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sameasalways, RN 5,469 Views

Joined: Sep 26, '06; Posts: 126 (8% Liked) ; Likes: 15
RN; from US
Specialty: 8 year(s) of experience in Med/Surg

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  • Apr 1 '16

    Quote from dishes
    I feel for parents whose child is diagnosed with autism, it must be confusing and very upseting to hear this diagnosis. I wonder if when they are grasping for understanding, if it is easier for some parents to believe that their child's autism is related to vaccines, rather than their own advanced paternal/maternal age.
    or that they have an autistic child that has nothing whatsoever at all to do with their own ages.

  • Nov 12 '14

    Sometimes surgeons act differently on the floors than they do in the OR. Many realize that it behooves them to treat the surgical team with respect, because we can make or break their cases getting done in a timely fashion. And even if someone is snippy with you, you are going to develop brass ba**s in the OR, give it back to them.For the most part, the OR is very team oriented.

    I wouldn't worry too much what the secretary said..maybe she just doesn't like this surgeon. Maybe she doesn't like the fact that you want to move to another area.

    It's your career..I wouldn't worry so much what others say. I love the OR, when you are in a room with a good team, it's the best. You actually find yourself having fun, and you will see and learn so much. Good luck!

  • Nov 12 '14

    Unit secretaries tend to know everything that is going she may be right, but I would take her impression with a grain of salt. Go ahead and pursue the OR if that is what you really want to do. There is no rush, no time constraints, are there? If you are just now getting comfortable working where you are, then stay for a bit longer. When you get to the point where you feel that you want to take on more learning, then consider going to the OR.

    I seriously doubt that you will get treated badly by the staff in the OR simply because this doctor recommended you. More than likely, they won't have a clue unless you tell them. The nursing supervisor is not going to introduce you to the staff by saying, "Hi everyone! This is nurse Same, and she will be great because she was recommended by Dr. X!" See how ridiculous that sounds? Erase that doubt from your mind, and if you DO decide to go to the OR, do NOT carry that assumption with you. The staff will pick up on it and you will end up isolating yourself without ever meaning to.

    I am a little concerned that this secretary said that he was only nice to skinny nurses. Is the secretary skinny? Overweight? Sometimes people's perspectives can be skewed based on their own insecurities and they construe other's actions and motivations as negative when realistically, they are not.

    Go with your own gut instinct. Have YOU seen this doc be a total jerk to other nurses? Watch for a while and see if you observe any rude behaviors.

    More than anything, do what YOU want to do based on YOUR wants, goals and desires. If this secretary had not mentioned anything, would you still have that excited anticipation of going to the OR?

  • Jun 23 '12

    A second recommendation to read Final Gifts by Callanan and Kelley. Amazing book. It helped me and my family make sense of my Dad's death because we were prepared for the possibility of 'nearing death awareness.'

    Dad spent about 36 hrs "preparing for a trip". He was bedridden but pantomimed putting the luggage rack on the car, checking the headlights and brakes...all the things he always did before we took a road trip. During this time he started conversing with friends and family long since dead, but eventually he went to a "banquet" where a "Man in a big white chair" was making sure everyone was having a good time. He would go from our world to the banquet and back again, very peacefully and effortlessly. He was a devout Christian, and we remembered the 23rd Psalm "Thou preparest a table before me..."

    I found the earlier interpretations of near death awareness being demonic as questionable, given my personal experience. "Judge not" my friends, until you have witnessed something like this you can't really make such a blanket judgement. My fundamentalist siblings never thought Dad was being "seduced by Satan." I have no doubt that my Dad was dining with God that night.

  • Jun 23 '12

    Hey I just met you and this is crazy,
    Im high on bath salts
    Your face looks tasty

  • Jun 23 '12

    The RN, the actual nursing job in a hospital is overrated. There are thousands of new grad nurses that can't get any work as a RN. There are nurses with experience that are finding hard to get work too. The future of nursing doesn't look good either: Unions are under increasing pressure and the recession gives the employers all the leverage to do what they will with RN's from trying to cut benefits, break up the ratios, to cut pay right down to intimidation in the workplace. The media perception of nurses could not be more inaccurate, as we whiteness shows like Nurse Jackie and some widespread perception that nurses are "caring", "loving people" "should never leave their patient" (as if they had the obligation to do so without compensation). So with a combination of hardship at the workplace, the lack of respect and the responsibilities and long hours and in the end having to do without the only good thing about nursing which was the security and availability of work, I think nursing is overrated.

  • May 16 '12

    The PTB in our corporate offices sent out an infection control memo that said we should be cleaning things like poles, bp cuffs(before each pt had their own) as soon as we enter a room. You know, while we are introducing ourselves, talking about plans of care. They said it would be reassuring to the patient. I am saying I, if a patient, would be asking WHY that wasnt cleaned BEFORE it came into my room.

  • May 9 '12

    You asked for open dialogue, and I believe that you just received it. If you choose to argue about someone's belief, then you may stifle the open dialogue. It is never right to call people names like fatty, etc.

    When we correct pts on their smoking, their drinking, lack of exercise, caffeine intake, even tactfully, it all is going to hurt their feelings. Being told that one is doing wrong hurts their feelings. But to not address it hurts their body.

    Often as nurses we must hurt pts to help them. And quite bluntly, it is quite wastful to keep paying for knee replacements, bypasses, disability for backpain, on a morbidly obese pt that refuses to adhere to a diet. Why should HCW work ever harder to care for someone who does nothing to help themselves? or who insists on overeating despite the harm that it is causing them.

    Many of us have have medical issues that make it difficult to lose weight. I frequently use high dose prednisone, for example. We also make excuses as to why we eat the way we do. I'm stressed, my work place hasn't got healthy food, I can't make the time to eat right, yada, yada.

    But the fact remains, that human biology (metabolism) has not changed that much from a century ago, or for our fellow humans in nearby nations. We (in the first world) have incredible resources for food, and ease of obtaining much of what we need, yet, have incredible poor health, bad eating habits, and skyrocketing obesity rates.

    Recently, I went to NYC. I pretty much doubled or tripled my calorie intake. And yet I lost weight (despite prednisone). Why? I walked up stairs, downstairs, stood on the bus, the subway, ran to catch my ride and did alot of walking tours and was on the go.

    That tells me something.

  • May 9 '12

    I am as anti-fat as I am anti-anorexia/bulimia, anti-smoking and anti-riding a donorcycle without a helmut, anti-unprotected sex, anti-failing to wash your hands, etc. I counsel all my patients that smoke, I counsel all my patients that have high BP, high cholesterol, and too high or too low BMI, etc. It is my professional responsibility to discuss the risks associated with unhealthy behaviors. I have probably lost patients over it. I don't care. They don't get tacit approval for ignoring risk factors just because they are embarrassed about it.

    People need to separate the emotional component from the facts. As BMI increases over 25, risks go up. As pack years smoking history increases, risk increase. I have a cardiologist friend who will not treat smokers. You either quit, or find a new cardio. He sees them as just wasting his time. I think that's extreme, but I do get frustrated hearing "my knees hurt, gimme medicine" from people with BMIs over 35. "I smoke 2 packs a day and I'm SOB, gimme medicine, FIX IT!" It gets tiresome.

  • May 15 '11

    I manage an LTACH. I know ALL about customer service. Especially since my CEO is not clinical and money money money based. He expects the utmost patient and family satisfaction while expecting a high patient ratio on critically ill patients. They don't go hand in hand. Oh yes, and my CEO hates me and I will probably be fired in the next week

    Maybe I suck at my job because I don't believe in customer service at any costs. When my nurses are right, I stand up for them. When they are wrong, then I take corrective action, but if a family member or a patient is abusive and i know they are being unjust, I stand by my staff and explain to the patient or staff that that behavior isn't necessary. I had a family member curse out one of my best nurses. Literally curse her out. I went right up to him and said if he ever talks to one of my staff like that again, he will not be allowed back in and he could be free to take his mother with him. Well, good news was he did shut up after that one.

    I don't let customer service interfere with the care of patients. I stand by what is clinically correct even if it doesn't make the patient happy.

    Again, which is probably why my staff likes me, but the CEO doesn't;0

  • May 15 '11

    I've flat out given up. We had a woman yelling at the nurses when they explained that the surgeon was scrubbed into surgery and would come talk to her after he was done. She wanted him to scrub out and come see her immediately to answer her questions. We've got people complaining that we come in to the room too much at night, then people complaining we don't check on them enough at night. Literally got a complaint that there weren't more organic food choices in the cafeteria.
    And we reward the behavior. The ruder they are, the more we cater to them.
    I used to think that eventually, someone would die because we were too busy in the next room kissing butt, and things would change. But they won't. It will just be another chance for management to tell the nurse that was too busy fetching McDonalds for the NPO patient to actually provide nursing care for the patient that needed nursing care, that they need to manage their time better.
    Whatever. I've given up.

  • May 15 '11

    What really gets me is how we as nurses are often held accountable for EVERYTHING. Any bad experience or complaint is a nurses fault. My manager leaves press ganeys out for us to read sometimes, and tells us "Be sure to read them. They can help us improve as a floor and see where our weaknesses are". So I go through them. Some of them are complementary, but a lot of them contain what I consider to be trivial complaints (that apparently also seem to ruin their whole hospital stay), or are things that nurses are not responsible for/can't do anything about.

    Some of them had vague comments with no basis, like "The nurses all seemed like complete idiots". Or "the nurses had no idea what was going on". That isnt very helpful, IMO. Give us some examples.

    And far and away the most complaints are about the food. Like I can do anything about the food...We get a lot of bowel surgeries on our floor and we hear all the time "they didn't let me eat for THREE days!". Well yes, that's the way it works when you have your bowel operated on.

    Other complaints "They made we walk a few hours after I just had surgery", "they had to put a tube down my nose and it was AWFUL!" So you want to keep throwing up a liter an hour because you're obstructed? "They woke me up all night" "My room wasn't cleaned one day". And a really great one "I didn't get any extra amenities. I saw other patients had combs, lotion, mouthwash etc and I NEVER got any. This made me very angry". Uh, last I checked all you had to do was ask for those things!

    And the question that asks about the skill of the nurse caring for them, most of the time the people comment about IVs. "They had to poke me TWICE to get an IV started". Or "they poked me every morning to draw blood." Or "my IV pump kept beeping". I think it's funny how when asked about technical skills of the nurse all they think about are IVs. Like that's the only technical thing we do. And like I can change the fact that you have small veins, or that the doctor ordered labs for you (because they are actually important) or that your IV pump beeps when the bag is out.

    Management is always about Press Ganeys or HCAHPs and how can we improve them. Well after reading the survey results, I usually have no good ideas. After reading this last batch I'm like, so in order to get a good Press Ganey we should basically let the patient do whatever they want...let them eat whenever, avoid any procedure that might be uncomfortable or painful, avoid waking them up during the night and above all else "not be an idiot". Great.

  • May 15 '11

    Oh gosh, where to start? Well, when I first decided to go into nursing, I was working in a highly technical field that required a great degree of skill with complex tasks. I wanted to apply that level of skill to doing something that would actually help people and contribute to my community in a positive way.

    In nursing school, I excelled and was at the top of my class. Loved all the complex pathophysiology and pharmacology, particularly in relation to the cardiac conduction system.

    Hit the floor in an acute care setting right out of school, loved connecting with patients and family members, loved the cerebral aspects of nursing care, despised the drudgery.

    Had a change of scenery, in a new department, been there a couple of years now. Still love it when I can connect with patients, when they're eager for information and I feel like I'm really helping them, but absolutely hate the menial tasks.

    It's gratifying when I get an IV into a tough stick, when I can put a Foley in a poor little old man with urinary retention and watch the relief wash over him, hold the hand of a frail little old lady who doesn't remember why she's there, educate the young uninsured guy about resources in the community where he can get health and dental care cheap or possibly free, provide primary care for immigrants who may or may not be legal, because they don't know where else to go, catch something and point it out to the doc, who then changes his plan of treatment because of information that came from me, etc.

    I hate "I need another blanket/more ice chips/a sandwich/to go to the bathroom/more nausea medication/more pain medication" and "How long is this gonna take, I've been here for three hours and I'm leaving if I don't get X,Y,Z" (In reality, you've been here less than one hour, and I don't give a crap if you leave, cause you really don't need to be here anyway, but I'm going to smile and apologize for the wait, and offer you another damn warm blanket, because that's good customer service). I hate waiting on people hand and foot. I hate being treated like a servant. I hate doing repetitive tasks that a trained monkey can do. I hate when people care more about getting their crackers and juice right away than they care about getting their life saving medications. I don't want to do this for the rest of my life!

    Does that help?

  • Oct 16 '10

    Langley is in Hampton.
    To live I'd look in York County, Tabb, Grafton, York districts. I live in Williamsburg/York County (Bruton District) which would be 20-25 min to Langley. Personally, I would not recommend living in Norfolk/Virginia Beach and working in Hampton, there are 2 tunnels one with HORRIBLE traffic problems and the other is very inconvenient.
    As for working on the "Peninsula" (Hampton, Newport News, Williamsburg), you've got 4-5 options in no particular order: Sentara Williamsburg, Sentara Careplex, Sentara Port Warwick, Riverside, and Mary Immaculate (Bon Secours). New grad pay last year was +/- $20.50-22 range, plus differentials for nights & weekends. There are also Hospitals on Ft Eustis, Langley, and a VA Hospital in Hampton. I can tell you that worked as a Carepartner and tried out an ER RN position (as a NG) at Careplex and it was a positive experience, I did clinicals and have friends at Williamsburg and Mary Immaculate to which they all seem happy. Options on the "Southside" (Norfolk, Virginia Beach, Chesapeake, Suffolk, Portsmouth) would start with Sentara Norfolk General, Children's Hospital of the Kings Daugters (Norfolk), Chesapeake General (I have heard bad from a respected co-worker that did some part time work there), Navy Med Center Portsmouth. Sentara does have other hospitals, but I know little or nothing about them. The pay rate is also less on that side of the water.

    I am hearing that things are opening up at Sentara Williamsburg and Careplex, so you may start your focus there. All the best in your transition.

  • Oct 16 '10

    your nursing license will not automatically transfer. you will still need to complete the application for licensure by endorsement - registered nurse. however, since north carolina and virginia are both members of the nursing licensure compact so it should greatly simplify matters.

    the nurse licensure compact is an agreement currently enacted by 24 states. this compact agreement works much the way that your driver's license does. if you are a legal resident of any compact state you license grants you multi-state privileges to work in any of the other compact states as long as you maintain legal residency in the state your license was issued from.

    when you relocate from a compact state and change you state of legal residence, what happens to your nursing license depends on which state you relocate to. if you relocate to a non-compact state your previous state's license loses its multi-state privileges and becomes a single state license for the state in which it was issued and you must obtain licensure in the state to which you move. for example, if you were to relocate to georgia (non-compact state) from north carolina, then your north carolina license would become a single state license (good only in north carolina).

    if you relocate to virginia (compact state) you are allowed to work for 30 days on your north carolina license. this will allow you time to apply for licensure. after 30 days your north carolina license will no longer become inactive as you are only allowed to hold one multi-state license under the compact.

    i hope this information was helpful.

    nursing licensure compact fact sheet.
    virginia hospitals and medical centers