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T-Bird78 13,126 Views

Joined: Oct 9, '12; Posts: 809 (51% Liked) ; Likes: 1,192

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  • Jun 18

    Quote from Leader25
    It is disgusting what I see on some nurses,waist length crap all hanging down, or hair all unkempt,sticking up and out,unbrushed,if you don't want to blow it out then uses curlers,and get those roots taken care of,either white or black roots,all coming out,big mustache on upper lip ugh,they don't enforce this part of the code,,they don't enforce clean shoes,some shoes look like a dog was chewing on them, old once white jackets all grey and dirty looking,throw them out already, just saying.
    You lost me at "roots". There is no requirement for nurses to keep their hair color touched up or their upper lips waxed. While they may not be aesthetically pleasing, nurses go to work to WORK, not walk down a runway. I'm just saying.

  • May 25

    Thanks. This is pretty much where I"m coming from. Her argument is that the MD has ordered a particular diet and if something happens to the patient as a result of he or she being non-compliant we could potentially be looking at litigation. I understand what she's saying, but we can hardly control what kinds of food he eats from the outside, which is why I document, document, document.

    Just wanted to make sure my rationale wasn't flawed.

  • May 25

    I feel like the patients have the right to do what they want and as long as we educate and document, the rest is out of our hands.
    ^^This. We can't force feed patients. All we can do is educate, provide resources, and document. It's unfortunate but ultimately competent adults are responsible for their own health, especially when we assist with the tools we provide.

  • May 17

    Really Bad one! I was starting a very difficult IV on a patient with malignant acites who literally looked like death warmed over. She was very afraid and we were making conversation while I worked to find a vein. Several family members were present and we got into an animated discussion about favorite TV shows. I mentioned that I was a big fan of "The Walking Dead." A quiet fell over the room but the lady just smiled as said "I'm going to audition for that one. Do you think I have the make-up right?"


  • May 15

    I liked the M-F and sometimes 4 hours on Saturday schedule. As far as other advantages, mostly knowing you don't have the hassle of working holidays and weekends, is very important to some people-- more family time is a big one for a lot of people.

    The other thing I found was that while a clinic can be just as crazy-busy as a hospital unit, it's somewhat more predictable, and the type of stress is different. You don't normally have patients who will crash on you even if you do get behind. You learn to cope with people complaining about how long they've been sitting in the waiting room.

  • May 10

    The article I read in our newspaper was from the family's perspective, not any medical people associated with his care. I thought perhaps the family simply misunderstood the difference between a coma, a brain injury, and brain death. With the recent UK case of the toddler who was brain dead, the family probably had the term "brain dead" on their mind, and thought it was all the same.

  • May 10

    I don't see anywhere that states that the patient was actually brain dead, that has much more stringent criteria than placing a patient on comfort care and removing life support. They intensive care team may have been having discussions about withdrawing care and concern for long term disability before any kind of diagnosis of brain death. I'm a bit suspecious that the story being told may not be entirely accurate.

    Some of this may have to do with different organ procurement organizations but ours is great. They want to be notified if there is any chance of brain death, there is a lot of planning that goes into organ procurement so that the recipient can have the best possible outcome. Our OPO would rather send out a team and cancel it than to have a potential donor organ be wasted. Bowel and lung transplants are especially time sensitive so the more planning the better the outcome.

    As a hospital that performs a lot of BMT and solid organ transplants it is amazing to see the difference it can make to patient's lives. Seeing mothers who get to raise their children, young adults who are able to climb 14ers again, teens who don't need to dialysis three times a week, and babies who are no longer slowly dying of a terminal lung disease can really shape how you see the organ donation process.

    I can understand how it seems like OPOs are there just to take organs but it is with the best of intentions to help the recipients, not to in any way hurt donors or their families. I hope to live long enough that my organs aren't useful to anyone, but I were to die before that time then I hope that I could make that kind of difference for someone else and their family.

  • May 10

    The story I read (and all were from the family's perspective), discussed how the kid started to fail the testing for brain death the day before planned withdrawal of life support. I think that raises my confidence in the process. They were going through the needed exams, and the kid failed, which showed brain activity. Good. And huge skepticism over his eyes changing color because they "saw God".

    My guess, the steroids kicked in, reduced brain swelling enough to allow sufficient perfusion, and he never totally lost brain function. Yay science. Not a miracle.

  • May 10

    Quote from Emergent
    They were planning on pulling the plug the next day, so I presume they had determined his eligibility.
    I didn't read anything that suggested he was brain dead or had been declared so. I did read that he had a brain injury and that his prognosis was not good. You can "sign papers" to be an organ donor at any point.
    His family do not appear to be medical professionals and are fundraising on top of that. A sensational story gets press and press brings in donations. I also believe they may be "filling in the blanks" where their understanding is lacking.
    To answer your question, I do still believe in the process and I am an organ donor myself.

  • May 4

    I was rarely impressed with my kids' bumps, bruises, scrapes etc. Fortunately, they learned early on that it was going to take a lot more than a 99-degree temp to get out of chores or school. One day my youngest brought me the thermometer after complaining he was running a fever and feeling icky (he assessed himself whenever he got sick. Now he's an LPN). It registered 108 degrees! It didn't take too many questions on my part before he admitted he had put it up against the light bulb in his bedside lamp...he was nothing if not creative. But, he went to school that day.

  • May 4

    Do/did your children "suffer" from you being in the medical profession???

    I met Hubby in Paramedic school and I then went to nursing school... so we both have solid backgrounds in medicine. Our 3 sons could get away with nothing!!

    Our mantra was.... Unless you have bones at funny angles or missing a part, I can fry an egg on your forehead, you are puking or pooping your guts out or blood is shooting across the room (not oozing) then get dressed and go to school!!!

    My 3rd son had it the "hardest" because his older brothers had tried just about everything in the book so we were prepared. One morning he gets up for preschool, comes down stairs and he is holding his left side, moaning and looking soooo pitiful. I asked sympathetically (but very skeptically) what's wrong Honey... with an "I'm dying" voice he states.... OH the pain, I can't take gallbladder is killing me!!! (now where did that come from!!) I told him, Well Son--you have 3 problems... #1--5 years old is too young to have gallbladder problems, 2--the gallbladder is on the RIGHT side and #3... get dressed, you're still going to school!! He suddenly was cured, stomped his foot and said "Damn, it sucks then you have medical parents!!!!"

    #3 again... he was out playing and did a full body "splat" on the sidewalk...scuffed nose, chin, both elbows and both knees!!! He comes into the house half crying and I (really concerned this time) asked Honey what happened??? He sniffed... Why do you ask...I don't have bones at funny angles and I'm not squirting blood... you won't care!!!" I immediately picked him up, sat him on the counter and gave him a big hug and a Mommy kiss and patched up all his scuffs. When I was done, he hugged me and said..."You really do care!!!!" Poor kid!!!

    How has your children "suffered" from your medical background???

  • May 4

    If repeating the program is an option, I say repeat it. You've got a different outlook on life & more responsibility now, thus more to lose if you don't take this seriously this time around.

  • May 4

    You should spend a lot less time worrying about others and more about you. You judging your classmates is subjective. If they are passing (an objective assessment) then you shouldn't be worried. The school is obviously not worried haha.

  • May 4

    I like the idea of repeating school for several reasons. You will get a chance to truely learn the material, and past the boards. More importantly, you will solve the five year gap between graduation and licensure. In a competative market, this gap will be a deteriment to hiring. One suggestion - based on the age you graduated, it sounds like you went to an ADN program. Why not go for a BSN? This will give you a more marketable degree, you will learn something new, and it will feel less like "repeating" and more like "enhancing."

  • May 2

    Do what your heart tells you to. Everyone else's opinions aside, your parents, your boyfriend, etc., it's your feelings and choice alone that matters in the end.

    I have my own beliefs & know what I'd do in your shoes but I won't impose my beliefs on you. There is just no easy answer.

    The post the PP made about adoption is also a great alternative to consider in my humble opinion. I wish you the best in the choice you make.