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Catedi

Catedi

Psychiatric
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Catedi has 9 years experience and specializes in Psychiatric.

Artist/Musician; Ohio native; English, Scotch/Irish, Welsh, and Norwegian descent; 50ish Mom of 3 boys, working in my 2nd career.

Catedi's Latest Activity

  1. 20 years ago, I had a TBI and other injuries associated with falling from a vehicle on the Highway, doing 60mph. Long story short: Coming home late at night, from visiting friends, I hadn't closed the passenger door properly and was not wearing a seat belt; fell asleep against the door and when the driver hit a pot hole, the door flew open and I fell out. Yes, I certainly learned my lesson about seat belts. I sought to enter nursing school 10 years ago, because my prior work was too physical and I had been on SSD. No one can live on SSD with any degree of comfort or dignity, especially raising two children. The counselor at the Community College I went to told me that d/t TBI, I should forget nursing. I slunk away with my tail tucked between my legs and went to counseling for depression and was encouraged to go back and enroll. I am proud to say, I finished nursing school with a 3.9 GPA! I was employed last year by a Behavior Health hospital. Anyway, now at 50 yrs old and many therapies later, the only signs of disability i display is I move slower d/t having a knee replaced, chronic back pain, and some thought blocking, which to me, is the most troubling side effect because I have to allow what is being said to process before I can respond and I have some difficulty with spelling (thank goodness for spell-check). So, despite having a very high intelligence level, and I demonstrate critical thinking skills, I notice that when I talk to coworkers or colleagues they slow down the conversation to match me, which totally unnerves me. I'm also starting to experience some discrimination at work. I never acknowledged my disability to HR when I applied because I was advised I'd never get hired. I actually had a manager approach me recently with veiled threats about documentation fraud, stopping short of telling me I was lying when I verified a pt's medications with a pharmacy as being the correct dose being issued, because the pharmacist questioned the amount of a medication a pt reported as being Rx'd AND reordered by the physician assigned to the pt. Essentially, I've been told, in no definitive way, "Find another job, no one has confidence in you." It's hard to be disabled in the nursing profession. I'm finding that out, first hand, in a job that is not that physically demanding, that employers and colleagues do not like or trust a nurse who recovered from TBI.
  2. Catedi

    Drug seeking patients?

    A wise nursing instructor told me, "It is not for us to judge. Regardless of a pt's issues in the outside world, once they enter the hospital, they are equal in the eyes of the caring nurse." I love that saying and use it when I feel judgment start to bubble up. It helps me stay in the moment with my patients, and that's where I need to be.
  3. Catedi

    MA working beyond scope of practice

    In Ohio, there is a bit of confusion. There are two MA designations. One, like this person I am reporting about, goes to school for 6 mo. and leaves the technical school with a certificate. The other, goes to College, takes a year of prereqs and enters a two year MA program. They leave school with an Associate's Degree. The confusion is, they have different scopes but nothing like a separate suffix, like RN opposed to LPN, to identify them. I have a family member working in a hospital who has the Associate MA degree, and they can do allot of what an RN can do, like assist with surgeries, dressing changes, post-surgical monitoring, etc. But, they are not allowed to start an IV or give medications through an IV. I am determined to not drop the ball on this. I appreciate the input, and use it as a start. Thanks.
  4. Catedi

    MA working beyond scope of practice

    Also, @ Dogwmn, LPNs can start an IV in Ohio if they've received a certificate to do so. They can be delegated to give medications through an IV, under the licensed RN.
  5. Catedi

    MA working beyond scope of practice

    Just to be clear, she is not my friend. She is an acquaintance I met through my sister, who used to do her nails and is now her friend. We were visiting my sister on the same afternoon when we had our conversation. She truly believes the patients are in no danger, stating she feels the doctors trained her very well. I do not want this on my conscience, and will report it as soon as I know who I can report it to. I was hoping a more experienced medical professional could direct me to where I needed to go with this. It's so crazy, I can hardly believe it!
  6. I'm not sure what to do here. Someone I know told me this week that her employers allow her to work beyond her scope of practice. I always thought she was a Surgical Tech, although, she never went into details about what she did, other than assist in surgery. I just found out she went to a school for medical assisting. Her program was 6 months long and she graduated with a certificate. She's not even registered, as in Ohio, registration is not required. Essentially, she is an unlicensed medical assistant. She stated to me that her employers, a private dermatology and cosmetic surgery practice, have her assist in surgery, such as starting IVs, injecting medications into the IVs, monitor patients under anesthesia and do post surgical care. I was floored when she told me this. I calmly questioned her on why they don't have an RN doing these things and she stated, they only have one nurse on board because the 'practice' feels it's too expensive to pay RNs, when the physicians at her practice can just train MAs to do what she's doing. I'm a newly licensed RN, so I'm not sure what to do or say about this situation. Nor, do I know who to turn to to report this. I just know this is beyond her scope and this is endangering patient' safety. This person understands what she is doing is beyond her scope, but doesn't care, since she is compensated beyond what an MA would ever make with a certificate. She also feels the risk of getting caught is minimal, as she asked, "How could anyone possibly find out?". I'm wondering, does a patient death have to occur for this to stop? Any advice would be welcome.
  7. Catedi

    Best shoes for school

    I have used Marrell mocs for nursing school and liked them very much. I need good shoes since i have back and knee issues. I've worn Birkenstock for everyday wear, for about 20 years. Love them. I think I'll get a pair of white Alpro c100, by Birkenstock. I love the orthotic foot bed. I also have a pair of Dansko shoes, but don't like them as much as the Merrell brand. I really am a believer in well made shoes if you are on your feet all day.
  8. Catedi

    Moral/Ethical Advice

    I don't think her education is any of your business, period. Focus on your own issues and don't be such an envious busybody. I've been in nursing school with people like you and it's a real drag. I've been a good student and on the deans list. I can get an A on tests without barely studying--thank God. My personal life is very hectic with a disabled child. If I was offered someone to write my papers, I'd jump on it. I'd still be a great nurse at the end of the day. So, get off, and worry about yourself. She's either going to be a good nurse, or a rotten nurse, regardless of if she's writing those papers herself. I personally think the writing's a bore and a time waster. I think it's just filler--stuffed into the curriculum to kill time.
  9. Catedi

    Nurse accuses patient of drug addiction!

    I say, call Joint Commission on her. She shouldn't be practicing giving flea dips at a kennel, let alone nursing ill humans. I'm sorry, I don't think I would've had a problem ripping that teaching pamphlet out out her mitts and letting her have a piece of my mind!
  10. Catedi

    Older Nursing Students

    kl2010, stated... hmmm, i've noticed that too. although, i can't care what their motive is for going into nursing. i've got my own stuff i need to focus on. i look at the first two semesters as the "weeding of the weasels", semesters. i don't have much faith that the truly uncaring students will be here, come third semester. if a few do get through the cracks, there are stop gaps to poor performance that isn't actually caused by poor employment conditions. i can't say my reasons for attending nursing school are entirely altruistic. lets face it, i'm 40-something with no retirement savings, so i'm playing catch-up. i highly doubt, kl2010, you'd have chosen this field if the paycheck was $30k, instead of $60k per year. i consider myself very compassionate, but i surely wouldn't be dealing with the responsibilities of an rn degree for anything less. so, realistically, you could say i'm in it for the money. surly, you're not suggesting there be some sort of personality 'weeding' process prior to actually getting into the nursing program, are you? yes, that waiting list is grueling, and at my age, i can honestly say, i probably have more at stake for having to wait than the traditional student, but that's really my fault for not making the decision to begin the process sooner. everyone has the right to be 'clueless' as to whether the career they've decided to pursue is right for them, until they're actually experiencing what it entails. it would be fascist to remove that right. the real problem lies with the fact that nurses are in a shortage, making the wage so much more attractive. again, one of the very reasons i'm here, in line. also, the reason the wait for a slot was tolerable. most likely, if he's that obnoxious, it's doubtful he'd be able to contain it beyond the interview process, much less, the 90 day trial period. so, may i suggest you quit focusing on 'the weasels', as it's a negative force sucking precious energy from your journey.
  11. Catedi

    Thyroid out of whack!

    JAW0172003, Wow, 4 years--I'm betting you don't even remember not feeling fatigued. Anyway, I would say, first, does your health carrier require you to have a referral to see a specialist? Surprisingly, most carriers do not. Referrals are an impediment to good health care, as patients are shy to offend their current care-givers. It's been determined patients will receive a more timely (i.e. cost effective) solution to many of their issues if the requirement to get a referral is removed. Second, I would say, until you’re established on the right meds, or right dose, see an endocrinologist if one is a reasonable distance to you. The fresher out of school, the better, as it’s not as likely an older endo would be up on latest trends and not doing it “Old School”. It's not really the ent's area of expertise. But, if you find you can’t see an endo, stick with the ent. Don’t let your family guy decide the meds or the dose you need. He/she just doesn’t have the in-depth understanding the specialists do, as evidenced by the unnecessary and expensive order for an ultrasound. Positive labs for antibodies are the definitive confirmation of Hoshimoto’s. If you have Hoshimoto’s, there is inflammation, regardless of if it’s palatable, or not. Third; once you are established, which may take a year or so of tweaking meds, then take your order to your family doctor. He/she is perfectly capable of monitoring your levels of TSH and Antibodies. He will not question the specialist’s orders. The sooner you are settled into your proper ranges, the sooner you’ll feel better. Good Luck.
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