Latest Comments by jkaee

jkaee 5,782 Views

Joined: Dec 4, '03; Posts: 800 (9% Liked) ; Likes: 258

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  • 0

    Quote from redhead_NURSE98!
    Well, they apparently have a sign forbidding cell phones beyond a certain point in the office. Maybe your doctor's office doesn't have one but hers does. She's just enforcing rules. Maybe if more people enforced rules people wouldn't be so inconsiderate all the time in general and not act like rules are for all the other little people and not them.

    I'm sure they do, and the reason they probably have to is because most people lack common sense and will use their phones inappropriately and inconsiderately (exception: areas where cell phone use can interfere with electronic monitoring). That doesn't mean that we should lack common sense as well. If someone's phone beeps once during an appointment, you don't just up and walk out on them. However, if the phone keeps going off, or if the patient expects you to wait for them while they finish up their conversation, then by all means do what you have to do. I'm just saying, indicriminately walking out on pts because a cell phone goes off is not the answer.

  • 9
    PacoUSA, anggelRN, Burn-Unit-RN, and 6 others like this.

    Have to disagree with BlueDevil....

    I am on call frequently for work.
    I have 6 children, half of whom go to school.
    I have a stay at home hubby who has 2 children under 3 yrs old at home.

    If my cell phone beeps during an appointment, I'm checking it. I'm certainly not going to interrupt your time for something trivial, but there are times that I MUST be reached.

    If you walked out on me during an appt because I checked a txt or to see who was trying to call.....truly, I'm speechless. I've had doctors tell me that it was ok to check my phone when it beeped (not rang obnoxiously) during appts before.

    Understand, I'm not saying that you or any other provider should be held up while someone finishes a non-essential conversation, nor am I advocating using your cell phone at work or during meetings/inservices. Cell phone use in patient care areas is an automatic write up where I work. But I'm definitely not going to say it's ok for a provider to walk out on a patient simply because their cell phone goes off during an appointment.


  • 4
    loveoverpride, OCNRN63, Creamsoda, and 1 other like this.

    Let me tell you a little story....

    I had just delivered my 7th child, and that labor was by far the worst one. I was pre-eclamptic, delivering at 34 weeks. I was in labor for over 30 hours with mag and pitocin running the entire time. I finally had a c-section (my first and only). I was brought up to the PP unit, still had mag and pit running, and a morphine drip as well.

    I was sick. I have never felt that way in my life.

    During the night shift, I had a nurse that came in religiously every 2 hours. Keeping the lights dim, she warmed some water to clean me, change my chux, help me get repositioned and do her assessment. All I could do at that point was open my eyes to watch her.

    To this day, I could not tell you what she looked like. I wouldn't be able to pick her out of a line up. All I remember was how kind, gentle and competent she was when caring for me at a time that I couldn't do it myself.

  • 1
    threelittlebirds likes this.

    I agree....scales are evil. So are numbers for that matter.

    I can primary MD's scale always, ALWAYS has me about 8 lbs heavier than any other scale I step on. I tell them their scale is off, but they don't believe me....

  • 0

    I had the procedure done with my last pregnancy (had to be induced at 33 weeks due to BP issues turning into pre-eclampsia) and, as Heather mentioned above, it got be to 4 cm and then I stopped progressing. Considering that I had Pit and Mag and PCN running for 30 hours before I asked for a section, I didn't see the Foley bulb as really doing much of anything.

  • 2
    CrazyGoonRN and VivaLasViejas like this.

    My facility has just gone thru the process of phasing out alarms. We have a couple of residents with alarms on our Dementia unit, but the rest of the building is pretty much alarm free.

    The units are so much quieter, the residents are less agitated, and our falls have not increased due to the elimination of alarms. Other interventions, especially when you involve other disciplines, are much more effective. In fact, our dementia unit has seen a sharp decrease in the number of falls simply by offering a group activity at shift change. Of course, it's a culture change, and every culture change involves a lot of staff education and changing the way we ordinarily do things. Frequent checks, more activities and assessing even the smallest changes in resident's status will all help decrease your fall numbers. Believe me, we didn't think going alarm free would work either, but it has. It's been a wonderful change to our environment and for the resident's peace of mind.

  • 1
    BCgradnurse likes this.

    I had a thermal ablation done in October, and like Marla, it was a Godsend! I have not had any bleeding since the procedure, and it is such a relief to know that "that time of the month" is no longer something to dread and have to prepare for, since it interfered with my work, life and sleep. I had mine done as an outpatient, was knocked out for it, and recovered quickly. I did spot and have moderate cramping for a few weeks afterwards, but once that stopped, nothing! No cramps or spotting at all.

    I had a tubal ligation after my last pregnancy, which tends to increase bleeding even more, so I knew I had to do something. I highly recommend anyone else going through this struggle consult their GYN to see if it's appropriate for them. You have to be finished with childbearing and have a clean endometrial biopsy to qualify for the procedure.

  • 7

    Quote from Purple_Scrubs
    I've never understood the argument against getting a tat because when you get old it will look ugly. I'm fairly certain the rest of me will look equally ugly, so I'm not too worried about how my tats might look They have meaning to me, and they will regardless of how faded, saggy, or misshapen they might be!

    I agree...I have 4 tattoos, and if my stretch marks, C Section scar and general wear and tear marks (remember, I've had 7 kids!!) don't scare them....I doubt my old tattoos will!

  • 3

    PurpleScrubs...what I've always found interesting is how people assume that either side (birthparent or child) waits years and years to meet each other, and when they do, it's a great, joyous happy reunion (think of all those talk shows that reunited birthparents and their children). I don't think I would react that way if I ever met my daughter (in fact, I know I wouldn't...I tend not to be an overly demostrative person). I would certainly feel some trepidation in meeting her. What if I just didn't like her? What if she didn't like me? Imagine the pressure we would both feel to like each other, have a bond, act like mother and daughter? Part of me can't imagine having any doubts about that beautiful baby that I held and loved 19 years ago, but the harsh reality is that I have no idea who this child is, what she's like, etc. Nature vs. know? And how often are these "relationships" maintained? I don't even know if I would want that. It might sound harsh, but I really don't know.

    I guess I've been thinking about it more since the death of Whitney's silly, but when I gave my daughter up, I wrote a letter to her, sent a cross stitched blanket I made for her, and a copy of the song "I Will Always Love You." The words to that song expressed exactly what I wanted her to know. I still can't listen to that song without tearing up. So, of course, with that song being played a lot more frequently, it's made me think about all the possibilities.

  • 5

    Quote from Purple_Scrubs
    Just wondering if there are any other adult adoptees like myself, or anyone else whose life has been touched by adoption out there in AN land. I was adopted at birth (closed adoption) and do not have contact with my birth family, although I would like to. I am starting to get involved in the adoptee rights movement to unseal records and allow adoptees access to their original birth certificate and records.

    Interestingly, I am also a prospective adoptive parent. My husband and I are foster parents and hope to adopt through the foster system. I think being adopted gives me a different perspective than some foster parents. Hubby and I are supportive of the birth family of our foster baby and in many ways, we hope that he is able to go home to them, although we will also be terribly sad and will miss him always. If/when we adopt, we will strive to maintain some of the family ties with the birth family if it is safe to do so, and we will certainly tell our children in an age appropriate way about their first family.

    Anyone else want to share a bit about how adoption has affected you?

    I am a birthmother. I had a baby girl 19 years ago that I gave up for adoption. I was 17 at the time.

    I have a wonderful family that consists of a husband and 6 children. I think about my child that I gave up quite a bit, but I don't feel any regrets about giving her up for adoption. Was I pressured? Yes, a bit, but the pressue was in my (and more importantly, my childs) best interest. It was a closed adoption. I met the parents once when she was a few weeks old, and got pictures until she was about 7 months old. I haven't had any contact since.

    Giving her up was the most difficult thing that I've ever had to do, but it was also the best decision that I could have made. I hope that she thinks so, too. Her parents, when I met them, were wonderful, caring, loving people.

    Part of me would like to meet her, but on the other hand, I can understand why she wouldn't feel a need to. She has a family, but that doesn't include me. Giving birth does not make one a mother.

    There is so much pain involved in remembering that time, that it's difficult for me to adequately and coherently express my thought about adoption. I just wish more young mothers would consider this option.

  • 5

    I really don't mind doing any of those things. But I hate doing routine vitals. I don't know why, I just do. Mind you, I do them, and most often I do manual BP's because I don't trust our electric cuffs, but even in nursing school it was something that I just didn't like doing.

  • 2

    Quote from Mike A. Fungin RN
    Mandated reporter or not, who cares?

    I find it disgusting that you would entertain the thought of doing anything but reporting this immediately.

    Short, sweet, succinct, and RIGHT ON!

    I'm sorry, I know you are in a difficult position, but why are you even concerned with your CNA license? What does that have to do with the fact that you've witnessed an elderly woman who cannot defend herself being abused? Family or not, it needs to be reported.

    Like another posted mentioned, if you saw a caretaker hit an infant over the head, would you question your responsibilities or ask about what the legal ramifications were? I would certainly hope not.

    The elderly are just as helpless as children. Even more so, because in some societies, they have no value. We will have to answer for that one day. Make sure you don't have to.

  • 0

    Quote from indigo girl
    Wait one.

    What shift are you planning on working? Temple is in one of the very worst neighborhoods in Philly.

    It is true that I have not lived in Philly in 12 years but, I did work the neighborhood as a visiting nurse. This would have been a first case of the day scenario, i.e. before the drug dealers were up, we would schedule visits there between 7 and 8:30 am.

    Can it have changed that much? I don't know but you should go look before you leap. Really, go look in person in the evening and at night before you make up your mind.
    I agree...I lived in a Philly suburb growing up, and my husband went to Temple University. It is not in a safe neighborhood.

    I was offered a job at Children's Hospital of Philadelphia, and declined it, due to the fact that I did not want to be driving or taking public transportation at night.

    Septa (train) is absolutely horrid. Frequent delays, frequent breakdowns, not enough express routes, not clean. Not to mention expensive. You are looking at $200 plus per month to be spent on a train pass. Add to it the Philly wage tax that you pay, and you have to figure if your paycheck in the end will be worth it.

    My friend was a patient at Lehigh, and absolutely loved it. That's all I really know about that hospital, though.

    Think long and will definitely be a culture change. I will never work in that area again, and not only for the reasons I mentioned above.

    Good luck.

  • 5
    Spidey's mom, talaxandra, morte, and 2 others like this.

    Quote from newway
    I think this is getting skewed. I don't think the OP ever suggested we should refuse care. I however agree there should be some incentive for maintaining a healthy BMI, cholesterol, and medical compliance. Be it a break on health insurance or tax break???? We tax the heck out of smokers (although still not enough) why not those who choose obesity, drugs, or non compliance? I would exclude mental health for it really is out of their control.
    The problem with this is that we (meaning the healthcare industry) are constantly trying to fit people into boxes. We come up with "safe" values, and you must fall within those values in order to be considered "healthy". Not only is it unrealistic, it's almost impossible. The human body is incredibly complex, and each individual make up is unique. Therefore, to require that every human should be cookie cutter when it comes to labs, weight, etc is inherently bound to fail.

    For example...I have what's considered high cholesterol (204). I eat a vegan diet...virtually no cholesterol at all. I will not take statins. So, according to the logic above, I would not qualify for tax/insurance breaks. Why? How is that at all helpful?

    We need to stay far away from this kind of reasoning, it's too dangerous.

  • 3

    Quote from Woodenpug
    The message I am getting from this thread is that form is more important than content. Write an eloquent message, devoid of truth or insight and you will be praised. Write an absolute truth but fail to follow the rules of the grammar divas you will be vilified.

    Do you really have difficulty reading text speak? Do your biases so overcome your reason that you will not accept a message if it is not in the form you find appealing? Heaven forbid a researcher writes in Caldean or some-other language which fails to meet with your approval. The value to you and your patients would be lost.

    Whether you want to admit it or not, the fact remains that every person is judged (yes, judged) on how they present themselves. It has nothing to do with what's appealing. If you wish to be viewed as a professional with any amount of intellect, you need to be able to communicate appropriately via the spoken and written word.

    I highly doubt that a researcher would use incorrect grammar or "text speak" in any language, simply because he/she has pride in their work and how the information is presented.

    Form is important, even more so than content at times. For example, I work in the Education Dept on my campus, so I'm responsible for teaching or arranging inservices. A DON from one of the buildings emailed me a request for an inservice. The email was incoherent, rambling and one big run-on sentence. I had no idea what her request was or even what problem she was having. I hate to admit it, but it did alter my view of her abilities. You must be able to communicate effectively, and in order to do that, you need the ability to speak and write well. This is important in any profession.

    If I come across as a "grammar diva", so be it. I'd rather that than a rambling nitwit!