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ChryssyD

ChryssyD

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ChryssyD's Latest Activity

  1. Thank you so much for your honesty. Such shame is attached to substance abuse--I am so proud of you for ignoring the prevailing view. There is so much ignorance and misunderstanding in the world. I admire you so much, and you should be so proud of yourself for your honesty and strength. I believe in you!
  2. ChryssyD

    When To Call The On Call Doctor

    Well, I won't mince words. Yes, you should have called the MD. You clearly had concerns (rightfully), and yet you chose not to inform the doctor. Never be afraid to kick a problem upstairs--there is a reason doctors make so much more money than nurses do. They are expected to make hard decisions. Maybe a fever and cough is a run-of-the-mill virus. Maybe it's the flu. Maybe it's pneumonia. That's not the nurse's call--it's the doctor's. Let them deal with the unknowns. Your job is to alert them to possible problems, not diagnose illness. You aren't sure it's pneumonia? So what...let the doctor make that call. That's his/her job, not yours.
  3. ChryssyD

    What kind of lawyer can answer my questions?

    The answer to your question is in the phrasing of the Board's query: "...which may impair or interfere with your ability to practice safely and in a competent and professional manner." If you believe that your illness will not impact your practice, you can honestly answer this question with a "no." At the end of the day, the Board has no right to know your medical history. For heaven's sake, don't tell them anything they don't need to know. They are not your friend--they are simply looking for reasons to reject or monitor you, in the name of "public safety." Bollocks. They're afraid of lawsuits. Treat them like the cowards they are--give them as little information as possible, because they can't handle the truth.
  4. ChryssyD

    Telephone Triage Nurse topic is dead

    Well, I have to admit that phone triage is something I've never done. But it seems a pretty sweet deal. These businesses generally have protocols, procedures for nurses to follow. You just tell people what you're told to tell them. As for the rest, sitting all day is what many people do. There's no reason you can't stand up to take a call. And what you do in your time off is at least as important as what you do at work. As for rotating day to evening, that's no big deal. I have worked day, evening, and night shift in the same week. That's hard on the body. Day to evening is not that rough. You'll adjust. And yes, each call is a challenge. So is an irate family member, a bleeding post-op, an infiltrated IV, and numerous other things that nurses deal with all day, every day. Nursing in general is nothing if not challenging. Rise to the occasion! Wherever you work, you will be challenged and tested. People can be difficult in the best of circumstances; sick people are especially difficult. Nursing is hard. If you didn't know this going in, I'm here to tell you now. Best of luck to you. Nursing is never easy. Ever. But the rewards are inexpressibly wonderful. Find your niche and love your work!
  5. Let them inside to sleep along with you. Dogs are pack animals who want to be with the pack leader (hopefully you!). Letting them inside will greatly reduce their anxiety, and then they will stop barking. It's so comforting to hear your dogs snoring alongside you--their mission in life is to love and protect you. Let them!
  6. ChryssyD

    Suspended Licence

    PRN4U: Relax and try not to panic. Tell us why your license was suspended, so we can help you understand what might happen in future. But, first, just breathe. As stated by Oogie, any Board proceeding is going to be slow. Get as much information as you can. And then, based on the information, decide whether you need an attorney. Most people advocate for an attorney when facing the Board, but lawyers are expensive; whether you should invest in an attorney depends on the charge. Those of us who have had run-ins with the Board can relate--the Board sucks. Remember, it is NOT your friend, its responsibility is to the public, not nurses. Makes you wonder. Keep us posted. We are here for you!
  7. ChryssyD

    CARE PLAN HELP

    Sour Lemon: Amen! Mmathieson: Shame on you, sugar--you need to learn and figure this out for yourself. That's why we go to school, to learn! Open those books and edify yourself! Best of luck. :)
  8. ChryssyD

    CNA and Falls

    Rini1995: You are right to be uncomfortable with a boss who blames you for patient falls. They just happen. There are lots of things we can do to lessen the risk, but falls will still happen. The idea here is not to blame the person but the process. What changes could be made to policy and procedure to help prevent these things from happening in the future? If there is ice where your patient is walking, perhaps your facility should improve its inclement weather procedures or forbid patients from being outside the building when there is ice or snow. When patients need assistance with transfers and toileting, perhaps policy should mandate 2 staff to assist--with 2 staff present maybe you could have gotten the patient more fully onto the toilet seat (this really is something you need to be aware of, but it's much easier to recognize as well as handle when there are 2 of you). Harassment, no. Blaming, yes. Not a good sign. Consider seeking new employment--good managers don't blame, they look for solutions. Don't feel bad. As I said, falls just happen. Best of luck. :)
  9. ChryssyD

    Surgical gowns/scrub caps outside the OR?

    Rose Queen: Yes. When I worked PICU, we were scrupulous about covering our scrubs when we left the unit for lunch or a smoke break (breathing treatment). The idea was to minimize contamination of our clothing to help protect our little patients. Of course, I had 3 dogs and 2 cats at the time, so it was kind of silly of me to worry about additional contamination when I was coming from a germy, super-allergenic environment to start with. But when I would don an isolation gown to go outside, at least my heart was in the right place. :)
  10. ChryssyD

    bedrails

    Sorry, but I have to disagree. Bed alarms may be your only indication that patients are trying to get out of bed. They may be upsetting and disorienting, but if they help prevent falls, that's OK. There really isn't any foolproof way to keep anxious, antsy patients in bed. I wish there were. Talk to the doctor about sedation, increase the frequency of checks on the patient, and don't be afraid to institute 1:1 monitoring if you feel it's necessary. Falls, and their consequences (broken bones, mainly), are a major cause of litigation. Do whatever you have to do to prevent falls. And, if you find yourself in an impossible (poorly staffed) situation, tell your supervisor about it and make note of it. This is your only protection when staffing is woefully inadequate. Good luck, and hang in there. Better opportunities are out there, but I know that I cannot abandon my patients just because staffing isn't ideal. But if you must, move on--not all facilities are chronically short of staff. Do what you have to do for you.
  11. ChryssyD

    BRADEN SCALE BINDER

    The Braden scale should be done on admission, then at regular intervals (monthly, in my facility) afterwards. You can keep them in the charts (which should be audited regularly), or you can ask for copies that you can keep in a separate binder. Skin assessments should be a regular part of the nursing process in any facility. Make sure your nurses and aides are paying attention to skin issues. Decubiti and other skin problems are a major source of litigation. You are right to be concerned about it. Kudos.
  12. ChryssyD

    Group Interview--coming prepared

    Know the article well, and also be aware of any possible discussion points, any controversial or questionable points in the article. You need to show your knowledge, but you also need to show your openness to criticism and conflicting points of view. You should also consider the impact of whatever the article is discussing on nursing in particular--in what way does the information inform nursing practice? Best of luck to you. Based on your post, I feel you will do well. :)
  13. ChryssyD

    Drug testing...

    No worries, you can still have ice cream. :) You can't have anything cooked with wine or liquor, though, and you can't have a casual beer or glass of wine with dinner. And you definitely can't have any narcotics or weed. Bummer. My program didn't require checking in on the weekends, which is good, since I live in a relatively small town. The local drug-testing place would have accommodated a weekend test, but I'm sure not every business would be willing to do that. If I had to drive to a big city testing center on a weekend, especially if I had to work that weekend, I would have been really hot. I really don't understand programs that require checking in and testing on a weekend--that seems totally unrealistic. You could call your case manager and ask if checking in on the weekends is required. Always go to your case manager with any questions you have. Best of luck to you, and hang in there. These programs are hard and merciless, but they are only trying to help, hard as that is to see. You can do it--I believe in you!
  14. ChryssyD

    Nursing student with recent DUI. Need advice

    I'm going with those advising a good lawyer who might be able to mitigate the DUI. A DUI conviction will almost certainly get you hooked into a monitoring program, which will be humiliating, intrusive, and oppressive, as well as severely limiting your employment opportunities when you finish school. Seriously, put whatever money you have into fighting the DUI. It is definitely worth it. But, if it doesn't work out, welcome to the world of monitoring! It's not so bad, just really obnoxious. You can do it. Best of luck!
  15. ChryssyD

    Is Faith Enough?

    I'm sorry you feel so uncomfortable with Christians. They should not be making you feel uncomfortable. Christ taught that all who are not against us are with us. This is significant for atheists and pagans--whoever is not anti-Christian is under grace as well, and is not counted as an enemy of God. However, there is no need to try to draw people away from God--if you do not believe in God, that is OK. We Christians need not force our belief on you, and you need not force your beliefs on us. Atheism is OK, but you should not push it on others, just as you would not wish religion of any stripe (I'm assuming) pushed on you. This is something that many are unwilling to confront--pushing religious beliefs is wrong, but pushing atheism is perfectly OK. Double standards? Be fair. That's all I ask.
  16. ChryssyD

    When do you say no.

    Well, last evening I worked as a med nurse (LPN, in my facility), but when necessary during any shift I toilet or dress patients, feed them, supervise baths, do dressing changes or other treatments (LPN duties, usually), pass snacks, brush teeth, clip nails, hand out tissue, or hold hands. In other words, I do it all. I get the idea of not wanting to work extra in something other than your usual role. It's uncomfortable. But if you're a nurse, CNA duties are within your scope of practice. And you can't be too good to do it. Too tired, though, I get. I've had many days when I'm too tired to haul another patient on and off the toilet--I'll ask one of the aides for help. I'm not Supernurse. But I will participate. I'm not proud--I'm a nurse; pride is pretty much out the window at this point--fart, vomit, drop a BM on the floor, sneeze a wad of snot on my face, it's all good, no problem. Nurse life. Short-staffing sucks. We are chronically short-staffed. But again, nothing new. I've worked in badly-staffed situations for decades. You get used to it. I walk in to work and automatically go into hyperactive mode; I move fast, I talk fast, I have little time to talk to anybody, including patients; and when you work in psych, that's a problem. But that's modern nursing. I do the best I can. It's all anyone can do. Nonetheless, don't feel bad that you didn't want to work extra in a role not your own. Feel bad that society values healthcare so little that it won't prioritize nursing--the backbone of modern healthcare--enough to esteem and pay nurses and nurses' aides what they are really worth. That is the real problem.
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