interleukin 9,018 Views
Joined: Jan 10, '07;
Posts: 404 (63% Liked)
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The Lord's Prayer is in effect groveling at the feet of a bearded old man with the attitude of a Nurse Ratched running a supply depot.
Are you healthy enough and physically able to do the job to start with. Most of the country does not have safe or no lift environments so the risk of injury is great.
Second do you have enough retirement money set aside. You are so close to retirement it would be better to save money for retirement rather than taking out student loans or using your retirement savings to go back to school. If you take out retirement before 59 1/2 years old you will have to pay ordinary income taxes plus 10% penalty federal and state at least in some cases, a loss of possibly 50% of your income right there.
I don't think you'll have enough time to make that money up. Student loans are an even worse option as you won't have enough time to pay them off before retirement. Think long and hard before doing this and read thru the many posts of people who can't get jobs or are frustrated and disastified with their working conditions because I don't think things are going to get better for nurses when the govt, employers, and insurance companies are always trying to cut costs.
As was already mentioned you cannot get rid of student loans and social security will be garnished if need be to repay them. Could you afford to retire if that was the case?
This country puts too much emphasis on education as the way to advance financially and socially and the end result is so many Americans having spent thousands getting degrees they cannot get appropriate jobs with and then stuck in dead-end low paying jobs and trapped in student loan debt.
Congress recognized this truth which is probably the reason Banruptcy protections were taken away from Student loan debt back in 2005. They realized many students would never get decent jobs to pay the loans back and to prevent record bankruptcy defaults they took away all consumer protections from student loans.
Before you invest the time and money in this venture, please shadow nurses or take a job as a CNA and learn if you are up to the physical aspects of the job and if you like it and if you can handle the stress involved. It is unfortunate that we do not have a safe no-lift environment in nursing but with Bush demolishing the ergonomics legislation Clinton put in place so many years ago, I don't see things improving anytime soon.
Interleukin, unfortunately, I'm afraid you are right. And you just can't sense into those nurses. Plus they think that those of us who do say "no" are not team players.But don't we have to start somewhere?
I have great respect for educators who are able to develop thought-provoking assignments that do not omit critical pieces of reality, such as the legal (and ethical) responsibility to obtain informed consent for procedures.
Those educators are like gold.
And OP, I don't know if this helps your thought process or not ... but in my experience the days of families & physicians collaborating to shield diagnosis & treatment options from the adult patient are largely gone. Families do make decisions for patients who lack the ability to do so at the moment due to their illness, but current medical, nursing, and allied health culture emphasizes an individual's right to self-determination.
Edited to add:
Here's a column I found with a quick google search on therapeutic privilege. It notes that it is a rare situation. And the patient scenario it presents does not involve the necessity of obtaining informed consent for an invasive procedure. (though it is a skillful handling of a psychiatric patient )
Wait a second.....are some of you implying that Glen Beck may not have his "facts" straight? How can you turn a deaf ear to a man willing to show his sincerity by crying on his show that is on the most "fair and balanced" channel in the world? The sky IS falling. Stock your basements with water, spam, and vienna sausages. I know this because a patient in my ER is friends with a woman who went to high school with one of Pat Robertson children and he said the Bible clearly predicts that Obama will lead an Army of brown homosexuals to overthrow the United States in an effort to gain control of Area 51, where we hide the aliens. Why you ask?......The answer, as we all know, is that....liberals appreciate parades and abortions just a little bit more than freedom and low taxes. For this reason my wife and I have decided to not to give our daughters the Gardisil vaccine or let them watch any movie that does not star Mel Gibson. Oh great, I just realized the CIA is now monitoring me because of this post. If I disappear from allnurses.com ....you know why.
Unfortunately these things usually are tolerated by the nursing staff who will vent to each other about how flawed the system in place is, but do not bring it up to administration for fear of retribution or loss of employment. I did email my DON this morning and respectfully voiced my concerns, with examples of actual situations that occurred on the shift that are potentially dangerous and that she should know about. I know as nurses that administrators can understand the concerns, but it is different when you are removed from the actual day to day issues that staff nurses encounter daily. Then there are the constraints that are placed on them by their bosses that, at the end of the day, dictate the action or inaction that takes place regarding the issues. I would rather effectively communicate my concerns, knowing they are documented, because otherwise it is typical to be negatively labeled as a "complainer" or not a "team player." The concern is for the patients, who are the reason we are there doing the job in the first place. I am not looking for any specific response, and most likely I won't get one, not expecting to anyway. But at least I expressed my concerns to someone who is in a position to acknowledge them.
I think this is also related to staffing ratios. You can make rules about not interrupting nurses at medcarts or put sashes, signs, or traffic cones on their heads all you want, but it is the total workload of the nurse that drives whether the signs and rules can be obeyed.
I personally hate when nurses call out for a snow storm especially if it's less than a foot of snow (I know that in this case it was a huge blizzard). The reason I feel that way is that one has to stay late or work a double to cover for that nurse who didn't show up. Why take a job like nursing when you know you have to be there no matter what!
I've lived in various snow states and have had my husband help clean out the drive way, leave my house 3 - 4 hours early, and drive 25 - 35 miles/hr so I can get to work in a snow storm.
I know your safety comes first but why is it fair for you to stay home when everyone else is in the same boat as you, and yet somehow they show up for work?!?
People call in for all kinds of reasons. Calling in because of dangerous driving conditions is a good reason. You said it, safety comes first.
i hear you and agree. i already wrote my letter regarding my thoughts relating to their "10 month study" and what i believe they need to also focus on.
if you want to add your voice, these are the addresses:committee leader donna shalala, phd, secretary of health and human services under prez clinton, you can comment here http://www6.miami.edu/umh/cgi/send_t...ne_dept_id=283
linda burnes bolton, rn, phd, faan, who is vice president of nursing, chief nursing officer, and director of nursing research at cedars-sinai medical center in los angeles. direct an email to her at [color=#3399cc]email@example.com
the robert wood johnson foundation, go to http://www.rwjf.org/global/contactus.jsp .
to voice your view to the institute of medicine, email: firstname.lastname@example.org
so, voice your opinion. we are going to be the new generation of nurses. if we want things to change then we need to stick up for ourselves, and what is right for our patients. i keep hearing that nursing are the largest medical profession - so then why do such crazy things occur: not hiring new grads when they know they are going to need them, treat rn's unlike any other "profession", whereas every other profession gets their lunch break and even the ability to go to the restroom when they need to. where they are treated with respect and are expected to be part of the medical team and voice their opinion and have their suggestions be listened to instead of shrugged off.
until we start changing the way we respond to issues, and begin addressing them head on, only then will things change. we have to do it together. i'll keep on writing my letters. how about you?
Growing shortage? Are you kidding me? The only way it can be said that we have a nursing shortage is if you compare the number of nurses on the floor to the number of nurses who should be on the floor for optimal safety and patient needs. But the number of nurses on a floor is a function of a hospital's budget and their willingness to spend money to appropriately staff the floor. Before the economic tsunami hit, the shortage may have been due to a lack of applicants, not a lack of experienced applicants. Now, supposedly with the economy in recovery, but hospitals still hurting, they won't hire new grads. So no (real) shortage (of applicants), just a shortage of funds to hire them.
Conferences like this are laughable because they'll probably come up with an idea to continue increasing the number of new grads, which will only drive down wages and probably working conditions too. If that happens, be sure to look at management's hands...see what they're holding? It's all the cards.
Thanks for posting this MedSurg32RN. I was interested in this exact same question. I saw Dr. Gwande in an interview on The Daily Show and was going to post this and forgot.
Here is the link to the interview:
Here is a link to his book (from allnurses.com bookstore)
The Checklist Manifesto: How to Get Things Right
I'd love to hear feedback to see how many Operating Rooms are using checklist.
This is exactly the sort of situation the EMTALA law was passed to put a stop to (hence, the inclusion of the word "labor" in the title of the bill). I would say they probably have a pretty strong case and the hospitals are in big trouble.
I've been hearing new reports on Buerhaus' study for years now -- it's the same study and figures, and it keeps get recycled over and over again. They ought to do some interviews (and head counts) of all the licensed new grads who can't find jobs, instead of repeatedly interviewing people who have something to gain from promoting the idea of a nursing "shortage."
Where does it say on your nursing license or the nurse practice act, that "waiting on patients and families", is part of the job. As long as nurse allow this to go on, administration will continue to humiliate you in this manner.
Get together as a grop and flat out refuse!!JMHO and my NY $0.02.
Lindarn, RN, BSN, CCRN
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