WanderingSagehen 6,055 Views
Joined: May 18, '10;
Posts: 113 (31% Liked)
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This issue has been raised many times. Yes, ideally we would all look the part. Funny Press-Ganey hasn't added it to the survey. The reality is that nurses are people, just like everyone else. The same factors that are making everyone fatter are taking their toll on us, too.
Add to that jobs where it is impossible to get proper breaks and people having to grab empty calories to maintain blood sugar and stave off fatigue. Exercising after work for many is a physical impossibility. Nurses are still conditioned to put everyone else first despite what their instructors have told them.
Many of us have spent years running on empty and our bodies reflect it. I am very fortunate to have a job now where I can take care of my own needs, too. That wasn't always the case.
I must say that when it comes to smoking, it's really annoying. If a smoker can have 12 smoke breaks a shift, then so should I... to run to Burger King for fresh fries. And so if we were all smokers, how much work would get done? This occurs frequently and is not fair to the residents/clients/patients or the rest of the team.
I have seen fellow nurses from the ER go to ICU, IMU, PACU, Case Management, hospital management, Hospital administration, pre-op, post-op, day surgical centers, stand alone urgent care, school nursing, NP, CRNA, radiology, cath lab, and several other areas.
Hmmm.. Yes, I have noticed this behavior among quite a few fellow nurses and honestly I don't understand it. Perhaps it's because I don't have a single superstitious cell in my body. I simply don't believe that anything I say will affect the future in the way described in this post.
Obviously if I yell "fire" in a crowded movie theater I'll likely cause a panic but I don't think that my voicing predictions about future events will make them happen. If a code is about to happen it will happen regardless. I didn't seal the poor patient's fate by uttering; "we haven't had a code in a long time".
The only logical reason I see for nurses (or anyone else) to think this way, is a bad case of confirmation bias. All the times when someone says something and nothing out of the ordinary happens are quickly forgotten whereas the events that confirm the beliefs are remembered.
Nurses are a strange bunch with superstitions - whether we want to admit it or not. For some of the smartest people on the planet (more so than rocket scientists or...doctors...in some cases), we sure get bent out of shape when someone says certain phrases.
So, I've been wanting to write this for a really long time now, I just want to vent.
I'm currently in my last semester of nursing school, then I graduate, yay me!
I believe nursing school is an awesome experience that a lot of people work really hard to get into, and sometimes we may get rejected a few times before we finally get accepted into a program. Nursing school is NOT easy to get into, therefore, we should appreciate every moment that we spend in it, doing homework, studying, waking up early, going to clinicals, just embrace it! We worked so hard to get into this program, this will pay off in the end and it will be a huge accomplishment.
Ok so I want to get this off my chest and vent because sometimes my classmates really annoy me!
1. There's that one student that is always coming to class late, not 5-10 minutes, like (literally) an hour late! - NO!!! How is that you are always running that late?! I know she has kids but other students have kids and they manage their time and have everything set to get to class on time. Being constantly late, is unprofessional and irresponsible, not what you want to be in nursing school.
2. There's the students that are always wanting to change the schedule (that's already been set up for us by the instructors), change the rules, or complain about everything to the instructors- For example, if something on the schedule doesn't work for THEM, they go to the instructor and they make them change everything for the class. I look at the schedule and plan things around it, I never think "Hmmm, that assignment doesn't work for me on that day, I have to talk to my instructor". Be responsible and manage your time, the schedule/assignments are set up for us so we know what is due and when. DO YOUR WORK AND STOP COMPLAINING!
3. There's the students that don't like to wear their nursing uniform, what??- We earned that uniform! like I said, I know a lot of people that wish they can be in the program and wear the scrubs we wear with the school's name on it. We deserve to own it and show everyone that we are nursing students.
4. Like #2, we have student's that like to disobey the rules that are set for us. We are not allowed to wear nail polish or have long nails, yet some girls are still doing it regardless, like they think it's no big deal. You need to start acting and presenting yourself as professionals, those are cute on special occasions, but NOT for clinical.
5. There's one student that (I see) disrespects, and intimidates the instructors. She complains about everything and wants things done HER way. She gives the instructors a mean look and is very outspoken about how she wants things to be done (like #2). First of all, RESPECT your instructors, yea they are strict but it's for a good reason, they are teaching us how to be good, competent nurses. Second, Don't try to make things easy because you can't handle the hard work. I've never complained to the instructors because the work was too hard, and I've gotten very good grades thus far!
6. There's people that don't pay attention during lecture! This irritates me! I see them going on different websites in their laptops, then during break or after class, they say "so what were we talking about?" I'm not even joking! During clinical, a student asked what was a [certain condition we talked about in class]....ummm, we had a whole hour lecture on this condition and she didn't know what it was.
7. This is the one I HATE the most! People that want to copy your work. I don't agree with cheating or copying. I don't believe it's right that I worked so hard on an assignment, put the time and effort into it, and then have someone ask me to let them "borrow" it, when they clearly haven't done their work. I also had a student TELL ME after we were done with our midterm that she tried looking at my answers because she didn't know what one of the answers was. She keeps asking for my assignments but I don't understand! We are about to graduate, we are about to be nurses, WORK for it, Oh but she gets mad when I don't give it.
8. The people that look for all the answers online instead of in the book....where they are whenever we have online assignments/quizzes, not only do they look online for the answers (without reading and understanding it from the book) but they pass it around to the class, so NO ONE does the work, they just copy and don't understand the material.
Anyway, that's it for now, this is already too long.
Just wanted to let you guys know that as nursing students we need to work hard, understand the material, read, be organized, ask questions, respect and appreciate the instructors, we are held to a higher standard!
I just feel like I don't have a reason to complain, I knew this was going to be hard, and I'm enjoying and embracing every aspect of nursing school.
Do you guys have people like these in class?
What are you doing to boost your immune system? Supplements of Vitamin C, D3, zinc along with kefir and other fermented foods should be taken daily if you hope to improve your immune system. A high quality probiotic wouldn't hurt either along with clean eating.
Hi all! Haven't posted in a while, but am making a come back. I wanted to do a post that would generate some good moral, as I have noted a lot of slightly on the negative side topics as of late. ( not counting I got a job/ tell me about the job stuff).
That being said...I am interested on stories of your good catches in corrections nursing. We as nurses in this specialty have a great nose for b.s. but sometimes some of us can get jaded and miss the real stuff when it happens...I want stories of the opposite stuff, the stuff you saw and acted upon which saved a life. I'll start. And as the title of my post suggests, I accredit the life of this particular Pt to an LPN on my staff, and yes a cup of Gatorade.
It was just another night at the good old county jail, and it was getting toward the end of my 12 hr shift, right around med pass time at 4-5am. I don't handle the med pass, one LPN does that as I am in the infirmary and deal with everything else (to avoid a tangent on what I do, which is much like I'm sure many of you deal with if you work at a busy county jail in an inner city) At any rate at this time of the day my shift is usually pretty chill, most of my paper work and charting is complete and I can relax and do my counts and such. So at about that time I get a call from one of the officers that my LPN is sending a guy up to medical for evaluation. That is all I get, so I ask to speek with the LPN to see what I am in for, and all she can tell me is that he isn't acting right, slurring speech, and unsteady gait. While I am waiting I pull the chart and find a young guy litterly just turned 26 y/o no significant medical hx except he was being treated for flu like symptoms.
So he gets to medical, and she was right, he was a bit off but nothing major at first glance. Vitals stable. So at first Im thinking he was celebrating his b-day and took another I/M meds and is now having some SE. But he denied doing that and reported only a severe head ache. Neuro check ok ish, but he was only smiling with one side of his face, no droop. So now I think bells palsy? so I call the on call md and she says that sounds right, and to keep him in the infirmary on neuro watch and he will f/u with md sick call round 7 am less than 3 hrs away. so Im cool with that and tell the inmate and C/Os that he will be moving. So he asks for some gatorade, (we give it to our w/d guys usually) so i give him a big old cup and he picks it up and instead of bringing it to his mouth he pours it down the front of his shirt. Then he uses his other hand to drink it without a problem. At that point ( after asking him what he was doing) I say hold the phone...I'm calling 911 and this guy is outta here. I wasnt sure what was going on with him, all I knew was that now he had a decrease in coordination and that is never a good thing.
So to make an long thread longer...the Pt wound up having a sub dural hematoma, with an 8 mm shift of the midline and an abscess in his brain. less than 1 hr after leaving the jail he had an emergent craniotomy, and then 2 days later another one. I heard from one of the Lts who knows the Pts family that he is doing well with minor deficets on the left side, but he is alive! If he had gotten to the hospital any later he wouldnt have made it.
so my friend's joke...Corrections nursing saving lives one cup of gatorade at a time! actually came true...
What are your stories...remember good catches with hopefully good outcomes! need a little upbeat stuff sometimes yah know....
ps sorry about the length of this thread i know i can ramble hope u enjoy it.
*unless they've had a hyster, get the pregnancy test
*don't let them scare you with "oh, they can never get an IV/my veins roll/you have to use a butterfly/you only get one stick". Sometimes, it takes more than one stick, especially if they are oh, I don't know, SICK. Make it clear when you start.
*memorize this phrase: "patients are seen in order of severity of symptoms, not arrival time"
*if a person is ma'am/sir -ing you to death, being hyper-respectful: ask if they are ex-military, or from the South. If no to both, this MAY be a sign they are drug seeking. Has turned out that way too many times to ignore the trend
*who gets an EKG? Anyone with CP, SOB, pain in jaw/neck/arm/back, dizzy. lighthead, unexplained weakness, diaphoretic. In short, if they have even one symptom, get it the EKG, rule it out. Had 30yo F and 27yo M no hx, no drugs, nothing....chief c/o "my chest is a little tight feeling" .....STEMIs.
I also agre with what SoldierNurse said. The one coment that i would add is that if the chemotherapy and blood will both be running simultaneously, best practice would be for the chemotherapy to be running prior to the blood infusion. If the chemotherapy is infusing continuously over a number of days and the patient is intermittently receiving transfusions or antibiotics for that matter. You would not want to start both of them at the same time. If the chemotherapy has been hanging for a couple of hours without any reaction, the likelihood of the chemotherapy causing a hypersensitivity reaction at that time is quite low.
Different lumens are different lines for the sake of compatibility, etc. If you can run it through two different IV sites at the same time, you can run it through two different lumens at the same time.
We had this debate on my floor once, too. We had a patient who was on a continuous chemo infusion much like the patient in your scenario who needed blood. They had absolutely zero peripheral veins. After many attempts to establish another site, our CNS came in and told us we were wasting our time as it was perfectly safe to run chemo and blood and whatever else you might need at the same time via different PICC lines. For the same reason you can run TPN and an antibiotic on two lines of a PICC, you can also run chemo and blood--they're not going to mix in the process of infusing.
Our concern, of course, was if the patient had a reaction to the chemo or the blood, how would you know which one was causing the reaction? However, this patient was ill enough that if they didn't receive the blood, we were going to have to stop chemo, so in the end, we infused both and everything turned out fine.
I don't recall the exact information our CNS provided at the time to prove the safety of such a procedure, but the following is from a quick Google search:
Non-tunnelled CVC's may have single or multiple lumens. Each lumen provides independent access to the venous circulation so that incompatible drugs/fluids may be administered simultaneously.
Any RN's out there doing Healing Touch?
Your very intelligent. The way you articulate is amazing.
This absolutely cracks me up...it is so perfect! I am printing it and bringing it to work....
Are you sure it's nursing or is it maybe where you work? Not everywhere is a bed of roses, but I agree nursing is tough. I learned that the hard way when I stepped into the real nursing world when I landed my first new grad job. Although the experience was priceless, I found myself questioning if I made the right choice changing my career to nursing. I was stressed going into work and leaving and I was being effected emotionally. I wanted to quit bedside altogether, until a few wonderful nurses on my unit gave me a pep talk. I'll never forget one who assured me that as a new nurse I was being molded, which meant I was going through the fire. She was right, I was feeling the burn but it didn't kill me. I've since then moved on to a unit/specialty that I love and has given me a renewed look into what I want to do with my nursing career in the future.
Your back has to be broad and strong in this profession. The patient who is his own POA has rights and as his nurse, you were being respectful in following through with his wishes. You also have to give yourself some time to build up your experiences and knowledge-base before you stop second-guessing. Even the most experienced nurses will get a second or third opinion if she/he is faced with a challenge.
You should pursue what makes you happy and with that I wish you all the best. We are in a profession that provides a plethora of opportunities. You just may have to aggressively pursue that path. You shouldn't think you are disappointing your husband because "beside" is not the only area that qualifies you as being a nurse.
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