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SharonH, RN

Med/Surg, Geriatrics
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SharonH, RN has 20 years experience and specializes in Med/Surg, Geriatrics.

SharonH, RN's Latest Activity

  1. SharonH, RN

    Brian Short News

    No words.....
  2. SharonH, RN

    Unexpected kindness from a nurse

    Oh geeeeeeeeeez...................
  3. SharonH, RN

    The "Differently Abled" Nurse Speaks

    The intent of this post is honorable but I don't think of being overweight or older as a disability or being "differently abled". Also, I have met some overweight nurses who were lazy and unkind just like I have met some who worked circles around me. Same for older nurses. So I guess the thing to do is just treat people as individuals and not pre-judge them which was your original point I suppose.
  4. SharonH, RN

    Debts are the Whips and Shackles That Will Enslave You

    You know what's sad is that it's not the big things like college tuition that keep people poor but it's the foolish things that people waste money on: 1. Cable TV 2. Expensive cellphone packages 3. Not shopping around for home/auto/life insurance; paying low deductibles 4. Eating out 5. Gym clubs and other types of memberships 6. Wasting money on nick-nacks and chotskies(you'd be surprised) 7. Shopping at Walmart and dollar stores-absolute money wasters 8. Late fees and other types of avoidable fees, high interest rates I bet if people took a good hard look at how they were spending on those items, a large student loan payment would pale in comparison.
  5. SharonH, RN

    Debts are the Whips and Shackles That Will Enslave You

    While I agree wholeheartedly with your position on debt, I detour from the idea that "smart" nurses go the community college route (my words-I'm paraphrasing). I was a traditional college student, choosing to go for my BSN straight out of school. The piecemeal approach was not an option for me and my position on that has not changed over the past 20 years. My experience with grad school (trying to work, have a family and complete school) only affirmed that. It was important to me to get it over with so I could get back to my real life! I say this to say that I can understand those who choose a private school rather than wait for a spot at a public school. What are you supposed to do to earn a decent living while you are waiting for a spot? That's lost income also. Additionally a few people made a point about career goals for your degree. Not all of us aspire to just "get a job". And for those folks, I think it's a fine idea to mull all your options include the "foo-foo" private schools. There are multiple ways to get anything done. You don't have to only go to community college to avoid massive debt while in school. I think the attitude that there is only one way to do things is what enslaves us. 100K is a lot of money but it does not have to be a lifetime commitment. You can take out loans but take out only what you absolutely need. Look for scholarships. I earned one in grad school simply because nobody else applied (had to give it back because I was only part-time). Decrease your standard of living in school and work weekends to decrease or avoid debt. After school, pay down the debt as much as possible and then transfer it to a 0% credit card. Patch your car together for one more year. Get a Tracfone. Hold off on that cruise. Supplement your pay with prn work and you can be free of a large amount of debt quicker than you think. I speak from experience.
  6. SharonH, RN

    Just a reminder to watch what you say!

    This sounds like a load of garbage. Is there a policy that you are not able to say publicly that you had a bad night at work? I doubt it. If you had posted specific information about the job, work procedures, nurse-patient ratios, other employees, patients, etc they may have the right to say something. Saying you had a hard night at work is pretty innocous. I would be very surprised if they could fire you or even discipline you for writing something like that, I don't care if they did call you into the office.
  7. SharonH, RN

    Blood transfusions??? just say no...

    That seems impractical. I won't work pediatrics. Not ever. No matter the practice setting or the type of care needed. I am excluding a whole population from my practice. See? Lots of us have restrictions for what we will and not do. Should we all have a mark on our license? Of course not.
  8. SharonH, RN

    Blood transfusions??? just say no...

    The advice not to go into nursing if you don't want to give blood products is simply wrong. I haven't touched a blood product in 10 years and even before that, I infrequently administered blood and I worked med-surg! OP, you will simply need to choose a specialty in which your exposure to the likelihood of giving blood is extremely limited. Many of the specialties have already been mentioned: psych-mental health and mother-baby are first to mind. Once you get in a couple of years of bedside experience, you can leave the bedside and need never worry about it again. Also, you will find that people IRL are not nearly as uptight as they are on this board about it. If you offer to take over a really difficult task for them in return, they will gladly spike a bag of blood for you especially if they don't have to be bothered with all the monitoring afterwards, which is the biggest hassle of all. Good luck.
  9. SharonH, RN

    Nursing Diagnosis...the sacred cow that needs to go.

    I am constantly amazed by nurses who are so against the nursing process, fighting hard against making their own contributions to the care and recovery of the patient instead preferring to complete tasks and focus on following doctor's orders. The real sad part is that over and over again patient's suffer as nurses abandon the nursing plan of care......the basic care that makes the difference in how quickly and well a patient recovers.........to focus on medical care.......IVs, monitors and medications. So patients get respiratory treatments and IV antibiotics on time but nurses can't even be bothered to walk post-ops and encourage cough and deep breathing. It's too simple. All this effort fighting nursing diagnosis and plan of care is baffling, just baffling.
  10. SharonH, RN

    Jury Awards $58.6 million for OB/GYN mistake

    There are some interesting comments about this case on both sides. Was there a trial transcript somewhere that everyone else had access to? Otherwise how can you make a determination whether or not the award was justified? First of all, I'm disappointed that some people are so dismissive of the little boy's injuries. "Oh well poop happens". Really? He has essentially been robbed of a life. Yes he is still breathing but he will never have a chance at the life that so many of us take for granted. What number value can you place on a life? Never mind the very real and financial toll it will cost to care for him especially as he gets older and ESPECIALLY as the parents age or die and are no longer able to provide care for him. What was this guy doing that led to the delay? Was he chatting on his cellphone or surfing the net? I've seen physicians do it while patients waited. As for the physician's action, there's no way to determine what happened. Was it simply a poor judgment call? I know for a fact that my OB deliberately waited outside of my room while my nurse did all the work until I crowned. I know this because when one of the nurses walked out of the room, I glimpsed him sitting on a bench waiting. Then he showed up and essentially caught my son as he was delivered. He immediately left afterwords while the nurses again did all the work. If something had gone wrong, you can bet I would have sued his butt. At any rate, I would be hesitant to claim that this case warrants tort reform based solely on the large award without knowing exactly what happened. On the other hand, he may have followed professional standards and if so, then it really is too bad that the jury made the determination they did. Also a mistake does not equal negligence. Too many people believe that all bad outcomes are the result of malpractice.
  11. SharonH, RN

    "Noting" orders in an EHR does it have to be done?

    Geezalou, what a waste of time, paper and human effort. *SMH* It sounds like someone is not comfortable with the idea of an EMR or they just don't get it. Engage IT and see if they can help.
  12. SharonH, RN

    People plan to work into their 70s or later

    Both of which are grossly inadequate. People who plan on those two programs to take care of them are going to be left high and dry.
  13. SharonH, RN

    People plan to work into their 70s or later

    You're spot on here. Many people are in denial about the possibility of bad health, partly because as a country we have fooled ourselves into believing that all good or bad health is the result of personal choices therefore if they just take care of themselves, they will be just fine. That's a big risk most are taking and the better idea is to just try to kickstart your savings. If you are still willing and able to work past that point, fine but otherwise people need to make some hard choices now. Get a calculator and a sheet of paper and try to figure something out. Consider this scenario, you are not well enough to work but you are not sick enough to die either, then what? I see it every day folks, I'm just saying...........
  14. SharonH, RN

    Time to call a duck a duck, part II

    I'll take it piece by piece. As for not laying eyes on her, I totally agree that the idea is to visit the home, meet with her and the son, etc. There is no question of that and certainly no devaluing of the direct care component. It comes down to a matter of resources. I can review 20-30 charts like that a week, but I certainly am not available to see them all. Those who we determine would benefit from a visual are in fact scheduled for an appointment with our team. These are usually patients who have more complex problems that cannot be addressed during a brief phone interview or chart review including memory and cognitive problems. As for the providers not putting it together, you would be surprised (and disappointed) at how often that happens. There are a lot of factors: they only have 15-20 minutes to see the patient and that doesn't leave a whole lot of time for extensive chart review especially when the patients tend to minimize problems or not tell them at all. They may see different providers who who wouldn't catch on that the patient has been in for the same problem 3 separate times in the last year. And I've found that physicians are not really comfortable assessing psychosocial or functional status unless it is a glaring problem staring them right in the face. That is one area they are perfectly willing to cede to nursing or social work. This whole thread gives me an idea for a poster presentation. I think it's important for those of us who provide care of patients in the community setting to communicate about the work we actually do and the value of that work to other nurses who may not understand that all nursing occurs at the bedside.
  15. SharonH, RN

    Time to call a duck a duck, part II

    I'll be glad to field that question for you: In my case, we review the medical record extensively. We look at physical status as well as functional, cognitive and psychosocial status. These are all issues that impact health. So for example: 83 y/o lady was recently in the office for a fall, suffered only a wrist sprain. Extensive chart review reveals that she has been in the office 3 times in a 12 month period for falls. Each time, her injury was treated and she was sent home. She has never had a bone density test, vitamin D level was low and she has not had her eyes checked in over a year. She has diabetes and the last foot exam was abnormal. No podiatry follow-up. She lives alone and still drives. Oh yeah and she's on Coumadin. None of her providers have put this picture together. The patient is contacted by phone and asked about the circumstances of her falls. She minimizes it and states she is just clumsy. If she were to fall and unable to get up, she has no way to call for help. No emergency response. Her son does call about once a week. She states it is important to her to remain independent and live in her own home. Obviously, falling and breaking a hip or cracking her head and getting an intracranial bleed is a threat to that goal, this is a disaster waiting to happen. In collaboration with the rest of the team, we then create a care plan that centers on her fall risk. Interventions recommended to the provider are: -bone density testing to check for osteoporosis or osteopenia; treat if found -vitamin D supplement; calcium supplement -annual eye exam -follow-up with podiatry re: potential neuropathy; assist to schedule if needed -gait and balance assessment by the provider to determine if she needs physical therapy; order if needed -check for orthostatic hypotension; adjust meds if found -stop Coumadin until falls are addressed -personal emergency response system; ask son to check in with her more often -teach about home environment and safety; ie throw rugs and wall rails, lighting, etc At 3 month follow-up, it is found that she did indeed have a gait and balance problem. PT has made significant progress with her, she is now using an assistive device. She has an emergency response button and took the throw rugs out of her bathroom and kitchen. Bone density test found osteopenia so calcium supplement is sufficient for now. 6 months later, she remains safe in her own home. No additional falls and she reports that she actually feels more confident and has started going to a senior center 3 times a week. The patient met her goals, did not need bedside nursing care since we kept her out of the hospital and I never laid eyes or hands on her.
  16. SharonH, RN

    Time to call a duck a duck, part II

    Thank you for picking that up! In fact, I expressly said that bedside nursing was NOT only about physical skills. I notice a lot of folks have pulled out part of my sentence and seemed to interpret it as a swipe at bedside nursing when it was the opposite.