oblivionenigma

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1. Patient with Dementia's Right to Refusal

   oblivionenigma replied to oblivionenigma's topic in Safety

   Even if they have a POA or even a legal guardian, the legal guardian cannot say "Turn them every 2 hours no matter what" if the patient refuses. We cannot force them to do anything they don't agee to, period--even if they have been declared mentally...

2. Patient with Dementia's Right to Refusal

   oblivionenigma replied to oblivionenigma's topic in Safety

   Thanks for your reply! I guess I've accepted that I can't "save" everyone, when that "everyone" is someone who can decide what choices to make. I'm still trying to accept that I can't "save" people when they don't understand that's what I'm trying ...

3. Patient with Dementia's Right to Refusal

   oblivionenigma posted a topic in Safety

   Hello! I have a bit of an issue. There are certain patients I often take care of who have profound dementia--to the point of requiring hand-over-hand assistance for eating, unable to consistently reposition self in bed, etc--in a SNF. They regularly ...

4. OMG I don't think I can do this job

   oblivionenigma replied to Ado Annie's topic in New Nurse

   The first time I ever let the ball drop and was nearly beside myself, the director of nursing--who is absolutely amazing-- said "Oh my god, it's the end of the world! No one has ever made a mistake of this magnitude before!" I stood there stunned. ...

5. First Day on Job Tonight. I thought I didn't make out alive

   oblivionenigma replied to FutureRN_NP's topic in New Nurse

   Hey, I was you once! I know exactly how you must feel! The med carts are always a disaster. The clean utility room is a mess. Even the linen closet is out of whack! You're just having a hard enough time knowing what the names are for the meds a...

6. Absolutely incompetent...not so sure "it gets better".

   oblivionenigma replied to opossum's topic in New Nurse

   I'm sorry to hear about your difficulty and your feelings of incompetence. However, you're just inexperienced and this is totally expected. It's hard to think to look at the "big picture," to know when to ask why, etc. Heck, "what IS the big pictu...

7. Share The Weirdest Reasons Patients Push The Call Light

   oblivionenigma replied to RN06-NP09's topic in Humor

   I had one 80-something patient use the call bell. When I came in, she started screaming "Where's the **** call bell you ****er?" (use your imagination in the *'s; she had quite the diverse vocabulary of insults) I showed her where it was. She respo...

8. im injection

   oblivionenigma replied to peaceful nurse's topic in Medications

   From what I've read, recent evidence seems to suggest that there is little benefit. You can have it in a blood vessel and it won't aspirate blood, and you might not have it in and get blood. As a previous poster reported, it seems it could only b...

9. Disappointed in myself and feel like a failure in nursing.

   oblivionenigma replied to NocturneNrse's topic in General Nursing

   Agreed. Though if one is forthcoming with praise, other people are sometimes motivated to be forthcoming with it was well.

10. Delegating task

    oblivionenigma replied to mynhii's topic in General Nursing

    Thank you for hitting a nail beautifully on the head! Some nurses refuse to do "CNA work;" everyone knows who they are very quickly, and everyone hates to work with them. I've found that if I go the extra mile for my staff, my staff takes extra goo...

11. Why Do I Keep Seeing This?

    oblivionenigma replied to oblivionenigma's topic in Med-Surg

    I guess it's not. I had been under the impression that, for my aunt at least, her children were taking care of that. I guess I'm just frustrated as I saw the whole "sitting at the station saying 'That's not my patient'" at two separate hospitals; a...

12. Delegating task

    oblivionenigma replied to mynhii's topic in General Nursing

    Yes, you will earn some delegation in nursing school as part of clinicals. If you're doing a baccalaureate degree, you'll probably have a class somewhere in there about leadership and management as well. The rest you just learn from experience. If ...

13. Do your Managers and Charge nurses work on the unit?

    oblivionenigma replied to pilotnurse's topic in Emergency

    Our director of nursing is absolutely amazing. She will work on the unit almost daily if needed. If there is a call out she can't fill, she'll fill it herself, day or night, even if it's a CNA position. Actually, even our head administrator will wo...

14. Delegating task

    oblivionenigma replied to mynhii's topic in General Nursing

    Your mother is creating a self-fulfilling prophecy. No, you may not be a natural leader, but that doesn't mean you can't be a good leader. On the bright side, a good staff kind of knows where they fit in in the general scheme of things. However, it...

15. Disappointed in myself and feel like a failure in nursing.

    oblivionenigma replied to NocturneNrse's topic in General Nursing

    First, rest assured that, as a nurse, you WILL ask yourself "Why am I doing this? I'm too stupid/not brave enough/too sensitive/not sensitive enough/whatever for this." I have had that crisis several times now. It seems to be pretty normal and, af...