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queenjean 10,650 Views

Joined: Mar 23, '07; Posts: 997 (34% Liked) ; Likes: 942

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  • Feb 2 '09

    There are no snow days for nurses-hospitals are 24/ is staffing. Plan accordingly...carry a packed should always have some provisions, and a blanket in the car. I work less than <20 miles but I don't take chances.
    Understand that you will stay (why you have a bag) but eventually your relief will come.

    If the highways are closed it is usually for non-essential personnel, like police nurses and doctors are considered essential.

    In the even that a storm is coming, you are expected to get there....leave early, leave late, stay over, we have even had managers, security, police and others pick up nurses in inclimate weather so that patients are care for.

    Understand that someone needs you, that is the job you signed up for, someone is waiting for relief, someone is waiting for care, and as an employee of a hospital it is expected.

  • Feb 2 '09

    Quote from squeakykitty
    I'm just mean enough to suggest that if they are having that much trouble holding it, I can get them a pair of tweezers to use.
    :chuckle LMAO. Wow this thread has grown since I last read it.

    - No Mr.X I will not change the channel for your wife since she is obviously capable of using the call light as evidence by my being in this dang room every 15 minutes. Sir, she broke her ankle, her hands work just fine, if she wants to turn the channel she can do it herself. No sir I don't have any other patients, I am just too lazy to do it. Sheesh!

  • Feb 2 '09

    You need to ambulate, go get your soda yourself. Ive already gotten you 3 on top of the chips, crackers, ice, and everything else you have requested in the past hour. I dont have time to get you another one right now because catering to you has put me behind with the rest of my patients. I am not a waitress, im your nurse.
    Gee, now I feel better. lol

  • Feb 2 '09

    lpns learn the same principles of nursing that all rn students learn. when rn students are in clinicals they are doing basic nursing and not making nursing management or delegation decisions. those decisions are made with your clinical instructor because you practice under their license.

    i don't understand how i am supposed to learn what an rn does if i'm not assigned to one.
    what you should have learned by watching and observing this lpn was how to do these basic nursing procedures and follow good nursing technique. "you can learn something from anyone." (ucsd practical guide to clinical medicine: a few thoughts before you go -
    i hired and worked with new grads as a manager. in school you will learn about leadership, prioritization, problem solving and delegation, but you will have little to no chance to practice it. that will come with your first job as an rn. it is stressful and you really don't want to rush into it. hospitals will not allow students to do these things since there is huge liability involved, mistakes are likely to happen, patient safety is a real concern and you need very close supervision.

  • Feb 2 '09

    It shouldn't matter, whether you are an RN or LPN student--the LPN still has more experience than you do and is defintely qualified to assist you

  • Feb 2 '09

    I have to admit, your post does come across as a tad sanctimonious. I, too, have had many life experiences prior to becoming a nurse. I earned my first college degree when my children were still in diapers, I worked (and excelled) in a male dominated industry in order to provide for my family, I volunteered for search and rescue as a K9 handler, training two search and rescue K9s to detect lost human beings and the remains of deceased human beings, I raised my children, gave up my family wage job to become a CNA in order to get into nursing school, and graduated at the top of my class in a nationally ranked nursing program while working full time as a nurse's aide. I, too, can toot my own horn.

    I do not see any more hostility in my career as a nurse than I did in my previous career. Maybe I'm just fortunate to work in a unit where we try to support one another, not tear each other down. However, if I do complain about a coworker doing a less than stellar job (cough cough), it is because I think that every patient deserves not just a competent nurse, but an excellent one. I have high standards not only for myself, but for those that I work with, upon whom I depend as members of a team. When one team member is not pulling their weight, it affects everyone, and that can be incredibly frustrating. Maybe it's because I'm in a specialty area and I feel that there is no room for mediocrity when working with the patient population that I work with.

    I recently had a second year nursing student ask me where to find the Solumedrol for the patient (they only allow second years on our unit, for obvious reasons). I told her it would be in a little glass vial in the patient's med drawer. She picked up the little glass vial of Nitroglycerin and asked me "Would it be in a vial marked "Nitroglycerin?"

    I admire your readiness to rise above pettiness and the behavior of tearing one another down that is not endemic to nursing only, but rather, is inherent in American society in general (IMO). However, as admittedly a new nursing student, my advice to you would be to keep an open mind about why people can get so angry about mediocrity when lives are at stake.

    Congratulations on getting into nursing school! I know from my experience that this is an accomplishment in and of itself.

  • Feb 1 '09

    Quote from flmomof5
    hmmm, i wonder how well you will sleep that day in your future....

    you are the nm. your staff *knows* this about you. your nurses do at a time, in pieces and dead. the nurses who didn't want to stay any longer come pieces and dead. how would you live with yourself then?

    or that day your arrogance gets you in that accident with your child(ren) dead in the back seat!

    there *are* times where it is absolutely too dangerous. i remember that 5' deep snow on my driveway and the radio announcements that anyone on the road would be arrested.

    physicians routinely do 24+hr shifts in a hospital. there are times when the best decision to make is to keep the nurses on shift there safe and caring for patients and tell the other nurses to stay a home where they will live to care for patients another day!
    [font="comic sans ms"]i get that you, for whatever reason, feel you don't need to make it to work during inclement weather. but the previous poster you were chastising with such drama is correct. you choose your career. then you choose a job that requires you to show up whatever the weather. you choose where you live . . . long driveway, country road or a block from the subway that will take you anywhere you need to go. you choose whether to drive a sexy sports car of a four wheel drive. if you've chosen to work somewhere with sick people 24/7 (a hospital for example) then your other choices ought to reflect an intent to actually get there. even if that choice involves staying in a hotel down the street the night before your shift when you know there's snow coming.

  • Feb 1 '09

    Some people might worry that the quality of care they will receive could be negatively impacted if they declined someone's offer of prayers.

    I don't really understand why the nurse couldn't have simply prayed to herself if she felt the need, unless specifically ASKED to pray with the patient.

  • Feb 1 '09

    Quote from awsmom8
    I would be offended if a nurse offered to pray for me. Having your nurse ask if she can pray for you is a judgment call about that person's beliefs and nurses need to be objective and non-judgmental about what a pt's religion is or isn't.

    It would be different if a pt asked you to pray with her as you could call the hospital chaplain or offer to call the pt's chaplain. But nurses are not at work to pray with pt's as everyones religion is different and the nurses prayer may offend a pt.

    But it is a bit severe...unless it has been an issue before.
    in the article it states that since God had been doing amazing things in her life, she had prayed for many pts and they were (supposedly) delighted.
    now, one has to wonder.
    otherwise, i am not understanding the severity of the discipline.


  • Feb 1 '09

    It sounds to me like there is nothing to worry about. You are innocent so you have no reason to be nervous. Secondly, I wouldn't worry about your employer not contacting you to say, "Great news! You passed the drug test!!" :wink2: I think they would contact you if there was a problem. I vote everything is fine and you can proceed assuming you passed. Congratulations on your new job!

  • Feb 1 '09

    Re: Nurses can help the economy: BUY AMERICAN SCRUBS
    I realize that, but writing to these companies (by the hundreds of thousands) and telling them want American made products, will have an impact.

    not unless we are willing to pay the premium for american made goods. Who is willing to pay $58 for a scrub top?

    i am very interested in supporting american companies and am grateful that others are also. the frustrating peice in that many folks don't understand that you cannot continue to expect your stuff cheap and locally made.

  • Jan 31 '09

    most areas have some form of bad weather, whether it be blizzards, ice storms, hurricanes, tornadoes, torrential rains with mudslides and sink holes, volcanic eruptions or earthquakes. (ok, the last two aren't actually weather, but you catch my drift.) hospital policies vary, but it's usually some form of "you need to make arrangements to be at work for your shift, and we'll haul you in if we need to." and if you can get yourself in and are allowed to leave, that's great. if the hospital hauls you in, you're generally stuck there for the duration.

    i've cross country skiied to work on more than one occaision -- and i was the only nurse allowed to go home to sleep because they figured if i skiied in today, i'll ski in again tomorrow. i've also gone to work on a snowmobile, a snowplow and once seriously considered ice skates. (i ended up walking, and once again was the only nurse allowed to leave.)

    what i fail to understand about your situation is why it's only the pm nurses forced to stay while the day nurse, who cannot seem to get to work on time to relieve them are allowed to leave.

  • Jan 30 '09

    We are always assigned to an RN, but I end up following the LPN because the RN's don't want to be bothered. I figured out very fast that I would learn more following the LPN, and they have been very willing to teach me. All the things I expected to learn, I'm learning from the LPN's--foleys, passing meds, tube feedings, dressings, charting, etc. In our program, once you finish block 2, you can sit for the LPN license exam. They have to do a lot of the same things an RN does. I wouldn't be too concerned. Best wishes!

  • Jan 30 '09

    You can learn more from a good LPN than a poor RN. The differences at the bedside are negligible. The other stuff (leadership and management) comes later in upper level courses.

  • Jan 30 '09

    Quote from cardiacRN2006
    I can easily (and safely) get 2 PRBCs in within 4 hours. Our policy allows 4 units per blood tubing.

    I guess we're all comfortable with what we know..

    Oh, most of the time we can do that, too. But because it's med-surg, and frequently our blood is going to the elderly who also are CHF, we have to watch that. MOST of the time, the blood is in within 3 hours no problem. But sometimes, we do get orders specifically to spread it over the four hours, or we have to so the patient can tolerate it.

    Personally, I think too many of our docs love to drop blood on patients when their H&H really isn't a problem. People think when they donate they're giving to the car accident victims who require it to survive (and that's true) but SO MUCH of the time I see it given to people with H&H's at least as good as mine on any given day I have to wonder...

    PS:We can only give the one unit per tubing so that in case of a reaction, there's no question as to WHAT they are reacting to. The entire blood tubing set, with bag, goes back to the lab in case of a reaction.