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wifeandmomoftwo 2,887 Views

Joined: Sep 19, '09; Posts: 99 (16% Liked) ; Likes: 53

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  • Sep 17 '10

    You have posted so many generalizations in this article that I am finding it hard to take the information seriously.

    Charges of wholesale brainwashing and referring to medical folks as pill pushers does little to earn credibility.

    I also take issue with this statement:

    Let’s have a look at my patient who had “a little bit of pain” and rated it 8. I handle this situation according to common sense. I documented “4” and did not offer pain med.
    It is dead wrong to change the patient's pain rating to the number you think it should be. AND it is wrong to ignore even a rating of 4. You can add information to your charting (what the patient was doing that suggests a lower pain level, for example), but you can't just outright pull a number out of the air. That pain rating is the patient's perception, not yours.

    A pain rating of 4 requires some kind of intervention. It doesn't always have to be pharmaceutical, but if repositioning and ice and relaxation and other measures don't work within an hour, you need to give the ordered meds.
    Pain shock kills, so pain 10/10 kills. But our body has a protective mechanism. When you are in severe pain you may loose conscious. So if you lose conscious but still alive it means toy pain level is 9/10
    It seems like you are saying that if someone truly had pain of 10/10, the shock of it would kill them. If it only renders them unconscious, they can be a 9/10, but nobody reaches 10/10 alive. This shows a serious lack of knowledge.

    To make a story short, only few category of patients need narcotics to control pain. They are: cancer patients, patients with gun shot wounds, some (not all) post op patients.
    Wow! I would venture to guess that you have never had a kidney or gallbladder stone. I'd be curious to find out what kinds of surgery you think do not merit post op pain meds. Should I tell my c-section moms they should just be satisfied with ibuprofen? How about kids in sickle cell crisis? Is that painful enough to deserve medication? Vasculitis? Pinched nerves? Burns?

    You express great fear about patients developing opioid addiction. Yes, it's true that some chronic pain sufferers can become dependent on narcotics to be able to function, but people who are genuinely in pain metabolize pain meds differently from those who are using recreationally. It's also true that some people stay on narcotics longer than they should and change from needing the meds to simply enjoying them. But it seems rather drastic to address that possibility by withholding meds from the get-go.

    As I said, I can empathize with your concern, but if you are a nurse, I fear you are short-changing your patients by judging them and making decisions based on a very limited (and distorted) understanding of pain pathophysiology and treatment.

    Sorry, but I do not find this a sensible approach at all.

  • Sep 16 '10

    Most people seem to think you mean "at school." Even if you do cry at school, it's nothing to be ashamed of. I've seen at least 3 people in my program cry. It's tough and upsetting and I don't think any less of them for crying, because it could have easily been me. In all 3 cases, it was a mean instructor who caused it.

    Anyway, I've cried at home a couple times. No biggie. It needs to happen! Nursing school can be super frustrating and sometimes holding it in is just impossible, not to mention unhealthy! We would never discourage a patient from having a good crying session, would we? Why should we be any different?

  • Sep 13 '10

    WOW! What a great topic of discussion. Truly the generation of today's youth is in a whole, "Different".I will not say that I had to walk up hills, both ways in the snow, barefoot to get to school, but, My parents where tough and raised me to believe in good old fashion work ethics and that working hard will make a difference in the work. Having raised 2 step-children(somewhat) and having an 11 year old I see how their values/work ethics/morals ARE different. I have done everything in my power to make sure to instill into their minds that the world is a tough enough place to live in WITH an education let alone not having one. I went to college straight out of high school and found more "important" things to do then go to class....Dropped out after 2 years of declaring 4 different majors and thought that I could just "work" my way though life. However, I found things were much different then I thought they would be. I continued on in life, getting married, having a child, well really 3 children. We struggled to make ends meat in a 2 parent working household but, I continued to work as a productive member of society....feeling more and more less fulfilled in my careers. When I was 31 I went back to school, (a community college ...less expensive) and I dont think I ever took school so seriously as I did at that moment. It is amazing when YOU have to front the bill on your own, how much more responsible you become! I can't tell you how many times I told my kids....YOU need to be realistic in your expectations. You cannot just graduate high school and begin making 20 and hour at your dream job, you have to EARN it.My step-daughter went through 6 jobs in a year, because...well, she just didn't like being to work on time, Didnt LIKE being told what to do and had an "Attitude" about serving others, She continually stated " Its too hard", and the she doesn't get paid enough to do "That"...She thought she should be paid at least 15-20 dollars an hour for working at ROSS. (too many reality TV shows, that are NOTHING about reality) My step-son....who is 18...well, he is a little more "reality based", but his last job he got fired or "quit" because his boss asked him to clean the bathroom at the grocery store he was working at. SO, he feels like the job was "Beneath" him....I blame myself mostly...I always wanted more for my children...Gave them more, Spoiled them more and DID more for them...but ya know what?...I think (looking back on it now) That is the WORST thing to do...What is wrong with a little hard work? Chores?Responsibility? learning about money and budgeting? Learning that part of being a family IS about helping out and making sacrifices! Well, It is all relative to the way our children DO turn out...If I had it to do over, I would have not been so apt to give them EVERYTHING for NOTHING. All it does is teach them they should HAVE everything for doing NOTHING. IT is now all about ENTITLEMENT to them. They are better then having to work for minimum wage, better then having to clean toilets or serve other people! Well, now they are both out of high school, they are learning that the world will not just GIVE them everything and that a LITTLE hard work does go a LONG way,and that maybe they have to EARN their way,to be paid more. College at this time in their lives would only aide in the delusion that they are entitled to more then they have truly worked for...I say give them a few years out there in the "REAL" world and then...maybe just maybe, they might be emotionally and mentally ready to truly make their mark in life by earning a degree in college (be it a community college or a university that has equally the educational benefits and cost of attendance) So, would I recommend waiting for college...Absolutely! But, then again, there are those few that are ready when they are young...Placing ALL the pressure/blame on colleges to teach children how to become a productive adult is unfair. It is not so much about colleges failing to teach young adults, it is about society and parenting as a whole, a combined effort in teaching CHILDREN to become ADULTS. It is about life experiences, motivation, morals, and good ole' work ethics!

    "To educate a person in mind but not in morals is to educate a menace to society." Theodore Roosevelt

  • Sep 13 '10

    Well unfortunately, the truth is, we don't have control over our kids. The society has a big influence, their friends, their schools expectations that pass each one of them whether they are proficient or not and also there are a lot of homes where kids don't live in the same household with their original parents. Sometimes there are multiple homes with multiple expectations, multiple set of rules and a society that cuddles kids and teaches them that they are entitled and have only rights and no responsibilities. I have stricter standards because I believe childhood is a time to form and prepare a new member of the society to contribute to the fullest of their capability, whatever that might be, and not a time when we worship them and reward them for simply breathing. Well because I am strict and I expect my kids to clean up after themselves and every day whether they have homework or not to spend educational time when they can read or watch something that teaches them about the world they live in, I am the bad guy. So no, I don't believe it's all about the home. It takes a village to raise a kid and we are involved. So, sometimes I feel bad when someone points the finger to the home, meaning the parent. I'm sorry but as a society when we see kids on the street acting up, we pretend we don' t see it instead of correcting them, at school, teachers are trying so hard with large classes, no budget and sometimes no authority to teach them something and if they give homework or they have the audacity to call the kid what they are "lazy" they get in trouble so their hands are tied. Then you get to what I was saying in my previous post, high-school graduates that lack the discipline and maturity to appreciate a college degree and all that entails, wasting their parents money and their time.

  • Sep 8 '10

    [FONT="Comic Sans MS"]"Tit-tit!Tit-tit!Tit-tit!"
    I woke up to the continuous beeping of my mobile phone. At first I thought that I was just dreaming. But there goes my phone again, wailing in the wee hours of the morning. I swear I could've thrown it out of my sight if only I didn't remember how much it cost me to buy that precious scrap of technology. And so, I was awake again. Okay fine, who's the culprit?! Good! Now I have to count at least a thousand sheep in my head again just so I can sleep! Grrr...
    Wondering who could be sending me mounds of text messages in that very indecent hour, I tried to read the messages with my hazy eyes. The first message I opened was from Kay, one of my college buddies and best friends. It read:
    "Sis! Congratulations! You're already a registered nurse! Wow!"
    My initial response was, "Huh?!" I thought she was just kidding. So I told her to knock it off and get some good night's sleep instead. As I was waiting for her reply, I browsed the other messages that came in. And almost all of them were saying:
    "Congratulations, Miss RN!"
    "Where's my treat from the new RN?!"
    "Where are you? Shouldn't a new nurse be out celebrating?!"
    I was dumbfounded. I didn't know what to think, or feel! What, are they serious?! They must be kidding me. The results are yet to be out next month! But at a second thought, why would all of them pick on me all at the same time? Definitely it's not a scheme because they don't know each other all too well. Then it struck me. Could the results have been released earlier than everyone expected? I decided to confirm. The internet was the best reference at the moment.
    When I was about to open my phone's web browser, it suddenly rang. It was Bob calling, a friend of mine who's a nurse for 5 years now. And his first words were, "Welcome to the club!" That could only mean one thing. Then he said that he's looking at the nursing licensure exam results at his laptop, and pronounced my complete name clearly from the list of PASSERS!

    As Bob was speaking thru the phone, I was already transported to another world thinking, "This is it. After all the sacrifices, tears and trials, I have succeeded." And I just can't believe it! I remembered myself crying before the licensure exam. I remembered all the things that I have gone through. These things flashed in front of my blank eyes.....

    [FONT="Arial"]My family is not that well off to send me to college. So I finished college with the help of my uncles and aunts. But this "I-Owe-You" set-up made me cry so many times. Especially when I graduated and I was supposed to get review classes as preparation for the licensure exam. I wasn't able to get that privilege. It seemed that they have forgotten me already, that they didn't care anymore. So I was forced to review at home, with a little-mote-than-nothing to study on, because I didn't have books and other references (during college, I only borrowed books from my cousins, classmates and dorm mates). This alone made me think that I can never do it. But I did not lose hope.

    Two months before the exam date, I was so close to the final steps of filing for the board exam, but I was financially short. I couldn't think of any way that I could pay the expenses. I felt like bursting at that moment. It was so frustrating. I was so close yet so far. So even if it was against my pride, I told a friend about this just so I can take it off my chest. I sent her a text message. But I did not receive any reply. The next day, I was surprised when she came up and slipped something into my left hand. When I checked what it was, I saw some bills in my hand. I looked at her, puzzled. Sensing my confusion, she said, "Our friends gave in part of their allowances to help you finish your filing." Without my friend knowing it, my tears fell as I hugged her tight.

    A short while after, my father got really sick that he cannot go to work anymore. So even in this very unfortunate timing, I applied as a call center agent. I was hired immediately. It was a difficult and demanding job, but I needed it so that I could put some food in our plates. I had to work at least 12 hours in graveyard shift. That gave me at least three hours of uninterrupted sleep and so little time to study. I was already losing hope that I nearly decided to quit.

    November 2009, I took the board exam with the tiny dent of hope that was left in me. What I held on to was the thought that I have always pushed into my mind, that "IT IS NOT ALWAYS YOUR FAITH IN GOD; SOMETIMES, IT'S HIS FAITH IN YOU." So I gave up all my faith unto Him, and hoped dearly that he would do the same for me. And he did.

    I was in cloud nine. I can't sleep, I tossed and turned, but I just couldn't shake the thoughts off my head. I was up and awake for the rest of the night. But eventually, before the first streak of sunshine kissed the heavens, I dozed off to sleep.
    I woke up at ten in the morning. My head ached like hell. The first thought that came to my mind was, "Wow. What a nice dream." But before I can even stretch a muscle, my phone, still in my numb hands, beeped. The notification said:
    "9 New Messages
    1: from RC
    Message: Congratulations, Miss RN!"
    Oh yes, my beautiful nightmare was more than just a sweet dream!

  • Sep 7 '10

    [font="comic sans ms"] nursing was never really my cup of tea. i never pictured myself wearing whites and a fancy little white cap. as a child, my dream was to become an engineer, a civil engineer. this manifested as i grew up being fond of drawing different, sometimes weird, structures and solving complicated math problems. taking up nursing never even crossed my mind.

    all of these changed when one day, as i was just about to take a scholarship exam in my dream university, my uncle told me that i rather take up nursing. i refused then and there. what about my dream? my aspirations? but he reasoned that nurses are the most in demand abroad. and that if i should choose a career, i should choose one that would give me a better fortune, which as he said at that moment, was nursing.

    i knew right then that there was nothing i could do. with the financial crisis my family is going through and the cost of college education in our country, i could never survive a year in the university without the help of my uncles and aunts. so as i said yes to my uncle, i felt my dreams shattered into tiny little pieces that i will never be able to pick up again. the next moment, i found myself enrolling in a nursing school.

    "why did you take up nursing?" this was the question that our teachers threw at us during the first few weeks of my freshmen life.some answered that it was like their calling. and yes, many others said that it was the most in demand job abroad. and when it was my turn to be asked, i was so confused that all i answered was a short, "why not?"

    at the middle of the first semester, i took up a nursing aptitude test which, as they say, measures a students inclination towards nursing. and if you get a low grade at that, you should start shifting to other courses. when the results came out sometime after, i scored a 99% percentile rank. i was puzzled. i never thought i was inclined to be a nurse. could the test be inaccurate? well i soon forgot about it.

    my third year was the turning point of my life. this is when i first wore my whites-my clinical uniform and my dainty little white cap. this is also when we took up major nursing subjects. and this is when i met my very first patient, josie, the woman who changed everything i thought nursing was all about.

    josie(not her real name) was a patient in our affiliated hospital's ob ward. she was about to give birth to her first child. i was assigned to her. i took her vital signs, checked on her contractions, their durations and frequencies, listened to her baby's fhb, and all that a 3rd year nursing student is expected to do. in other words, i took care of her.

    as she was en route to the labor room, i was kinda nervous. i felt for her. it was a deep concern that grew throughout the short period of time that i took care of her. would the delivery be okay?would she be safe? would the baby be fine? these are some of the thousand things that came rushing to my mind. and i could only pray.

    the delivery turned out to be fine. the baby was a healthy little girl, and josie was safe. i received them again in the ward. i attended to them both. all the time i thought that i was just doing my job, that it was automatic, that it is what i should do as a nurse. but all of these changed when josie was about to be discharged.

    before she entered the car that will bring her home, josie took my hand and muttered a little thank you. i was taken aback. i did not expect it. well i was just doing my job. but as i was returning to the ward, i looked around. i saw the nurses taking care of the sick people around me. i saw them being so thoughtful and caring. i saw their concern. and as i look at them, i saw me.

    as i reached the nursing station in my ward, i was a changed person. i knew then that i was not just doing my duty just because i had to, nut because of my genuine concern for people, especially for the sick.that, i consider, was my birth as a true nurse. and i knew, for i felt it, that there was no greater feeling that a nurse would have than a patient smiling back at you, saying thank you for the care that she has given.

    now, after many humps and bumps along the road, most of them financial, i'm already a licensed nurse. and when people ask me why i took this job, my only answer is, "i didn't pick my job, it picked me."




  • Sep 7 '10

    As for my dream to become an engineer?I promised myself that one day,I will find a less fortunate but deserving child that dreams to be one.And I will get him through college.If I could do that,my first dream wouldn't be a waste anymore.And if that child succeeds,I will feel like I succeeded too!

  • Jul 31 '10

    I believe nobody can accurately predict how the nursing job market is going to shake out in the future. We will only know when we get there.

  • Jul 28 '10

    Quote from vegas2009
    Nursing schools are continually pumping out hundreds of thousands of nursing graduates into the job market, every year. Because people still believe that nursing is a stable profession.
    LOL! "hundreds of thousands, every year"? California graduated 9,580 in total, in 2008. Considering CA is the most populous state in the union by far, you have a loooong way to go to justify such a wild claim.
    source: http://www.dailybreeze.com/ci_15189410 (California Institute for Nursing and Health Care cited)

    Even if the working nurses now, retire or leave the profession, the nursing graduates who have been waiting out by the sidelines are still too many.

    This means that, the job slots that will be available to nursing grads (past and present) won't still be enough, to accomodate the new generation of nurses.

    There is a shortage of nurses, but ONLY of experienced nurses. Less and less facilities are willing to train new blood.
    Research is your friend: http://www.aacn.nche.edu/media/facts...ngshortage.htm - lots of fantastic data therein, directly addressing the nursing "situation" America is in.

    By the time, the US medical community realize that they need to 'train' new nurses again -- people have either pursued other interests or they have forgotten what they have learned in nursing schools, or BOTH. Sad scenario. So, once again... the US medical community will say that -- there is a nursing shortage. This gives them another excuse to hire foreign grads. It's a never ending cycle, no one seems to know how to break it.

    But really, if you think about it -- it's all about money. Nursing schools still stay open because people will continually think that there is a nursing shortage. The nursing pay stays low (for most states), insurance companies still get their money and everyone pretends they're happy with the way things are.
    Bitter much? The facts can be found in the preceding link, but the bottom line is that there is both a shortage *and* a recession - thus, current nurses get overworked and new ones, though needed, cannot be hired due to budget constraints in lots of areas. However, even the OP's reference cites job openings for those willing to relocate, in addition to the AACN link I posted offering the same observation.

    Current nursing employment opportunities are not all peaches-and-cream, as some would like, but nor are they doom-and-gloom, as apparently some others would like.

  • Apr 13 '10

    I was 26, married, with two children, one 5, one 6, when I started LPN school at our County BOCES. I hadn't cracked a book, other than reading for pleasure, since I graduated from high school, 9 years before. The first 10 weeks of school were very hard, and I got little support from my now exhusband. Many nights I sat at the kitchen table studying for hours. I wasn't a very dedicated student in high school, but now I tried to be a totally different person. This cost money, money I had to pay back after I was done. The tuiton and books came to a grand total of $1500. At the end of the first 10 weeks, I had a 74.75 average. You had to maintian a 75 average to stay in school and move on to the next 10 weeks. I tell people now that I got to be a nurse due to one half of a point. I would say the next 10 weeks weren't really any easier, I failed A&P, and had to retake it with the part time night class. That meant getting to school at 8am on wednesdays, and staying until 9 at night to repeat A&P, plus going home after that to study for hours, and then fall into bed until the next morning! I passed A&P, thank goodness, and was capped with the rest of my class. We then were off for the month of July, whew. Clinicals went well, no problems there, unless Mrs. H, had our half of the class. Mrs. H, drove me bonkers, made me very nervous, and I felt like I was incompetent whenever she was around. Mrs. M, on the other hand was much loved by all, she made me feel like I could do anything! When we started school again in August, something changed, it was getting easier. I still studied very hard, and we had a ton of homework, and papers to write, but something was finally clicking. At the end of that 10 weeks, I passed everything with flying colors, I was proud of my grades. The last 10 weeks I did very well. Tests no longer made me shudder and I got great grades. Until, I didn't get my drug cards done on time. We had to take those little rescipe boxes, and for every patient we had, a drug card had to be made for each medication they were on. You had to take a 3x5 card and copy the pertinent information on these cards, by hand. That took forever, because as we got further and further, our patients were sicker and had a ton of meds. One by one, each of us, I think about 5, got called into our directors office, to talk about our drug cards. I was mad and sad at the same time, I had worked so hard, and I wanted that pin so bad on graduation day. Well, to my surprize, she said, "You'll have those drug cards turned in on Monday, so you can graduate with your class, right?" Me being me, answered back, "No, I didn't turn my box in on time, so I can't graduate." Finally after this went on for 5 minutes, she smiled and said, repeat after me, "I'll get them done over the weekend so I can graduate." And graduate I did. After getting our diplomas, they gave out the awards. The last award to be given out , Mrs H. (whom I still didn't like, at all) gave a speech about the award they were going to give out next, Most Improved Student. She must have gone on for 5 minutes praising this student, saying how hard this person had worked, how every quarter their grades went up, their clinical skills were top notch. When she said my name, I just stood there. Finally the classmate next to me said, you won, go get your award. So I don't know how inspiring this is, but it's my story. It all happened 30 years ago, to me.

  • Apr 3 '10

    I don't get why everyone is thinking this is a bad thing? So the OP was upfront about wanting to volunteer to get their foot in the door. The coordinator and everyone on here agreeing with her are way off base. If there was fraud, then the OP would not have said their intentions of volunteering. Even then that's a label that is a little unwarranted. The thing is, whatever the intentions are of the volunteer, guess what was happening before the volunteer starts? Someone wasn't volunteering. So what does it matter why they are there? So long as they are there to help, they are helping. If they can manage to network and get a job, then awesome. The hospital should be happy about that.

    To the OP, don't listen to those on here who agreed with what this lady did. The way she reacted was extremely unprofessional and uncalled for. If anyone should have been apologizing, it should have been her.

  • Apr 3 '10

    Quote from cherrybreeze
    And yes, you were soliciting for a job, pretty much. You were asking which units were or would hire new grads, so that you could volunteer on those units. You asked about working conditions on those units. The only thing you didn't do was hand them a resume, it seems like.

    Blackheartednurse, how was the volunteer coordinator a "jealous idiot?" Jealous of what?
    There is not wrong with volunteering to get your foot in the door,that is perfectly understandable,I'm tired of mother theresa judging others on why they decided it to joint their volunteer team,she is there,doing it for free seriously why would anyone care that is she chatting with people and try to get a feel of what the place is like..Are we all mother theresa who decided to join nursing?

  • Mar 29 '10

    Quote from ambertut
    If they are hitting their call light then they just did the assessment for you, they need help! It is much better for you to help ambulate a pt then to find out they did it on their own and ended up falling.

    I am confused, how did they do the assessment for you??
    If a person is a 2 person assist or large person that is very unsteady it would be important to know the ambulation status, the fact that they can hit the call button doesn't tell you that. I have found during clinicals, patients like to think they are far more independent then they are. They don't like having someone babysit for them and will play down their status if it's not unknown. This happened a few weeks ago, their was a patient that was a 2 person assist just got back from Gastric Bypass surgery. A student went to help her that wasn't assinged to her. Her board wasn't filled out. She told the student she only needed help getting in and out of bed, well patient passed out, knocked herself out on toilet and they ended up calling RRT and sending her up to ICU.

    The op didn't suggest just ignoring the patient and not getting the right help. Sorry if I am misunderstanding your meaning.

  • Feb 18 '10

    Anxiety has a whole new meaning for me since starting nursing school! I think we all do it, although in different ways. Clinicals don't bother me...the different computer systems at each clinical site, nurses who don't want us around and either ignore us or treat us with contempt, and writing papers in APA format are the things that freak me out.

  • Feb 18 '10

    I've noticed that a lot, but not all depends on my instructor. If I have one who criticizes everything, I begin to dread and doubt. If I have one who encourages me, I begin to think - this is possible!


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