Latest Comments by Silverhawk

Silverhawk 1,688 Views

Joined: Sep 22, '04; Posts: 58 (3% Liked) ; Likes: 3

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    Quote from shodobe
    So far the hospitals where I have worked have NOT allowed men to work in the L&D departments. This has gone as far as the courts with the guy losing every time. Good luck though. Mike
    Ain't equality great! They want it all, but don't ask them to be fair in return. Soon males will be the new minority

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    Quote from Bindy
    Hi, I am new to this forum. I am a 37 yr old mother of three who worked in the Ultrasound field for eons...before making the "smart" move to go back to school for nursing. I was in the hospital since I was 20, know the politics, made many friends and many enemies. I am an outspoken, honest,"say it like it is" person who believes in team work and NON backstabbing. I was recently terminated from a position as a staff nurse at a local hospital in M---- County Pennsylvania. I was in this program that would supposedly take me from med-surg all the way up to ICU/CCU. That's what I wanted. Ever since I had started at this institution I have encountered nothing but negative feedback. I am a new nurse, six month's into the GAME. I have been pulled into the nursing office about three times,confronted by two nurse managers that they feel I was just not getting it. That was the first meeting, when I was there on the floor as a new nurse for only 6 days. Then second meeting they told me that I wasn't filling out my I/O sheets (O.K) that "other nurses" were complaining that I was unaproachable, defensive, unfocused, and that patients were complaining too. I said, O.K, can you give me some examples so I know what to work on. They said that they didn't have it ALL written down but there were numerous complaints. I also supposedly talked about alot of the nurses to other nurses. ( At this point I am thinking am I in high school?) So I left that meeting solum and beaten....vowing to not say a peep to anyone. I have three children here to feed and a marriage on the rocks. But unfortunately I have a personality that loves to laugh, talk, help others, and really want to make a difference in patients and my coworkers lives. So that didn't last. I was told I was on probation again....after 5 months on the floor and that I was not ready to be trained on the telemetry floor. ( My background is Cardiology...Echo, holter scanning, etc.) The very next week they ( nursing office) decide to pull me to the telemetry floor, by myself, no preceptor or co-assign for 12 hrs. (Humph!) They( nursing office) call me about 3pm and ask me to stay to 7pm, there on telemtry. I opened my big 'ol mouth and said "Isn't it funny how I am not ready to be trained in telemtry but you can put me here for twelve hours." I stayed. The next week they pull me to the Oncology floor, which is a hospice floor also. I did a two week rotation there in December. I recieved 5 patients....One was dying...and did die on me, a psych patient with medical issues, a drug seeker, a normal medical case, and last but certainly not the least, a OPT coming in for blood that spoke only Russian. Well, my day was hell, so one of the other nurses "started" the ball rolling as far as my patient that had to recieve blood. She did the assessment and "got them ready for me". I was left with the IV stick and getting the blood. I did this all after sticking this poor woman three times because of rolly veins and I proceeded with it when the clerk told me the blood was ready. Appartently there were med's to give prior to the blood that I did not know about. I assumed (how wrong I was) the other nurse would have let me know this. She wrote the nursing progress notes on the patient and it was a mistake I will never make again. Anyhow, this woman's vein infiltrated, I took it out, iced it, then went to pull a seasoned nurse to restick here again. When the first unit of blood was done, I took her vitals and let the oncoming nurse that she had to get lasix folling the unit and after the second unit. This fact was told to me. Patients vitals all within normal parameters, I finished all the rest of my paperwork, and lastly checked if the oncoming nurse needed anything before I left. She said no. Off the next day, then went to work the day after, pulled in the office and was shown an order that stated Tylenol 650mg P.O, Benadryl 25mg, P.O, and Hydrocortosone (don't know the amount...blurry now) and that these meds were never given, now this patient was admitted with reactions and she is in CHF. I looked at the order and it had no time or when to give (premedicate or only PRN)So I am at fault but there were more than one pair of hands in this pot along with a badly written order. I was terminated. I was told that I didn't follow through. Then they said that I didn't even sign the progress note and that's when I told them that I did not write that. They said"oh...." I never receieved any written warnings nor had to sign for anything and I feel that I did not practice at 100% but it was a floor out of my realm. I hope all that reads this do not think that I think I am infallable. I am not. I just feel that this hospital had no intention of keeping me and were waiting to see me fall. I am a "6 month old nurse" in desperate need of a job and I need good references. I was going to stay at this one place until I hit my year mark. It does not look right when you go from place to place. I need some guidance here, if any body would be so kind. Thank you. Bindy
    There are some real _itches out there. Use college references, and any nurse that you have workrd with. There is such a need for nurses someone will hire you. I have been where you are. Get busy looking for another job. Move on. You can do it! I did, and got a $3 hr raise as well! Goodluck!

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    Quote from NE_Chris
    [font=Courier New]
    In our admissions department there are 3 people for a total of 182 SNF beds (2 facilities) and 44 Chronic complex LTC (vents, trachs ,etc). There is a full-time person doing the SNF beds (has a bachelor degree in psychology and minor in health care studies), a part-time social worker answering phones, giving tours, and admissions paperwork for one SNF, and me full-time. I do the assessments for the chronic complex LTC since I am the nurse, assist the LTC screener when she gets busy and some marketing. Typically I get a call from a hospital that the patient is going to be ready for discharge, and whether it will be short-term rehabilitation to/or long-term care. I go to the hospital and examine the pts chart, read the discharge summary if it's ready, review lab work, check if any precautions and look for behaviors that might not fit in with our residents. I meet the patient then fax the clinical to the DON (or supervisors), and insurance information to the business office. Once I get the okay from the DON and business office I inform the hospital discharge planner/ social worker we've offered a bed(including how many other patients are in the room) and I call the family to let them know as well and to answer any questions. From there the family will talk with the discharge planner, and I'll get a call from them if the family has accepted the bed or going to another facilty. If you want to get into screening, I would check out what if any chains are in your area, and send a cover letter with a resume to corporate. Especially with summer coming up, the present screeners will be wanting to take vacations and this could be your chance to get in. I know of a facility that just has one screener for a 156 bed LTC facility- but they get fed patients from contracts and their assisted living. When their screener goes on summer vacation the census goes way down because no one takes her place. Good luck, feel free to ask any more questions.

    Chris
    Thank you for your infomative reply! I'm sure to have questions later.

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    Quote from gladtobeOB
    These last few weeks have been rough for me at work also. Have been in OB for about 4 months, worked med/surg before. Someone who I thought was my friend emailed our manager and must have told her that I asked her for help with a foley and that I can not start an IV on everyone that walks onto the floor. and something about fetal heart monitoring. Well I got an email from the manager to say that she would be in early Monday morning to watch me prep a woman for a C/S ie foley,paperwork and IV.(Not that I haven't done many of these in the past) Boy was I mad...

    OK, so in walks the woman 15 minutes late, 300lbs and a latex allergy, so that means she cant use our regular foley's, those put together latex free ones. Well I prep her for the foley, manager assisting, she tells me to aim here(definitely not the urethera) then I go into the vagina, well you know what then get a new one, then manager takes over, uses not one more but about 5 more until about 15 minutes later with the woman very sore by that point do we get one in. Off to the IV, very small veins deep inside. I try once, then manager procedes to try 2 more times, with woman screaming because it hurt. NM then tells me to get the other RN to start the IV, mean while it is 7am now daylight shift on, wanting to count narcs etc. I am in the med room when a coworker asks whats up and I just let it rip, telling her what has been going on, how much of an a** the NM made of herself, sick of people being so backstabbing etc..by that point I am so upset that I am crying, when the NM walks in to show me what happens to the iv cath when you try to advance it instead of the needle how it bends etc. She asked what was wrong, I told her just venting, she said vent to me....She (NM) then had to be sup for the day and I had passed are the way to the time clock and she asked me if I wanted to talk.......NO!!!!!!!!!!!. It made me sort of happy that the woman walked in because it just goes to show she made a total you know what out of herself and proved to me that just because one nurse cant get an IV or foley doesn't mean you are incompitant, just means you want to do what is best for you pt and get someone who might be able to do it on the first attempt and with less pain and anxiety involved.

    This is worst of all things related to this job, which is enough, because you never know who is going to tattle on you next. Before this incident I emailed the NM and told her if she want me to start acting like them, I can and I began by telling her how one shift I assess and did all the vitals and assessment paperwork, on our pts while a certain RN sat at the desk, how they sit for hours watching TV etc......Hope NM gets a brain and realizes this type of behavior needs to be stopped, and a professional environment developed.
    Divide and conquer. You just responded the way they, management, wanted you to. You are now part of the quagmire that reports anything and everything to management so you can all walk on pins and needles!:hatparty:

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    Quote from Jay Levan
    Sad but true, I have been dealing with this problem for thirty two years, fortunately for me, I was trained very well and learned very early to pick my battles and stand my ground when necessary. But the cost has been tremendous. I haven't seen in this thread, the obvious yet covert truth of the matter. What I mean is that, a male may win a battle or two or twenty, but eventually if one female begins the discriminatory behavior against any male, sooner or later she will "enlist" as many cohorts as she feels necessary, to win the "WAR" and be rid of the pesky male. I have both witnessed this behavior and been a victim of it many times. There were several times that I considered legal action against individuals that were particularly venemous. I am sure that I could have won cases of slander and liable aganst those individuals. Consider this, I have been an R.N. for thirty two years, I have never once been repremanded by any state licensing board, have never been accused of any malpractice issues, or any other issues concerning patient care, and yet as I approach retirement, I am still BLS, ACLS, and PALS, certified, yet having trouble finding work in E.R. There are those who will say that, "He is not the nurse he used to be." or "He must have burnt too many bridges." or "He must have peed off the wrong person." To those I say, you are wrong, standing up for one's self is not the answer, because when you do, you make your enemies more determined, this is where the "enlisting" of help to scuttle your ship begins. Giving exceptional nursing care is not the answer, it is a threat to those who would sit on their duffs and gab about anything but patient care. To those who might say he's not the nurse he was once, I say, "then why am I still able to do evrything an E.R. nurse does?? :angryfire The answer to discrimination of anykind is to confront it and erradicate it. Unfortunately there are to few males in the nursing profession to accomplish this. Females know this and I suspect, that this (Keeping males on the defensive) contributes greatly to the reason there is so much widespread discrimination against males in our profession, and that my fellow professionals S--ks!
    Tell it like it is brother! Those same hostile environment laws apply to men too! The females seem to forget that. One good lawsuit with them personally listed as well as the company as defendents will stop the BS! Use a voice activated tape recorder too! It is an insult to men who have accepted and fought for equal rights to then be discriminared by the very ones the men supported in their struggle. Bt the way, there are more women than men in the U.S. now, so men are now the minority and should have the advantages of all those non-discriminatory laws. Yeah right! It's all so sad. Our livelihood is not a joke!

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    I strongly suggest you job shadow in several different areas for a full shift following a particular nurse around all day, so you see everything involved before you make such a commitment.

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    Quote from new career
    How ironic! I have been in the field of education for 18 years and now I am looking to change fields and enter the nursing field. Chicago Public Schools has a wonderful program for people with Bachelors degrees in other fields to transition over to the field of education. However, I strongly suggest you substitute teach first. May I ask what made you decide to change careers?
    I strongly suggest you job shadow, and I mean every minute, three different nurses in three different settings, e.g. hospital med surg, LTC nursing home, redi med, etc. Why? A nurse is responsible for their routine stuff, like meds and Tx's plus if anything comes up, say an emergency, guess what, you still have to somehow get the other stuff done just as if it were a normal day. A nurse has to answer to EVERYONE! All the pts if they want help all at the same time, oh well. it's your a... er license. Drs, family, friends, housekeeping, management, other nurses, ... the list goes on. It's not like you can concentrate on a particular task, until it is done, and then go on to another one. Typically you are responsible for several tasks that have to be done now! Of course often they can't be, but guess what? You are still held over the fire for not getting it all done somehow. It's a no win situation. Damned if you do, and...

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    Quote from Angie O'Plasty, RN


    Amusing, but very untrue. Apparently Freud was having a very ordinary sexual fantasy of his own when he dreamed up this dx.

    So please don't base your behavior to the women on that. I can assure you, it'd go even worse than "killing them with kindness" did.

    I'm of the opinion that you should just go about your day as best you can and back off completely. Let them come to you. Because underlying all this hostility that women have toward men is..... drumroll......ta-da!..... fear.

    So here are the rules I suggest:

    Stand your ground. Act normal. Do your job. Offer to help. Don't hit on anyone. Don't let anyone hit on you. Take your lunch. Don't do overtime (unless they beg and offer extra money and you really feel like it).

    Every day will build on the respect that you engender by being a really good nurse. It's hard at first when you're not really feeling like a part of the team, but that will happen. It just takes a little more time for guys. But it happens to women too, I assure you.

    Best wishes!
    Your advice was quite good! There really is alot of male bashing in the nursing workplace. That being said, your insight, and advice is well received. Tell us some more.

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    Quote from vortex72
    Heh, I feel ya man. I graduated back in 97 and I HATED wearing that ice cream outfit. Now I wear surgical scrubs to work and have a sweet job in acute dialysis making 80-100k/year. Stick it out, its worth it :chuckle
    What's the difference between acute dialysis and regular?

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    Quote from vortex72
    Heh, I feel ya man. I graduated back in 97 and I HATED wearing that ice cream outfit. Now I wear surgical scrubs to work and have a sweet job in acute dialysis making 80-100k/year. Stick it out, its worth it :chuckle
    I am a male LPN with 1 year experience. I also hold a B.S. in management and two asociates degrees. I want to pursue dialysis work. Any suggestions would be appreciated.

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    Quote from Cherish
    :yeahthat: I too when I was in the Army (recently been activated to deploy so now BACK IN!) was called a female soldier. Heck I was the ONLY female mechanic in my whole BATTALION and there was NO other females even in the motorpool besides me and command pmcs days. But I was use to it, yes the guys talked about stuff, that I wouldn't even consider talking about but they didn't care cause they honestly saw me as one of the 'guys'. I prefer to work with males, they don't gossip or bicker (they sure do gossip about females and sex though!), they treated me as their little sister and made sure no one messed with me (didn't ask for that but hey! :chuckle ), and they were REALLY funny. I too like to be seen by female doctors, I feel uncomfortable with a male doctor examining me and feeling my breasts. So it's really up to the patient. I wouldn't mind a male nurse at all, but if its being hospitalized and I'm on a bedpan thats a different story kinda uncomfortable and embarrased with that one
    The equal opportunity and treatment you recieve in the army should be no less than the opportunity and treatment that a male gets. That being said, you are wrong to deny them the opportuity to perform their jobs as nurses. Let's say a male mechanic might feel better knowing a male mechanic is holding up that 150 pound transmission while he bolts it up, but there you are. Does he prefer to have another male with more upperbody strength than you holding it up so he doesn't get smashed? Probably. Will that pass the muster? No. So why should your comfort level be more important than his?

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    Quote from NickiLaughs
    I passed my NCLEX about a month ago, and though I'm waiting for actual license, I've already gotten a job. My question is the floor I'll be working on is 38 patients for 1 LVN, and they're trying to hire nurses to make it 2 LVN's a shift. Is that high? standard? I really don't want to start my first job at a LTC and be totally burned out in a month.
    Any one have any advice? I do want to start that job as prepared as I can be.
    Thank you
    ]
    You must remember that the good nurse/patient ratiois protect your license and give the patient better care because you actually have time to provide the care. IN LTC any more than 30 residents to one nurse is too much! I work a 50:1 ratio hall and a 20: 1 ratio hall. Guess which one raises my blood pressure the most. Your health is important too! Sure it depends on the acuity, but I'm speaking in general. Also, non-profits have the better ratios! Hint!

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    Quote from NE_Chris
    :[font=Courier New] I have been in this postion since last summer, and I'm not sure that I like it. I am used to assessing the patient, and providing the care. Now I have to get the okay from the business department before I can offer a bed. And I never learned about marketing in nursing school either for that matter. I find myself wanting to go back on the floor, feel that I am losing my skills- but the perks (no weekend, holidays or night shifts) and money is attractive. Does anyone else here have any experience with pre-admissions screenings?

    chris
    I am looking for your type position. I have a marketing degree, and have been an LPN for one year. I previously did outside sales. My question is: What is involved in your assesment of potential new residents, and how long do you spend on one potential resident before you are done with your share of the work? Any advice would be greatkly appreciated.

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    Quote from stidget99
    99% of what you have said are my thoughts. We are told to provide "excellent" care and I do try. However, how can I provide that "excellent" care when I am forced to take too many pts with crappy staffing?
    You can't. That's why we need good nurse to patient ratios. It's a win/win for both! The state legislature is the only way to go.

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    Quote from cotjockey
    I really don't think I am being self-righteous...I am just saying that it can be done. Sometimes things happen and meds are late, but I would much rather do the job right and be late than take shortcuts and go against policies and safe practice to be on time. When I did LTC, my meds were on time a majority of the time and where I worked, no one was going to fault you for having late meds if something came up.
    I must speak up. Where I work overtime is forbidden. You somehow, (haven't figured out how yet), must get pre-approval for all overtime, quite difficult on the off shifts, since management isin't there. Yet, when you are already sooo busy, and something happens, e.g. a death, an accident, etc. You just got alot more to do with no extra time allotted. So you take the extra time (OT) to get it done, and then get counseled for working OT. It's a no win situation. It adds unnecessary stress, and is just plain wrong! How and why do nurses put up with this?


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