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clemmm78 RN

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clemmm78 has 25 years experience as a RN.

I've been a nurse since the early 80s, my last job was in palliative care. I've been working as a medical writer and editor for 10 yrs, finally giving up clinical nursing completely a year ago.

clemmm78's Latest Activity

  1. clemmm78

    Is it frowned upon???

    Many nurses work part time in one place and in staffing agencies during their off hours. Nothing greedy about that. The only issue is if the staffing agency sends you to your part-time place of work.
  2. clemmm78

    Is that even legal?

    Does it specifically say it has to be *your* photo?
  3. clemmm78

    Red bulls, No-doz, Coffee and Caffeine pills!!

    I'm not young but I like to live my life on days off too - just sayin' I'm always a bit surprised by new nurses who are afraid they'll fall asleep working nights. When I did work nights, we were too busy to sit down for more than five minutes, let alone fall asleep. I advise holding off on the caffeine, red bull and all that stuff. While it does take time to get used to it, why put all that garbage in your body and make it worse for yourself when it is time to sleep?
  4. clemmm78

    IV starts in nursing school

    uh no. We had to learn, yes. But I was not about to allow someone to start an IV in me for practice. I know how much it hurts, no matter how good the nurse is at starting IVs. We didn't learni n school but were taught in the hospital where we ended up working. We had - and this was almost 30 years ago - very realistic models on which to practice and we weren't allowed to do it on a patient for the first time until we had it down pat on the model.
  5. clemmm78

    Holiday Nursing

    Having worked more holidays than I can remember, I feel that too many nurses make themselves miserable over this. Who says celebrating Christmas or Thanksgiving has to be on that particular day? The only time, in my mind, where it's not movable is if people are coming from out of town and can't adjust their schedule at all. But really, it's an arbitrary day that was picked on our calendar. yes it's nice to be home when we want to be, but that's the nature of our work. Someone has to work and sometimes it's us.
  6. clemmm78


    One of the best approaches when something like that is to say innocently and very incredulously: Now why on earth would you do that? (after the bed incident) Why are you yelling at me like that? I'm not quite sure why you're speaking to me like this - why are you? Did you really just say that? Why did you just say that? You get the idea. You'd be surprised how well this works. They expect you to cower, they want you to argue. but if you respond like that, this, they have absolutely no idea what to say in return.
  7. clemmm78

    Being trained by CNA to do procedures

    I have a feeling you'd have a difficult time finding a doctor show you how to give an enema!
  8. clemmm78

    Change of shift call lights

    We always had one staff member assigned to come in a half hour later and leave a half hour later so he or she would cover the call lights. It didn't matter what your title was, RN, assistant, whatever. If it was your turn to cover, you covered all the lights. Period.
  9. clemmm78

    "That's why I don't like working with women"

    Thanks for the comments. I don't take the line personally. I just find it funny that *women* blame women for bad environments. It's as if the woman doing the blaming is perfect but the other women around them aren't. That's all.
  10. clemmm78

    Calling out sick. How much notice?

    what I don't understand about the "call back later, closer to the shift to let me know if you still can't come in" mentality: When I called in sick several hours before my shift because I was sick, I would then go to bed and try to sleep as much as I could - after all - that's how we heal, right? So if they think I'm going to set my alarm to wake up if I've finally fallen asleep or I'm going to grab for my phone in mid-vomit to let them know that "yes, I am still sick," then they're nuts. Not only that, if I'm scheduled to work day shift on Tuesday morning, but I was sick as a dog all Monday evening until the wee hours of the morning, even if I do feel physically better by start of shift Tuesday, do they really think someone who only had three hours sleep because she was puking until 3 a.m. would be effective at work? By the way, I'm of the "it's none of their business what I'm sick with, I'm sick" way of thinking.
  11. You know, I've lost count of the number of times I've read this comment (just read it a few times in another thread). What I don't get is most of the people (if not all) who write this are women themselves. Does this mean that the women who write this comment are better than all other women? Does this mean that if they were in charge, the other women they work with wouldn't want to work with them? I know that these forums encourage complaints and that sometimes we write things we don't really think, but this comment is way too common and is said out loud. You know what is going to solve this problem? If we stop blaming difficult work conditions on "working with women" and blame it on what it is: working with difficult people. I've worked with both men and women. Some great people in both groups and some horrid people in both groups. I believe that some people should grow up and stop blaming "working with women" as the root of all problems in nursing. Sheesh.
  12. clemmm78

    ....and they had Dynamaps in every room!! (a nurse has gotta dream!)

    am I the only one who doesn't care for automatic BP machines? At one place I worked, the nurses depended on them so much, even using the results for the heart rate. How can you tell the quality of the pulse if you never feel it? The machines don't tell you if the HR is irregular or difficult to feel. And I've had my own BP taken with a dynamap and there's been a significant difference between that and having it done manually.
  13. clemmm78

    Giving injections question....

    That's what alcohol swabs are for.
  14. clemmm78

    I prefer working with new grads,or non-hospital nurses

    It often depends on how you expect to be treated. Because of this "nurse eat their young" mentality that so many nurses buy into, many new grads come in with a chip on their shoulder, acting like "no-one's going to mess with me just because they have more experience." To say that that the older nurses react to that attitude is a reality. Case in point: when I worked in the hospital environment, I was very mindful of the need for new grads to learn and grow in a positive manner. For this reason, I didn't run off and report every mistake I found unless they were clearly serious issues. I would correct the mistake and the next time I saw the nurse involved, I would take her aside and quietly explain what I'd found and how I'd corrected it. For the most part, a quiet explanation, away from everyone else, led to the newer nurse appreciate being told what happened and that the mistake was fixed. Rarely did the nurse make that same mistake. One time, a new nurse transferred a patient from one room to another. This patient was on constant suction and the machine was moved with the patient, as was the other equipment. When I came on shift (evenings), I took report and then went and checked my patients. Oddly, this patient had no drainage. Very unusual for him. I checked the machine. It wasn't on, despite it being in the on position. I checked and, sure enough, it hadn't been plugged in after the move, several hours earlier. The cord was still wrapped around the holder. I plugged it in, suction began, patient started feeling better, vitals were fine, so I went on my merry way, keeping a close eye on him. The next day, I approached the nurse and off to the side, told her what had happened and said something to the effect that perhaps she forgot to plug it in. I told her that I have that as part of my checklist when I move patients. She got quite upset and vehemently denied forgetting, saying that she knew she plugged it in and checked it before she left. It must have come unplugged when I moved the patient or the machine when I checked it. I calmly explained that the cord was still wrapped around the holder. She still insisted that she plugged it in. Now, this wasn't the first time this nurse had made errors, as we all do from time to time. Do you think she thought I was nasty? Very likely because I began watching her like a hawk. A nurse who doesn't accept responsibility for errors is a very dangerous nurse.
  15. clemmm78

    What type of nurse does this?

    Most advanced practice nursing programs require a few years of experience first.
  16. clemmm78

    My patient takes ibuprofen for sinus congestion!

    Sinus pain = taking something for it. Anyone who has ever had sinus pain will tell you it's not fun. I always take ibuprofen for sinus pain, even when I have a sinus infection until the antibx kick in and relieve the pressure. Not sure what your question is.