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pagandeva2000 25,123 Views

Joined: Sep 22, '05; Posts: 9,298 (39% Liked) ; Likes: 8,217

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  • Oct 21 '14

    I have had experience with a variety of different hospitals. Poor inner-city hospials, large urban research campuses, averge community hospitals, and county hospitals.

    Yeah, I have been exposed to a lot of situations where patient care seemed to be lacking. It can be extremely upsetting at times. However, I am just suprised that you were able to establish such severe defecits in patient care after only getting through your first week of orientation?

    I don't know the details of the situation; however, I was always taught to never burn bridges. Unfortunately, because you have already technically resigned, I feel like you would have already burned that bridge regardless of weather or not you continue employment there. So, I really don't know what to say at the point you are at. All I can say is that you DO NOT want to bring up this situation ever again at any future interview or job you may have. Because after only being there a week, I find it impossible that you could have established enough backup to justify your decision to any future employers.

    So I guess frankly, you might just want to stay firm with your decision because I don't think you will ever be able to fully mend this one with your most recent employer.

  • Oct 12 '14

    You sure did, and you might have saved her life. Nothing for you to feel bad about, whatsoever.

  • Oct 9 '14

    For those of us in unaffected countries, are you concerned about the ebola virus spreading? Would you care for ebola patients? I live in an area with a very high density of African immigrants and come into contact with these individuals regularly. We have a lot of African immigrants who bring back tuberculosis from their home countries and at my unit we end up caring for them. We take care of a lot of rare infectious diseases. I was reading an article and it dawned on me how plausible it would be for me to encounter this virus. And I admit, it's terrifying and I might refuse that assignment. Many healthcare workers in Africa are dying because of caring for the ill.

  • Jan 21 '12

    Standard Precautions:

    These are the safety measures that should be taken with all patients.

    1. Wash Your Hands - Most important step in infection control. It prevents nosocomial infections.
    2. DON Gloves - Before coming in contact with anything wet. ie. broken skin, mucous membranes, blood, body fluids, soiled instruments, contaminated waste materials
    3. Wash hands again upon removal of gloves and between patients.

    Contact Precautions:

    Before entering:

    1. Wash hands
    2. DON gown then gloves

    Upon entering:

    1. Use disposable equipment when possible
    2. When not available clean and disinfect all equipment before removing from room

    Transporting patient:

    1. PT should perform hand hygiene and wear a clean gown
    2. For direct contact with pt, nurse or care provider should wear a gown and gloves.
    3. Notify receiving area

    Before leaving the patient's room:

    1. Remove gloves then gown
    2. Wash hands

    Contact Precautions Microorganisms:

    1. Antibiotic Resistant Organisms (Methicillin resistant Staphylococcus aureu (MRSA), Extended spectrum beta-lactamase (ESBL), Penicillin resistant Streptococcus pneumoniae (PRSP), Multi-drug resistant Pseudomonas aeruginosa (MDRP))
    2. Scabies
    3. Herpes Zoster (Shingles) localized
    4. Diarrhea, Clostrididum difficile

    Airborne Contact Precautions:

    Before entering:
    1.Wash hands
    2. Don N95 Respirator (Mask)
    3. Don gown then gloves

    *Negative Pressure Isolation Room KEEP DOOR CLOSED

    Transporting patient:

    1. Patient must wear a surgical or procedure mask and a clean gown
    2. Patient must wash hands
    3. For direct contact with pt, nurse or care provider should wear a gown and gloves.
    4. Notify receiving area

    Before leaving pt's room:

    1. Remove gloves then gown NOT N95 mask
    2. Wash hands

    After leaving pt's room:

    1. Shut door
    2. Wash hands
    3. Remove N95 mask
    4. Wash hands

    Airborne Contact Precautions Microorganisms:

    1. Measles (Rubeola)
    2. Tuberculosis (TB)
    3. Chicken Pox (Varicella-Zoster virus)
    4. Herpes Zoster (Shingles) disseminated

    Droplet Contact Precautions:

    Before Entering:

    1. Wash Hands
    2. DON Mask and Eye Protection
    3. DON Gown then Gloves

    Patient Transport:

    1. Pt must perform hand hygiene
    2. Pt must wear a surgical or procedure mask and a clean gown
    3. For direct contact with pt, nurse or care provider should wear a gown and gloves.
    4. Notify receiving area

    Before Leaving Pt's Room:

    1. Remove gloves then gown
    2. Wash Hands
    3. Remove eye protection and mask
    4. Wash Hands

    Droplet Contact Precautions Microorganisms:

    1. Influenza (Flu)
    2. Viral Respiratory tract infections (adenovirus, parainfluenza, rhinovirus, RSV)
    3. Streptococcus group A pharyngitis, pneumonia, scarlet fever
    4. Neisseria meningitidis invasive infections
    5. H. Influenzae type b invasive infections
    6. Pertussis
    7. Rubella
    8. Mumps

    Happy Studying

  • Nov 14 '11

    Quote from ColleenRN2B
    An LPN cannot legally call herself a NURSE in my state. Just saying....
    WHAT?! And just what does Wisconsin use in place of Nurse in the L(licensed)P(practical)N(nurse) title??
    Care to share where you found that info?

  • Jul 31 '11

    I'm a BSN prepared RN with a Masters in an outside field. There is one nurse who I respect above all but five other nurses and she is an LPN. She gives an awesome, thorough report, she really cares about the patient, she knows the docs, she knows her pharm, her patho and she is super cool and nice to the newbies. I trust her. Her name is Donna. I know when Donna gives me report, it will be thorough, she has covered all of her bases and when I assess the patient, they will be clean, lines and IVs are labeled, consults are contacted, I know from Donna what labs, test, events are coming up and how to deal with Dr. #$@#%. She is an assest to our patients and I have learned so much from her. I wish all nurses, LPNs and RNs and NPs were as good as her.

  • Jul 31 '11

    There is an RN at the facility where I work who disagreed with me on a staffing decison. We had an employee call in for their shift and had to be replaced. Calls were made and a replacement was not found. Someone currently working would have to be mandated to stay over. Our facility is a union facility and I am a Union Steward; I am also an LPN. I was trying to explain to her that by not following the rules in the contract I would be forced to file a greivance to represent the employees effected. She looked at me and said "too bad". I was assigned to one wing in the facility and she the other. The wing I was assigned to put me in charge of the whole building for the weekend. I reminded her of this and in front of residents, employees and VISITORS to the building--"Jane Doe is staying and that is the end of all of this. That is why I have RN after my name and am not some stupid little LPN". I was furious. The difference in our job descriptions is only IV insertion and IV push meds. That is the only difference oh that and $12 an hour. Justice was served for the employee who was wronged with a grievance that gave them their lost wages and she got nothing for her behavior! I may be an LPN but I am an LPN who has 20 years as a CENA before I became an LPN. We are valuable members of any patient care team!

  • Dec 22 '10

    I've been having a more difficult time promoting the nursing profession since the RN program has become a 4-year BScN. Take a look at those allied health professionals we work with - OT, PT, RT, social work, dietician - rewarding careers with direct patient involvement, stemmed from university degrees within similar time frames but without the smut work and bull crap associated with nursing.

    My RN mother deterred me from nursing years ago and had my teenage daughter shown an interest, I very likely would have done the same thing. Sad, but true.

  • Dec 22 '10

    I went into nursing with good intentions but I worry about what will happen when I graduate. I feel like I'm being set up to fail within the first year. Recall the music video for Pink Floyd's "Another Brick in the Wall", the part with the schoolchildren on the conveyor belt going towards the meat grinder. Staffing ratios are unsafe, there's not enough help, too much documentation, and too many extra duties. While I don't want to flee from the bedside so soon, I know I need to get away soon enough for further education. Otherwise I will end up like the schoolchildren in the Pink Floyd video.

    All in all, you're just another brick in the wall...

  • Dec 22 '10

    thats exactly how I feel. Everybody keeps telling me that it will get better after some experience, perhaps a year but life is definitely too short to feel so miserable going to work, even for the so-called and much needed experience. I just wish I could've seen more of the problems with the field before sacrifcing so much to get into this field. Now I know there are those who love this type of work, but I am not a glutton for punishment, I don't know if I can subject myself to this field and being unhappy all the time.

  • Dec 22 '10

    Interesting, I never thought I'd be one to say this, but right now yes I do regret it. If I would have a complete picture of what I was getting into, instead of the snapshots that this site provided me with, I know for a fact I wouldn't have put myself through all of this. It's a 2nd career for me and I've not seen such total disrespect within a field as I have here.

    I'd love to be like the poster that has the few experiences that make the bad worth it, I thought that would be me. But it's not. In LTC it's impossible to give quality care to 25+ residents and feel good at the end.

    Now in the hospital I've been treated like a puppet and expected to take it b/c that's the way it is, and it's competitive, well right now you can have it. I'm sorry I killed myself since '07 for this. I was very happy doing pre-reqs so I love to learn, just not in a pressure cooker environment.

    I have no idea what the future holds. I know I want out of the hospital as that was never a goal in fact I wanted to circumvent it, but I can't do what I eventually want w/o this experience. Maybe I'll feel different in a year, but right now, yes I deeply regret it, because life is too short and too precious to even feel for a short while, like this.

  • Dec 22 '10

    imo It is annoying when students, new grads and newbies tell veterans they need to be positive. It's more important and more helpful to the profession that we see the realities and speak the truth without the sugar coating.

  • Sep 14 '10

    Sorry Indie, but the behavior she is exhibiting is quite common in home health. The best you can hope for in extended care cases are those where you do not relieve or are relieved by another nurse and/or where the family is intelligent enough not to get caught up in manipulation originating from any of the nurses on a case.

  • Sep 14 '10

    I keep my agency supervisors informed about things because it is part of my job, whether or not they take any kind of action. If I had to inform CPS or another agency, I would still involve the agency. And in the case of the mother informing the school, I would again bring this to the attention of the agency supervisors in a communication note because I don't want to be caught up in some untruth. Unfortunately, it is quite possible that the family member will tell the nurse what they know the nurse wants to hear or it is possible that information will somehow be "lost" in the ozone. When I provide a written statement to the agency, I am covered.

  • Sep 13 '10

    I am guessing you couldn't use as a defense (if something terrible happened) that you were floated to an unfamiliar unit.
    I am still amazed that hospitals are willing to expose their staff and hospital to such potential problems just to save some money.