OCNRN63, RN 52,914 Views
Joined: Aug 27, '10;
Posts: 7,237 (75% Liked)
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....and technically what you said intimidates anyone who believes in Jesus is full of bunk.
Tolerance. If it helps them be better and feel better and they aren't hurting any one...let them believe.
I hear what you are saying but if it helps them be better...I'm good with that.
An explanation of my original letter. 1. Clients of Methadone clinics are usually hard core addicts. The main job of an employee is collecting the fee and dispensing methadone. After that they conduct drug screens and perform other duties to help the clients maintain their criteria for the service.
Clinics are usually located near the areas where there clients congregate. After they get their doses they hang around in the area of the clinic.
Clients are using this service in many cases because they can no longer get their durg of choice for one reason or another.
If this is your first job and you dont stay their long it is no big deal but the longer you stay the more likely future employment opportunities may be limited because people will be suspicious of you and believe that you may be an addict or dealer or both.
People cannot be naieve in how they look at this. Many of the people who own and operate clinics operate the same way as their clients...with violence and criminal activities. So get real and look at the total picture.
My first job was in psych.; that was thirty years ago. I was caring for a patient in seclusion. She repeatedly asked me to tell the doctor she needed a particular med for a chronic condition she had; due to her psych meds, it was imperative she get that med. I asked the doctor over the course of several days to please prescribe the med, to no avail. One night as I came back from dinner, the patient went into distress.
I repeatedly paged the psych. on call, who did not answer my pages. I tried paging the intern and residents on call to get the patient transferred off our unit as she was clearly unstable and no longer appropriate to be on psych. After several hours, we finally got her transferred.
Later that night during a procedure, she coded and died. I was devastated. At one point while I was trying to get her transferred, she grabbed my hand and said, "Please don't let me die."
I was later told by risk mgmt. that the way I documented painted a clear picture of how hard I tried to get medical intervention for the patient, and that the fault for her death was on the doctors' shoulders.
Her death was unnecessary. If she'd gotten the medication she needed, she probably would have walked out of the hospital, instead of going out in a hearse.
Point taken. I think it is silly to send out for someone to stand there, however, when the nurse could do it and be done with it in less than a minute. Much like I think it is not okay to call for an aide to place a bedpan when you are right there, or call housekeeping for water on the floor when you are right there and can get a towel in seconds, or call maintenance to switch the television's input source.
I am biased about religious interventions and I know it. If someone asks me to do something spiritual for them and it doesn't violate the standard of care, I have no problem doing it. I am a little contemptuous of people who get all giddy and flustered and say they are uncomfortable. In my mind, it's about the patient, not about me. If you need me to spin three times and say "maguffin" before leaving the room, I'm okay with that.
I know other nurses aren't as coldly practical as I am, so if it's something you are truly uncomfortable with, don't do it, but always have a backup plan in mind. Especially if it's the middle of the night and the on call chaplain is sitting vigil in ICU. Maybe you can find another staff member who doesn't mind praying and ask them for help.
If nurses sometimes help ADLs, why do we have CNAs?
This will probably come out as judgmental. I think it needs to be said though. You need to stop driving when you're in no condition to do so. You're scaring me.
As former law enforcement who's been on the scene of too many accidents and a nurse who has worked in the ER it actually upsets me that you do this. Do you understand the havoc you can wreak doing 80 mph?
Get up twenty or thirty minutes earlier in the morning so you have enough time to eat before you get behind the wheel. I wouldn't sugarcoat my message with a patient and I won't sugarcoat it with you either. You are gambling with both your own life and the life of others.
Sadly, you just sounded like the Peds instructor, who, had I continued the story, commented the same thing. Unless you are a diabetic, you don't personally understand how quickly a normal blood sugar can drop. I had it recently happen that it was 84 and driving to get something fast to eat, ended up dropping to 68 just sitting at the drive thru line. Had to eat quickly in the parking lot. Yes, I know I should correct it and I had two waffles, thing is it takes longer for carbs to kick in than it does a simple sugar.
OP@CryandNurseOn, RN-I have to be honest and tell say that when I first saw this topic along with its anguished photo about the Highly Sensitve Person (HSP) personality type, I had a kindof a reactionary take on the subject matter. As in "buck up and and get
moving" followed by "if you can't take the
heat...." After all, why would anyone with this
kind of intra-psychic hyperesthesia ever in
their right mind what to be a nurse? Isn't it
tantamount to person with a fear of snakes
wanting to be a herpetologist?
So to address the issue. In this field I have met personalities down through the years who were at various stages on the continuum of empathetic. Some very nice but warm and fuzzy, not so much. I believe the reason for this, and no excuses here, has to do with over coming the mental indecisiveness that has to do with keeping cognitive dissonance at bay.
An extreme case but not too unusualoccurrance for trauma folks is having an accident victim being rushed iinto a bay followed by his tramatically amputed left foot chilled on ice in a zip lock.
So what is the point. Simply this. We are all only human and subject to this or that revolting thing. But the necessity to be able to transcend the barriers to effective performance is essential to most areas in nursing.
I have had several instances where a resident was completely unprepared or experienced with a situation. I've shown them how to give injections, how to figure out dosing, how to perform a throat culture, how to suture and even how to remove an impaction.
I don't find it irritating so much as I find it disappointing that a "doc" would be sent out into the field without even so much as having seen the "basics". I remember the old time doctors using the phrase "See one, Do one, Teach one". But I don't think that these residents are even passing the "See one" stage before they are let loose on society! Sad really.
First of all, accept yourself as an imperfect person. Anyone who points a finger at you is a bully.
When we start out as new nurses we make mistakes. Sometimes you don't know that you can't
handle an assignment until something bad happens. Any nurse who says he or she has never made
a mistake that affected a patient is a liar. My first year as a nurse was a nightmare. I cried quite a bit.
But, there is always the nurse who points a finger and say things like "you should have done this or that"
Yes, there are nurses like this wherever you work. Just do your best. Realize nurses, doctors, RTs-we are all prone to
mistakes and some mistakes may be very serious. Learn from what you do or don't do. I am now at the end of
my career. You become stronger and smarter as you go. If you like nursing stay with it, grow and learn. If every
nurse quit because he or she made a serious mistake, there would be more of a shortage than we currently have.
Forgive yourself and find a better place to work.
A 100 year veteran??? That would make here, what, 120 yrs old? Amazing!! (just kidding!)
It sounds like it wasn't worth the migraine to put her in her place a little.
That being said, I do agree with you: sometimes you DO have to dumb yourself down. Because you can only control your own behavior, not others'.
There's no guarantee that humility and respect will be two-way (that would be ideal, but that's not the world we live in).
When it isn't, dumbing yourself down a bit essentially makes you less threatening to other nurses can help smooth ruffled feathers. Besides, you know your true level of competence, on the inside.
Just don't dumb yourself down too much.
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