Dinatg
    Okay, so when I go to clinical, how long do I have to get comfortable with things before teachers, staff, patients lose their patience with me?
    A patient should never have to see/sense that you're weirded out by the body parts we all have. Put yourself in the shoes of someone who needs help toileting or is incontinent -- how would you want to be treated? With dignity and professionalism, right?

    Go on YouTube and search for "CNA training videos" -- you can observe in the privacy of your home/dorm room, and get accustomed to seeing personal care being done. Get in the mirror and practice your professional face.

    I will say, I took the CNA class as a senior in HS. I don't know what I thought it would be like -- my school offered it, my mom encouraged me to take it, and I did think it was a good idea. I remember being HORRIFIED that CNAs do "peri care," and even more horrified by the pictures in my book. I came home and told my mom, "We have to wash GENITALS!" Her response: "Well yes, sometimes people can't do that for themselves."

    When it came time for CNA clinicals, it wasn't even a big deal anymore.

  • 0

    You probably should have consulted the lawyer before resigning.

  • 1
    ponymom likes this.

    Quote from UnionJack
    I do have to say that if this counts as your worst day ever in the history of worst days then you have led a pretty cushy life. A "worst day ever in the history of worst days" involves something along the line of being shot at an open air concert in Vegas, losing your home or life to a CA wildfire, or being crushed under the wheels of truck driven by a maniac terrorist.
    Quote from Amcdade
    Your life must be pretty charmed if this is the "worst day ever."
    Quote from ponymom
    Oh, and for Christ's sake tone down the overblown "worst day in the history of worst days". Don't you ever read the news? Have you ever been in a hospital or an nh%?
    Right?? OP, Google Image "Christians in Syria," or "Radium Girls."

    I recently read the book by that title; the first death went something like: 25-ish woman suffered for months with jaw necrosis and ulcerations in mouth. Jaw bone came out in dentist's hand. She lived in constant agony for months. Eventually the ulcerations ate from her esophagus all the way through her IJ's, and she bled out from her mouth. Another woman developed a sarcoma in her vagina -- it grew to the size of two footballs.

    Or Google any number of famous survival stories, e.g. the Greely or Shackleton expeditions, the sinking of the USS Indianapolis or the whaleship Essex, the entrapment of the Donner party, the Peshtigo fire....

    You had a bad day. You did NOT have the worst day in the history of worst days. Histrionics aren't particularly useful.

  • 0

    Those I know who have discussed it said they were "over the nursing model," where PAs are educated in the medical model

  • 1
    SmilingBluEyes likes this.

    I think as long as you go into it knowing that some women will have an issue with it, that it's not about you, and don't plan to get all butthurt over it, you'll be fine.

    I personally am the modest type -- I chose CNM groups over OB-GYN groups because I was guaranteed a female provider at push time. It has nothing to do with my misconceptions about male RNs -- I know 99.9999999% of them are professional -- nor about any abuse history or any of that. (Plus, what about women who were victimized by a woman?)

    Relating? Well nothing guarantees a female RN has gone through L&D. Besides, it's not the nurse's job to "relate to" me.

    You CLEARLY have a passion for this type of nursing, and I think it's great -- truly.

    I really just didn't want my nether regions all exposed in front of men (except my husband...and that was even awkward for me.)

    Now as a working RN, if a guy introduced himself as my nurse? I'd probably deal. I mean I wouldn't want to create staffing issues.

    All that said, in the US in 2017, it seems like I'm in the minority. If you live in an area with any super-conservative populations, be aware of that. I have had several female Muslim pts in ICU setting whose family requested only female RNs/CNAs. But otherwise? Hey, if you love OB nursing go for it!