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RNforLongTime, BSN 13,747 Views

Joined: Mar 26, '01; Posts: 2,730 (8% Liked) ; Likes: 604

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  • Sep 15 '16

    I don't miss the added responsibility. The wise, seasoned LPN's that I worked with were outstanding nurses with years of experience. However, they were not necessarily welcoming to a new RN who was placed in charge of them. I totally got that. But their resentment carried over to an unwillingness to collaborate, which carried over into my being responsible for all of their assessments and IV meds, while they declined to assist me with any patient care issues.

    Double the the work for me.

  • Jun 24 '16

    I would recommend working with your Director of Nursing services (Whoever is accountable for the supervision and deliver of nursing services..should be the person who does nurse performance evaluations) to develop a performance improvement plan for Ms Problem. I would also emphasize and enforce scope of practice. LPN scope of practice in most states requires direct supervision by an RN or physician - so as the team leader, you have the authority to establish and enforce limitations on her work and evaluate her clinical skills.

    In my state, assessment, care planning & development of the discharge plan are not within the scope of LVN practice. If she is assuming this duty independently by evaluating discharge readiness/status, that may be a practice violation. Just sayin'. . .

  • Jun 24 '16

    She has already been reported for what I feel.. is insubordination. You have another RN that supports your stance on this problem. It is up to your management to continue corrective action.

    Give management the time they need to do so. YOU don't need to leave.. SHE does.

    Continue to write up her inappropriate behavior.. each and every time. Give management the rope they need.

  • Apr 20 '16

    I had a patient that complained the ice I brought her wasn't cold enough. Not sure what's colder than frozen but oh well. Just ridiculous that is even given attention. This Burger King drive through "Have it your way" nonsense approach to patient care is why I left hospital nursing. Never again it's just too much placating satisfaction surveys instead of doing the job. Even tell my children to be anything in healthcare except the Unrespected nurse.

  • Apr 20 '16

    That sounds like an okay gig. One of my concerns being a female is security. I keep hearing that compared to locked psych it's safer because of the CO's, is that true? And Did you find that you received a good orientation?

    Any answers are much appreciated

  • Apr 20 '16

    @ Rn for a long time, BSN. You sound so proud of your position at cdcr. I'm glad for you

  • Feb 29 '16

    Quote from Jmarty31
    That actually sounds incredible and I want to work there.
    Every state has some kind of forensic psychiatric facility, often a unit within one (or more) of the state hospitals. If that is a career goal of yours, I would really encourage you to get some "regular" general psychiatric nursing experience first. It's a difficult population to work with, and you really need to be "on your game."

  • Jun 22 '15

    I live this post. If report was just facts and you cut out the gossip I might actually get out on time.

  • Sep 3 '14

    Yes. Join the union and be thankful you have that protection.

  • Sep 3 '14

    I wouldn't work unless there was a union. It's a small price to pay for not getting railroaded.

  • Sep 3 '14

    My union dues are less than one hour of regular pay so it varies quite a bit. I love being in a union. Unions created the first nurse-patient ratio laws in CA. I am less likely to be fired because of a personal vendetta. And I get paid much more than surrounding hospitals due to my union. I also have regular pay increases. The only thing I do not like about being in a union is that seniority rules. It doesn't matter who the best, hardest-working nurse is. The one who's been there the longest will get the promotion/vacation time/day shift/etc. There are pros and cons but I will happily stay with my union hospital throughout my career because unions have made nursing a safer and more respected profession.

  • Sep 3 '14

    Your colleagues can call off if they want. It is up to the facility to cover them.

    The dedication to patient safety lies with the hospital.

  • Sep 3 '14

    I don't call off on holidays 'cause I like my time and a half.

    And, speaking of self righteous.... calling your coworkers that in a post like that is like the pot calling the kettle black.

    So, if I call off when I'm not sick I'm putting patients at risk? Don't be so melodramatic. Employees have a right to use the sick time they've earned. Those who abuse it wind up getting canned. I'm a healthy person, it's been years since I've actually been ill. Sorry, I need an extra day off a few times a year, too.

    So, yes, there have been occaisons where I call off simply because I want a night off. I always just say "I'm using a sick day" and leave it at that. Nothing "fake" about it. I do not make up sob stories about being sick because I am not a child. I am a grown man and if I am going to use the sick time that I have earned and is part of my compensation I do not need to play out some silly soap opera charade.

  • Sep 3 '14

    Those "About a Nurse" cartoon caption contests.

    The "nurse" is always assumed to be the same, pencil-thin little blonde with a pony tail. If her cohorts are not blonde, then they are in floral-print scrub tops just the same, which leaves us to conclude that all of the females depicted in these cartoons are the nurses.

    Conversely, if there is any character that looks remotely like a male, then he is (usually but not always) donning a tie and or a lab coat, and not a scrub top. Given the context we have no choice but to assume that the male in most of these cartoons is always the physician.

    Brian, darling, it's 2014. Lots of female physicians out there these days (surprise!), and lots of male nurses. Ain't it time to scour the innerwebz for some cartoons a little more with-the-times?

    I want to see a cartoon with a black female physician and a couple of male nurses.

    #feelingcrustytoday

  • Sep 3 '14

    Here are
    some reasons why us Crusty Old Bats are Crusty! COB jump in

    1. Back in the "old days" we were respected. If we said " visiting hour are over, you need to leave." Families left. Now, they stay anyway.

    2. Back in the old days, the families said "doctors/nurses know best. Now it's "well I saw on Dr Oz /Oprah/whatever that this should be done. And if Dr Oz/Oprah says it is so, it must be.

    Or

    3. I read in the Internets that the doctor should go into the parking lot, find a red Mazda, walk around it three time counter-clockwise while saying "stroke go away" and Mom will be cured. Did the Doctor do this? Why not? Will they?

    4. Back in the old days, student were not asked if they "wanted to do a cath". We were told, Mr Brown needs a cath, you will do it.

    5. Back in the old days we didn't have special apps to figure out everything for us. We had to learn it, remember it and keep it in our brain.

    6. Back in the old days we wrote a 2 days exam for our license and then waited 2 months for results. There was no PVT, no 75 questions, etc.

    My fellow COB, what makes you crusty?


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