Latest Comments by Nurserton

Nurserton 5,208 Views

Joined: Apr 7, '08; Posts: 140 (37% Liked) ; Likes: 104

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  • 1
    Icooka4u likes this.

    I generally love the boards, but I have to say, as a nurse who passionately believes in the holistic nursing movement, it is so disheartening to come on this board. As holistic nurses, we have to frequently hide our stances on things because they may rub allopathic proponents the wrong way or bring down the wrath of the herd. We face ridicule and patronization by our peers on a regular basis once our positions are known on topics like vaccines, GMOs, the efficacy of natural substances and interventions such as accupuncture, massage, etc.
    Because of the unique nature of holistic nursing, the ADVERSITY the field faces in going "against the grain," the need for further education on behalf of the entire medical community, and especially the lack of support from within the would be NICE to be able to come on the Holistic Nursing board and be able to positively interact with like minded individuals instead of having to come on here and battle the same snide, smug, patronizing peers that we deal with on a regular basis.

    Soooooooo, with that said, where are all the non-lurking, REAL holistic nurses? What is your specialty? What do you do in your community to bring holism into your practice?

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    eatenbylocusts likes this.

    Quote from Hex
    Wow. That is a whole lot of crap in just 5 lines. Yes, alternative "medicine"
    is old, so what? Something being old does not make it true or effective. Look up the argument from antiquity. The main reason we live longer than ever before in human history is because science and science-based medicine have made it possible for most of us to make it out of childhood alive, and well into our 70s and 80s.
    And I suspect that, yes, many people die while being treated by modern medicine because many, many people have the common sense to seek out modern medicine over quackery. Why? Because it usually works. Does it cure everything? Of course not, and it has never claimed to do so. But it has a track record that trumps any form of quackery out there.
    No, the main reason we are living longer is due to the basic concepts of CLEANLINESS that came into play right around the days of good ol' Florence Nightengale. Infectious disease has been the hallmark of demise in pre-Western and historic societies. Prior to modernized standards of infection control, the most "common sense" medical and nursing practices were not so common. Surgeons operated in their DIRTIEST attire, people were not quarantined, etc. Additionally, the European dark ages that preceded her era were a detestably filthy period where people were literally throwing excrement out of windows into Main Street.
    So I'd venture to say that changing THOSE types of practices has had far more of an effect on public health than Lipitor ever has or will.

    In all honesty, you sound extremely inexperienced and/or like you've never left the bedside and experienced patients outside of a hospital setting. Why don't you go get a case management job and try and help some elderly patients manage their 6 cardiac meds, 4 diabetic meds, 3 arthritis meds, and 2 meds to treat the side effects of the other meds. When you see how many BAND AIDS Western Medicine has neatly doled out to them, I wonder if your haughtiness on the "curative" nature of the allopathic model in any and all circumstances would persist. What a joke.
    From EXPERIENCE I have learned that what would have in many cases PREVENTED those people from EVER reaching such advanced stages of their "chronic" diseases (which "curative" Western Medicine could not keep from advancing, oddly enough) more than ANYTHING was good old "CAM," specifically, in the form of whole food nutrition and healthy lifestyle choices.
    The Band Aids are an obvious money mill and a symptom of an extremely flawed larger system. They are not "cures," as most "Western" medicines are not (diabetes? cancer? COPD? Asthma? CAD? ---WHERE ARE THE "CURES"?). Funny, last I checked, the only thing that could eradicate diabetes guessed it...."CAM" the form of dietary and lifestyle control...same thing with heart disease and HTN in many cases. Additionally, more and more research is PROVING that it is a TOXIC environment that exposes us to CARCINOGENS, which, (duh) cause CANCER (The recent Roundup study being a great example, but just check out Environmental Working Group...there are many, many more such chemicals in our homes)....thereby also illustrating that "CAM" would OBVIOUSLY make SENSE in the form of healthy lifestyle choices, nutritional fortification with antioxidant-rich whole foods, and the minimization of and adaptation to exposure to toxic environments (minimization when possible, adaptation via nutrition and herb supplements to strengthen the immune system and adaptogenic response of your body). Your inability to think critically about the intricacy of the human body, the powerful substances on this Earth, the full spectrum and consequences of the healthcare system, and the tremendous (and effective) role of non-allopathic healing is a hallmark of so many nurses who have become robots in the "people factory," despite the education to the contrary that you received in nursing school.
    Nurses are not robots. We do not just push pills like buttons to keep the line going. We are intelligent human beings who are blessed to be a part of an ancient craft with a rich tradition of healing through many avenues. Modern medicine is new to this world (as the name clearly implies); nurses are not. Some of the tools used in our craft may have changed through the ages. Our respect for the importance of the entire human experience should not, so let's not cheapen the experience of our patients by reducing them to products in the "people factory."

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  • 2
    Spidey's mom and applewhitern like this.

    The wording of the poll responses is extremely biased. The concept that birth control access is a "right" is highly debatable. The idea that some sort of "women's rights" has been taken away is equally absurd. Birth control is a novelty that we have become comfortable with. And that's fine... There is always good old Tri-sprintec for $9/month at Wal-Mart. Or the rhythm method. Lol. But seriously, if an employer doesn't want to cover the outcomes of your sexual activity, they shouldn't have to. And if you object to their beliefs at that place of work, perhaps it's not the best fit for you...And that goes for the hypothetical Jehovah's witnesses and Jews too.

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    martymoose likes this.

    THIS is precisely why I left the bedside. We take the brunt of everything and everyone thinks its okay to abuse us and get away with it. Glorified med waitresses. Gotta keep those survey scores high!

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    Mijourney likes this.

    While you don't need to work in a hospital at the bedside specifically, you DO need some type of experience dealing with patients, whether that be in a wellness center or LTC or clinic or hospital is largely irrelevant. My first job was at a federal health center and I did a little of everything from QM to CM to pt triage. It is naive and arrogant to believe that you have graduated with all you need to be an effective nurse. The sad reality is that nursing education has been up in arms for years with debate of what curriculum should include and even whether postgraduate residencies similar to physicians should be required because there is simply not enough time to teach a nursing student EVERYTHING they need to be an effective nurse. Hospitals orient new grads for 8-12 wks or more just to start on a basic med surg floor, sometimes up to a year for certain specialties, just to do "bedside care." To be an effective CM, you need to understand not only the modalities of disease but what's actually being down "out in the field" these days because in the 3-4 years it takes you to finish school, the treatments you've learned about can change. In addition, you need to have a firm understanding of the structure and hierarchies of medical institutions to effectively navigate your clients through the system and there is no better teacher than experience. Frankly, you cannot learn everything out of a book and like it or not the cornerstone of nursing is health CARE.
    To me, informatics and healthcare technology are areas where your nursing background might be a plus but not a requisite. The primary field isn't nursing IMO, it's informatics/technology

  • 0

    Quote from Aernton
    Hi Nurserton,

    I have been a nurse in the hospital setting for almost 2 years now and am becoming burnt out and the idea of being a UR nurse intrigues me. Is it possible to obtain a job doing this with the little experience I have? Thanks!
    It's possible, but honestly, probably not likely. It depends on the diversity of your experience I guess. I had 4 years of experience but very varied - outpt, floor, step-down, icu, charge nurse, some quality, outpt case management, etc. It may be better that you take advantage of your clinical "momentum" at this point in your career. I would caution you to make sure you don't want to go back to bedside/direct patient care because once you're out for a few months, you will have a hard time getting back in. Many places even require nurses to take a refresher course. There are many ways to grow and alleviate your boredom within the realms of patient care. That doesn't mean you should rule out UR..always have that goal i mine when crafting your resume. I do really enjoy my current position and given my combined 10 years patient care experience I was ready. But remember, you have a whole life of nursing, no need to rush. The beauty of it is the ability to have so many varied experiences and all of them qualify as nursing, and better yet, all of them will qualify you as a UR nurse. Good luck in whatever you choose to pursue.

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    jlalameda likes this.

    If you have one position to do UR, CM, and DCP, be prepared for your hospital to lose money or have a good appeals dept. because they probably will be so busy dealing with IP issues that their utilization reviews will be poor. Speaking as a review nurse for an insurance company, you can tell which hospitals have nurses who know UR and which ones have hospitals who have nurses that are overworked or don't care and hence bring in more denials. It may seem like a "cheap fix" to ball it all up but in the long run it may cost you.

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    Quote from RNSAC
    I have a semester left of school and will be looking for jobs shortly. I just wanted to know if there are people who work as a case manager and as a bedside nurse. I initially wanted to be a bedside nurse but i ended up specializing in case management so now i want to do both. I understand that if i choose to go into case management, it'll be hard to find a job as a bedside nurse later down the road. So i'm hoping to find a job in both areas. From my understanding, it is easier to find a job as a case manager than a registered nurse, at least in northern california.

    I received a RN license earlier this year and after 3 months of looking for a job, i gave up. I believe being a full time student may have been a reason for the rejection letters but who knows. At this rate, i might just go straight into case management.
    I work with a nurse at an insurance company now who used to work inthe hospital as a Care Coordinator and pick up shifts on the floor also. So, yes, it can be done, bur probably only if you're doing CM/UR in a hospital, otherwise the hours at an office wouldn't allow it. Many hospitals employ CMs on night shifts or second shifts and the like. Also, it probably would be a bit much for a new grad. You should focus on building your patient care foundation for a little while first and then talk to the CM dept at your hospital.

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    I work for one of the smaller national insurance companies as a Concurrent Review Coordinator (UR), my job prior to this was in an ICU. I had no prior insurance experience but I did have a lot of varying outpatient experience in quality, case management, and insurance authorizations from the clinical side.
    At my company, we actually outsource our mental health case management cases to a company called MHNet that uses nurses as case managers for mental health patients that we refer. So, your psych experience may lead you to a great niche! Also, I have always thought that psych nurses are sort of med-surg nurses too because psych patients have other co-morbities and diagnoses that still have to be tended to even when in psychiatric facilities or programs. You just have to examine your job and draw out the diversity of nursing skills that you's there, you just have to examine it and highlight it when presenting yourselves to companies. Also, keep in mind that as a UR or CM nurse, you may be hired specifically because you DO have psych experience and they don't have any other nurses with that background. In my office, we know certain nurses have backgrounds in ICU, or ER, or OB, and we utilize their expertise with the understanding that nursing is broad and we all have something unique to offer.

  • 3
    mh356, opossum, and lindarn like this.

    I have to agree with the OP as a former Neuro nurse in particular. Our neuro patients did NOT benefit from the increased stimuli of a room full of people, and I found that more often than not the patient got lost in the commotion of the reunion as opposed to being the center of it. I love when families constantly want to know why their loved one's pain or sleep meds aren't working, why they still have a headache, yet there's five family members in there with the brightest fluorescent lights possible ALL on. I think families can be helpful, but TO AN EXTENT. I think there does come a point where too much family takes AWAY from the patient and does not enhance care. I also think patients are very rarely going to flat out tell their family they want them to leave (although some do), and so they suffer even more with families talking and watching TV and making phone calls and all that. On more than one occasion I've had a patient say, "It was nice to see them for a little bit, but boy am I glad they're gone." Our patients DO need to rest to heal, they get worn out enough with us poking them and checking blood sugars and blood pressures every few hours.
    Everything should be in proportion and there DOES come a point where PFCC must split because what's in the family's best interest may NOT always be the same as what is in the patient's best interest.

  • 1
    Not_A_Hat_Person likes this.

    Quote from monkeybug
    Not to be nitpicky, but I don't think the OP ever said they were Jewish. Jews, Muslims, and some Christians celebrate the Sabbath on Saturday.
    As a Muslim I can say that we do not observe the Sabbath. Our day of religious worship is Friday, and we are allowed to work. I appreciate your point though.

  • 3

    Trendelenberging can cause the carotid baroreceptors in the neck to send signals to falsely drop blood pressure further by putting direct pressure on them and tricking them into believing the pressure is elevated. However, sometimes you just try anything and hope it works, especially if you are trying to refrain from putting the pt on pressors. Last time I tried it, true to science, it didn't raise their BP. However, if you have a neuro patient without ICP issues, it could be beneficial to make sure you're getting cerebral perfusion if you're gonna let the BP run low for whatever reason anyway.

  • 1
    BuckyBadgerRN likes this.

    Quote from purplerose3
    I understand. It's hard. I was born in my city and have lived my whole life in my city and worked hard to gain knowledge and experience in nursing. I'm struggling trying to make ends meet with a part-time position and a per diem. I have a family. Every organization when filling out an application asks what race. I know they have to try to meet hiring so many minorities. I know for a fact that they've given jobs to minorities over me becuase they need to meet certain amount for regulation/government. That is racist toward me. Anybody would feel the same if your home country was giving away jobs to those coming from another country before their own citizens. It's like okay then I guess for every new college grad that immigrates to US one citizen from US shouldn't have to move to another country because we're being displaced.
    It actually does not ask your race on the application, that's illegal. It's in the post-hire paperwork, "for reporting purposes," and you can choose not to answer it. There are American citizens who were born in this country and whose families have been here for hundreds of years who are not of the Caucasian race, who are considered "minorities" as well. Be careful assuming that every or even most brown-skinned people are immigrants taking a job from a Caucasian American.

    That being said, I agree with the OP. It's ridiculous that you can come on and read all kinds of stories about nurses being 1,2 years out of school and not getting jobs, and then you have places like a certain hospital in Atlanta that has an old dorm that has since become a dedicated housing unit for imported nurses. But, the others are right, most hospitals aren't doing this in the current economic climate.

    And I hate the customer service center calls!! Comcast lady in the Philippines never even submitted my dispute claim, couldn't understand me, agghhh! I didn't know I had a choice, I will definitely request to be re-routed next time.

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    decembergrad2011 likes this.

    Some places have firewalls to block sites, some don't. As long as your work is done, who cares? I do agree that you shouldn't be blatant with it in front of families, it's unprofessional. So when they come out of the room I usually toggle to my e-chart on the monitor and greet them You do, however, need to be sensitive to families of a critically ill patient who are under much duress already.
    When I worked the floor, I never had time to surf the net, though we could. In the neuro ICU, with a lower pt ratio, you might have some really easy walkie talkie SAH pts that have to stay in the ICU for 10-14 days because they're high risk for vasospasm or could have someone really easy, have a great night, then they go south the next night and have a super crazy busy night. Like everyone else said, you take the nights you have time to do that extra stuff as a blessing and retribution for the nights you give 200% of yourself and don't eat, sit, chart, or pee until 7:00.