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MSO4foru ADN

Hospice Home Care and Inpatient
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MSO4foru has 15 years experience as a ADN and specializes in Hospice Home Care and Inpatient.

MSO4foru's Latest Activity

  1. MSO4foru

    Guns at the Bedside

    Nope nope nope.
  2. No real words of value here. Healthcare has become a commodity- big fish eats the little fish. I think this is really bad. Especially as unions have declined. So people look into Unions, your employer has little or nothing in your best interest.
  3. MSO4foru

    Home care vs Nursing home

    Pitching in my 2 cents... I think it's unfortunate that many places don't value SNF/ ALF or home ccx are experience. We all took same boards. Different skill set ( present) does not mean inability to learn. And we all have things to teach each other.
  4. MSO4foru

    What Advice Would You Give to Future Nurses?

    Amen Kooky. And sadly as the world becomes more dog eat dog, pulling extra shifts, or going " above and beyond " counts for little. Forgot to document one med/ heaven forbid make an honest to goodness no fault med error per MD that you called per protocol- expect a urine test or write up. I now have had the t shirt for a few months. Still employed in case anyone wonders.
  5. MSO4foru

    How Mindfulness Saved My Career

    Correct me if I am wrong, but you just said your " normal assignment would have been 5-6 pts" , however -you on this last shift mentioned here - had a good charge nurse and for all practical purposes, leveled out that acuity to hopefully give you at least a doable assignment. I am really glad that happened for you. We all need a do able assignment. However, I think reality for most of us is quickly becoming prepare for the worst. And again while the " find another job/ move " is a quick draw suggestion, that's not a viable option for a lot of us. Nurses ( and CNAs) need to be unititing for safe and reasonable assignments.
  6. MSO4foru

    Tired and burnt out from the abuse

    KCLSEA..... I graduated nursing school in 2005. My first RN job was on a Medical Cardiology Stepdown Unit, rather quickly one of my mentors was a Master's degree RN who had been on that unit for 10+ yrs. One of the first things she told me was " I hate to be the one to tell you this, but you missed when bedside nursing was good by about 10 yrs". I have an occasional " good" night , but am inclined to say she was Very right.
  7. MSO4foru

    Tired and burnt out from the abuse

    So maybe I am again being the dissident here. ( clearing throat)... However, there is a lot to be said as to how Many ( again capital letters for emphasis) medical facilities advertise them selves cs how they are Staffed. Should the OP have been asking the pt if she was anxious, afraid- etc... things that could be resolved with anxiety meds or ( maybe) a chaplain visit- absolutely. Is it Ever ok to tell a pt ( under most circumstances) to stop using a call light?- NO. Do some/ a lot of pts need assurance- Yes. Do most pts understand what our sillly uniform colors mean - NO ( I don't care how many explanatory colors posters are posted). Most pts who are in an acute care setting are not there of their own choice- meaning : they know something is not right. And yeah, they are scared. At least. Perhaps my question is where does upper management start taking some accountability for this? As more and more hospital systems are being bought by for profits who use " staffing grids" ( by the way, is my current understanding that as things sit right Now, every hospital in continental US will be under control of about 8-10 hospital chains within next 6-10 yrs) and whose goals are to make a profit by reducing supply cost And cutting labor cost, and well, any other cost they can think of, where does that leave these pts? And I don't think that " the OP should find another job" is either a valid option now or will be in another couple years. I think as this *gig economy* gains speed, more and more of us who depend on our employers for things like health insurance, PTO, and retirement plans are going to find ourselves SOL. Back to point- is some of this " just heathcare"- yes. Sorry, I don't mind that your finance had to sleep alone sometimes. My hubby has for the last nearly 20 yrs. Do I mind that some pts are on call lights Way more than actual physical needs are- well, no. That's part of the job. Do I care that you feel like you are failing because of a fractured system that is more dedicated to making money than serving pt needs- ABSOLUTELY. Sadly I think is becoming a more widespread problem. And if answer to it was as simple as getting another job, most of us on this forum would be working at same facility.
  8. MSO4foru

    Would you do that? New grad dilemma

    Good luck... at this point my instinct is to tell you to apply for SNF ALF job. Home health ( and home hospice) jobs require at least a couple years of previous acute care experience , so that nurses can at least feel competent. Get about a year under your belt then think about hospital.
  9. Don't answer calls from work unless you want to work. Also know that overtime can bite you in the butt tax wise.
  10. MSO4foru

    Why Nurses Should Join the Gig Economy Right Now

    And again- my point is - All of time is Finite. What are you going to sacrifice today- if you are in a comfortable financial position- for a possible future payoff? I understand some people are career driven or ( as so many new grads are) not given a choice into getting higher education. My point is that- if you are comfortably paying your debts- and are working a lot of overtime for material gains ( I don't blame anyone for wanting a house- I live in one and have a mortgage)- but you are living to work for short term payoff,; I think you are missing out. I work to live not the other way. I do my 36 and am conscious of my finances. Even though it would be nice to have a new car, or fancy kitchen- unless I find a bag of money on side of road that's not going to happen. My time with my family I will never get back . Again I am a Hospice nurse- and as pointed out before on allnurses am a different breed. I just know that almost every day I work , I encounter people who wish they had spent their time differently. I am making a conscious effort to make my time matter to me, not my possessions.
  11. Am I the only one who wonders why upper management does not look at this site?
  12. MSO4foru

    The Vehicle Has Not Come Yet To Take Me!

    Sounds like your lovely uncle was using a lot of symbolic language. There's a great book written by couple hospice nurses about symbolic language.. maybe called Final Gifts.. . Glad your family member passes in love and peace.
  13. MSO4foru

    Thinking of Quitting Nursing School

    I went into my ADN program when my son was 10 months old. I worked 12 hr night shifts Fri and Sat night was in school. It was really hard. When I was done I had I slightly more than doubled my hourly pay. I have the knowledge of knowing I will always have a job. It was worth it. Keep plugging along.
  14. MSO4foru

    Manager wants me to force prn pain meds

    I am sorry you have had the experience as a parent of addicted child. ( I had a 36 yr old pt who died from OD two weeks ago). As a hospice nurse, I perhaps have a skewed view on pain control. Most education I do with my patient population had to do with " don't wait until you can't stand it anymore to tell me you need pain meds. " and education about pain management, AND education that " 0 pain is not reasonable expectation. [ unless maybe you are imminently dying]". I most often have patients and family members who are terrified of pain meds. I think the psychology and social factors ( and yes, misuse of pain meds) needs more attention and education.
  15. My 3 12s work great for me. Those 8 hrs sound great in theory but you have to be in the right situation for that to work.
  16. MSO4foru

    What Broke our Healthcare System?

    So what can be done to fix this mess? I have several ideas... let's hear from the rest.
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