Latest Comments by DeLana_RN

DeLana_RN 10,697 Views

Joined: Oct 6, '06; Posts: 821 (36% Liked) ; Likes: 843
Specialty: 16 year(s) of experience

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  • 3

    Just to add one more comment...

    When I worked med/surg-PCU years ago, I welcomed students - they eased my workload (8 patients!) and were under the supervision of their clinical instructor when giving meds.

    Now, however, my workload is still very intense (just in a different way) and having a student may result in my having to stay another hour just to finish my charting. So I consider it a burden.

    Also, students can certainly tell when they're not welcome (I used to be one!) and this is not fair to either them or the nurses they are assigned to.

  • 4
    OrganizedChaos, kmsussman, ambr46, and 1 other like this.

    I am also tired of having students dumped on me... I just don't have the time, and if I wanted to be a clinical instructor I would have become one.

    Assign students to nurses who are willing to take them (this will probably require an incentive, so offer it!) and leave the rest of us alone.

  • 0

    Be very careful. Have you applied elsewhere?

    Just because a unit has long-term staff does not mean the manager is good or even tolerable; they may have learned to cope in various ways, including brown nosing.

    It is very easy to get fired as a new grad (or in nursing in general; much is subjective, the work load so heavy that they can find a reason if they want to.) They may not fire you, but force you to resign or claim you failed your orientation. Most likely, it would not be your fault... but might just be devastating to you anyway.

    But everyone is different, you may have no problems at all with this manager - perhaps she'll just like you (and not others). Is it a chance you are willing to take? Only you can answer this. Good managers don't normally have a bad reputation.

    Best of luck to you, please keep us posted.

  • 1
    Emergent likes this.

    ((( Esme )))

    All the best!

    P.S. Thanks for sharing your great advice and wisdom; looking forward to more!

  • 2

    Quote from klone
    No, "most" eggs are not chromosomally damaged after age 42. At age 45, there is still only about a 5% likelihood of a pregnancy with a chromosomal anomaly.
    I have done a lot of research on this subject. This does not mean that most pregnancies after age 40 (actually, after age 37 according to my sources) will result in children born with Down Syndrome or other chromosomal problems; instead, most "old eggs" are never able to be fertilized at all, resulting in "failed cycles" or miscarriages. At age 45, there is a 1 in 12 chance of having a pregnancy with a child with Down Syndrome - not bad odds, I agree. However - most are never able to conceive AT ALL.

    I have a friend who had several failed IVF cycles and was told by her fertility specialist that "old eggs" become a serious problem starting in the late thirties. She was 39, and he advised her to use donor eggs to increase her chances!

    Therefore I DON'T believe for a minute that this 65-year-old quad mother-to-be had her youngest daughter at age 55 "naturally", i.e., without using IVF with donor eggs. Especially after watching the "exclusive interview" with the TV station RTL; she never admits it, of course, but the child does not resemble her at all. (See for yourself.)

    In addition, it's striking how naive the woman appears to be... and clueless regarding the responsibility of raising quads - by herself.

    She had better hope the media circus continues and finances it for her (Octomom had hoped for the same, and we know how that turned out).

  • 0

    Quote from Kooky Korky
    "Conceivably", someone her age could have a "change of life" baby, naturally. I think.
    Well, yes... but what are the odds (extremely low. Most eggs after age 42 or so are chromosomally damaged and unable to lead to pregnancy, it does not matter when menopause occurs. And the odds that a woman this obsessed with having a huge number of kids would "happen" to have one of these rare pregnancies - well, I think the odds of winning the lottery would be much greater.)

    More likely she used donor eggs with the pregnancy at age 55 as well. A decade ago (when her youngest child was born) IVF with donor eggs was still "underground" in Germany and no one admitted to having used them. Apparently, this has changed and it is now condoned (although couples still have to go abroad for treatment, usually in Eastern Europe. This woman had IVF treatments in Ukraine).

  • 13

    The BILD article states that she is a single mother ("none of the 5 fathers [of her other 13 children] stuck around for long") and the quads were conceived abroad after multiple IVF cycles with donor eggs and embryos (using donor eggs is illegal in Germany). At least it acknowledges that there is no way someone that old and long after menopause could possibly conceive naturally (although she claims that's what happened with her currently youngest daughter who was born when she was 55; highly unlikely, but remotely possible).

    I think it's clear the woman - and her doctor - have some serious issues (yes, Octomom and her irresponsible doctor come to mind...). Even if she lied about her age... well, she clearly looks 65. But I guess she passed the wallet biopsy.

  • 2
    morte and Saiderap like this.

    I can relate. My mother thought I was too introverted to be a nurse, that I should work "in a lab or something - by myself" instead. Never mind that I absolutely hated the clerical jobs I had before becoming a nurse (which she thought would be appropriate or adequate/good enough for me). And never mind that I was in my thirties when I started nursing school!

    Sigh... I can only hope I'll be more supportive of my own kids when the time comes.

  • 1
    greenerpastures likes this.

    Oh, yes, years ago when I was a new grad working on a med/tele-PCU with an 1:8 nurse/pt ratio our staffing at this for-profit hospital was so poor (few lasted long in that hellhole) that everyone was put on a mandatory "call" shift very other week - except you could "consider yourself called". Of course, they did not pay call pay; the basic pay rate was so poor (I would be too embarrassed to tell) that it certainly wasn't worth it; and of course we had no union.

    But in this day and age? I'm shocked mandatory OT/call still exists. Run for the hills!!!

  • 0

    Just because you're nocturnal (an "owl") does not mean that you will do well working nights. I should know; staying up all night - no problem (I have to force myself to go to bed before midnight when I work the next day - day shift). But I found night shift much too disruptive for a "normal" life. Especially if you have kids... sorry, it didn't work for me at all. It felt wrong from the start - and I got in line for day shift just as soon as I could.

    It's hard getting up at 5:30 a.m. - I hate it, really - but at least I feel like I have a life now. On nights, one shift really "ruins" two days, which the differential (not much in my case anyway) can never compensate for.

    To each their own! But this owl will stay on day shift.

  • 0

    Quote from hope3456
    Excellent point! When I first started M/S I could not figure out why I did not have time to sit and chit chat with all the other nurses. Finally I saw another nurse enter into a room - just hand over the meds and not do any kind of initial assessment like I had been doing. You know, assess LS, BS, pain, ect.

    I am just asking - when do you nurses with excellent time management skills do your assessments....or do you?
    Good question... I know a few such "efficient" nurses who always chart exactly the same assessment as the previous shift and never bring a stethoscope (hmm... just how did you assess those adventitious breath sounds - oops, never mind, your pts' BS are always "diminished").

    And as someone mentioned, management loves them since they always get out on time (unless they got caught up on FB and lost track of time)

  • 2
    Orca and The_Optimist like this.

    I can relate to a point. Yes, I was that bright-eyed new grad (15 years ago) that got burned... oh so badly in my very first job. And that was not the only time. And I learned the hard way that nurses eat their young and their own.

    But: I never lost that idealism. The fire never burned out!

    And it never will.

    You just need to find the right setting and reach a certain point (age? wisdom? maturity?) where you won't let it get to your (anymore).

  • 0

    It really depend on a lot of things, including acuity and ratio depending on census (I may have 3-6 patients, but usually 5 or 6); how many admissions; team (some charge nurses help, some don't; same for colleagues).

    On a very good day (very rare), I can leave on time.

    On a good day, about 30 minutes over.

    Most days, 30-60 min over.

    Bad days, 60-90 min over.

    Very bad days, 2 hours...

    the worst days, > 2 hours.

    I do get paid by the hour, and rarely get "real" OT (over 40 hours), but it does get old and wears you out!

  • 2
    Ayvah and anotherone like this.

    Quote from loriangel14
    30 minutes out of 12 hours is awful.
    I would love to get an entire 30 minutes in a 12 to 14 hour shift (i.e., the scheduled 12 hours plus the unintentional but unavoidable OT to complete all the charting etc.) Seriously, in more than a year I don't think I ever took 30 minutes for lunch/dinner - and on most days, nothing at all (unless you count bathroom trips or quick runs to the coffee pot and back).

    To get 30 minutes - uninterrupted - would be heaven!

    P.S. Of course, 30 minutes are deducted from our hours assuming it's our break (and if we had the nerve to request payment for the missed lunches, we would just be told that we need to improve our time management )

  • 0

    I know a nurse whose facility does not allow CPR... although they do admit "full code" patients. The plan is to get the patient to a hospital - or obtain the DNRO - before they crash.

    My friend is very uneasy about this, as you cannot always react in time. She is worried about her license and has decided that, if it comes down to it, she will give CPR against policy. It's a bad policy and should be changed - full codes should simply not be admitted!