Latest Comments by pagandeva2000 - page 3

pagandeva2000 22,432 Views

Joined Sep 22, '05. Posts: 9,302 (39% Liked) Likes: 8,216

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  • 1
    SlightlyMental_RN likes this.

    My heart bleeds to read about the loss of your first child and the challenges of your second.

    When you say you are entering into nursing school, is it to take the pre-requisites or are you already accepted into the actual nursing program? I ask because if it is the pre-requisites such as Anatomy, English, etc...maybe just taking one class at a time may be helpful. This way, you can still spend the time with the child you have left, monitor their condition and still get some of the needed classes out of the way.

    In addition, maybe you may need a healthy, goal related distraction. You say that your child is currently healthy. And, I am sure that you are vigilant in caring for that child because of the diagnosis. However, you may also need something for YOU. A different challenge, so to speak, where you can carve out something that is just for you to do. If you are just taking one class at a time, you may not have to sacrifice everything for nursing school just yet. You may even be able to schedule a class that is scheduled at the same time while your child is in school for those three hours.

    I can agree that nursing school is very time consuming, and it is unrelenting. They usually inform students ahead of time how many absences are allowed and most times, there are no exceptions, even though they may be empathetic to your circumstances. I have seen classmates of mine return to school one week after having a C-section and in pain in order not to exceed the absenteeism policies. Only you can decide for yourself if you are able to do this with your current circumstances.

    You may be very strong enough to work in pediatrics eventually, but I do think that maybe the passing of your first child and the second one having the same, but unpredictable prognosis make me say to give yourself a bit of time. I wish you the very best!

  • 0

    Quote from RedXIII_
    Alright, so today was my 2nd day of nursing school (so far its awesome ). Soon we will start "role playing" and one of the things we're going into is showing empathy. I was wondering if anyone can give me an example of empathy being used? That would be awesome and very helpful. How exactly should I go about this. I'm asking because I feel like I could mess that up (yeah i know dumb thing to mess up). The thing is, I'm sure that if I were with a real person, then this would come naturally. However, we are doing this with mannequins and I just know it wont come naturally because I cant really take a mannequin THAT serious (or another student) haha. So an example/idea would be great!
    The basic thing about empathy is that you are able to identify with the feelings the patient is experiencing, yet, able to seperate yourself by providing the necessary care ordered for them. Maybe an example can be what was told to us: We know that those cute little babies HATE to get stuck by needles and it is painful for the parents to watch as well. Of course, we will explain to the parents what we are doing and why, not throw the baby around like a rag doll, etc... But...we also know that we have to draw the blood, administer the vaccinations, start the PICC line or whatever is required because we wish to increase the chances of a positive outcome in that baby's health. If we are too repulsed to do that because we don't want to physically hurt that baby, then, it can be acting against the better interest of improved health, protection, etc..

    Empathy can mean that we know when to listen, when and how to introject our plan while respecting that patient's right to their feelings. Treat them with dignity, etc. Sympathy can lead to us taking away the independence of that patient's right by enforcing our own feelings if we are not careful-even with the best intent in mind. Hope this helped a bit.

  • 3
    Vossome, TDCHIM, and Esme12 like this.

    Emotional intelligence and discernment are the key things to avoid burning bridges, but unfortunately for many, that takes time to mature. It takes a mature person to critically think about what words and actions can make one suffer later on down the road.

    I find that it is who as well as what you know, also, because if the "who' did not recognize that you have quality talents to share, the 'what' you know may not matter.

  • 1
    Getreal2011 likes this.

    If the kindness of my heart alone can pay my bills and feed me, that would be appreciated, but we don't live in a society that barters favor for favor. The electric bill, telephone, rent, food costs MONEY.

    Far better to get paid for something you are interested in than to work for free and no compensation to keep a roof over your head. I, too, get annoyed when people say that you should not want a fair salary for what you are being exposed to. Let's face it. We do have a heart for treating people with compassion, advocating for them, caring, etc... However, most nurses give up nights, weekends, holidays and rest. In addition, with the no rest, we are exposed to many diseases, even violence on occasion for caring for the patients and their families. There is nothing wrong with wanting to be monetarily compensated for the skills we possess.

    Again, if we earned our keep as a community by the barter system, I'd be accepting of that as well, but since we don't, I believe we are entitled to the same as the community that we care for.

  • 0

    Quote from danursern
    Truthfully a lot of people do not know the difference between a LPN and a RN credential or they misunderstand it. They see L = Licensed and assume that an RN is not a licensed nurse, because there is no L. We didn't use CNA's at the Veterans Medical then, so just LPN's and RN's and we all did primary care nursing. So a CNA is one more credential in the mix for patients to have to figure out. I think it is important to establish who you are with a patient. Never did I say I condone telling a patient "I am part of the nursing" to confused them!!! I was just saying that anybody and everybody who works in the Nursing Dept. directly caring for a resident is part of the nursing staff which I am generalizing. It is a part of most hospitals and LTC policy to wear a badge and to inform your patient who you are. I know some do not always like to follow rules.
    What is particularly comical to me about this one is that normally, people don't think that LPNs are nurses AT ALL, so, this was a new one on me...LOL. But, you are correct...not seeing the word 'licensed' may trip some people up.

  • 0

    Quote from danursern
    Well, when I graduated from nursing school in the 1990's nurses were still required to wear white uniforms. I even had white dresses and hose. Within 2 years of graduating nurses and CNA's started to wear the same uniforms. It went from CNA's wearing plain purple scrubs and nurses wearing all white to everyone wearing the same uniforms. So without the badge who is to know. I really think we need to go back to the day of white uniforms only for nurses, just me. You say no one cares who takes care of them that is not true. I get ask all the time if I am the nurse.

    Here is a story for you I use to work at Veteran's Medical Center as the unit leader RN I did everything LPN's could not do IV insertion then. It was me the RN and 5 LPNS and one evening one of the LPN's needed me to come into a room, so she rang for me she said to me in front of the patient okay you can insert this IV now and I said okay will do. I got the IV cart and preceded to prep the patients arm for the IV. The patient said to me don't you ever get tire of doing everything he said your just as good as she is why don't you go on and get your LPN?????? I was sort of listening but busy inserting the IV. I said, excuse me? He said, why don't you get your LPN ( someone had to tell him that it stood for Licensed practical nurse.) He said most all the nurse on the floor have their LPN except you. I was speechless to say the least, because I had never been approach with that one before. I said, well no disrespect to you but I already had my LPN and now I am a RN. He said, but your not a licensed nurse right??? I said yes I am a licensed nurse. I said I am a RN, now mind you I am getting no where, because he still didn't seem to believe me. What is the difference he ask I said a LPN is a 1 year vocational nurse and RN is a 2-4 year college nurse, and they are licensed. Well he could not say enough appologies that evening.
    Now, THAT is a new one on me! Telling an RN to go get her LPN...what a hoot! Everyone has their LPN,but you. WHO, pray tell, then, would supervise the LPNs? What a funny story! LOL!

  • 1
    NatQ likes this.

    In most cases, the CUNY ADN programs require an exceptionally high GPA because there are over 300 applicants, and only about 40-60 seats for the most part. Mainly because they don't have enough instructors to oversee students at their clinical sites. So, the higher your GPA, the better. Many students have taken some of the more difficult courses one at a time to try and assure themselves of an A in their pre-requisites.

    Some opt for LPN to RN bridge programs. LaGuardia Community College in Long Island City, Queens has one. The LPN and RN students have to take MOST of the same pre-requisites, but the exception are that the LPN students are not required to take Microbiology, Eng102 (English Lit), Sociology, and BioChemistry. But, before entering into the RN program, you must have Biochem to get in and will be required to take Micro, Eng102 and Sociology before you graduate if you had not taken it already. Many opt to get them ALL overwith, or to just take an easier one like Sociology in conjunction with their nursing courses.

    Some also opt to graduate from an LPN program, take the pre-requisites and then, can do the online study with Excelsior to obtain their ADN or BSN. From what I understand, Excelsior is not competitive with the grades for pre-requisites...maybe a C or C+ and an LPN license will be what they require. Best of luck with your career!

  • 14

    Quote from ruby vee
    this is a safe and appropriate place for nurses to vent. it is impolite to tell nurses who are venting in a vent thread that they come across as rude and angry, that you hope this is not their work attitude, or that you don't want them anywhere near your family. if this has to be explained to you, you don't get it.

    can i get an "amen"?

  • 1
    noyesno likes this.

    I worked in short term care psych for 12 years, and worked for the mentally retarded for one. They were allowed to smoke, but sex was not allowed. I am sure that sex has happened behind the scenes, though.

    There were plenty of ways for the patients to obtain cigarettes. Some of their families bring them, friends, and sometimes, there were petty cash funds that provided generic cigarettes. When on the unit, they were allowed to smoke certain times of the day in a designated place and those who had grounds priviledges of course, were able to smoke while outside. Others that had escorted priviledges were sent outside with staff that also smoked.

    Later, after I left, I heard that they no longer allowed patients in short term care to smoke at all, but those who were in for the 'long haul' were allowed to, because, again, basically, this is their home.

    I had no issues with it and I didn't smoke at that time. If anything, my main concern about allowing sexual contact is as mentioned-if the patient is suddenly not in their right mind, what starts out as an obtaining consent has suddenly turned to an attack. And, then, there are the families who would also make a big deal about it.

    What I HAVE seen, though, is patients that have been allowed on grounds priviledges that have actually gotten pregnant, though. In those cases, the patient has to be escorted to their prenatal appointments, and they are chaparoned if they are admitted into the hospital. We had a medical infirmary for those that were still in the facility when they reached 35 weeks, I think. One time, a pregnant patient who was on one to one stated she had to go to the bathroom, and the aide reported that the patient beared down and had her baby in the toilet. When the aide tried to get the patient off of the toilet, she started fighting her. Luckily, the baby was safe, though.

    When I was a psych aide, I had to sit as a one to one with a patient who just had her baby. I think her family planned to take the child home until she was discharged. In any event, that was actually a pleasure for me because we were allowed to go to the nursery for her to breast feed her baby, and she actually let me hold her daughter afterwards. We took turns holding her daughter until it was time to leave.

    Usually, social work gets involved and families intervene, but there were also many that went into foster care. Sad, really.

  • 1
    curlyq28 likes this.

    I echo the thought of being careful of what you send out. I think it should be done, because of the state of affairs for today. It is not fair to waste anyone's time because time is MONEY. But, the letter should be calm...say something like "I looked forward to being employed at your agency/facility/clinic (whatever it is) and expected to hear from you but didn't. I hope to be considered for the next available position..." something to that effect.

    You NEVER know...I'd rather that they sort of forgot who I was so I can repeat if I had to than to be remembered for sending a scathing letter that can be targeted in a negative way at a later date. Other than that, I do understand how you feel. It is frustrating.

  • 1
    TamTammers likes this.

    Quote from TamTammers
    Hi All,

    I just had a question, I'am currently an EMT-B looking for a hospital job in northern VA. No luck so far, I'm wondering if I should take a EKG tech program or Phlebotomy tech program to better my chances as well as give me a head start on my career in nursing. I'am currently trying to get into a nursing program, do nurses learn the previous mentioned skills or would i be better off spending the money to get certified now? Any advice u can give me is much appreciated.




    Thanks,
    Tammi

    If possible, I would try and obtain the skills now, especially if entering into an RN program. Not sure about other states, or even other schools within my state for that matter, but many of the LPN courses have not taught EKG and especially, phlebotomy. RN programs don't focus on it, either. However, when taking med-surg, they do focus on it a bit when reviewing the cardiovascular system. I have a few friends that did sort of struggle when they got a few strips on their exams, because until they are interpeted for you, and you also understand the physiology behind it, placing time into learning the strips can be a bit time consuming.

    I had taken an EKG course after the fact. It helped me a great deal, even as an LPN. I don't use it much, but, once, a doctor ordered an EKG and I did note that the patient may have been having an MI and took it to the doctor immediately. When she said "Good catch", it was all worth it to me.

  • 1
    Jules A likes this.

    Quote from Jules A
    I wish it was a matter of just forgetting to sign things off that were given although that happens every shift also. Most often it is missing new orders that never get signed off on or started. Again it hasn't been anything especially dangerous but if the order is for Cogentin IM either read it and give it correctly or get them to change the order before you give it PO and c'mon if the physician wants an antibiotic started this morning, start it this morning. If it doesn't get signed off the pharmacy doesn't send it to the unit and am orders shouldn't still be in limbo land at 7pm when I come in.

    Thank you to everyone for writing with your insight and advice.
    Quote from Jules A
    It is more likely to be the colace hence my reluctance to make a big deal out of it but in the past two weeks there were 8 "colaces" and it really isn't about being too busy or lazy. I think it is more about a disconnect in the thought process somewhere.
    I was just about to ask if she is overwhelmed or busy. Do you still work in psych? Are you guys still using paper charting or are you all on line, now? Not making excuses for her, but, I can see a bit if there is difficulty comprehending the handwriting, etc... But I also know there are many bubbleheads working like that in my facility. They can be a nightmare, because it gets to the point where NO ONE wants to pull their coat tails any longer. I still say to watch the actions of the person you reported it to (in order to know what to expect from them later) and speak to her one more time to clear your conscience in case you do have to take it further. There is nothing wrong with wanting to protect yourself. And, I can understand the frustration of trying to clear up the mess from the previous night and have to also deal with the headaches of that oncoming day. That isn't fair, either.

  • 1
    Jules A likes this.

    I am the sort of nurse that will try and speak to the other nurse first, depending on how severe it is. It could have been that they forgot to sign, etc...(Jules, exactly what happened?). I tend to listen to their explanation, judge for myself whether or not this is a person who clearly forgot, doesn't care or is not that bright. If it is that it was an honest mistake (and we ALL make them) and no harm was done, a responsible nurse would try not to let it happen again. If it is one of the latter two, I would tell them that next time, it would have to be reported to for safety reasons and the protection of my license.

    How long ago did you tell the supervisor? I'd be curious to know this because those actions can show me what sort of support would I receive if I had reported something. If there remains to be no change, then, this lets me know that the supervisor either spoke to the nurse, but she is too bubble headed to take heed, or that the supervisor doesn't care either (or they may be friends). Then, take the chain of command.

    During this time while in wait to see a response from the supervisor, I'd probably tell this nurse one more time that this is a sincere problem that will fall on me, and I have to protect self.

  • 0

    Quote from HelenLouise
    Ok, so I don't know what to do. I don't know if I'm a freak, or if other nurses go through this. I have only been a nurse for four years. I love what I do, but I think I am going to have to stop. I have a RIDICULOUS amount of anxiety. I think about each and every thing I have ever done as a nurse and second guess myself. I OBSESS about every decision I have ever made. "Did I do that wrong?" "Did I give too much fluid?" etc etc etc....I have let it consume me. I let myself take a fear and run wild with it....until I have convinced myself that I have ruined the lives of every patient I have ever cared for. I am letting my marriage go down the toilet because I come home and worry. Please help me. I don't know if I need psychiatric help......or if other nurses go through this??? Do I need to find another field? I am strong in my faith and this is really hard for me to accept....that I would give up a career because of fear of harming someone. I need your advice! PLEASE!
    I think that you do need to seek counseling. While nursing is a job where the chance to harm is not far from us, an anxiety disorder can escalate those worrying thoughts to unreasonable heights. Most nurses do question themselves, but, if this is to the point that this has affected your private life, then, please seek assistance. Maybe talking to someone, being assessed and treated can decrease the anxiety. I sincerely wish you the best, and keep in contact with us.

  • 4

    Quote from cosmicsun
    I can really feel your frustration and exhaustion from it all. Especially the part from the families. Send it to your newspaper. Other nurses reading it won't change anything. The more nurses tell it like it is to the public (media), maybe the public will finally understand what their actions are doing. They don't accomplish getting "better" care for their loved on by acting like total _ _ _ _ _ _ _ _; they actually create a barrier. Sorry, but if a family is being mean - I try to avoid that room as much as possible. I still give my care, and feel for the patient, but if someone is out to "get the nurse," - the less time I interact with them, the better.
    So true, so true. Many times, those sorts of families and patients get put off until last because nurses have to brace themselves for the horrible treatment they may sometimes receive. I remember once, while still working in the medical clinic, a patient passed out in the waiting area. All of the nurses ran towards that patient with various things...B/P machine, crash cart, oxygen...not knowing exactly what happened yet, and one person stood directly in my way, grabs me and tells me that I had better take care of her mother with the sore throat NOW. To be honest, I wanted to choke her with my stethoscope. If it had been HER mother on that floor, she would have wanted that same response. I suspect that this woman certainly created a barrier with the physicians and nurses that responded to the one that was unconscious on the floor.

    And, sometimes, it can make the nurse rendering care very nervous which can lead to mistakes because she is either intimidated or trying to rush out of there. I have noted many times that even when those squeaky wheels do receive quicker service, it is not always better service, it is rushed service.


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