Silver_Rik, CNA 1,441 Views
Joined: May 8, '17;
Posts: 41 (44% Liked)
; Likes: 38
I haven't really seen it at all in lecture, and very limited in clinicals. I've only seen it aimed at students who are clearly unprepared and not taking the experience seriously, and then just enough to get their attention.
Personally, I would like to see more Socratic inquiry used in nursing education, classroom and clinical. But it doesn't have to be done in a cruel way.
Regarding napping on breaks (I mean state law mandated breaks, especially "lunch" breaks where you are off the clock and take your break in an employee lounge out of view of non-staff) I don't think it's unreasonable to ask your state labor department whether it's legal for an employer to dictate that napping isn't permitted.
I also suspect that if confronted by an agency, the employer will cite patient safety concerns and the agency will side with them - but perhaps not without compelling evidence?
I keep mine short enough that my patients can't grab me by my hair - but understand not everyone wants theirs cut like they just reported to boot camp 🙄😏
As an aide (mental health / CNA) - I'll take the extra help any time I can get it. I don't care if it's for a shift or a year.
One of the first things we did in nursing school lab was learn CNA skills (I was already an SRNA so had a little head start there). The other program I applied to required you to be an SRNA as a prerequisite for admission.
I get not wanting to enable management to short staff aides/techs - but if they can use CNAs it doesn't make sense long term not to for fiscal reasons if nothing else (though I know CNAs who make $50K between raises and overtime). OTOH, as an aide, I appreciate when a nurse will work as an aide for a shift if my load is high. A few weeks ago I was the only aide with 19 (eventually 20) patients (low acuity adult psych, mixed men and women). As it was I ended up walking 7 miles during my shift just doing safety checks, and that was splitting them with one of the RNs. Plus vitals, meals, manning the station/phone. Not that I couldn't have covered it all myself, but it was really nice that I didn't need to.
I kinda felt like it was the significant others that had the problems more than the actual pts.
I'm glad someone finally mentioned a glow in the dark watch (though maybe others assumed it was implied.) Not in Clinical, but at work we start taking vitals at 0400 - pts appreciate not having the lights turned up. Some people have evening clinicals
A pair of bandage scissors can come in handy and will make you popular among hospital staff and classmates (though I can't carry them at work)
I went from 1. Working full time in a non healthcare job first semester and a half of prereqs (I took them at night and online so they didn't even know what I was doing until I put in my notice) 2. Working full time plus available overtime at 2 CNA type jobs (LTC and psych) to finish my prereqs and summer before starting nursing school. 3. Dropped to 24 hours/week average in first semester (Fundamentals). 4. Only working 12 hours/week in 2nd semester (Med Surge and Maternity.) I could handle more, and I'll load up on hours at work over the summer, but I want time with my wife and kids and a life outside school as well as more study time. I'm not sure what I'll do second year. I might actually try going back to 24 hours until I get into practicum. I'm lucky that my wife has a great career in IT so we can afford to go a few years with me focused on school instead of income.
All of that aside, experience as a CNA/SRNA has been helpful in nursing school, though the advantage is pretty much only in the first semester. The students who have patient care experience and definitely more comfortable in first semester clinical. We also already know the basics of safety and infection control (because we've had to gown and mask for a c-diff patient), etc. In 2nd semester I don't think It's made that much difference; though I hope my experience in psych will be useful when we do Mental Health next year. The other (probably bigger) benefit to working as a CNA through school is that many facilities seem to give preference (maybe not officially, but de facto) to their own CNA's/Techs who become RNs
I've liked clinical better than lecture. I'm exam average is 2 points under failing. Luckily we have quizzes and a teaching project to pick up some extra points. I'll still can't afford to fail either of my last two exams.
I'm the only male in my clinical group, and it hasn't been a problem at all. I understand it's touchy to share personal stuff with patients, but I told my first patient in L&D that I have children and have seen all of this a few times. It wouldn't have mattered, she was totally cool with whomever in the room. By the time the baby came there were 15 people in the room with her! The rest I just said "Hi, I'm so and so, I'm a nursing student at... do you mind if I (take care of you/observe/help/whatever?" Even one who didn't want any students in the room for her delivery was cool with me helping with postpartum care.
I agree, postpartum can be boring but I lucked out by getting a great mentor who took me around doing everything with her. Unlike my classmates who got 1 mom each, I had 4 including a newly arrived on the unit post C-Section and a post-hysterectomy. I looked at it like postpartum is really not that different from PACU. The typical acuity is not as high, but the same potential problems exist.
I regret that I had a chance to see an epidural and missed it, and haven't been able to observe a C-Section (2 classmates were selected to see one). We have one more clinical day - coming up this week. I'll be on newborn which everyone who's already done it has loved.
My wife says she could definitely see me working maternity. I feel like I need to get my grade up to a B at least.
A couple of stories from the other side. A coworker claimed she remembered my dad from the nursing home where she used to work. He had been a resident there for only three days three years previously, before being admitted to the hospital and then hospice.
Another time someone came into my office to rent apartment from me when I worked in property management. We started talking and it turned out she was one of the nurses at the facility where i'd had a colonoscopy.
A few weeks ago the patient I was taking care of for MedSurg clinical started asking questions about the psych hospital. We are part of the same network, and send patients there for medical treatment. I wondered if he had been one of our patients, because I couldn't figure out why he was asking me of all people. It turned out they were looking at transferring him to the traumatic brain injury long-term care unit at my work. Just out of the blue coincidence that he picked me to ask about the place.
I work in a psychiatric hospital. We have strict policy about outside interactions with former patients. We are not supposed to initiate any interaction or acknowledgement if we run across a former patient in public.
Now I'm the one taking my time to respond. Just really busy here with school etc.
- You have a cap of 3 PNA per unit with 20 max census. How do you handle 1:1's or 2:1's if you have them?
Now to your questions
1. There is no MHA (PNA) handoff at shift change. When the PNA doing Q15/Q30 checks is ready to hand off that responsibility they are supposed to physically transfer the check sheets - not just leave them at the nurses' station - and might give some updates on specific patients' whereabouts and behavior, but generally no.
2. We have MHA (PNA) leads but it's a supervisory (not sure if they have official supervisory authority) and support position with one per shift for the whole hospital. They split time between the shift coordinator's office and the units. They also respond to psych codes.
3. A PNA handoff with report at shift change sounds great; but you need one shift of PNAs out on the floor. You can't have your entire floor staff in the meeting room.
Does it make any sense to ask / offer to come back and work for them as a CRNA after you graduate?
Or, I know CRNA programs prohibit or strongly discourage working, but is it at all feasible to put in your last two months working over breaks?
I wouldn't think so at all. I loved the 'softball team' part. She didn't mention any names. I loved the video. I found her refreshing and real, not sarcastic. She's probably saved lives already and will continue to do so with her 'viral' video. Kudos to "Viral Nurse Katherine"!
Wonder if she's on AN?
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