Latest Comments by NLLL16

NLLL16 581 Views

Joined: Oct 10, '12; Posts: 15 (67% Liked) ; Likes: 24

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  • 1
    Here.I.Stand likes this.

    I haven't read all the responses so someone might have already said something similar. I work in an outpatient surgery unit of a hospital and it's our policy to take patients out by wheelchair. As the nurse responsible for that patient, I have to make sure he or she is at least able to stand on his/her own and ambulate around the room. Of course I keep in mind the original baseline mobility he/she was able to maintain before surgery. I chart exactly what I see. I don't say my patient can walk all around the house or up the driveway because I'm not responsible for the conditions of their house or driveway! I chart something like this "patient is able to transfer without difficulty to the wheelchair" and "patient is able to ambulate without difficulty observed from room to restroom" and then "patient was wheeled out of unit to exit by wheelchair". Most of my patients are still somewhat sleepy so it's safer to discharge them by wheelchair and like another poster said, the walk from our unit to the exit would be quite taxing on a lot of people!

  • 1
    bluebonnetrn likes this.

    Unorthodox but if you really need a patient to have a BM, try this enema: warm (NOT HOT) coffee, chocolate milk, and molasses.
    Works EVERY time.

  • 5

    I have been on both sides of this dilemma. I worked as a CNA for 5 years before earning my RN license. There were some nurses who were so very helpful and others that seemed to let us do all the "grunt work". However, after becoming a nurse I realized how much other stuff the nurses have to do. While I'm not advocating for leaving the aides to wipe butts alone just to go sit and chart, I will say that a lot of times if I'm sitting down at the nurses station it's because I'm charting or doing something equally as important in the care of my patients. I am not above doing total patient care. Usually I don't even bother the aides and do a lot of stuff on my own just because I know how busy they are.
    Have you asked the nurses while they are sitting down to help with the patients? I did often and while sometimes they weren't able to help, there would usually be someone willing to help with something.
    If that doesn't help maybe you could bring the subject up to your Charge Nurse or Nurse Manager. At our hospital each unit has a Unit Based Council that meets regularly to discuss issues on the unit. The council is made up of whoever wants to join-whether it be nurse, nurse aide, etc. They discuss the issues, take suggestions to management and see what gets approved. Many problems have been solved this way!

  • 2
    RN2B_528 and theknittynurse like this.

    Welcome! That perseverance is what it takes to get through nursing school....and your first year as a nurse! I'm still pretty fresh (took NCLEX 01/2016) and there have been some tough times along the way. I absolutely love what I do now! Don't lose sight of your goal but don't be afraid to make changes along the way.

  • 1
    Salsacat likes this.

    I can understand your dilemma. I once turned down a job opportunity that I really, really wanted due to the fact that I would have to miss church. For me, it's not something to "just get permission from your spiritual leader". It's more than that. I don't feel obligated to go to church, I want to be there. I worked every Saturday to be off on sunday while an ER nurse but when I asked my boss if the possibility of working every other Saturday was an option, she stated it clearly was not an option at that time. I started looking for other opportunities that would not require me to work on the weekend. I landed a wonderful job in outpatient where I got off every Saturday and Sunday, it's a relaxed atmosphere and so much more pleasant than the ER. I realize some have an idea of what they want in a job and will not budge but you have to look at your you want off on your religious day or work your dream job? I prayed for a better job opportunity and it became available. If this job doesn't work out for you, don't be upset. Keep praying and stand your ground for what you believe in. Best wishes

  • 3
    h00tyh00t, canoehead, and nuangel1 like this.

    I can see both sides of this. I recently transferred out of the ER but during my time there I had several suicidal patients. Some times it was just a matter of time and having other patients and their pressing needs that was a distraction but checking in a suicidal patient takes quite a long time. I felt so torn at times and doing the best I could, sitting down with my patients, explaining the process they would experience in the ER, etc. I feel like I have made a difference in many patients' lives and they often tell me so...but I can't say that many psych patients have told me so. I feel like I extend the same compassion to them but I don't know that they or their families see what we're doing as helping them. While I commiserate with the mother in this post, I also wonder what attitude she expressed while in the ER. Was she judging each nurse's and tech's actions as they performed their duties. Did she try to put herself in their shoes and understand perhaps that nurse's back is hurting or that tech is going through a difficult situation at home...? It's easy to say someone is being judgmental...but saying so is in fact judging them!

  • 1
    toni_babe_99 likes this.

    Congratulations! I think a lot of people would have just given up after 9 years. You had a lot of courage to start back where you left off 9 years prior!
    Good job!

  • 0

    I don't think you could go wrong with putting your family first.
    One advantage to taking the rehab position is familiarity. The first year of nursing is so stressful with learning so many new things, if you are able to work in a familiar environment with people you already know, that would help at least a little bit. I transitioned from a PCT to new RN in the ER where I work and I think it helped me to know a lot of the processes and ins and outs of our unit before coming in to a completely new world. I will say delegation to techs was a bit difficult and still is at times (I've been a nurse for a little over a year and a half now). Overall, I would say the advantages outweighed the disadvantages!
    However, if you didn't like your job as a PCT in rehab, I wouldn't recommend taking the RN position, especially if it's a contract. I enjoyed my job as a PCT but frequently question how long I'll stay in the being one of the biggest issues. :/
    I hope the best for you! I'm sure you'll make the right decision for you, your career, and your family!

  • 3
    chellez86, WKShadowRN, and HermioneG like this.

    Sounds like she just doesn't know your background. If you're new to the facility and a new registered nurse she might've assumed you're completely new to nursing.
    Don't let little things offend you. Your days will be much better...and your life. Let things roll off your back; a lot of people don't mean things in a rude way anyway.

  • 0

    Is there any way you can pick up ECB or PRN shifts and go part time w/ onc?
    That way you could get the best of both worlds.

  • 4
    audreysmagic, poppycat, finn55, and 1 other like this.

    Quote from Davey Do
    I second the drive through! Or at least a refreshment bar in the ED waiting area...Ativan cookies, Norco brownies, propofol milk shakes, etc. Maybe a menu where they can order what they want...customer always knows best!

  • 0

    While I do agree with you, some people will always think their needs should be priority. A while back I had a young abd pain pt who was griping and literally started crying because I didn't start her second liter of NS when she wanted it. I tried to explain I was checking in a new ambulance and she gave me the whole "you don't even care about me" sob story and "my problems are important too". Ugh. 🙄

  • 0

    In preparing for JC to come to our facility we've recently been reminded about the booties because several co-workers in the ED wear them thinking that will keep them from taking germs home. 😝

  • 3
    LovelyLocs, BSNbeauty, and momto5RN like this.

    Well...I thought ER was my dream job. Now that I'm an ER nurse I'm not so sure. ������ I really enjoyed NICU during nursing school clinical so maybe something down that route...or L&D. Or maybe I don't know what I want. ������

    Updated to include my non-nursing dream job. I'd love to be a stay-at-home mommy! I just don't want to let my license lapse.

  • 0

    I appreciate poetry and how it can more accurately communicate our feelings and emotions when our own words seem inadequate. I don't feel like you should apologize for using a poem written about the Holocaust. You did not imply your situation was anything like the Holocaust or you've endured what they did. I gathered from your post that you want to help someone else so they don't go through what you did. No harm there. Good for you for being concerned about another's wellbeing. ☺️