Reminisce 4,153 Views
Joined: Nov 8, '09;
Posts: 84 (24% Liked)
; Likes: 49
i sooo understand.
i tire of always being told i look like a b*tch.
it's lonely at the top.
While I have not had the easiest life overall (not so great family), I have had a wonderful, highly fulfilling career, for which I am profoundly grateful. I can honestly say that I am one of the few people who got into exactly the right field at a young age, and have enjoyed almost all of the journey along the way. I LOVE nursing, and while it is truly hard work and is never easy, it has given me plenty of rewards and memorable moments. It give you a very different perspective on the meaning of birth, life, death, suffering, and the connections between and among people. I can remember the names of people I cared for 40 years ago, and I know without a doubt that I have made a difference in the lives of many, many people. How many peole in the business world can say that?
I have have had the honor of working with dozens of wonderful human beings (AKA many nurses and physicians) who give of themselves to help others, even when they could choose to do something easier. Those nurses are there on Christams eve, 4th of July, and on a beautiful summer Sunday while their family is at a picnic, most of the time without complaint. They know how to laugh, how cry, how to care, and how to be fully human. They are almost always decent people who you can count on in a crunch, and my life would be poorer if I had never met many of them.
Another things I like about nursing are that it is never, ever boring. Your patients will either get better or worse, but I doubt they will stay the same from day to day. You will never, ever have the same day for two days in a row. And, if you get sick of or bored with one area, you can easily move to a new area and learn new skills or take on other challenges.
I like being part of a team, but I also value the independence you have to decide for yourself how you will organize and carry out your assignment. You are both part of a team, but are also fairly autonomous.
Because your nursing education and the thinking/problem solving skills you acquired when you learn the nursing process equip you to do just that (solve problems), nurses are flexible and able to "fit" into many, many roles. I have heard us described as "the building blocks of the HC system". That is why the number of jobs for well educated BSN nurses keeps growing. In the past 30 years, these are just a few of the nursing roles that have emerged: Diabetes educator, wound care, hospice, lactation consultant, nurse informatics, discharge planner, case manager, research liason nurse, infection control, and more.
See why I feel so lucky?
Career path: Nurses aide at age 19, LPN at age 21, worked ortho, ER, general and oral surgery. My own childbearing experiences got me interested in OB, talked my way into a transfer to PP. Just missed being laid off in the early to mid 1980s, was transferred to high risk OB (with no orientation). Went back to school while working full-time, got an ADN, then BSN. Five months before graduating with an ADN, I was transferred to L&D, which was by far, my favorite staff nurse job ever. Became a very scucessful lcatation consultant, which moved me out of L&D, which I missed terribly. Had an opportuity to go the midwifery school, and took it. Practiced as a CNM for 10 years, loved what I did, but worked for an exploitative employer and got burned out.
Took a part-time teaching job and found it both much more manageable with lower salary but way better benefits and a chance to save $$ for retirement. I also really like it; the student keep you sharp, and help me feel young(er). Turned out to be good at it, am now full-time and enjoy the cahllenges of constantly improving, learning to develop good simulations, etc. I am looking into DNP programs, and will (if I stay health) spend the next 12 years teaching, then retire at age 70. After that, I think I will volunteer, and would like to spend some time in either the Peace Corps or Doctors without Borders, so I can give back.
Quite a long and winding road, but a beautiful trip along the way.
I agree with the "don't hesitate to be a PITA" if things aren't right. However, also know that no one is ever going to be good enough for your mother.
Best wishes. She's lucky you're there for her and I'm sorry you're going through this.
My mom died of pulmonary fibrosis ... so, I can imagine quite vividly what you and your mom may be going through.
While I think my mother got very good care overall, the one thing I regret was not speaking up on her behalf earlier in her disease. I wish I had been more agressive about a few things than I was.
Based on that experience ... the best advice I can give you "Don't hesitate to be a PITA if that's what it's going to take."
I wish you and your mom all the best ...
As for your "Why?" question ... I believe there has been a general lowering of standards that includes nursing schools, the hospital admins. who don't provide the nurses with what they need to do a good job, some nurses themselves, and just about everyone else. People are just not as keen on quality anymore -- unless they are the recipient. That's sad.
is ICU where the majority of the death happens?
Roughly 1/3 of ICU patients die, 1/3 have lasting effects from their illness and 1/3 make a complete recovery.
This might be a dumb question to most of you who are nurses already, keep in mind I am 18 and curious, is there a lot of death in the ICU? is ICU where the majority of the death happens?
Took and PASSED my board exam on Friday........woohooo!!!! I can finally change my SRNA to CRNA
This makes for such fascinating reading.
Is it the nature of private healthcare that has some patients think it's ok to be aggressive/abusive/sexually inappropriate?
Is it the nature of private healthcare that has you all believe that when patients are aggressive/abusive/sexually inappropriate it's just part of the job?
Do your managers not get involved in dealing with such patients?
Here in the UK, the NHS operates a Zero Tolerance policy to all forms of violent, aggressive, abusive and sexually inappropriate behaviour towards all staff, patients and visitors. There are posters and leaflets everywhere in all the Trusts.
If someone is abusive (for no medical reason), they are issued with a first and final warning so if they do it again, they are escorted off hospital premises by security or their care is transferred to another hospital - END OF!
It's good, it protects everyone and because it's policy, if your management or the Trust as a whole does not act accordingly to protect your rights, you have the law on your side.
I think it's sickening, Saiderap, that instead of supporting each other in trying to deal with difficult patients, colleagues are instead are trying to forcibly offload their responsibilities onto others. It says a lot about your team dynamics. Something needs to be done about that.
all this is mute. private insurance rates will soon be so astronomical that nobody will be able to aford them and will have to switch over to obamacare for financial survival. this mean a reduced reimbursement for both hospital employed anesthesia providers and private practice doc's. i fully agree with paindocs rationale for only accepting cases that will reimburse the most, pure basic economics. but in future yrs his base patients that historically was covered with private insurance will have swapped over to cheaper obamacare and daily schedule may look like 90% obamacare and 3% private and 7% uncovered. obamacare, bad for you and bad for me.
I can't believe half of this. An MD is better than a DO, a PhD is better than an MD, a DNP is equal to an MD, so is a DO below an RN, and a PhD above a DNP?
I'm sorry to say, that depending on what your graduate degree is in, it may or may not be more intellectually stimulating than ____. Have you handled the basic sciences of medical school? Have these "my MD is inferior to your PhD" handled the science-oriented graduate work? Have you? Did these PhD seekers attend the program in order to apply their science in a clinical field?
And lastly, where do you believe this is all going?
It seems to me that some of the posters in this thread have some "self esteem issues" when it comes to the profession of nursing -- and are putting physicians on a pedastal they do not deserve.
It is wrong to put physicians on a pedastal and it is wrong to encourage the general public to do so. Other disciplines have much to offer and should not be shoved aside or diminished by encouraging a glorification of the medical profession over all others. We should be educating the public about the value of the other professions, not perpetuating any existing misunderstandings or illusions about the absolute supremacy of medicine.
As I have said before, I introduce myself using my first and last name -- rarely using any title and always identifying myself as a nurse. But my PhD outranks an MD in the world of academic degrees and I have earned the title of "Doctor" with 7 years of full time graduate education plus many years of practice. In case you didn't notice, I have spent more years in school than most physicians.
I have earned the title of "Dr." and will use it when I choose to use a title. Those who don't want nursing (or other disciplines) to be given the respect and public acknowledgement we have earned should get over their desire to worship physicians. It's insulting to those of us who have done the work to earn other doctoral degrees.
Physicians chose to use the title of Dr. back when it was an elevation for them to be called the same thing as college professors with PhD's. Historically, their education was less and the "Dr." title was a way for them to be elevated in the public eye. They should not now try to kick the PhD's down by stripping the title they appropriated from them in the first place. If they want a title that is exclusively their's, they should either use the title "physician" or make up another title -- not kick the original "owners" of that title out of the club.
I see most people who have a doctorate refer to themselves as Dr... I understand this is technically correct, but frequently misleading to other people. I am against using it except for physicians since it creates confusion. Perhaps there should be a better or different terminology.
certified registered nurse anesthetists (crnas) at a glance
nurse anesthetists have been providing anesthesia care to patients in the united states for nearly 150 years. crnas administer approximately 30 million anesthetics to patients in the united states each year.
what is the role of an individual crna?
a crna takes care of a patient’s anesthesia needs before, during and after surgery or the delivery of a baby by:
OP, there is no need for you to do more than you need to with this person. Spend as much time as possible being away. Study in your room, or away. If you find you can, take a part time job. This will give you more time away and it might even be time you look forward to as a break from school and these people. When someone talks to you or at you there is no need to acknowledge they exist if you don't choose for them to exist in your world.
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