Latest Comments by Nursetom1963

Nursetom1963 370 Views

Joined: Feb 10, '18; Posts: 29 (62% Liked) ; Likes: 28

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    Quote from TakuRN
    Yes! I save the printout reports in case I'm going to have the same patients for 3 nights in a row. I use Black for the first night, Blue for the second night, and green for the third night. Red is for important notes/important things to underline.
    My system is Black for what I look up before shift change (I come in 20-30 minutes early and get the basics down) and what I get in report, Blue for what I find in my assessment, green for things I need to DO, and red for allergies and critical stuff. I save my sheets from day to day, but fill out an new one every day-one per pt. (I never trust my memory-too many years and too many beers)

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    Im going to buck the common theme of "suck it up" here and agree with you. (let me go back and re-read the OP) No, Nursing school is hard, but 3 weeks behind, whole classes failing tests, reading off the syllabus, and telling you to 'go look it up' in response to questions is just poor teaching. Online and Hybrids you have to self-study (ok, actually all of them) but if you sitting in class "all day 5 days a week" in a school you pay for, and still getting poor results, something is wrong with that class. I would suggest you ALL go to the director and voice your concerns, and find out who regulates the schools in you state, If the director doesn't seem concerned, dropping that name may get a little more attention.

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    mzinfinit likes this.

    I did a RN-BSN program, and its ALL writing. maybe a few class presentations, but clinicals are long over. You will have to fulfill general Ed requirements too, so English, College Algebra, and a year of foreign language are probably in you future, ask the school. For all online, you have to be self-disciplined, and you have to read between the lines of what is wanted; sending an e-mail question to the instructor, and waiting for a reply is 1-2 days off the time you have to do the assignment, and you can't spare that much. Look into the requirements, and get your whole life ready, just like RN school.

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    sevensonnets and meanmaryjean like this.

    I cannot work without my 4-color Bic, I keep a spare or two in my locker

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    Normally when people tell me they are considering a Nursing career, I tell then to get their CNA or volunteer, and get a taste of what they are getting into; it's not for everyone. You seem to have your mind pretty much make up, and you have some clinical experience as a lab tech, so maybe, but only you can decide that. I wonder about your comment that you "don't suffer fools well" you will meet and work with all kinds of them as a nurse, and you better be able to remain civil, or you won't have a job very long. Make no mistake, I sympathize, my background was in the building trades, and the last thing we worried about was peoples feelings, but nursing is different, and working the floors is alot more face to face interaction than a lab tech gets, so think on that. But you actually seem to have your mind made up and have a plan so go for it, the above considered.

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    Kayauhs likes this.

    Quote from Kayauhs
    She was promoted to Director Of Nursing by Anheuser-Busch and the nurses on here who thinks this type of behavior is just mighty fine.

    Me? I quit nursing completely after decades of dealing with snotty, rude, viscious coworkers who cut your throat and now I'm making wooden pallets in the warehouses down by the docks of Green Bay. The sun comes up and shines on my face and I smile and think about how peaceful it is down here listening to the waves come into shore and the Seagulls flying in to eat garbage. It's a good life. No benefits but I don't have to wash and iron a uniform anymore.

    Occasionally a beer can floats by and I have flash backs of the horror of my past life but then, I just grab another board and pound in a nail and I feel better.
    Yeah, before I got into nursing, I was a framer, Pounding nails is very therapeutic And the beer goes down so good at the end of the day. If my shoulder wasn't shot, and I could find steady work, I'd sure as hell love to be doing that again instead of Nursing. (I never Iron my uniforms after 27 years)

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    psu_213 and caliotter3 like this.

    Quote from Jenbripsu
    After many, many years (20!) of "thinking about it", I finally decided at age 45 to go back to school for nursing. My mom was a nurse for 50 years and even though I have two other bachelor's degrees, the timing was never right for the commitment of nursing school. Now that I have two kids in college and my other two kids are high school aged, I decided that this was my time.
    I will graduate one year from now from one of the remaining hospital based diploma programs (Our area is actually FULL of them) and then I will immediately bridge to a BSN after just two semesters because of my other degrees. I am currently a 4.0 student.

    Because I am in a hospital based program, we get A LOT of clinical experience (it's the reason I chose this type of program) and so far, my experiences have been great and have only solidified my desire to be a nurse. I am loving every second of it.

    However, this week I experiences something I didn't expect. I half expected rude nurses or the dreaded "eat their young" nurses (which would be kind of tough on me because I'm older than many of them!) and I wasn't so worried about that because I've been dealing with mean girls since long before the movie.....but I didn't expect to hear nurses talking so badly about their PATIENTS!
    I was sitting at the nurses desk looking up my patient's meds for my upcoming med pass. The nurse sitting next to me was kabitzing with the other nurse. These are well established nurses. And the one nurse starts complaining about the patient down the floor being a ******* **** (but she said the words) because he was complaining about his pain following a prostatectomy (this is a urology floor). Then she went on to say that the wife reported that the patient was a Marine and so she determined that he was the wussiest Marine she'd ever seen. For 5 minutes...full of swearing and making fun of this patient. The other nurse listened, and laughed. But did not join in the name calling. But she sure didn't condemn it either.

    I. Was. Stunned. I said nothing because I am a student, but I did ask my clinical instructor about it because the family was walking around and could have SO EASILY heard this nurses comments.

    So, my question to you from a very naive nursing student....Is this the norm? Will I need to toughen up? Should I have said something to to the nurse? Should I have told my instructor as I did? I thought it was waaaayyyy out of line, but then I started remembering that they tell us that they are teaching us to graduate nursing school and when you are on the floor it's a whole other ballgame.
    If this is the ballgame, I'm not playing that game. I may not have any friends on the floor, but I'm not going to participate in that kind of talk about patients. I get venting or expressing frustration about a difficult client, but please tell me that is not the norm....

    So what say you, oh wise nurses?
    Norm? depends on what and how often. Have I heard this kind of talk? Yes, have I engaged in it? Yes, but as these nurses did, away from patient and family ears. Yes you will need to toughen up and develop a thicker skin, not just for this, but for the patients and the family members who tell you you don't know what the hell you're doing, or that you're a rotten nurse because you didn't remember the patient likes water without ice, and you brought icewater; and you have to remain "appropriate" You will get tired of whiny patients, demanding families, co-workers that leave you with a train-wreck and run out the door on time, etc etc etc. Maybe you''ll remember this, and when you are on the floor as a team member, you can speak a soft word of correction, but now is not the time. I hope your instructor took this and made it into a discussion, not just of appropriate behavior and attitudes, but of the mental and emotional hurricane you can find yourself in, and again, you must remain "appropriate" at least in front of the patients and family, and management too. But I doubt he or she did, because that would be an exceptional instructor, and it's not in the lesson plan. But you will need to find a way to relieve the pressure and stress, or it will eat you inside out. Start thinking about that now.

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    Wow, a week ago and Im the last post? OP where are you? Im serious about this issue

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    audreysmagic likes this.

    I showed up one night and was told "you're charge nurse tonight" I said "OK what do I do, I've never been charge before?" she ran it down for me, and from then on I kinda just made up my own job description of the role, which basically came down to being a resource and floating aide, and whatever was needed to keep the nurses on track and out on time. Same in the ICU where I am now, never did have a formal orientation to Charge, but everyone loves it when I am, because my goal is to support them with whatever they need with pt. care; today I helped transport two patients upstairs on downgrades, and one to CT, run labs, pharmacy runs, relieve everyone for lunches,( and try to enter vitals, or pass meds while Im doing it) and turn and clean. I think it's probably better that management didn't teach me their idea of "Charge", because Im sure that comes down to audits and paperwork BS.

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    VivaLasViejas, wondern, Tomascz, and 1 other like this.

    Scanned the list, didn't see my issue (the first two pages or so was a pissing contest) The biggest issue I have ever had is lack of support and supplies, and it's never really stopped in 27 years. Linens, Meds/pharmacy, v/s equipment, monitors, wires sets, bedside commodes, overbed tables to name a few. Tried to look this up in school a bit, there are standards for everything we do as nurse, but I could find none for what the facility is supposed to supply us with. This and always has been my big compliant.

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    Njpigott likes this.

    Glad you found it everything you dreamed of, i think reality shock is the reason a significant number don't last 5 years. (or so the research we looked at in school said)

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    Scrolled through, didn't see my suggestion; swipe a few needles and supplies and practice poking holes in two sheets of paper. draw a straight line on the bottom one, put the other one on top, and poke through and follow the line on the other paper nice and straight WITHOUT PIERCING THE BOTTOM SHEET, you can practice all night, hundreds of sticks, and you will develop fine motor control.

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    psu_213 likes this.

    Quote from amberrenae, RN
    Thanks everyone for the responses. I did not do an override to pull the morphine, it was still available to the patient in the Accudose from a previous one time order so I didn't realize there wasn't a current order until I got in the room. Because there was no override and the whole thing happened so quickly and right before walking out the door, I wasn't thinking about my name being attached to a drug that may or may not have been given so I appreciate everyone bringing it up and I will definitely be talking to my manager about the whole thing today.
    I don't know how your pharmacy does audits, but I think in my hospital you would get an e mail asking for explanation anyway; you pulled it but didn't administer it; doesn't matter if the other nurse did; you pulled it, they want to see YOU document it.

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    RobotechTD, MrNurse(x2), and OldDude like this.

    I think the ultimate irony of these walkouts is the students were/are victims of the multiple governmental failures; yet they are calling on the same government to protect them.

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    brownbook likes this.

    Quote from Georgia SRNA
    What are some examples of times you have frozen up?

    I think ACLS is every ICU nurses best friend. It's one thing to be certified, it's another thing to be confident with it. Then you have a starting point for action in any situation. Even if you don't end up following the algorithms exactly, it gets you asking the right questions.
    Actually I would go back to BLS- do I have an airway? Is he/she breathing? do I have a pulse/perfusion? if the answer to those questions is yes, you can take a breath, relax, and THINK


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