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2006RNCS 3,266 Views

Joined: Jun 14, '06; Posts: 72 (39% Liked) ; Likes: 67

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  • Dec 6 '08

    Whew! I'm glad to find out that I'm not the only one who found the Brookdale 'experience' less than satisfying. My ED was great, and the RDO and regional nurse were also easy to get along with; but even so, $#!+ covered in Godiva chocolate is still $#!+, and it doesn't matter how much they dress it up and try to convince the public that it's an eclair.

  • Dec 4 '08

    I ran like a rabbit from that company after only three months on the job---they pay RNs pretty well, but they also demand total loyalty and most of your waking hours. It wasn't the least bit unusual for me to work 60-hour weeks, and of course I was on-call 24/7, meaning my days and weeks were never truly over. Plus, the staffing situation was horrific given the fact that a third of our 70 residents should have been in nursing homes, and to top it all off, I had NO say whatsoever in admissions---the marketing people make those decisions---and whatever they brought in, I had to deal with no matter how inappropriate a resident was for assisted living.

    And yes, they do micromanage their management teams. I couldn't even order bandaids for the med room without OK'ing it with the regional manager first. Yet the kitchen manager blew a gigantic hole in the building's budget by purchasing a new oven, new chef's uniforms for the kitchen staff, new dishes and flatware, new water goblets, and new tablecloths to "enhance residents' fine dining experiences". Yeah, right--half of 'em had dementia so bad they didn't even recognize their own kids, you think they're gonna care about fine dining?! And he did it without even running it past the ED, let alone Corporate.......and got away with it. Yet I'm still fighting with them over $120 that they were supposed to reimburse me for out-of-pocket travel expenses, and haven't received to this day.

    Nope, I worked too hard for my RN license to risk it working for a company that doesn't care about anything but its profits, and I'm too old to want to work myself into exhaustion. I would advise you to get out while the gettin's good!

  • Jul 23 '08

    If any person were to tell my mother and father that they were exposing their daughter to unhealthful secondhand smoke during my growing-up years, their angry response would have been, "Mind your own damned business, and don't you dare tell me what to do with my child!" By the way, my parents barely stopped lighting up in the house in 2004. They still smoke in their vehicles.

    Unfortunately, the advice goes into 1 ear and out the other, unless the parent is ready to make a lifestyle change from within.

    Both parents smoked in the home and car during my growing-up years; as a result, I was always sick with colds 4 times yearly, ear infections, fevers, and other little ailments. Also, I probably reeked of smoke before going to school daily. It was no coincidence that I suddenly stopped becoming sick once I moved out of their home. It just disturbs me when parents would smoke in an enclosed space, knowing that the nicotine metabolites turn up in their child's urine and blood.

    In my honest opinion, the most caring and unselfish thing a smoking parent can do is step outside the home or car to smoke. My post might sound 'judgmental' to some, but I am merely stating my personal opinion that has been shaped my by past experiences as the child of smokers.

  • Jun 21 '08

    I was taking care of an incomplete quad who had a trach and on the vent. The tech and I were in the room changing out the linen. We had turned the pt to do so, when the vent starting alarming high pressure. I look down and the pt is mouthing "I can't breathe." I pop the pt on 100% and flip the pt to supine. No change so I try to suction, the catheter won't pass. I yell for respiratory and they come in and can't sx either. I yel out for the other RT on the unit, run for the crash cart and have the HO paged STAT to the unit. A whole bunch of folks come pouring in to help. The pt is cyanotic, HR dropping but still AWAKE. Pt is lying as still as a statue but eyes are as wide as saucers. Finally, second RRT gets new trach in and, Woohoo!!, we can now bag, and color, sats rapidly improve. Pt shakily brings arm up that has IV, the signal for ativan. I said, after all that I bet you need it!. So I give it then tell the pt we have to finish what we were doing. So the tech and I start again changing linen and the pt mouthes to me, "Like TV!" I say, "Huh? And the pt agains mouthes, "LIKE TV!!" And I said, " What this is ER and you are the STAR of the show?" And the pt nods enthusiastically, "YES!!!" I just started laughing. I told the pt, "You have a great sense of humor but let's not do this again, I already have to many grey hairs!!" The pt just smiled at me. Gotta love it!:chuckle

  • Jun 20 '08

    It does cause introspection and thought to answer this thread. I am an African American Nurse and while I didn't see the necessity of having nursing groups of different ethinic backgrounds, after reading some responses, I can see why one may rise. Some races have specific needs that may not be adressed. I feel that if there is a group that will focus on the needs of a specific patient population, I can see it, because these nurses may be advocates for change towards positive outcomes.

  • Jun 20 '08

    Quote from cardiacRN2006
    I think white people have had it pretty good in this country and don't need their own association for anything.

    Whites have never had to deal with the predjudices that other groups have endured. I don't care if the white person is in the 'minority' in some locations, or even if they've experienced 'reverse' racism. It's still nothing compared to what other groups have dealt with in the past, and even still today.

    So, that being said....if Blacks, Hispanics, Asians, whatever...wants to have a nursing group then fine. It shouldn't be offensive to anyone.
    You are focusing mainly on the past. I say what's good for the goose is good for the gander. Presently, minorities rule the roost, I think. The laws are in our favor and I know of whites who have been hurt by them. Yes, minorities were hurt in the past but now it's whites who are hurt. So why should they not be allowed to form their own group?

    If whites want to have their own group, that should not threaten or offend anyone, either, just as whites should not be offended by the groups you name, or any other group, forming their own private, exclusive association. Particularly if whites are a minority on their job and experience "reverse" discrimination, they need and should be free to have their own association. I happen to be a black male but I would not be offended by white males or white men and women forming their own exclusive group.

    I hope people will remain civil in this thread. It has the potential to get ugly.

  • Jun 18 '08

    i saw this thread and decided to see what the apology was for; i couldn't even finish reading all of that thread - so many nasty, thoughtless things said! (oh, and i am not saying that to blame anyone or to start an argument - just more or less stating the obvious that things got out of hand... i'm rambling now, sorry.) anyway, just wanted to post this saying, some of the things kinda relate...


    go placidly amid the noise and haste,
    and remember what peace there may be in silence.
    as far as possible without surrender
    be on good terms with all persons.
    speak your truth quietly and clearly;
    and listen to others,
    even the dull and the ignorant;
    they too have their story.
    avoid loud and aggressive persons,
    they are vexations to the spirit.
    if you compare yourself with others,
    you may become vain and bitter;
    for always there will be greater and lesser persons than yourself.
    enjoy your achievements as well as your plans.

    keep interested in your own career, however humble;
    it is a real possession in the changing fortunes of time.
    exercise caution in your business affairs;
    for the world is full of trickery.
    but let this not blind you to what virtue there is;
    many persons strive for high ideals;
    and everywhere life is full of heroism.

    be yourself.
    especially, do not feign affection.
    neither be cynical about love;
    for in the face of all aridity and disenchantment
    it is as perennial as the grass.

    take kindly the counsel of the years,
    gracefully surrendering the things of youth.
    nurture strength of spirit to shield you in sudden misfortune.
    but do not distress yourself with dark imaginings.
    many fears are born of fatigue and loneliness.
    beyond a wholesome discipline,
    be gentle with yourself.

    you are a child of the universe,
    no less than the trees and the stars;
    you have a right to be here.
    and whether or not it is clear to you,
    no doubt the universe is unfolding as it should.

    therefore be at peace with god,
    whatever you conceive him to be,
    and whatever your labors and aspirations,
    in the noisy confusion of life keep peace with your soul.

    with all its sham, drudgery, and broken dreams,
    it is still a beautiful world.
    be cheerful.
    strive to be happy.


  • Jun 15 '08

    NEVER NEVER NEVER administer KCl via IV push.

  • Jun 15 '08

    Yes, in my hospital, the nurses do the baths on at least one of their two patients on their shift. (which includes changing linens as well) We draw blood if the pt has lines, but don't do EKG's, our RT department does those.

    Keep in mind, that ICU patients often are vented, have lines, (including hemodynamic lines) and bathing them and changing sheets requires personnel that can manage the vents and lines with turns. Also, skin care is so important in ICU patients given the degree of immobility and fragility, that the RN her/himself should be monitoring skin frequently. Often if a patient is diaphoretic, and has potential or existing skin issues, full bed baths and linen changes are done more than once a day, all this really requires the primary RN and not the supportive staff to be managing the lines and the skin care. Does that make sense?

    Good question.

  • Jun 15 '08

    Quote from 2006rncs
    congratulations jess! i too start a new job tomorrow. i will be healthcare coordinator in an alf! i think it will fit my personality just fine! i know you will love working in the or. that is what i wanted to do before i started clinicals, but i have a bad back, and the or would kill me. but, you are a lot younger than me, too!!!

    again, congrats! you will do a great job!:heartbeat
    i wish you the best with your new job as well!

  • Jun 15 '08

    I've recently applied for a job at a local low-income clinic as a public health nurse, making home visits during pregnancy and post-partum. I did it a lot in nursing school and really enjoyed it. Of course, I'll be making a little less there, but the hours and environment (family friendly!!) totally make up for it. No nights, no holidays, no weekends, no on call. 4 10s or 5 8s, you choose.

    I chose this because it works with a population I'm more interested in. Most of my clients will be of a lower socio-economic status, which is also a population I enjoy being able ot help. I get to help, educate (something i also love), and hopefully make a positive impact on these women/families.

    Try searching for something like this. I don't know where you live, but there are clinics like this everywhere!

    (PS: I find out on Tuesday if I get this job! But I do know they're checking my references and have asked current employees who know me... and they seem really excited about me!)

  • Jun 13 '08

    Again, a previous post said something about every staff member taking a turn.

    There are very few things I refuse to do as a nurse, but every other task that could jeopardize my own health is done with some kind of precaution to protect me. Taking a smoker out and having to stay with him/her is different because there is nothing to protect me. Referring to the poster who said that CNAs who refuse to accompany smokers is wrong, I disagree.

  • Jun 13 '08

    Hmmm. I agree that you are being way too nice to this person.

    As her trainer, you need to go over the policy regarding breaks with her (if there is one at your job). It does sound like she's taking too many breaks if you have to stop what you're doing in order to accompany her.

    I think she knows she's pushing the limit and wants you along to vouch for her. If you, who are training her, are out there with her and didn't inform her it was inappropriate to take that many breaks.... then it's your fault if she's called on it.

    Put an end to it now before it becomes a habit.

    I know it's hard to confront people on their addictions, so hopefully your facility has an established, written policy about break times that you can use to frame this with.

    Good luck!

  • Jun 13 '08

    Hi, I'm not a nurse just doing my pre-req's but I am a smoker (unfortunately) and I can easily tell you that you are being waaay too nice. You are not a smoker and should not be subjected to the second hand smoke just so you can train this person. It almost sounds like she's taking too many smoke breaks anyway. I think it is unreasonable for her to ask you to come out with her when it is she who is being trained. Perhaps you can ask her to use a nicotine patch while in training? I know I would never ask a person who is taking the time and trouble to train me to come out and take a smoke break with me. I would take a break if possible and do it on my own. Or better yet take Zyban and quit so I could have the stamina to do my work. My

    I know of a nurse who is a smoker and she tells me she doesn't do it at work because she doesn't have time.

    I hope this helps:spin:

  • Jun 13 '08

    Thanks for your post. I have a passion for the elderly myself. I would love to make their lives more enriched. That is why I was possibly considering social work in a LTC.

    I will let you know what I decide. Thanks again!