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kbrn2002 ADN, RN

Geriatrics

RN from WI

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kbrn2002 has 25 years experience as a ADN, RN and specializes in Geriatrics.

RN specializing in geriatrics and wound care

kbrn2002's Latest Activity

  1. kbrn2002

    It's Driving Me Crazy

    While I can fully understand the desire to prepare for a shift by looking up patient information beforehand what I can't wrap my head around is why so many nurses are willing and even eager to do this on their own time. My employer doesn't pay me enough while I am working, no way am I doing anything work related off the clock! Not to mention the risks of "working off the clock" which this is, some employers of the more unscrupulous kind encourage working off the clock to finish charting but decent employers are pretty strict about not allowing this.
  2. kbrn2002

    Return to old job?

    I'd say two months is adequate time to know if you are going to like the position since you do have experience in the specialty. Unless there are compelling reasons to stay at the new position if you are able to return to your old job do what will make you happy. We spend too much time in our lives working to continue going every day to a job we don't like if there are options available that we do like.
  3. kbrn2002

    Ointments/Wound care for Geriatric Patient

    I'm a wound nurse for my facility and I've had pretty amazing results with Anasept. It's a clear antimicrobial wound gel that's applied to the wound bed and secured with an appropriate dressing for the wound being treated. I've seen first hand much improved outcomes with this product compared with some others that I've used. Another plus since your OP indicates lack of access to medical care is an issue is it doesn't seem to cause the problems with breakdown of intact periwound skin like some other products, especially silver based one's can so if it's being applied in home settings there should be less potential for complications related to incorrect use of the product.
  4. kbrn2002

    Ridiculous class schedule, please help

    I am going to assume that this is an ADN program as that is the type of schedule I would have been subjected to when I went to school ages ago! That is the exact reason that everybody in my cohort that actually graduated without failing and repeating a semester anyway opted to turn the supposedly two year degree into a three year degree. The only exception was a young lady that just graduated high school the previous year. She lived with her parents, had no job, no expenses and no family responsibilities so she could dedicate all her time to school. Most students didn't have that luxury and opted to extend a year so those classes could be split up into a more manageable load.
  5. kbrn2002

    Half the class expelled... help.

    The outstanding loans are the main reason I would be looking at suing the school if I were in this unfortunate situation. Better yet a class action with all affected students involved. You should not be stuck with massive student debt for a course of study that did not result in a degree and with credits that can't even be carried over to a different school to finish that degree. You should all get together and sue for the cost of that useless schooling plus time lost with future earnings since you all need to start the entire process over from the beginning.
  6. kbrn2002

    Ridiculous Medical Mistakes Spotted on TV

    That show is great for transplants. Watching New Amsterdam you'd think nobody would ever need to wait years for a transplant. All you need is a friend or relative that happens to be a perfect match willing to give you theirs!
  7. kbrn2002

    Ridiculous Medical Mistakes Spotted on TV

    There's been a few threads addressing this but I'm always game for another one! It's very rare for any TV show, even the medical ones to actually show CPR correctly performed. Just last week on I think it was Chicago Med one of the doctors was doing chest compression while riding the gurney with the patient coming off the ambulance like that would ever happen in the first place and those compression's were SO SLOW! Then of course once the patient was in the hospital the monitors were magically showing the cardiac rhythm [or lack thereof] despite there being zero leads actually on the patient. I do believe that particular patient was somehow saved. At least that show isn't so terrible that they continue shocking asystole but apparently "another round of epi" usually jump starts a shockable rhythm in that ER! The show I am actually impressed with 911, in a recent case they removed the patient from the water and dried off the chest before using the ADU. Then they actually placed the pads correctly! I was pleasantly surprised by that.
  8. kbrn2002

    Ethical Dilemma: Is it ever ok to mislead a patient?

    Believe me I'd love to get rid of good number of these. Problem is not the resident so much as the family/POA who has resisted all efforts thus far to reduce some of these. Heck it wasn't too long ago the POA wanted to add another supplement based on something she read on Dr Google and thankfully this new primary MD refused. That's the only reason I have some hope this MD might possibly be able to remove at least a few if the POA can be convinced. We've started crushing her meds to make the swallowing a bit easier but as you could imagine she's not too fond of this!
  9. kbrn2002

    R.N. debating to pursue BSN

    That can be a difficult decision as there are many factors at play. First is your local job market. Will a BSN be beneficial for future job mobility or do you think you might someday move to an area where a BSN is virtually required to land a job? Do your career goals point you in a direction where the higher degree will be necessary? Another factor is your age and experience. Do a quick cost analysis. Will your earning potential increase enough to pay for the degree and profit from it enough to make the debt a good investment. If you do decide the BSN is the way to go please research your schooling options. Some schools like the online based program at WGU are reasonably priced and seem to be well respected in the nursing community. Some schools will you will end up with a 6 figure student loan debt to get that degree.
  10. kbrn2002

    Ethical Dilemma: Is it ever ok to mislead a patient?

    I absolutely agree with reducing polypharmacy especially where vitamins/supplements are concerned. I can't tell you how many LTC residents I have that take a few prescription meds that are probably beneficial along with a boat load of vitamins that probably aren't. Case in point is one of my residents that takes a blood pressure med and a diuretric which are beneficial, a statin that is in my opinion of questionable benefit along with a list of vitamins and supplements including Vit B6, Vit B12, Vit C, Vit D, Vit E, multivitamin with minerals, Preservision vitamin, calcium, tums [which also is calcium], biotin, magnesium, zinc, fish oil, aspirin, tylenol and an OTC omeprazole. Many of those OTC meds are probably useless to her plus a few of them are multiple pill doses and a few like the calcium, fish oil and Preservision are just huge pills and as she has declined she is having a harder time swallowing all these. She recently changed primary providers so I am hoping we can get a lot of these eliminated soon though I am not sure the family will be agreeable. Her previous doctor did try to reduce some of these and it was a hard no from the POA, maybe this new MD will have better luck.
  11. The handoff between shifts is much improved when it's just 2 shifts I agree. Less opportunity for things that really should be reported getting lost between shifts. Nights has always been a difficult shift to staff, there are those nurses that love it and stay on the shift their entire career but they are few and far between. My personal experience was being a die hard night shifter for 15 years then something in my body chemistry changed and I found I wasn't sleeping during the day as well as I needed to for my health so I changed to days and haven't looked back. I honestly don't know if an 8 hour night shift would've been better for me health wise but I wasn't willing to give up my 12's to find out. Adding to the argument for 12 hour shifts as an option not only do many nurses seem to prefer the 12 hour option it also saves money for the employer. Sure they are paying for the same amount of hours but paying 2 nurses instead of 3 cuts out an entire position. While that makes no significant difference in total hours paid it does reduce the non wage expenses of that 3rd nurse which are a significant cost for an employer.
  12. That's my biggest problem with where I work so this is not just a hospital problem. I work in a SNF. When we are fully staffed we have 4 nurses on the day shift. We also have a DON, ADON, 2 MDS coordinators and 3 unit managers so we actually have more management nurses than floor nurses, almost double the amount. Why is that necessary for day to day operations? I don't think it is!
  13. Count me as one of the over age 50+ nurses that prefer 12's. The trade off of more days not at work more than makes up for the longer hours the days I am at work. I do work an AM/PM shift with a set schedule and my PM/NOC partner has the same set schedule which for us works beautifully.
  14. Totally agree about the insanity of requiring rotating shifts. Every hospital around here requires them and that's a huge part of the reason I have zero interest in acute care. I really don't get how anybody could adjust to working a mix of nights and days. Plus the hospitals here only offer 8 hour shifts and I do currently work 12's and have no interest in going back to 8's.
  15. kbrn2002

    Are Braids Professional?

    Nothing wrong at all with the braids but depending on the setting you might need to put them up in a bun while working. Which you would probably want to do anyway. You don't need your hair used against you as a weapon if you are working with a volatile patient population and you won't want your hair dipping into who knows what at work.
  16. kbrn2002

    Movies/TV with rural healthcare as part of the plot/setting

    Well, if you are looking at doctor characters in small town/rural setting there's going to be a lot more. Tons of doctor movies and tv shows out there. Heck the big city doctor going home for Christmas to a small town and finding love along with the true meaning of medicine is a Hallmark staple. Seem like there's at least one of those every year. Not so many movies or TV shows though where a nurse is the central character much less in a small town or rural setting. One I can think of is another Hallmark Christmas movie: Journey back to Christmas. A nurse from the WWII era is transported to modern times and the usual Hallmark Christmas movie plot line unfolds. There's also a very good Viet Nam era TV show set in an evac hospital where the majority of the primary characters are nurses. Rural definitely, since it's set in the jungles of Viet Nam: China Beach. A great series that ran in the late 80's to early 90's I believe. I've been waiting for the series to drop on a streaming channel but I guess getting the music rights was a giant pain. It's only available in a box set through Time Life which is pretty expensive. Another doctor one, no nurses but it doesn't get much more rural than the rain forest is The Medicine Man. Sean Connery and some other scientist find the cure for cancer in a flower that only grows in the rain forest canopy. It's actually a better movie than that makes it sound like. There's also a variety of viral outbreak movies that have at least a good portion of the movie set in a small village, usually in Africa though in a fairly recent one the outbreak was bird flu that started somewhere in Asia, I think it's called Contagion?
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