skyandsydneysmom 3,028 Views
Joined: Apr 13, '09;
Posts: 59 (27% Liked)
; Likes: 35
Eh, maybe to an extent. I don't know if the guys are really going to go in for yearly exams. I'd say the females will probably go for pap smears.
However, I bet when they get something as simple as strep throat that they will go to a clinic instead of the emergency room. I don't see how anyone can dispute that will save money.
I grew up around plenty of poor, uninsured people and if they ever went to the "doctor" it was because they felt like they were dying or a limb was at stake. That's because they didn't have a doctor and they knew they couldn't afford an ER bill. I don't know of anyone who made the decision to go to the ER on a whim.
Why should someone have to go to the ER because they have strep throat? Yeah, you can say, "Well, they wouldn't have to if they worked and had insurance, blah blah," but that's like preaching contraception to a pregnant teen.
I worked minimum wage jobs, paid for 100% of all my expenses, and there simply is NOT any money left over for insurance when you're in that situation. My checks were about $400 every 2 weeks so $800 a month after taxes and the rent + utilities alone was more than half of that. The rest went to food (crappy), gas, and that was about it! I couldn't afford to even get a flat tire, much less to get sick.
I'm just sick of people acting like "Obamacare" is something to help lazy people who don't work or try. It's the exact opposite. People who don't work or try already have Medicaid! Many people who work don't qualify for Medicaid, but can't come close to being able to afford their work insurance plan that costs half of what they earn! Not everyone has parents who help them financially. Even if someone goes out on their own at 18, enrolls in college, and works full time to support themselves...they can't afford health insurance. I wouldn't quite consider that person not trying.
I guess I see Obamacare as a better alternative because the ultimatum many people are facing today is: A) keep your job where you can't afford insurance and don't qualify for Medicaid, or B) quit your job so you'll qualify for Medicaid, food stamps, housing, and everything else known to man...even if all they really wanted/needed was insurance.
Nobody should have to make a choice between those two options, and believe me, there are people who do. They especially do when it's their child who is sick, and I don't know one person who wouldn't do WHATEVER it takes to get their child the healthcare they need.
The PCU I work on has a 4:1 ratio, but sometimes we have 5:1. My floor sounds exactly like the OP's...drips, post CABG patients, and a mix of other illnesses. We have a max of 3 PCT/CNA's on the floor which means that when we are full, each PCT has 12 patients. The ratios are definitely not ideal but my floor thrives on teamwork...without it we would all sink.
I work on a PCU unit in Illinois and we never have Levo drips BUT have insulin drips all the time. Our patient ratio is usually 4:1 but sometimes 5:1. It is interesting to hear how much these units vary in different locations.
Thank you all for your advice....I have definitely gotten more comfortable in my role as a RN on the floor...things are still crazy BUT that is my floor. I recently had an opportunity to go to night shift which I am very grateful for...still busy but I am not tripping over doctors, therapists, discharge coordinators, dietary aides, etc. I actually really like this specialty and have a great support system at work
Thanks to everyone for your advice! This has been a very stressful experience and all the advice is very helpful
It is not a task, but if I can get 5 MINUTES with the patient and family to talk about kids, grandkids, upcoming holidays...it makes my day much better. The worst days I have is when I have no time to connect with them....I became a nurse because I CARE, I want to leave an impression in their mind when they go home. I want them to feel like they matter and I TRUELY care about their well-being, because I do
Thank you for your words of encouragement...I appreciate your thoughts!
Because I am the mother of Skylar and Sydney, the best kids in the world! LOL (Most of the time)
The floor I work does 12's BUT there is at least one floor in the hospital that does strict 8 hour shifts..the nurse manager on that floor does not like 12's because he does not feel it is safe (he may have a point!) The entire hospital is trying to convert to 12 hour shifts..I work in Northern Illnois
I graduated in December and took a job in LTC...loved the elderly, hated all of the lazy nurses and staff around me. About 3 weeks ago I accepted a job working in in Progressive Care Unit in a Heart Hospital and have began training on the floor with a preceptor. It is a CRAZY unit with very sick people...a bit overwhelming. I have begun to question whether or not I am going to make it I have always been an over achiever, graduated in the top of my class in school, married, kids to take care (one has epilepsy and autism)...I have always managed well. I know that if I put my mind to it I can do it, but I am completely overwhelmed by everything right now. I will get 12 weeks of orientation (with a preceptor by my side). Any advice or pep talks would be greatly appreciated!!!
You don't want to work for someone like that...you got a good read on her. I have interviewed a few times during my short time in nursing and have met people that turned me off right away (like that lady) and others that were so warm and inviting I wanted to move in with them (not really, but you get my point). If you desperately need this job, take it and see what happens. If you can wait and see what else pans out, I would seriously recommend doing so.
I too just started on a cardiac stepdown unit and it has been a bit overwhelming...how much training will you recieve? I will have at least 12 weeks of orientation with a preceptor, as well as numerous classes regarding care of the cardiac patient, dysrhythmias, etc. I graduated in December and worked in LTC for a bit, so this is very different for me but exciting. As long as you are commited to learning you will be fine! No one expects you to know much, they should see that you are provided the education that applies to this population. It will all work out fine!
I am an RN and I volunteer as a Community Representative for the Alzheimer's Association and as a visitation volunteer for a local hospice. I do not work for either company so that is why I am able to volunteer with them. I too find that I do not have much time with my patients and long for more one on one time. My volunteer opportunities give me the patient contact that I went into nursing for. As a volunteer I am not allowed to do any ADL's with the patient...NONE. It is difficult sometimes when I see someone that needs to go to the bathroom, or for a walk and I cannot help them with that..I have to find a staff member to assist them. It is nice though to be able to sit and do nothing but visit and spend time with people...the patients and families really appreciate it and I am able to fill the void of little patient contact
Thank you to everyone for your thoughts and ideas! I have already told my 3rd shift CNA's that they need to come to me with any issues. I hope that once these two realize that I am not going to allow their abuse to anyone in the building they will save it for another nurse.
Hello to all the New Grad Nurses!
I have noticed, as I read the posts, a lot of you are talking about being frustrated, overwhelmed and scared. Let me start by saying that it's normal to feel this way. I have been an LPN for 5 ½ years and guess what, I sometimes feel the same! I know Nurses, both RN & LPN, with many more years than I have that have days like that too. So, take a deep breath and relax for a minute.
The one thing that most Nursing schools don't tell you is that what you learn in class and what goes on in the "real" world are sometimes very different. Instructors never tell you about how many patients you will be assigned, the different levels of care each needs, the tons of paperwork needed to be done each shift (not counting the emergency, admission and discharge paperwork), the problems of giving meds to some pts (that can take forever to give) , the pts who call you constantly for little things they can actually do themselves, The pts who berate you, scream & threaten you, the ones who complain to management about everything you do (no matter how much you try to satisfy their needs). But, remember, they also do not tell you about the little wonders that happen each day. The confused pt who remembers who you are, the hugs you get from them for something so small you never even thought about it. The Thank You received from the pt & family for catching a problem before it got worse. Being singled out by a very difficult patient, only to have them thank you for your care and the time you gave to them despite their attitude towards staff. And last but not least, the feeling you get when you know you did your best & the patient is healing perfectly.
Yes, you are overwhelmed, stressed, frustrated, scared, you question your decision to become a Nurse. You just graduated, you are learning, you feel like you should be quicker, know everything, maybe scared to ask too many questions. It will take 5 years for a Nurse to feel fully confident in her decisions and assessments. Seriously, 5 years! And even then, you will have moments where you question yourself. I was very lucky, I had a fantastic mentor!! She taught me many things, the most important things she taught me I will try to give to you;
1. Never be afraid to ask questions - if you ask someone and they won't answer, ask someone else (I know that sometimes the experienced Nurse get irritated by your questioning and may snap at you, gently remind them that you are still learning and they have the knowledge you need and you appreciate their sharing it with you) And try to keep a notebook to jot down answers to questions, this gives you the ability to look something up and remind yourself of the answers.
2. There are no stupid questions, only unasked ones
3. Keep a "cheat sheet" on your assignment - jot down the little things you need to know about that pt
-DX, treatments & times due
- hard to give meds, crush meds & put in applesauce, jelly, a drink, ice cream, best time to give meds, wants juice, warm water or ice water with meds
-BS, VS, Neuros, fall risk, specimens needed
-DNR or Full Code
4. Trust your CNA's - they spend more time with the pts than you do, they know when something isn't quite right, let them know what you expect from them and what you will to do for them (help with a boost, answer a call bell, toilet pts) and it never hurts to thank them for the great job they did today (they are overworked & underpaid, appreciation goes a long way). Ask them to write down pt requests on a slip of paper & place it on your cart, you can then prioritize requests.
5. When in doubt, call the DR, explain what the problem is (I have called them and told them VS are perfect, but, something isn't right, they usually believed me and ordered tests or asked me to continue watching. Though I have to say if you call the on-call at 2AM they will not be real happy with you, so keep watching and let the next shift know your concerns, as long as it's not life threatening).
Remember the ABC's of Nursing, a Nurse once told me the following mantra (at least I use it as one): Air goes in & out, Blood stays in and goes round & round, any deviation from this is bad! Follow this simple pattern for your shift: Safety First, Meds second, Treatments third, everything else is last. When you leave work do not take it home with you, do not worry about whether you did something right or wrong, unless you put the pt in danger you'll be fine, again if in doubt about something ask someone. Take a moment to breath, clear your mind, and rely on the Family of Nurses to help you, each shift has their own jobs to do, but, in the end we are all working towards the same goal: healthy patients!
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