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ICU of all kinds, CVICU, Cath Lab, ER.

Content by walk6miles

  1. walk6miles

    We may need fewer nurses in the hospital...

    Hello I've been out of bedside nursing for a bit over a year. I just read the first five replies and gave up. I think I have landed on another planet. My family practitioner said to my family member: "never argue with an old nurse - you won't win".... so here goes: I wanted to be a nurse even in elementary school. I took the long way; graduating from school at the age of 41. The school never knew it but during my last semester, at break, I had a TAH. I was so into gettting my nursing degree that I used my abdominal binder and somehow got through. I have always been tough, tenacious and outspoken. Long story short: I had twenty-two demanding, exciting, pain-in-the-arse and delightful years. I am now fighting off Parkinson's and it's been a battle...typing this is no fun BUT. If you went into nursing for anything other than the satisfaction of knowing you make a difference and that you CAN make a difference, then do nursing a favor and try a different field. If we let others determine our nursing "future" then whatever they do to us that limits us from giving our best, we deserve it. You need to make your nursing yours (and save save and save your money so when they do what they want to you because they know they can, you will be able to take care of yourself and your family until nursing itself backs you up and makes things right). Feel free to comment - I seem to thrive on it.
  2. walk6miles

    My Microbiology Teacher told me I can't become a Nurse

    Sounds like great advice on the part of members...i will reiterate: don't let someone else (especially someone who has no business whatsoever) dictate your dreams. Do your very best even if it means getting a tutor today; show the professor you are professional and serious about laying out your career path. Your instructors are not supposed to be about eliminating nurses; they are supposed to teach you in a positive manner what skills you will need in nursing. By the way, never in 22 years of critical care nursing have I used a slide or even stepped into the world of microbiology in a capacity referencing my nursing care. I have an understanding of micro; that has been enough.
  3. walk6miles


    As part of your display of "professional behaviour", you must learn to keep your composure at all times. Attack the problem NOT the person. Accept responsibility willingly and with confidence. Do NOT ever, ever, ever discuss any other employee's conduct with anyone not in a supervisory position. Do not air your disappointment or unhappiness to your friends. Be positive - never negative. Go back to the start line and deal quietly with your painful disappointment. You have time with this facility and they must have felt you worth the investment of tuition money. Prove to them that you ARE the best candidate for any supervisory position any where they might need you. Lastly, be fair to everyone. Treat everyone respectfully irregardless of your feelings ........... do these things and you will win. Oh, and be patient, too. Best wishes. Been there, done it.
  4. walk6miles

    Anyone see "The Drs" where they talked about nurses?

    Did anyone see the CNN story (also on Nancy (shreaking) Grace ) where they interviewed a physician over the ER that made a mother wait with her desparetly ill baby? They made the mom and child wait in the waiting room for FIVE hours and as a result, the baby lost appendages? That a...h.... doctor said, "this is clearly the nurses fault....they are to blame....and he repeated it three times.........OMG.
  5. walk6miles

    Nurse asked to testify for terminated employee

    Best advice: SEE A LAWYER; one who specializes in employment law. Good luck.
  6. walk6miles

    Fired. Will I ever work again?

    The replies about being targetted for termination due to age and payroll are unfortunately exactly right. I will tell you my story when my situation is fixed (and it won't be much longer).............. Keep your head on straight, get a lawyer, try to get yourself a job that you enjoy (I know, I know) and remember this much: it is the absolute truth that God watches over you and God will take care of all the rest..........
  7. walk6miles

    Night Shift

    It takes the body an average of six months to "adjust" to night shift. I would suggest that you not take a travel assignment that requires night shift if you have not worked it consistently for that period of time. Some adjust quickly to a change as dramatic as that...........do the best you can (good advice on this thread) but get an assignment on your shift (days??) of choice so you can showcase your skills in a proper setting (and hopefully, AWAKE)!!!! Good luck.
  8. walk6miles

    Wife wants all-female personnel in OR. Is this reasonable?

    The only thing to be seen is the operative area..........patients are drapped and covered.
  9. walk6miles

    Cath Lab RNs

    It can be rewarding and it can be on-the-edge (some procedures can cause reactions that will test your skills). Assuming you have mastered ACLS and orientation in the cath lab itself is adequate and you are comfortable with your training, you should enjoy it. Good luck and let us know how it goes....
  10. walk6miles

    When patients attack

    Three times and all in the ER. First time, an unrestrained prisoner brought in by police....she had both hands on my throat and the officer who brought her in was extremely embarrassed......eeeeek!! Attempted to slap my face with her foot.........saved by security officer. Last was local bank president who went for my face with her manicured nails...again, saved by co-worker........
  11. walk6miles

    Massive RN Layoffs

    Me thinks there is a foul odor to thy posting!! Thee should never think thy readers are shallow and without their wits......begone, imposter!!
  12. walk6miles

    extremely dissapointed

    Am I missing part of the original message? How did you find out that "then I got a call for the second interview.....an HR error"?
  13. walk6miles

    Stop yelling! (vent)

    I am specially "impressed" with family members who ask me (the critical care RN) to find and bring in a chair for another able bodied visitor. I always say "soon as I can" but honestly, what am I supposed to do about my two (yes, I said TWO) other critically ill patients? Should I ignore the vent alarms or that incessant pump alarm telling me that the piggyback is complete and so is the main IV? Or .........oh you can all fill in any incident from your experience.... I've had family members walk into a room with a patient on IABP therapy to let me (you're a nurse, aren't you?)know that "Mom needs a mouth swab...the last of the supply of 30 has been used)...................
  14. walk6miles

    Anyone else studying for CCRN exam?

    Back in the "old" days, I used a casette player during my daily run or walk and listened to Gasparis on casette tape.... I still have them but I guess mp players are in now and casette players are out..... I also put my notes on casette tape...anything i needed, i taped and listened over and over for 8 months. I also took any type of "sample test" that i could find. Success!
  15. walk6miles

    Help. Is my outrage justified?

    I feel very sorry for the student who is caught up in this problem - but more than her problem, I am astonished at the judgement of members without the input of this student. What gives??
  16. walk6miles

    I think I just ended someone's career

    I commend you for standing up for what is right. First of all, the nurse should have been placed in a quiet room with someone at her side. Some states require immediate (after processing) escort to treatment center. At any rate and despite our group feelings of her wrongdoing, she has rights. Her right to privacy was breached by administrative staff and then made worse by the unprofessional and childish antics of staff (who should face immediate dismissal for assault and battery). I am appalled at the lack of integrity displayed by hospital staff/administrative personnel. You have presented a very important lesson for our group. I hope I would react in the right/correct manner and remain sensitive to the victim's rights (the patient's who did not receive pain meds) as well as this nurse's suffering. ] God bless!
  17. walk6miles

    did i make the wrong choice

    Just saw your question. My experience (trauma level 2) has always been positive. ER nurses are different because the "action" is faster. Many of the new nurses had a good handle on cardiac as well as neuro - trauma is a form of nursing unto itself. I once made an uneducated comment to a fellow "older" nurse that one new nurse seemed more worried about an aspect of the patient's condition and not the atrial fib we noted on the monitor. No sooner had the words been said and there she was with a page of orders - I learned to shut my mouth and be a team player. I love working with most new RN's -I may get into teaching - I think it would mix well. I must say that no matter where they work, the new RNs are eager to learn (they usually cure "I know it all"). You have a wonderful eagerness that serves you well. Ask any questions; feel free to express yourself.:)
  18. walk6miles

    Whats this mean??? Ughhh

    I don't know about the rest of the world, but if I got an A- it would be a freaking miracle!!!! Sorry, my silly bone is aching and I couldn't help myself. lololo
  19. walk6miles

    did i make the wrong choice

    Working nights has many advantages as well as several disadvantages. Let's take a few and work out the good and the bad. First of all, as a new nurse, you have demonstrated an eagerness to learn and broaden your experience. Nights is uniquely made up of screaming train rides through a long tunnel (too many patients without patience and you are the conductor) and long, leisurely strolls around the perimeter to find something/anything stimulating for your brain ( highs and lows). Getting used to sleeping daytime and working nighttime is a one year (for most) torture. Dating, marriage and childcare are some of the tough sideline problems. At the end of the first year, however, you will begin to notice that you have a great deal of autononomous experience - you'll be doing things you never expected. Go forth and help your coworkers and you will be wanted and appreciated. The financial worries worry me....may I suggest you sign up and make yourself do some work for a good agency in town...don't go crazy and burn out but I never put all my eggs in one basket (sorry, old saying).....if something happens, you will already have someone working FOR you by keeping you employed and the money isn't bad. Hope this helps a bit. Feel free to ask questions.
  20. walk6miles

    Can an RN be fired for being immunocompromised?

    I was waiting until after things were decided; this subject prompts me to speak out. I was diagnosed with Parkinson's approximately 6 years ago (we suspect this year is actually year ten). After the initial shock, I decided to let my employer know (through our nurse manager) about my illness; she was gracious and concerned and made the statement that if I got to a point where I needed accomodations about bedside nursing then the hospital would find me (implied creation) a position which would be less demanding physically. I went to work sick, dizzy, frightened by the changes in my physical being; worried about my future. I wrote an article about PD for the newsletter and received a cash award and many, many compliments. In all that time, I only received one nasty comment by a physician from Russia who was "repulsed" by my physical being (and my use of a scooter to navigate the long distance from parking to the unit)-I never asked for any special treatment and I frequently volunteered for a third patient. Towards what was to be my last six months at work, I began to walk tilted to the right from my waist. All the tests were negative for stroke but the physical changes took over with a vengence. Schedules changing proved to be the impetus for me to go per diem/prn. My patients were wonderful and I would answer their quetions honestly if they asked. Families were good to me. I loved my job even more - I went to every critical care area imagenable and I felt awake and competent. My neurologist prescribed a combination of two drugs which eliminated the drool and tremors. I would occasionally walk with the tilt but usually it was when I was tired. Things came to a head when a charge nurse I had no complaints about before suddenly began to treat me very badly - specifically calling me a cow; pushing me out of her way as she tried to move around the bottom of my patient's bed; mouthing criticism of the ER physician while she was helping with an emergency in the room. When I confronted her about her comments (not listed here) she lost it but when I warned her about pushing me in the future (two frightened nurses within earshot) she apologized. The next time I worked with her, she had imposed rules for her shift; specifically the RN must stay in patient's room where computer on wheels remained despite severe and frequent loss of signal resulted in loss of computerized information. When I gave report in the morning, I advised oncoming staff and new charge that I would be going to the main hospital that afternoon to enter the new 4 hour assessment form which had just been introduced - I also always had someone check my computer input (even the night charge despite her sarcasm and negative attitude) - at one point, this same charge proved that as a "float", my access to computerized entries was different from one critical care area to another -this issue was not followed up by my supervisor as she promised. Later that afternoon, I was called and invited to come to my boss's office (my comment was "are you terminating me" since I knew something was being done below the radar....) I was terminated for sleeping on duty which I vehemently denied ..... the unit clerk could see me in the room and she assured me she had NOT seen any sleeping on my part...just the patient (who became very slightly disoriented when awakened for necessary care. Now, to help you. The Americans with disabilities act (a federal act) applies to every state. It has six categories (including one called retaliation) which invite the disabled person to spell out what they felt compelled to report...in my case, the termination was based on the charge's write up in which she stated she went into the room because alarms for pulse ox were not being addressed - she stated she had to shake me vigorously. I can promise you that I was most attentive to this patient - we were enjoying the evening (sounds casual but it isn't...she was doing very well) - and if the charge nurse had touched me, I would have had her up on charges since the last time she put her hands on me twice, her friend, my boss asked me as a favor NOT to write her up (and I stupidly complied). Just so it is known, the EEOC enforces the rules and they are backed up approximately 12 months (down from 24)...my attorney (and you should hire one even if it means spending time and money to find one) is also a RN; he is wonderful and I am thankful for him. My complaint (among the four not listed here) is that I had never slept nor been written up, never had any conversation about sleeping - there are several nurses who are known for sleeping on duty and one in fact slept (and was observed) for three hours at the nursing station...they woke her and sent her home....can you see the pattern of unfair treatment? My complaint is so uncomplicated compared to yours. I wanted to share with you the fact that you do have something to help you continue to work. I am here as a support too. God bless and good luck.
  21. walk6miles

    Ever write up an attending for yelling?

    The female intensivist I wrote up for unprofessional behaviour was basically forced to apologize in front of the members in the "meeting" held to investigate the write up. She continues to hold a grudge and I believe she is at the background of a concerted effort to remove me from my work. My direct supervisor was terminated recently; her "cohort" told my friend that they had been working for two years to cure me of my "habit of sleeping on the job".....I never slept on duty and they know it; I challenged these two poor excuses for managers to prove their charges...ultimately the termination of my boss came after NO records of any write ups or verbal warnings were found in her computer. So now the hospital knows who the liar is...meanwhile, I am out of a job. The other supervisor had enough pull to get herself moved into a supervisory position in administration.....she continues to tell her lies ....I am sure when things are checked, it will come out that I only had two meetings with her in two years; both meetings were to demonstrate that I knew how to complete the QA and fulfill the needed certification. It will take tme but at some point this scurilous physician will be charged with her vindictive attempt to heap enough crap on me to bury me. I am a survivor and would I do it again = YOU BET!!
  22. walk6miles

    Something a nurse said to me at clinicals...

    You need to report it to your instructor asap; do not discuss it with any one else....period. Here is why: the nurse (I will refer to her as nurse; she doesn't deserve the respect that the title brings) must hear the complaint in a way that leaves you secure enough to complete clinicals (if she tags you, misery will follow). Also, she needs to be counseled in a professional manner by her hospital's administrative and nursing staff according to policy. Next, you need to steer clear of any reference to the incident should you be assigned that patient again....no matter what, don't make any reference to it with him -- treat him well (I know you will) and be your own sweet self. If you should be confronted by the nurse, do not have any discussion with her and especially in the clinical setting...be polite, refer her to your instructor and say nothing. Hate to say it but once in awhile you run into someone who is either burnt out to a crisp or just never should have been passed through to the nursing school graduation ceremony (that's another subject). Best of luck and rest assure: you are right and she is terribly terribly wrong. God bless.
  23. walk6miles

    Really disappointed with the reality of nursing.

    Welcome to the wonderful world of nursing (I am not being sarcastic). It is a world of highs with significant periods of lows.....family interferes (have you run into the family that says "don't give mom any pain medicine because she falls asleep and we can't talk to her"); patient lies to family and to nurse so nurse looks like the fool. Somewhere in the middle of the chaos, a bright shining moment of personal achievement slowly shows itself. Somewhere and somehow, the nurse finds meaning to her work. And then the physician comes in and it's off to the races again. I especially loved the statement "keep my mom alive until I arrive". Compound the beating you are taking on a daily basis from HR who I believe should have no say whatever in the intensive care unit and the beating you are giving yourself (I should have, maybe I could have.....). Early in my career my head nurse gave me good advice: make your nursing satisfying to you; do not count on other's opinions of your nursing - keep the good part and let go of the bad. Wish you luck; sorry I can't make it any more rewarding.
  24. walk6miles

    Inappropriate Manager

    Welcome to the world of management at its worst. How do these misfits get into a management position: it's easy - their supervisors would rather kick them upstairs into a management job that they are ill-suited to do. They have no formal education or experience at supervision of others; never mind they don't understand nor do they make an attempt to understand any type of management/supervision rules. I could give you hundreds of examples but, you will see this for yourself as you work through your nursing career. Try not to fall into the whirlpool of garbage that this type of manager leaves around the unit; do your best and if you are in it for the long term, take a few courses (seminars are super) in management so you know what to do when this type of manager manages to get under your skin and set the shift on a roller coaster. Best of luck. By the way, these idiot managers have a purpose in life - they are guaranteed to make massive mistakes that violate federal laws that govern how employees are treated (I love it when people say that because this is a right-to-work-state, they can and do treat employees unfairly.....NO WAY - the issue that winds up in court is FAIR and EQUAL treatment).....best of luck!!
  25. walk6miles

    Would you cut your hair for your career?

    There is a chain/group of hospitals in the area. They absolutely present to the aspiring employee a policy that covers jewelry, hair, nails, etc. Many of the male RNs simply wear a wig (honest - it's the truth) and everyone is happy. Just thought I would share.