Latest Comments by creativemom

creativemom 3,304 Views

Joined: Jul 11, '08; Posts: 67 (34% Liked) ; Likes: 50

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  • 11
    mharzi, dclong, silenced, and 8 others like this.

    When did it become acceptable that "abuse" in nursing, is acceptable?

    You can do all of the above without the hard nose and still help precept a great RN. Really, I see it all the time where I work.

    I agree you shouldn't have to coddle folks, but you don't have to have a itch attitude either. Attitudes don't make the nurse, rather skill, hands-on experience, knowledge, critical thinking, etc does. What you foster is what you'll be breeding on the floor. I very much would dislike working with such hostile attitudes.

  • 1
    neverbethesame likes this.

    AMEN to SJustice3 for saying " I will, however, not disrespect the students like I was disrespected. It really is unnecessary and nurses should stop it." and to neverbethesame for saying "I can't think of one other 'profession' where abuse is expected and accepted by everyone."

    I'm coming from another profession into nursing as a student and was literally hit with the above fact. You both nailed it!

    In my experience, I sought out help, all of my concerns were validated as being factual, but then was told "to just deal with it" per the treatment I'm receiving from this specific instructor. Wow!

    So now I have to just pray and hold my breath that I don't do anything on any particular day that will make this instructor *angry* or *retaliatory*! God help me with this class...

    You're right, I am hard pressed to find another profession whereby abuse is expected and accepted by everyone! It's shocking and most concerning.

  • 1
    Nathifalr26 likes this.

    I'm in the day program M-Th and work nights T, F, Sa. During the week I forgo some sleep due to having to care for my child. You study in the car at stop lights, while waiting in line, after your child goes to bed and when eating.

    Life sucks when in RN school but just think, once you're done you'll have better salary, hours, and pay. Look to the end not today.

    Work weekends if you can. Hospitals pay better and may provide you with better hours. They understand school (most, not all) and see that it's in investment for most likely you'll end up working for them on their floor. Great way to get your foot in the door to an RN job.

    They have parent shifts, PRN, full time, part time, etc.

  • 3

    Crying is NORMAL! It's okay, I'm sure there is not one person who's been a NEW RN, CNA, etc that hasn't had a "crying spell". I'd rather you cry then to lash out in anger.

    Who cares! You cried, so what. Life is short. Move onward, there is so much to life for you to enjoy.
    We all still think you're a great person. (((HUGS)))

    Laugh about it next time and move on. Don't focus on this for so long. Most have forgotten about it.

    If people remember, make fun of yourself, then move on and laugh with them on another issue.

    Life is too short. Hospital work on a med surg tele floor is too hard for little things like this to boggle you down.

    Forgettaboutit - as they say.

  • 2
    smvRN and lvnursing_216 like this.

    First of all, ALL of us who have prior hospital or LTC experience somewhat feel like CNA's when doing our clinicals or preceptorship. However this is done on purpose because there are RN's who have graduated with ZERO experience and boy does it show! Some don't have even the most remote basic skills like moving a patient properly at various ages or degrees of illness.

    It's good that you were excited about nursing and wanted to be independent. However it's not a good idea to do it without your floor preceptor for you even admitted that you didn't have the best clinical training.

    Nursing isn't all about being "smart" or "top of your class". A lot of it is about having common sense, observation and the art of putting pieces of a medical puzzle (input from the patient, family, MD's, RN's report, clinical tests, etc) to show the whole picture of the patient.

    Why are you trying to prove yourself? There's nothing to prove, really! You don't get points for proving yourself!

    Enjoy being an RN, step back, breathe, okay breathe again, and allow your preceptor to teach you something. Remember, we have two ears and one mouth. USE your preceptor, I'm sure she's seen A LOT of things, ask her questions like: "What are three things that you wish your own preceptor would have told or taught you that you had to learn on your own?"
    Or how about asking her about a skill that you can do quicker and much more easier way?

    Don't try to "prove" any one. Let your skills speak for themselves. Take your time if you can. Take time to really get to know your patients, when they trust you they speak out and that's when real medicine happens. That's when you may realize the true problem of their health and can really help the docs out...

    Check and double check your work. Go easy, rushing and trying to create an ego makes mistakes and can cause death...

    NOT saying you're trying to create an ego but it's the path you're choosing without realizing it. (((HUGS)))

    I'm glad the preceptor is checking the spelling and the work you all do in charting. There's been plenty of times an MD or RN wrote something and it didn't make sense and/or the spelling was off by 2 letters and it almost caused miscommunications about medicines or care we were about to give. That's dangerous!

    LAUGH about it! You're so focused on "proving" yourself that you don't realize this person probably wants to help you. Step back and LAUGH about the error, thank her for finding the issue, correct it, then go back to work. Thankfully she found it to let you know so the doc doesn't see it first or the NM.

    My suggestion is to enjoy nursing, breathe, take your time when you can, thank people who notice your mistakes (you want them on your side to save your butt from errors) and LAUGH often! Life is short!

  • 10

    This is totally an insane idea! I have STNA training (should have graduated last year as a BSN/RN) and I still would NOT feel comfortable in doing the above without graduating first, taking the NCLEX and going through orient.

    I can see a MA doing some of the above tasks but never to medicate.

    This choice to use a CNA to do the above is done only to save the district money. Bottom line.

    Parents of that state need to stand up to the state BOE and to their local SD BOE. Until they unite this will keep happening.

    Definately NOT in the child's best interests!

  • 1
    NurseVerde likes this.

    However on the other hand if her heart is not in to care for the patient and she's only being an RN to "get experience" she could do more damage than to care for the patient.

    You gotta LOVE being a nurse in order to do nurse work well.

    With that said I cannot see how you can be a legal nurse without knowing the works of the trade. We all know from nursing school that they teach you certain methods and we all know that on the floor we don't always do it that way. You need to know what practices are safe, what practices are tricks to get the job done (but may or may not be in the patients best interests) and what practices are improvements over what we've learned to do in nursing school.

    When you do legal nursing you'll be given charts and scenarios of what happened which is why the party is suing. On paper it may look like the nurse error-ed. However in practice with experience you'll know that if the nurse did A she would have caused more harm, doing B did result in death but usually C outcome happens and that method A also is not practical in the alloted amount of time.

    Legal nursing is fun. According to my friends and they share with me a lot of scenarios but you can't always go by records or the books. You need life experiences.

    If I were you I'd work on a med surg floor with telemetry, or ICU, PACU, etc. Get a feel of the pace during slow and emergent situations, etc.

  • 1
    RNTOBE_1970 likes this.

    Quote from reginachanana2660
    finally another cna lol! well he is really nervus all the time and he was already on oxygen and i turned it all th way up and he still couldnt breath. but 92 is not his normal so i was worried and the look on his face made me scared and i bet it woulda gona down if i hadnt done the breathing treatment.
    i think what is happening is that you're not understanding the "why's" of it all.

    i'm nursing student, stna, and teach bcls to medical staff at our hospital. in case you're curious...

    okay, on our med surg floor 92% is considered normal. we don't blink an eye at 92%. when they are less we put them on o2 of 2 l (after we do the below) and find the rn to come see the patient.

    first let's explain the "why's" of too much oxygen or unneeded treatment of nasal cannula as you decided to use (i'm going to really make this simple, your nursing school will go in-depth for this topic):
    is there any problem if i use too much oxygen? yes, too much oxygen can damage the cells inside your lungs. also, if you have too much oxygen, your brain may not send out signals for you to breathe. or you can develop hyperoxia or oxygen toxicity.

    for most people, when carbon dioxide starts to build up in your body, the brain signals to take a breath. the brain for a person with copd (chronic obstructive pulmonary disease) gets used to a little extra carbon dioxide
    because the lungs have a hard time getting rid of it. if a person uses too much oxygen, the carbon dioxide levels may not trigger the brain so the brain may not signal to breathe as often or as deeply as needed. taking
    fewer or less deep breaths is called hypoventilation (hi-po-ven-ti-la-tion)."

    here's some things in your scope that you can do to help a 92% spo2 pt breathe better:

    sometimes people can't breathe due to being "heavy" so you either have to raise the head of the bed, or pull the patient up in bed because their belly's are pushing on their lungs. or they are bent wrong in the bed, hence having a hard time breathing, so get them situated correctly in bed.

    we also check to make sure their noses are not full, check their mouths so that it is clear. (once an elderly man had his dentures off but in his mouth thus could not breathe. another had so much dried mucus in it that it obstructed his breathings so i told the rn and we together cleared out his mouth so he could breathe.)

    sometimes the pt's are bent too much between head of bed over 40˚ and legs. stretch them out a bit by laying the head back to 30˚ and putting the leg part of the bed down a bit.

    sometimes the patient may not have been using their incentive spirometer, perhaps having them use that a few times aids in their breathing.

    but as a last resort we go to nasal cannula. (first you go get the rn. they are licensed. we are not. therefore they have the case history of the patient, report from the previous rn's that we don't always have or cannot always access via pt records or have the time to read. and by all means the rn is the one who will be in trouble for whatever happens to the pt on their time.)

    i know you mean well and have a passion for caring for the patient but so many things can go wrong if we don't consult the rn first. they have the knowledge that we don't have just yet...

    if the rn won't do anything (it's happened to even me, but i go to the charge and from there i go to another rn or supervisor or nom.) go the route if you really have to.

    but calling 911 in a hospital setting for a 92% spo2 will get both you and the rn into trouble. go the route...

    take time to learn all the "why's". ask questions... then you can provide better patient care.

    good luck!

  • 0

    Quote from Ashkins529
    That just sucks. Only 1! Would think a backup would be okay since everyones computer crashes at sometime.
    Easy solution. Call the publisher or whomever you purchased the code and explain that you need to use it on a different computer. Even most companies of programs will allow you to do the same...

  • 0

    Quote from NomadMomma
    You guys are so lucky you can get electronic versions of your text books. I think I can get 3-4 of mine and that's by researching and buying on my own. The school text book package doesn't come with them.

    You have to do your own research on the book. Sometimes typing in the title (version #) and "electronic" or "pdf" or "download" or "e-book" tends to find you the electronic version. Other times I've gone directly to the publisher and called their customer support number to learn that they sell on their own website an e-version!

    Other times I've found them via amazon or via one of the many textbook rental companies.

    LOVE e-books!

    FYI per the iPad you can purchase a separate keyboard that is wireless that allows you to type. I would say that at my NS most of the kids use laptops. Notepads tend to work too slow with typing and is an eyestrain.

    I'm thinking of getting a Lenovo which is like an ipad + laptop in one. However I would not be able to use any of the ipad apps so that is a definite drawback. Too bad you can't rent either one for a few weeks each in order to figure out which works for your own lifestyle...

  • 1
    redhead_NURSE98! likes this.

    I'm just shocked here to hear the reasons why RN's just "give in" with drug seekers.

    I agree on the one hand that with long-term narcotic use that their bodies will develop a "tolerance" therefore their pain may require more medication to satisfy the body in order to feel less pain. But then my question is when do you stop? When do you try to get the patient to come off of these meds?

    I work on a colorectal floor. Because of narcotics they end up on our floor with resections due to "narcotic bowel" whereby the bowels won't move any more due to getting all those pain meds and had the RN's from other floors tried other therapies and/or to wean them from drug dependence they wouldn't end up on our floor with resections after resections due to the dead bowels.

    I dunno. It's a hard call. There are some patients that are in chronic pain that need to be in pain management therapies like we have at our hospital that uses a whole multiple of things to help manage their chronic pain.

    But then there are truly drug seekers and with our experience we can tell who they are. I'm not saying to not deal with their pain issues, all I'm saying is that you are not doing them a favor by giving them all they can get + some. You're then being a legal drug dealer. Treat the pain and try to push for them to get into rehab and pain management.

    Believe me, we do this and in the end they go from Jekyll and Hyde to Mr and Mrs THANK YOU for getting me off of those pain meds. I feel better, I am living life now type of people.

    Otherwise they end up on our colorectal floor and that's sad...

  • 2
    SandraCVRN and Bruce_Wayne like this.

    I do it because it's part of basic nursing. I get STNA's or a CT to the room and double team the patient.

    If the patient can walk and is oriented I make them go to the bathroom some time during the day to wash up and then I follow through on them.

    What most forget here is that when you do bathing you get to really "see" the patient's skin. I can't tell you how many times I've found items behind a patient's back, had I not found it, there would have definitely been skin breakdown issues. It's also a great way to validate if an STNA has been actually Q2T a patient or was just charting it. It also gives me a way to assess how the patient is moving and I can help them with ideas on how to move without pulling incisions or hurting themselves (muscles, joints). Also I can see how incisions look and check for additional drainages (fistulas) that may have popped up since the operation...

    It's no wonder we have MRSA, Staph and at the minimum UTI's when people have the idea that bathing is not important. Skin is our first defense to bacteria and infections, it's our obligation to some how make sure it's taken care of!

  • 0

    It's typical procedure. Perhaps if you understood what happened to a dead body you'd realize that you're doing the dead body a disservice.

    If there is a death during an operation there will be a coroners report due. So having clothing on a body will hamper with the coroner's job thus making it take longer and/or when you have to move the body to take off the cut clothing it may move the interior parts thus hampering with investigations so I've been told by their offices.

    Another reason is that the body (if it goes to a funeral parlor) will have to be drained and a lot of work will be put into the body to preserve it for viewing.

    So the best thing you can do for a dead body is to wash the outer parts carefully, comb the hairs in place and clean the hands very well then cover with clean sheets above and below it.

  • 4
    canoehead, wooh, lindarn, and 1 other like this.

    Quote from lindarn
    So WHY are you not reporting this to the labor board? You folks need to unionize and demand your rights! It is inhumane for any human being to be treated as poorly as you are. I realize that there is a recession, and jobs are in short supply, but you also should go public, and bring in the local news, papers, etc.

    JMHO and my NY $0.02.
    Lindarn, RN, BSN, CCRN
    Somewhere in the PACNW

    Really? Report? We don't report because we'll be fired because when it comes down to it they "group" will back off due to fears of being fired. Last time I remember a union being formed in our town they were all fired and black-balled.

    I agree we shouldn't stand up for this however if people won't stand up as a group then what can 1 person do?

    I've tried reporting for minor things and was demoted for awhile. Learned my lesson...

  • 1
    ktliz likes this.

    It totally depends on the situation. If it's during the day we leave the doors open as MD's, PA's, RN's etc go in and out to provide care, consultation, etc all through the day. Then you have kitchen coming in for 3 meals. Transport coming in to take pt's to testing, etc. Visitors coming in and out.

    Well you get the idea. It's more of a hassle to keep doors closed during the day.

    At night it's a different story. We have a policy for keeping things quiet from 9:30 ish to about 6 am or a bit later. We start opening doors when the docs start doing rounds.

    If a pt wants the door open then we keep it open however most want it closed so they don't hear us taking at the nurses station and disrupting their sleep. Also the lights just outside the doors (even when we dim them at night) glare off the floor and if the doors are not closed it lights up the room a bit.

    My own reason to keep the doors closed is that I can hear if they open and then go peak to see who went in. We've had a few visitors come in that were intruders. Luckily each time I've called the police and they've been escorted out.

    Another reason I might keep a door open during the day is if I want to keep tabs on a pt at night. Perhaps they are a fall risk, or they may need a sitter but don't yet fall into the category requiring one. Or it might be a pt that is receiving blood and I want to monitor the pumps and pt.

    It all depends. You have to consider the time/date/pt situation, etc to decide.