jalyc RN

Quote from wannabenycnurse2011 Why are people such a**holes in this thread? We all have been in staffing situations that suck as nurses. I hate annually having to decide what to do during hurricane season here in Florida but it is part of the job. However, I think by the 100th post of saying the same thing over and over again, maybe the point has been made? I just don't understand how effin rude and presumptuous some posters are. From the condescending, "millennial" posts to insinuating the OP was a crap student who instructor didn't care about her, and finally that her parents can't trust her with a car? If this is how some of you act in a anonymous forum, I can only imagine what it is like to work with some of you. The OP made a bad decision and hopefully learn her lesson. She rightfully DESERVED to be told to drive a safe car and not work in a job that has 24/7, 365 expectations. She did NOT deserve to have rude accusations about her character. I kind of hope you do NOT work as nurses. I would not want to be treated by you two. Nurses should have that kind of passion, love and concern for their patients and their careers! The field certainly does not need immature kids who can not even prioritize their own lives to be responsible for anyone else's life. Yes, this girl has a LOT to learn about real life, but when others are depending on her, YOU, for their own life, that is not the time to be playing around with "wah, wah, make me feel better". Until you have worked double shifts, short handed, from no shows, and in disasters especially as the supervisor responsible for everything going on, please do NOT criticize those who have and KNOW what they are talking about. You have gotten some GREAT advice from many good nurses on here and need to grow up and accept it, appreciate others taking the time to let you know what REAL LIFE is like. And as Wuzzie said "tone down the profanity." Needing to use it is very unprofessional and makes you look unintelligent.

"My other favourite TV thing is when someone is in the ICU, hooked up to tele and actively dying. Then of course they die, the tele monitor flatlines and no one comes in the room." There have been times when a patient had been made a DNR and no one went in from our unit to give the family time alone, to grieve, so this is NOT necessarily a mistake. I have even pulled the drapes and closed the door on families to give them privacy at that time while I watched the monitor straight line at the desk.

One definition of 'prayer' is "to hope or wish very much for something to happen: to seriously ask (someone) to do something. to make a request in a humble manner" according to Merriam-Webster. NOTHING about God or any religion. I pray he gets well. I pray you don't fire me for that med error I made. I pray I will be a good nurse. These are all non-God prayers, spoken just in the vernacular of life. If one is uncomfortable with religious prayers, one can say a general one. "Please help this family in their time of need. Let [patient] receive the best care possible. Guide us to be there for them in any way needed." No need for God, Allah, Buddha, or Satan to be named. Let THEM say 'Amen' if they want, but you don't have to. I do pray that ICUMaggie and MountainView come to terms with their anger and other negative emotions so they can better benefit from the give and take that nurses on here can benefit from. Such bitter attitudes will affect their work and their patients which is something none of us want for them. This is a wonderful forum for mutual discussions and I thank the administrators of it for all they do.

As a supervisor I once left a message to an unresponding attending that if I did not hear from him within 15 minutes I was calling the chief medical officer. I did just that and our CMO reamed the attending a new one the next day, so we never had that problem again. He also informed every doctor with privileges there of what would happen if he EVER got another call like that one. No incident report needed and patient was taken care of timely. lol

What is so wrong with calling someone a "Little Old Lady"? Why do you feel it is demeaning to call a woman a "lady"? Guess I am missing something here. A lot better than geezers, vegetable, or idiots and some of the other things people are called by staff.

Not sure how it would work today, but in the 1980's as a new RN who had 10 years experience as an LPN in Critical Care Units and L&D, I had a written paper signed by HR and Evening supervisor that I floated ONLY to critical care units, never to the floor when I was hired. Saved my butt a couple of times. I might get pulled to Respiratory ICU one night, Med-Surg ICU the next, and Telemetry the third night, but at least it kept me in the type of nursing I was used to. (I would be pulled to their unit and the nurse from it would then be sent to the floor.) I had a couple of bad experiences being pulled to peds and ortho with 20-40 patients and having no idea how to safely care for them, plus not being used to managing my time for that heavy of a load.

Yes, I literally lol'd when I read her OP because where I worked for my last 15 years it was just the opposite. The HOSPITAL nurses were the ones who sent our residents back with problems like "when the foley came out, it had disgusting tissues along with it, urine extremely foul, many patients who didn't have any oral care, perineal care, skin care." AND huge decubs that they did not even have starting when they left us. Sometimes they would have broken down in just 4 or 5 days after we had kept them sore-free for YEARS. We hated having to send people out to any of the 6 hospitals around us, because the nursing care in ALL of them was deplorable.

That was my thought too. Her big concern should be the fact that this man was neglected for so many hours in a place that had accepted responsibility for his welfare. BUT we all know facilities are more concerned with profit than true care. I had a similar situation with a man who was found in rigor mortis, even though the CNA lied and insisted she had checked on him every hour as per our protocol. The nursing home covered up everything, lied about facts, and this woman was not even fired. So, I doubt that your friend has anything to worry about.

Jehovah's Witnesses receive a lot of criticism for our stance on blood, but this is a good example of why our choices are better. That was a very poor surgeon, if he needed to give 3 units. We have encouraged and pushed doctors to become far better due to NOT having to give blood. Even open heart surgeons can do it with NO blood. I lost half my blood when a C-section incision was done through my placenta. I had no transfusion and did just fine. Working L&D we had a JW who had a Hgb of 4 and soon walked out to go home. People do not need Hgb over 10 in spite of what doctors preach. Like most of our bodies, we have multiples of everything for reserves.

I love those who handle people in this manner. Do exactly what they want, but still get your point across. Hard for them to complain about getting their 'due'. LOL Give them the laziest white CNA's and the dumbest white nurses, and we all know most facilities have those.

The one act I remember because it floored me was a very rainy day. I got out of my car to walk across the parking lot when a CNA ran up with an umbrella. I told her to go ahead and leave, as she was a day shifter, that I would not melt. She said "I am working a double. I came out here for you."

Arranged transportation does NOT have to be EMS. It could have been a cab, a nearby police officer, or another person with better transportation. Sam is correct that 'essential personnel' implies that the facility could NOT even operate without that person. For such people there would be a backup plan, perhaps just someone with a truck rather than a sportscar, to transport. When I was a supervisor, we always knew who we could call for assist in various problems.

When I worked an LTC in the 90's I spoke with the DON & administrator about orientation problems like this. I was then paid to put together a notebook with ALL of our paperwork, showing appropriate documentation for nursing, housekeeping, laundry, dietary, & maintenance. One was on each unit for reference and one was the master for HR. HR made copies of each blank and filled in paper for orientees. With that we knew EVERYTHING was covered in orientation and they always had a reference to turn to anytime day or night. Charge nurses were then responsible for updating new forms. We also had packets with a checklist premade for admissions, discharges, and hospital transfers so nothing would be missed there. Just some ideas.

to Steve NNP's "The above posters have done a good job explaining, but I just wanted to add a few things. I know I'm nitpicking, but when using the term "PPHN" which stands for "persistent pulmonary hypertension of the newborn" it implies that the baby is a newborn." This is a very good point for ALL posters, as many new nurses, as well as older ones, do not know what the abbreviations are for. Some have multiple meanings depending on the area, such as PE for Pulmonary Edema or Pulmonary Embolism and MI for Mentally Ill or Myocardial infarction. Though some reads become quite funny with the wrong meaning, it is much better to have the correct understanding in the beginning. Even PPHN could also be Persistent Pulmonary Hypertension Syndrome or Postoperative Pulmonary Hypertension.

MEDICARE has nothing to do with management's improper view of nursing care. THAT is totally on them. Also was 'management' the charge nurse, the DON, or the administrator? I can't see an administrator wanting an overdose death in the newspapers just to keep a patient happy.