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connectchoicecareme

connectchoicecareme

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  1. connectchoicecareme

    Inappropriate CNA behavior?

    What you described was huge. There was no intervention mentioned.All that was written was problem.If you are not sure don't broadcast.Don't give a facility a bad name.It is not a child's play.Every facility want good reputation and it is difficult to get it back,if you are dragged to the background.Please learn rather than been defensive.
  2. connectchoicecareme

    Inappropriate CNA behavior?

    Well since this issue was brought up.I will not hesitate to give my opinion. You observe an abnormal behavior you kept quiet only to write about it. Her inaction is not nursing. Most of the time young adult don't understand the profession that they are going into.Nursing responsibility is huge.So learn and grow. Florence Nightingale "Do no harm to the sick".
  3. connectchoicecareme

    Inappropriate CNA behavior?

    Yes in as much as she is applauded for speaking out. I totally believe that if her story is 100% true, then I am completely disappointed. Because as a nursing student,she is not a good patient ADVOCATE, not assertive and will be a lazy nurse that doesn't bring her brain to work. Picture this,imagine if these are your relatives and were humiliated and abused.How will you feel?She is very lazy and a backstabber.What stopped her from reacting immediately.Leaving the annoying and obvious CNA alone walked out and report them to your instructor and their charge nurse.You have failed those patients if you are telling the whole truth.This is elder abuse in all its ramifications and you swept it under the rug and failed the innocent patients.You should please try not relegate your patients to the background.Advocate for them.That is what we do as professional.Protecting our patients life and applying safety measures as much as we can.Good luck.
  4. I have seen cases like that,when you have a patient with insatiable needs for narcotics. Then you have the doctors and management that kept saying" give it'.They can say give it but you have to use your head and protect your license and at the same time keep the patient safe and comfortable.Check their vital signs, encourage the use of incentive spirometer,explain to the patient what you are doing. Sometimes patient might be complaining even if he or she is getting all those medications, probably it might not be working for him or her,so the doctor might need to reevaluate.Pain is subjective it is only the patient that could rate his or her pain.But on the other hand we could have a patient with high tolerance or a manipulative patient.When I have such situation I pray for doctor T.to be on call because he puts a stop to the nonsense immediately.Assessment, gather information, intervene and evaluate and make necessary changes.Do not loose your license.
  5. connectchoicecareme

    Inappropriate CNA behavior?

    Yes sometimes you have obnoxious CNA. But these situations are exceptio nal cases and totally unacceptable.Sometimes when CNA are misbehaving they are sending a message to you as a student nurse/the primary nurse."You are a student nurse and you should be able to assist with some of these patients needs rather calling your CNA to do everything for you".The CNAS are most of the time foreigners and are not that young.The hospital administration value the CNAS and not willing to part with them because they are valuable members of the medical team.Sometimes they are the eyes and ears of the management.So you should understand the CNA and be willing to be a team player.And accept the CNA because you have a lot to learn from them and management are not ready to quickly fired them easily.They are the eyes and ears of management.
  6. Medication error is very serious. If you have been suspended for a week you should resign before termination.And you should get another job STAT .I am hoping that you have not been reported to the BON.If you have been reported explain what happened.Be strong and confident do not guess.Write things down to remember what you said. I am not sure if hiring a lawyer will be a good idea since some lawyers will quickly throw you under the bus. Sometimes every disappointment might be a blessing in disguise. So be strong learn your lessons and reorient yourself for the best. Good luck.
  7. connectchoicecareme

    How to deal with a bully patient?

    Bully patients should not be given to floaters and travel nurses.Rather they should be rotated among the regular staff of the unit. Set limits to bullies do not pamper them. Make sure that their needs are spelled out and are met and that they are safe. But when they try to manipulate you should resist,if they start yelling or want to become violent,call security.A bully knows that he/she is not realistic but he is trying to test you. I had a bully patient.As soon as I walked into his room he yelled "I want to shower,I showered this morning and I want another shower ". I replied No,you do not because you have external Fixator on both ankles and I don't want it to get infected.He insisted I called his doctor and the doctor refused to order for another shower.But patient still did not give up.As soon as the Nursing assistant walked into his room, he made same demand. The nursing assistant came to me and I told her that he had showered in the previous shift and it is not safe for him to have another shower with the external fixator. Another shower might not be good for him.Then he asked for his pain medication and anxiety medication.He was medicated as ordered by the doctor. He slept for less than an hour and started calling every five minutes making unrealistic demands "Can you call the kitchen I want pizza,Ice cream, pudding and some popsicles?Also can you call the doctor to increase my dilaudid?
  8. connectchoicecareme

    Do you ever regret becoming a nurse?

    FIND YOUR NICHE.
  9. connectchoicecareme

    Feel like a horrible nurse!

    Usually when we send a dialysis patient for hemodialysis.We usually hold the blood pressure medications because the bp tend to drop after the hemodialysis.But sometimes there are expectional cases in which the doctor might order to give blood pressure medications even though the patient is going for hemodialysis. Or there are written instructions of what to do by the nephrologist during hemodialysis.If you as a dialysis nurse was supposed to call when diastolic is >115.Why then should you call when is >90.Some doctors will want you to look and feel stupid.When in doubt talk to your honest,reliable experience colleagues. Don't take it personally.Some days are bad and some days are good in nursing.Nursing is the way to go.Do your job in the hospital go home, shower,eat dinner and make love with your partner. As an adjunct professor, you finish work at school,you are still taking work to your home. You have to grade,post grades and answer phone calls from the students. As an acute care nurse when you are done for the day you are done.How cool is that? Don't you love it?
  10. connectchoicecareme

    Do you ever regret becoming a nurse?

  11. connectchoicecareme

    What would you think if you saw this patient?

    I am sorry to hear about the sad outcome.I will encourage patients and their families to be their own advocate and not to relie completely on their doctor. If quacks like a duct,walks like a duck.It is a duck . Take care.
  12. connectchoicecareme

    Do you ever regret becoming a nurse?

    Must love a profession to enjoy the profession.Must love nursing to enjoy been a nurse.In nursing I encourage nurses to find "their niche ".
  13. connectchoicecareme

    Do you ever regret becoming a nurse?

    I love nursing and I have worked in acute care hospital for over twenty years. Having the opportunity to care for others is a privilege. You have like it to enjoy it. I like my crazy colleagues.They are funny and we support each other.
  14. If there is too much hit in the kitchen.The best solution is to get out immediately.Yes,get another job,learn from your mistakes.You now have rooms for improvements.Focus,focus,and focus. Good luck .
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