Latest Comments by ruth

ruth 912 Views

Joined: Nov 21, '00; Posts: 11 (0% Liked)

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    While browsing today I found an interesting site. It is the medicare/medicaid site and contains alot of info. What especially peaked my interest was the section "Nursing Home Compare" where you can enter a zip code and compare facility info, including the last state inspection results. Check it out. What do you think of it? Is it a good tool for the consumer(or job seeking nurse)? Can it be misleading? The link for it is below:
    http://www.medicare.gov/NHCompare/home.asp

    Maybe this isn't a link, but it is the address(I'm kinda new at this, can you tell?)

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    I've recently taken a position that I believe will eventually qualify me to be eligble for my CCM (Certified Case Manager). I've been interested in this for some time & would like to hear from others in this field- I know it is a widely varied field. I have some questions and I could definitely use some tips to make me more efficent- sometimes I feel like I'm spinning my wheels doing something for 2 hours when it should have taken 15 minutes!

    Look forward to hearing from you!

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    I'm not really clear if you are the interviewer or applicant. I recently interviewed for several positions. The questions I asked that helped me decide which job I took were "What are the greatest joys and frustrations of this position?" and "About what is the average # of years people have worked in this deptartment?" or "Approximately what is your turnover rate", depending on the size of the department or organization. Also- "What type of personal qualities make someone excel in this position?"

    On the other side of the coin, I wished I was asked "What are your contributions to your present employer?" or "What personal qualities/values do you have that affects your present work environment?". Also, "What is your goal in making a change?" instead of "Where do you see yourself in 5 years?"! I hated that one, and it was asked often. I'm a nurse, there's alot of opportunities, I don't know where my road is going to lead me. At first I stumbled on this one, but then my pat answer became "Being an expert and resource for others in _______(whatever the position was I was appyling for).

    Either way, I hope this helps.

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    Love the 'pay it forward' lindaisanurse! Have to keep that instruction in mind as I live this life. Thanxs-

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    I also have bouts of severe itching. It wakes me up in the middle of the night, sometimes every night for a couple of weeks, sometimes once or twice in a month. During the day I get it a couple times, often accompanied by a rash. I have tried benadryl, lotions and 2 precription allergy meds. I've never been able to determine a cause. I have found something that works for me- witch hazel. You may think I'm crazy, but it relieves it within a couple of minutes. I keep it by my bedside with a cloth. Prior to this it would keep me up for an hour or more and was absolute agony. I also keep some at work. It sounds like you're brother has had enough of pills. Please mention this to him. Save my email address and let me know if it works for him too. Also, I've never known anyone else that has had this itching problem without knowing a cause. It's nice to know I'm not alone. Kindly tell your brother he's not alone, nor is he crazy!

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    Boy oh boy! When I started in rehab we hung blood about once every 2 years! Now it's common. We get quite a few patients go bad in less than 12 hours on the floor. One of the most difficult aspects of the high acuity level is that you have some really sick patients that require alot of your time and at the same time you've got a couple of patients that take 2 or 3 staff (and 20 minutes) to transfer that have to go to the bathroom (no bedpans on rehab if you're stable!), meanwhile, one of your head injured patients just managed to get off the unit and the wanderguard alarms alert you to this. It's surreal. Many nurses think rehab is cush, until they transfer to the unit! But it is rewarding, and you get to see miracles happen.

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    Aw, come on guys. The same thing happens to a Wal-Mart cashier and everyone else that has contact with the general public! Stop the angry pity-party. Yup, I'm an RN that deals with folks like those mentioned above and my fantasy dream job is to be a Greeter at Wal-Mart (Hi!). Do they ever get yelled at? What's your dream job?

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    Garry- I'm repyling to your post(which was posted awhile back) and am surprised no one has responded! I'm refering to event #2 where a patient had thrown a chair down the hall the night before. In the AM the charge nurse told your student she would not be able to work with this patient. The student had worked with this patient the week before. You assigned the student a different patient. You stated that you were pretty sure you could win the arguement(with the charge nurse to let the student work with the original patient). You asked if you did the right thing. Of course you did! Not because you shouldn't confront the charge nurse though or that if anything happened it would be "the student's" fault. It's because it may be very unsafe for the student! This was definitely not the time for a learning experience. I would only assign one the most experienced nurses to this patient, hopefully one with knowledge of "behavior management techniques." I would not assign a pregnant nurse either. Also, I'm sure risk management, and any court, would find the charge nurse, hospital, you, and your institution liable if something happened. I don't think anyone would believe it was "the student's" fault. Do you really feel this way or didn't you think this thru before posting?

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    Hello Vanessa! I'm a CRRN that has worked on an acute rehab unit as an RN for 5 years. I've also worked Per Diem this year at a sub-acute facility, to see what that is like. If the unit you are considering is acute, there is still the hospital "hustle and bustle". A subacute unit is still hustle and bustle- just a different type. I've found rehab nursing to be very rewarding.

    Sometimes, you get to see miracles happen. You are able to make a significant impact in the patient's and family's life. It's teaching people new ways of doing old things, often things they took for granted (like dressing themselves). You're often entering a person's life during the most tragic and challenging event they may ever have to face. Often, they are angry and really don't like you as you teach and encourage them to care for themselves. But prior to D/C, you can tell in thier eyes and smiles how much they appreciate and respect you. Most of the time, they tell you.

    Rehabilitation nursing encompasses neuro, ortho, cardiac, pulmonary, psych, med-surg, geriatric, and pediatric nursing. We work with an interdisciplinary team of MDs, PT, OT, SLP, Rec, Psych, Voc Rehab, and sometimes more. Nursing contributes to, and reinforces the techniques of the other disciplines, so you obtain knowledge in many areas.

    Obviously, I love it and reading the prior posts, so do others in this field. I feel like there is so much more to tell you about it, but the above kinda sums it up. Let us know what you decide to do!

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    Oh dear Medell! My intention was not to scare you further but to say that I had the same exact fears and to share with you how I dealt with them prior to ever seeing a real wound. And guess what? I actually did far worse with emptying my first commode than I did with my first deep decube! (Hint: never breathe in while bending and emptying a full commode or bedpan) I was sooo green!

    Nursing is wonderful and there are so many things you can do, you'll love it!

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    Medell- I was much like you before I became a nurse, afraid of the wounds and gore. I had never even watched a horror movie or any violent scenes in a movie.

    I found looking at pictures of wounds in textbooks helped "desensitize" me along with dissection in A&P. Now I find that when I'm working on a wound, I see it and not the person it belongs to.

    On a positive note- usually real severe wounds do not cause pain to the person when you are changing the dressings.

    On a personal note- I've worked with some incredible wounds (a person eaten by a street sweeper, a person dragged 5 miles by a car, guillatine amputations, and quite a few more) and I now do not care to eat or even shop for beef because it reminds me too much of people, and certain patients in particular. But, what the heck- not eating beef is better for you, right?



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