MedChica, CNA, LPN 13,083 Views
Joined: May 18, '10;
Posts: 578 (52% Liked)
; Likes: 1,045
I float everywhere.; from
Psych, LTC/SNF, Rehab, Corrections
Attaching the '-shame' suffix to everything. I never hear it in person. Only online. It just makes me hostile.
What's a 'sontimeter'? (centimeter)
Coochie. When I did xray(ivp), had a little girl who kept referring to her vagina as her coochie. "Mommy - my coochie!" ; "Mommy, my coochie hurts." Eww. She just kept saying it.. When I have 'workmares', this is what I dream of.
"Dude -- !" My coworker taught me that this is a question, exclamation and a response. I used to think it was funny. Now. I found myself using it all the time
"...and I was all -" ; "...and she was like -" ; "...and we were all like --" I have a coworker who talks like this. Cracks me up. Now, I talk like this, too!
"Super"...because nothing is just cute. It is SUPER cute. Awesome can't just be awesome. It must be SUPER awesome. One of my coworkers talks like this. Often. I like the feelgood motive behind it. I mean, have you ever had someone call you 'super awesome'? I have.
I was like, "Yes!" *pumps fist*
"Moist" is only gross sounding because people drop their pitch and enunciate every vowel and consonant. MmmmoooiiiiSSSSSST. See? That's just gross.
When elders use the word 'pet' for fondle or canoodling with a partner. It's like using the word "having relations" instead of "having sex". I tend to use the latter often, though. It just less dirty and more proper to say that someone's 'havin' r'lations'.
"Lou-wheeze-e-an-uh". (Lousianna) I never heard it pronounced that way (uh, correctly? Lol) until I encountered nonsoutherners and floridians. Screw Webster! I don't care what the vowels dictate. It's "Lou's'anna". .or "Louey'sanna" (slur it!). It's "N'awlins:...or "Na'orlins". It's "tEx-is", not "Tec-sis".
I actually didnt screw up orient and orientate until I became a nurse.
That's all I know for Florida. There are no nurse orgs. I've looked everywhere. You really just have to keep your ear to the ground. There are always opportunities at the state level.
Do you work in a state that recvs hurricane activity?
In Texas, there's Operation Lonestar. The state guard, dept of public hlth, and military (guard/reserve units) give free hlthcare services (tooth extractions, physicals, xray, etc...) to the 'border population'. (Texas is a sanctuary state) Its a mass cas exercise, too. After Rita, Texas began to really prepare for disasters. Everyone can go but no one does because they dont advertise and only offer this sort of thing to people on the border.
I was told that other states offer something similar, years back.
I'd also suggest heading to the border of Texas for an RN job. Need is very high. Pay, too. It's been like that for years.
The electronic littman is great if you have hearing issues. The cardiology iii is just as good. Lighter, too.
You're a student, though, so get something durable and cheap. You can blow your money in fancy-pants equipment (as one of my supvs calls it, shaking her head) when you graduate.
ADC makes durable cuffs so I'd think the stethoscopes would be good too. Prestige stethescopes are nice. I dont know how well they work, though.
Minus a bad shift, you're not going to be missing breaks often unless you're new, work a lot of new facilities or the pt ratio is just that huge and the care, that involved. The shift also. It's generally easy to take hour long breaks on weekends and nights. Although on a nasty weekend (7a to 11p), I once didn't eat until 8p. In most places Ive worked, nurses do take a lunch. They may not taste the food. They may take lunch late. The 7a to 7p weekend nurses where I work tend to eat AND chart but they do eat. I tend to take late in shift lunches, anyway. Food makes me sleepy and I prefer to take breaks when 75% to 90% of my work is done. On 7t3, Ill take lunch at 1330. 3t11, I take lunch at 2130.
It's okay to be scared. It may not take long for you to feel comfortable depending on how much you work and how much rigorous the floor is but, yeah, youll be nervous. I was.
You wont know the feeling of being lost at sea until you find yourself standing in the nurses station by yourself at 1030 in the morning. Phone's ringing off the hook, providers all over asking a million questions about the residents I know little about, etc... Answer the phone. Pharms on the phone for me. Okay, I clarified the order successfully. Yay. Answer again. Visitor wants to be transferred to mothers room. Okay. One moment, please. Now...to fumble around the nurses station looking for the 'book o' pertinent info' to teach me how to do that. Hmm.
You see the a/don heading in your direction. Thank god. She comes over smiling and tells you to hold out your hand. You do. She slaps a bunch of TOs in it, laughing.
"Are you, okay?"
Me? "Uh...Im okay. few quick questions. How do I -- ".
First day on the floor by myself. First job.
- Write things down. You will not remember everything.
Write down the facility phone number and fax numbers, too. Write down the name of your unit, too. Northside, Southside, 300, 400, MCU, SCU, etc....
- During orientation on the floor, bring your notebook. You will very likely be working that hall. If there's no assignment list, just write notes as you're being introduced to each pt Ex:
200a. Frankel, a. DM. C. Take b/p. Peg. Fall risk.
200b. Watkins, J. Iv ABT/Cdiff. Behavior. Sacral wnd. Takes med c juice. A/Ox2. Fall risk.
201a. Sanchez, R. Nectar. C DM. Blind. HOH. Abt/uti.
202b. Hardaway, M. Peg. Dm. Vitals. Fall prec. Seizure. A/Ox1. Prnq4
C= meds crushed
PEG = gtube/peg tube
HOH = Hard of hearing
ABT= Pt on antibiotics for uti. (You must take vitals and assess for adverse reactions to ABT therapy).
Youre not going to remember everything about every pt when you hit the floor by yourself.
Knowing your pts is half the battle in ltc/snf.
- When i was new, Id take a blank copy of a TO or new admit paperwork and make notes on that. That way, Id always have something to refer to if I forgot how to do something or how to fill out a form properly or what orders to write.
'How To Do new admit."
'How to order lab...xray..."
"How to dc pt."
"How to pull" this and that report....
- Bring your equipment and try to get as independent as you can as quickly as you can. Do some sticks the first day. Do some PEGs. Try to handle the cart on Day 2. Your supv will be there. Dont worry. Most facilities don't give more than 3 days of orientation. That's why it's best to be proactive. Youve seen those wildlife shows where newborn calves are birthed during migration and have to be up, walking 30minutes later, running within the hour and able to follow the mother/herd? Same difference.
You'll do fine.
A bonus plan for 'the heart of the nursing home'.
Yeah, because the rest of us run around, miss breaks, work off the clock, leave late and do nurse aide AND nursing tasks due to shortstaffing because we... don't care? The heart of the facility typically stands at the clockout machine 5 to 10 minutes before shift ends. Our aides work hard but let's be real, here.
I don't need a slap on the back but everyone busts ass in the nursing home sweatshop. Nursing, housekeeping, dietary and maintenance. It's not one group more than the other.
"Perhaps we could find a way to evaluate and track ---" Uh, uh. I dont like the sound of this already. I, for one, am not keeping track of or documenting *expletive*! If you pay them and support them? They will come and stay.
If you want to give money, offer more money per hour. The end.
The fact that you offer gimmicks instead of actual benefits is telling. I wont even pretend to be shocked. Frankly, I dont know how youd track anything but you guys are going to have to handle it on your own. No one on the floor has time to be doing corporate 'busy work'.
Ive found a very nice facility. Well staffed. Pays very well. Training is great and the only reason why it runs so efficiently, Im convinced, is because the CEO is a NURSE.
Honestly, you're supposed to do count whenever you take the cart. Is the RN not counting with you? That's a problem.
Corrections is odd. Where I work, some used to flip the cards upside down. The supv found out because another whined to her about it and blamed the new staff. I came in once and the supv gave me a talking to about it. I was like: ??? "I just got here. The cart is always 'like that when I get here'. I dont flip cards." Most of us came from the nursing home. Flipping cards upside down isnt a bad habit learned ... from the nursing home.
Your supervisor is completely useless, by the way. I never ran across so many lazy mini managers until I did that specialty.
Why resign? Just go PRN/PT?
Pay will probably be higher working prn.
They'll still need morning coverage so youve still got hours plus, odds are bad that whatever newb they bring on will work out.
Theyre a job option for the future. While you're waiting for your 'dream icu job', you'll do so while earning RN pay in an RN job (22 to 25 to start from what I've managed to gather) and have1-2 years of rigorous LTC experience to offer, unlike the bulk of your future classmates. No one's falling all over themselves to hire new grads. You dont know what the future holds. Create career options for your future...now.
Which is a better career for a young parent...with a young child? This is a nursing website...so I know most of you will probably say LPN...but I don't really know anyone in the medical field so this is the only place I could think of for an opinion on this. Thanks in advance for replying
Oh, and can you tell me the duties of an LPN? Googling things just isn't the same as asking someone that's actually in the field. I know what medical assistants do...it seems like I spend a lot of time in the doctors office o_O
Nursing school only teaches a fraction of the necessary knowledge. Experience teaches the rest.
Practicing nursing under an administrator with no on the ground experience is most nurses' nightmares.
Xray is a cakewalk. You get the pt, position, shoot, recv the image and see the pt out. Next! If they have questions, they already know to speak to their provider. Nursing entails a lot of handpatting and handholding anf coddling that just isnt present in ant area of radiology.
Your biggest issue will be repeats (something you only worry about if youre a newb), ugly film (if youre still working with developer. Once I had a day of purple film and had to call the qc to come handle it. Id drained the processor twice) and how to do a 'bodygram' on immovable parts.
Fluoro? This is xray, too. I didn't much care for. This is done assisting the physician. UGI/Barium Swallow are the easiest. SBFT and Barium Enemas are the most time consuming. IVPs and HSGs are the worst. I was always the one tasked to do IVPs and the pts were always school-aged. It was horrible. Cathing was 40% of the battle. 49% of the battle was getting the child to urinate under observation.
Dexascan? This is routine xray, too.. Put pt on table, strap them down and run the machine.
CT? Put them on the table, explain exam, go sit down and scan. You do a LOT of sticks (bc of contrast studies) and you're utilized heavily during emergencies. It's the more stressful discipline of radiology. (U/S, too)
MRI? The machine does the work.
U/S? I dont know much. I would chaperone on occasion. Seemed to be a lot of scanning and fighting sleep in a warm little room. Our techs would stand and scan.
Mammo? They squish boobs all day. The end.
The growth is in nursing but radiology provides a nice lowstress type job with a decent living. Ive often said that xray is the best kept secret in the hospital.
Xray just doesnt offer much of a mental challenge. In nursing, the stimulation is constant. Putting out fires and keeping the plates spinning. Xray? Shooting portables on a code is as good as it gets.
You can earn very well. A CT tech that I trained (in routine xray/fluoro) made $26 to start. This was a few years back. Xray techs earn $21+(in hospitals), at least.
The stress is wayyyyy less, compared to nursing. Youre responsible for producing a quality image. Anything else? Consult with your provider.
You're inpatient? Oh, well I'll contact ---- clinic and try to get ahold get of your nurse...(the nurse - hell, any nurse). Dont worry. The nurse will handle it, whatever it is.
I have no idea what the civilian world is like in terms of hiring new grads, but you dont really need 101 techs for a facility. It may be hard to get on, in fact. It's not like nursing. The need isnt there.
(I used to shoot xray and do ct. Military trained).
I swear, there was a fart thread some weeks back. Everyone was cool with blowing farts all the nurse's station. Nail clipping at the nurse's station? No. That is "of the devil'.
Like, a poster in the thread actually used the word 'appalled'. (Lol) Im appalled over reasonable issues, like, violence in the middle east. Im not 'appalled' that any would clip fingernails at the nurse's station. This site is just...I swear, a lot of people on here just go with the popular opinion of the thread and whatever the popular posters type/think. People are offended and morally outraged over the dumbest freaking things on this site. This, being an example
To answer the question, I wouldnt have a problem with it. I probably wouldn't notice. Id notice someone farting on me, though. (Lol)
Well, I dont wanna be gross BUT if they cough, it'll wink at you.
Beyond that, I make sure to be generous with the betadine when cleaning because I generally have to slide the cath down from the clitoris to the first hole. With all the flab I generally have to hold back, I cannot eyeball it.
Stuff sags when you get older so the point of origin will be lower.
Didnt you just create a thread about this same issue?
Seems like you work 3-11? If the vanc was to be hung, why didnt the two shifts before you do it? I dont understand that.
Anyway, so, okay, - you did call lab which was good. The supv wasnt aware of that so you likely didnt document your correspondence with lab... which was bad. (Lol. Document these things, op).
You didn't hang the vanc, though, because it was 'too late' -- what does that even mean, OP? (lol) What is 'too late' when the pt was supposed to recv ABT two days ago? What are you people waiting for - sepsis? (lol)
But, you think this is about the lab not sending timely faxes? And you're all offended that the supv called you "on your day off" about the giant boo-boo you made? "She yelled at me -- !"
Well, you know what, OP? Jesus would've had to 'take the wheel' from me, too. (lol) This is the second thread from and every correction is met with a rebuttal. "...but, they didnt -"
"...but, but, but --" Jesus...take the wheel! That's your pt. That is your pts life youre dealing with. This is serious business.
No one wants to see you fail, OP. But, no one wants our pts harmed, too. If you need help, if you have questions, just ask. Just...ask, honey. For one thing, Im sure you told nightshift about the vanc situation in report. So... unless theyre new too, I cant believe that nightshift wouldnt correct you on the spot. If they did, and I'm almost certain they did, you shouldve hung ABT before you left.
You shouldn't have quit. Youre just gonna run into the same issues at your new place. Waltzing around with gloves on, not assessing/documenting injury, leaving keys all over, wasting narcs on your own, etc.... That's you on the floor. You're told to not pass in the dining hall. You do it anyway. You hang ABT whenever you feel like it. God forbid that someone RIGHTFULLY and sternly correct you or youll swear up and down that youre being bullied.
"Aint nobody got time for alluh dat!" , OP.
You only had 20 pts. 1 ABT, Im assuming. Handful of accuchecks -- that's nothing. Seems like a decent place, to me, because that's a cake assignment. Youre so new, you dont even how good you have it! I work at a few facilities. You dont even want to know how many pts per nurse there are or how many accuchecks/crappy PEGs that are forever clogged/bolus/iso/IV pts exist in the bunch. You shouldnt have quit.
-- At your next job? Request more days of orientation and stay away from 3-11. It's the hardest shift in most places Ive worked, imo, because they do everything mornings does PLUS The admissions, the phone, the visitors, the sundowning, a heavy 5p med pass, and MINUS the support. It's too much for a new nurse. Most new nurses that Ive seen just dont last on that shift. They crash and burn. 7 t 3 or 11 t 7 is best. For you, Id recommend 11 t 7 while pulling am shifts throughout the week BECAUSE you wont learn everything you need to know on nightshift (or weekends) because you dont have to do whats commonly done on mornings. 7 t 3, allows for a more wellrounded skillset. In my opinion.
- Get in the habit of writing things down. I take report with a notepad. Everyone gives report differently. Even if I only recv info on 2 rooms, I write a list of room/bed numbers and I jot down things as they happen during your shift. Every prn given with times, every accucheck, every O2sat/temp/bp taken, etc....
- When you accept your pt assignment, you need to know: Your diabetics. Your bolus/pegs. Who is crushed/whole. Who is ABT. Who fell/had seizures. Your PRNs. Your hospice pts. Of course check folks with status changes first.
- I dont chart until the end.
- Youre new. Youre going to be slow. Its okay. Start earlier if you must.
- Always check your people at the start of the shift. It doesnt always occur to new nurses to do this. Im flexible but I do prefer bedside reporting.
- Make sure the carts ready for next shift. Even if youre running behind, you shld be ready to surrender keys at the appointed time. I finish my medpass, check narc count, clean/restock the cart...sit down and chart. If I'm behind and reliefs coming in 10-20 minutes, I stop and make sure that the count is good so that they can start their work.
You want to keep things timely. "I have to see the TAR/MAR to --" No, Im using it. Fill in holes when Im done or fill them in tomorrow. Get off the cart and get outta the way. (lol) The other shift has work to do. You work around them, not the other way around. Im projecting a bit, I'll admit. To be clear, Im not talking about being 5 minutes late. More like a whole hour. One of my workplaces, two nurses who repeat offenders. LPN and an RN. The LPN, I followed. Experienced but 3t11 shift is nasty at that place. I know how she works so Im never bothered. The RN was new to ltc/snf and couldn't be timely. It happens but the bad news was, she was nightshift and would hold up morning shift. Im talking a full hr before 7t3/7t11p could get the cart. Routinely. I had to work behind her on mornings on occasion. It was a mess.
-- If you work nights, get your urine specimen at the start of the shift with the aides. I have more luck then.
Good luck, OP.
Are you on this site in the care clinic/er waiting room or...?
If I had a T101+ that wouldn't break with body aches, general malaise and a cold sweat, I wouldnt be chilling at home, waiting for death ans replies on a message board. That's just me, though.
She'll get it if she becomes an elder with no one to care for her. The CNAs will be her lifeline because the nurse simply cannot be everywhere at once. Half of the issues Ive responded to are brought to my attention by our aides: Fractures, bruises, high temps, odd vitals, loose stools, no stools, abnormal behavior, abnormal mobility, etc..handled because the aide noticed something off about one of our people. People who think it a lowly position dont know what the hell theyre talking about. Our aides dont do lowly work. Theyre just paid lowly.
Being an aide also allows you to be a more effective manager, OP. Youll know a crappy aide when you see one but youll also be more understanding of the workload and, in turn, more understanding of those who must work it (short usually)
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