Latest Comments by CherylRNBSN - page 2

CherylRNBSN 6,582 Views

Joined: Mar 30, '12; Posts: 183 (56% Liked) ; Likes: 348

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  • 6
    Sudsy, NCtoRN12, somenurse, and 3 others like this.

    As a mother of two school age children, I truly feel the earring should have been reinserted.
    I allowed my 11 yr old daughter to get her ears pierced, and OMG, we had a terrible time.
    I also had my ears pierced about that age, and had to have them re-pierced, b/c the hole closed.
    This also happened to my daughter.
    The issue is, these children are growing, have super great, healthy, fast DNA, and the holes close rapidly. So the earring needs to be in almost ALL the time.

    As they should only be wearing small studs at this age, I'm sure what the risk during PE is that would preclude earrings, tho admittedly, my child got hit during PE and it did hurt. But that was b/c it was a fresh piercing. While the ear is healing, that is an issue. But we all know Olympians compete while wearing earrings! So sports is not the issue.

    The issue is that the earrings need to be in place for the healing to occur. The longer they are out, the more traumatic the reinsertion.

    I do not consider this any different from my duties as a very busy med surg nurse. I put dentures in, remove them, give oral care, etc. Just this week, I provided a pt. with normal saline and specimen cups so she could remove her contacts before surgery. These are personal hygiene issues, and very much , I feel, my responsibility.

    Do I have a million other things to do and tons of charting? YES.

    But you do what the "patient" needs at that time, and reinsert the earring. Then move on to what's next. The pt. needed the earring reinserted.

  • 0

    I work Med-Surg. It's 1:6 (in the South), and it's TOO MUCH.
    It really ought to be 1:4. 1:5 would be "okay". 1:6, I RARELY leave before 8pm, and way too often it's 9pm.

    And I have EXCELLENT time mgmt skills.

    Good grief, what is the ratio on your NY hospital?

  • 2
    SoldierNurse22 and anotherone like this.

    Quote from monkeybug
    Treasure this experience, because it's definitely not the norm! I now work outside the hospital, and we are also encouraged to stay home when sick. My last hospital job? A call-in was treated like a betrayal and you were made to feel guilty. To the point that supervisors might call you at home for an in-depth review of your symptoms so they could try to change your mind. And I worked L&D, where no sick nurse should ever be!
    Last time I called in sick with a very obvious head cold, they asked me if I had a temp.

    Seriously? Why?

    I already felt guilty about calling in, don't know the point of asking if I had a temp.

    It annoyed me.

  • 0

    Quote from mindlor
    I AGREE! But how does this happen, where does one begin?

  • 2
    tokmom and SleeepyRN like this.

    Quote from BrandonLPN
    Why am I responsible to guide and inspire anyone? Find your own path. You're an adult, not a child.

    And if a bunch of strangers complaining about their jobs on the Internet is enough to discourage you from being a nurse, well, maybe that says more about you than it does about us....
    Yikes, Brandon, that's harsh.

    We all must "find our own path". I agree with you there. But few people do it ALONE. I know I have personally needed others to inspire and guide me.

    I daresay that you can also (hopefully) recall, and appreciate those who have guided, encouraged, and inspired you.

    New grads, young people, and yes, even us older, more experienced people, still have lots to learn. I do. WE ALL DO.

    So if I have the privilege of being able to help someone who is struggling, I will do so. But, admittedly, I welcome that role.Perhaps you do not. I consider it a role of teacher, healer, MENTOR. Maybe helping someone reframe something. Maybe helping them deal with reality. Maybe helping them realize that discouragement can be a learning experience itself....WHY are you discouraged? What VALUES lie beneath the discouragement (i.e. WHAT IS WRONG? How do you think you can contribute to "fixing" it? What do YOU do to make this better for others?)

    There are no pat answers. There is only an opportunity for growth and understanding.
    We can only help, or hinder, this process. OP is where he/she is. I'll meet her/him right there.

    I won't tell them to grow up, I'll help them do it.

  • 1
    WKShadowRN likes this.

    Quote from ChristineN
    My worst job interview was when the interviewer asked me if I was married or had kids as it is always more difficult to accommodate the schedule needs of nurses with families.
    Isn't that ILLEGAL?

    RUN for the door.

  • 0

    I've just reviewed, on Excelsior's website, the varying state's/stipulations required.

    Looks they are mainly concerned about people lacking OB/GYN clinicals (and something else, can't remember).

    But I agree w previous poster, who said some members of SBON are concerned w lack of clinical hrs.

    I do NOT mean to inflame anyone by saying this, but I am fairly certain I could have passed the NCLEX after completing the pre-req's and having 7 yrs. as LPN in hospital. Excelsior only documented what I'd already learned.

    That is NOT to say going thru program wasn't beneficial, and I did not learn things. I DID. Mostly I learned that a HUGE part of education involves "hoop jumping".

    I lamented the hoop jumping at University of Alabama yrs. later during BSN, when I had to ask my...forget what she was called, but it was like a chosen internship...I chose transplant. I was assigned to carry out duties that mainly involved filing and transferring pt info into her phone or laptop, can't remember. BUT IT HAD NO CLINICAL EXPERIENCE OR VALUE. I had a paper to write regarding a clinic experience, and had to ask her "Could I PLEASE come to clinic one day and actually SEE some transplant pts so I can write this paper?" (My school expected me to be in a clinical environment for this.)

    So I did. For one day. The rest of the time, as I was supposed to shadow a mentor for clinical experience, I....filed and entered data. But I wrote the stinking paper, thinking all the while I am PAYING for this, and receiving no clinical experience. (please know, NO knock to UAB. Fine program, I did NOT complain, so they had no opportunity to address the issue. It is more a complaint against the clinical co-ordinator of the transplant program who chose to make me ...file. But I actually understand this is rather common.)


  • 0

    Quote from LunahRN
    Cheryl, when did you enroll and graduate? If you enrolled before 12/2003, California will license you. If later, then less likely. I also have completed a BSN and am 4 classes from my MSN, and I probably couldn't get a California license.
    Graduated WAAY back in 1993.
    I remember knowing, at that time, there were a couple of states that wouldn't license you. I thought CA was one.
    Don't really understand their rationale for licensing people up until 2003, what's up w that?

  • 0

    The California thing... not an issue for me, but I wonder what would happen since I have since rec'd BSN from University Of Alabama? Would they still deny me licensure based on initial degree?

    I am about to enroll in Master's program, too. My goodness, Excelsior was great for me, but I would hate to think I couldn't move to any state after subsequent degrees at public universities...

    Anyone know anything about this? (Not that I'm planning on moving to Ca).

  • 1
    tnmarie likes this.

    I did it many years ago, and then continued on to a public university for BSN.

    Excelsior was the perfect bridge for me...

    Good luck!

  • 0

    Those kind of comments are rude, annoying, and ignorant.

    I rec'd a few of them myself during my years as LPN. Finally found the best way to avioid them was by answering the question "What do you do?" (outside of hospital) with "I am a Licensed Practical Nurse."

    B/c if you say "I'm a nurse" (which is natural inclination), they inevitably followed that up with "Oh, you're a Registered Nurse?" Then you have to correct, explain, blah,blah,blah.

    So I avoided it.

    However, in hospital, I did say "I'm a nurse" (Because I was, and you ARE!)

    Here's my thought: A great LPN can easliy become a great RN. A crappy RN could never be ANYTHING but a crappy LPN or RN!

    Take pride in your work and your education (because ALL and ANY is valuable), and identify ignorance as...ignorance.

    But I get the vent...

  • 0

    Quote from redhead_NURSE98!
    That link was hysterical!

    I have had 2 pts fake seizures in the past 6 months and they were equally hysterical and DETECTABLE!

    Keep 'em coming!

    So funny!

  • 0

    You cannot work agency without solid experience (a full year.) Nor should you want to, you need to be able to hit the ground running.

    Don't get discouraged, get persistent and creative. There are many threads on this site about how to do this.

    Don't give up on hopsitals, but focus on nursing homes and LTAC.

    I personally volunteered at a Hospice will I was waiting for an acute care position.
    They served as a reference for the acute care job I landed (and I only did it for a few months). My interviewer loved the fact that I had volunteered...

    Good luck, it will happen.

  • 5
    DBK99, Aurora77, anotherone, and 2 others like this.

    Quote from cheez1285
    Do you guys think having 6 patients on a med surg floor on days is too much? Just curious to see what people think!
    I work med surg and six is standard.


    We typically discharge and immediately readmit. It is not uncommon to "process" 9 pts.

    I have been chewed out twice by a urologist who expects his bladder irrigations to be attended to q 15 min.I actually AGREE that they need to be, but...
    If I have 6 pts. on three different halls, three different pts screaming for narcotics every two or three hrs (along with nausea med and benadryl meds (sickle cell)), pts vomiting or incontinent, IT IS IMPOSSIBLE. I am one human being who can only attend to one pt at a time!!

    I have read a couple of articles on line that really recommend a max of 5:1 for med-surg. But
    I have been told that 6:1 is "the national standard" , and ratios will not change for that reason. (anyone know anything about that?)

    I have complained to my charge nurse about not being able to staff FOR ACUITY. She told me this had been brought up before, and wished me luck w getting it changed! (spoken out of frustration, b/c apparently she has tried.)

    I can promise you: I love my job, but I will not be abused. I will get out of med surg if it continues. There are way too many nights I leave at 9pm or later. And I'm sick of it!

    If hospitals could only understand they are shooting themselves in foot. By complications, readmissions, falls, nurse turn over, etc.

    My unit does a spectacular job of Press Ganey. And that credit goes to all the HARDWORKING, dedicated, competent nurses and TEAMWORK.

    If only the charge nurses had the freedom to STAFF FOR ACUITY. But it's a formula: 6:1.

  • 4

    Quote from nikkole318
    I am a new nurse who just got off orientation a few weeks ago. I have worked at the hospital where I am for more than a year and was hired from a tech position to a nurse once I passed my boards. I thought everything would go smoothly once I got off orientation, but I've been wrong so far. During orientation, I managed to make a lot of really stupid mistakes that I should have known better than to make, had numerous personality clashes with a couple of my preceptors, and got on my nurse educator's bad side. I know that people at work talk about me. I have heard it first hand and get the sense that people do not like me. Although some of it is unwarranted bullying, I realize that some of it is my fault as well. I take the blame because my problems with coworkers seem to follow me wherever I go. I have never had an easy time making friends at work and have always gotten the reputation for being stupid, lazy, etc... I guess what I am asking for is help. I realize that I can control how I present to other people. I am tired of being "that person." I need some tips on how to better my reputation and gain friends at work. I also need some words of encouragement. There is a girl at work who I know has spoke poorly about me to various people and I feel like as a result, these people now have a very negative opinion of me. I can tell by the knowing looks, sideways glances, and hushed whispers in the hall. I realize that I cannot control what other adults do, but these things have really put a beating on my self esteem. Any advice on how to not **** other nurses off, how not to look stupid, and how to overcome a bad reputation? Thanks!

    To a great degree, you CAN control how you present yourself to others at work.
    Since you have just gotten off orientation, I would say you should focus on a couple of things:

    1.) ALWAYS seek out someone you respect and ASK questions. There is no shame in saying "I'm not sure what to do here, I was thinking blah blah blah, but I am concerned about blah blah." You always want to ask a question in a way that shows HOW you are confused; i.e., I know this, but that confuses me. Show them what you DO know, and then ask them what you don't know. B/c if your co-workers can see your thought process, they will be more understanding about what is tripping you up.

    2.) Be sure and THANK those who offer you help or advice. "Joe, I really appreciated you taking the time to help me with my PCA. Thanks!" That goes a long way. I thanked the desk nurse, who did my chart checks, the aid who called me in to look at a reddened sacral area. BUILD TEAMWORK.

    3.) Don't ever be afraid to apologize when you feel the need (no matter how slight). When I was on orientation, I snapped at my preceptor, b/c I felt I'd been thrown to the wolves prematurely. It was awkward. While I meant what I said, I apologized, b/c we are both human. It was awkward for both of us, but we totally worked it out. We get along great, and respect each other now. (I could give you many other examples like this...treat others would like to be as you would like to be treated. A sincere apology can work wonders.)

    4.) As you progress, remember to ask your co-workers who are drowning if there is something you can do for them. Can I do your accuchecks? Let me answer that call light, since I see you are way busy right now. This demonstrates team work! And it is SO easy, and generates such good will. Only takes a few minutes, too. And you can do it when you are able. Always be on the lookout for those moments when you have a moment to lend a hand.

    5.) Finally, realize that entering an established "group" takes a little time. As you progress in your role, the things I am recommending will become easier. (Except numbers One, Two, Three, which need to happen from day one.)

    6.) Go to work and be FRIENDLY. Simple courtesy. A "Hi, how are you?" "Good morning!" "How was your night", etc. Don't be afraid to laugh, joke, and show who you are. Loosen up! Lighten up! Talk to your charge nurse! Don't be afraid to ask her "How should I handled this?" etc.

    7.)Finally, don't be too paranoid. Yes, you are new. Yes, people are going to discuss your performance and attitude. Focus on improving both to the best of your ability. JUST DO THE BEST YOU CAN. Try to grow, or add something, every day.

    8.) I have found, in my many yrs of practice, it takes me about 6 mos. to integrate a new position. The first 6 mos. are by far the hardest.

    Take a deep breath, let go what is in the past, and focus on what you can do TODAY to make it better.

    You WILL grow, and it will gt better.