Totone656

You are a lot like another poster here I suspect you are twenty something and have loads of living to do. Second, I assure you I am very assertive and aggressive or I would not have been able to file for divorce. Third, I got you beat not only did I marry a momma's boy, but he was adopted to boot! Fourth can ya tell me what the clearance is to set the points on a VW engine...or better yet can ya change a water pump out on a Toyota? I can do it, now tell me how independent and self sufficent you are now. Fifth, I was married for 32 years! I didn't have to depend on him to do anything...if I did I would still be waiting for the leaking roof to be fixed. Please come back when your triplets are 30 years old and tell me how wonderful you are doing. I don't mean to sound so harsh, but you judge us who have worked long and hard on a marriage only for it to go down the tubes. Everything isn't as simple as black and white and no shades of gray. Oh and by the way....your not needing him maybe the downfall of your marriage one day...think about it. JMHO

The divorce will be finalized sometime around March 7th (wouldn't ya know it March 7th is on a Sunday) and he has agreed to everything. I have already started the healing from the divorce stand point....will be better if I can find somewhere to live before Feb. 25th....the house is being foreclosed. I think once I get all my ducks in a row the healing will go much faster. And I did lose 300 pounds really fast...the day he walked out! Woo Hoo!

I am so glad to see it isn't me. I was thinking between the divorce and the forclosure I was letting things get to me. The abuse is even happening with Hospice patients. I have one and I keep telling myself this guy is dying let it go, but when he told my PCC I described his death graphically I almost lost it! I lost it when she told me he said I talked kinky sex to him! GRRRRRRRRRRR I lost it big time, of course my PCC knew how I would react and just chuckled. She knows the reason why I am divorcing my husband. So rest comfortably knowing it is happening everywhere! Hmmm must be something in the water ya think??

While you have not offended me, I realize being 20 something and I am betting married less then 10 years, you know little of the real world. I am not saying that is bad, but I too believed as you once did. What happen though; was I grew up and went through a world of BS and the final straw was when I found him meeting his "online friends" in real life. Please come back and post on this subject when you have been married 32 years, raised a family WITHOUT his input or help, be looking at foreclosure of a home because he would not get a job and the divorce to boot! I bet you will sing a different story 32 years from now.

Yep, 32 years of marriage and I filed for divorce last week. I thought if I was able to contribute to the family income we would finally be able to do the things we always wanted to. Boy was I wrong! What he did was quit his job with Swift Transportation after I was working for 6 months. This went on for over a year. Then in June of this year I threw a fit...he found a delivery job, got car jacked and sat for another 4 months. What I find in July is he is meeting some ladies from the internet to statisfy his sick fantasy. Thought we got the matter cleared up.....at until October and he started it all over again! Needless to say, I can and won't live like that. He needs help, but refuses. I can't keep butting my head against that wall anymore and made the decision to go on without him. I am on my own for the first time in my life and not sure which way I will go....I know one way will not be back to what I have lived with for the last 13 years

{{{{{{{{{{{{Jane}}}}}}}}}}}}}}} I know how hard it is to watch patients suffer needlessly. I know from my limited experince in hospice the fentyl patches do not work on those patients with little or no adipose tissue. I know the majority of nurses will tell me I am wrong, but our doctor who is the director of medicine of the hospice I work for is certified in Hospice and pain control of the Hospice patient. There are some great salespeople out there who have convinced nurses otherwise and I have to confess I was one of them. A great majority of the patients I take care of are on methadone ( which can be adjusted easily up or down as needed to control pain) with something for break through pain. I just gained one patient with not one wound, but three cancerous wounds which are draining a prulent yellow! Whew! Instead of trying to change the dressings and compromise skin I opted for a wound drain bag. This way the patient can move without a bulky dressing and I can clean the wound through a small window located on the front of the bag. It can also be drained to keep the smell down and allow the patient to go out without the general public knowing he is coming 10 feet away. Bless you for all you are doing for this family.

::::::::::::::::doing the happy dance::::::::::::::::::: Bless each and everyone of you!!!!! I do not miss a Nurse Manager!!!!!!!!!! I do have a PCC, but her thing is, "Are ya done? Go on home. Be with your family." In fact, today, we had an inservice (yes it was required) and did she get POd about our time?? Nope, not one little bit and we are now the "Icon" for other branches of the company I work for! She is a wonderful manager! Sorry to tell ya'll we do not plan on sharing her with ANY other facility or company!

Oh Penny you reminded me why I am so glad I am out of the hospital and staff nursing! Not to mention I really don't miss 11P-7A shift! I remember nights like that! Difference was I had 15 patients a night, start IVs, catch up on what the other shifts missed or didn't want to do! Thanks for the walk down Memory Lane and hope the next time you get stuck on the Med/Surg floor it will be a better night!

The CPNE is one of the most stressful test I took with Excelsior. I did have to take it a second time because I thought my mother-in-laws death would not have had a bearing on my abilities. Wow, was I wrong! My dining room was a mess while I prepared for CPNE. My girlfriend helped me prepare for the CPNE lab. She is a great nurse and one heck of a friend to put up with me during that time. My family would quiz me on the Critical Elements until I could tell them front and back! I wrote care plans and I wrote care plans! Excelsior has a student message board which is a wonderful resource! The chat room for nursing students is a great way to get ideas. There are listbots for the students which I would suggest you get on. These are students who are either taking the CPNE or preparing. Utilize Excelsior's nursing instructors. They are there to answer ALL questions you have.

The floor I work on has "team nursing" and is a Med Surg floor with a lot of Oncolgy patients. The LPNs on the "team" do a lot of work with our Chemo patients. I think it really depends on what part of the country you live in and the hospital you work for. While the LPNs can't hang Chemo, they still provide nursing care for these patients. They can give certian pre-meds and help monitor during the chemo treatment. If it wasn't for some of the great LPNs on the floor I don't know what I would do.

"Sounds good. The reason we don't always stand up and be counted is because we are too **** tired after shifts from hell. Our poor bodys would have to be held up by sticks and someone would have to open and shut our mouths for us to talk.........." All I can add to this is AMEN!

We use a 72 hour flow sheet and are suppose to chart only the exceptions. Like many I do "CYA" when needed. The problem I have with our new flow sheet is the area used for nurse's notes is somewhat small, insead of being lined single is is lined double. Meaning, instead of it being College ruled it is just regular ruled. So when you need to "CYA" there is never enough space because the nurse before you has written her whole assessment and do they get an additional page? Well of course not, it isn't their job. This flow sheet is suppose to help lessen the amount of time charting. I timed myself and found out it takes anywhere from 10-20 minutes to chart on each patient. So, with 15 patients a night I find myself the majority of the night making little checks and trying to write in the letters in the correct little boxes.

Sleepy I know what you are saying, but I am beginning to wonder if it is an 11-7 Vs 7-3 thing? At the hospital I work at we have preprinted Kardexs and Census which have patient name, age, and history....what happens 7-3 won't use the census and demands we give them the info which is printed there. I don't mind giving them a history, but when the patient has had his/her tonsils out at age 5 and they are 80 years old what is the purpose, considering they are in because they are in congestive failure? Here is the problem I have had. One of the nurses who is a preceptor on 7-3 will tell me that such and such test CAN'T be correct. She then leaves report and looks up what the Doc ordered the night before. She comes back into report and tells her orientee Doc just order such and such. Durn I just told her the same thing and never once has she said, "You were right the order said...." Another one will quiz me about what size IV cath is in, problem, she was the one who put it in and did not write it down in Nurse's notes. And with all of this I am lucky to get off the floor by 8 AM! I have 15 patients a night, most are stable, but some are real handfuls and if your unit is like mine patient care is only part of the job. There are MARS to verify, 24 hour chart checks, updating Kardex, meds to pass, admitting patients, Preop Check list, Consent Forms, plus anything else the nurse and unit secretary does on 7-3! I for one am going to take the advice of some of these wonderful people on this board, Feb. 1st I am going to transfer out of this mess!

I finally got the chat room to come up and I have to say I had a blast! After hosting in a conference room on AOL for the last 5 years I found the room refreshing with a lot of wonderful People there!

I just graduated this June through Excelsior (which used to be Regents), but I did attend a traditional nursing school prior. While in this school I learned many things and experinced different patients. Do I feel like I can go out on the floor by myself, not really. Give me a vent patient I can sunction and monitor. TB patient sure I can provide nursing care and collect sputum cultures. Head injuries in rehab no problem. I can do trach care with my eyes just about closed. Gunshot wounds, sure I can care and monitor their drains or help them walk around the unit after they have shot off their big toe. I guess what I am saying I think it really depends on the instructor, hospital, and the student. I was lucky I had some great learning experinces, but at the same time I know some of my classmates didn't. I had some wonderful instructors who took the extra time to show and teach me. Am I scared? Heck yes! Will I forget those who were willing so show me kindness and teach me their wisdom? I don't think so.