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jojotoo

jojotoo RN

Emergency
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jojotoo is a RN and specializes in Emergency.

jojotoo's Latest Activity

  1. jojotoo

    What do I do?

    I would think, that fresh out of school, the job that reinforced your new knowledge would be the best. The obs unit - 12 patients and THREE licensed staff - that's a great ratio. And these patients should be relatively stable. This would be a wonderful place to practice your new assessment skills. Let us know which one you choose.
  2. I think that we have been "tactful " too long and need to start telling it like it is and start doing some serious boundary setting.
  3. jojotoo

    You can help me when you have time

    Tazzi is a little more generous than I am. I'd still have made a formal complaint about her behavior whether she changed her mind and helped me or not. While we are all grateful for the assistance that CNAs and techs give us, NO WAY am I going to allow a nonlicensed person to dictate patient care prioritization.
  4. jojotoo

    Nurse Phobias?

    Removing insects from ears. Can't do it. Can't assist. Can't even be in the same room. Other foreign body removal doesn't bother me.
  5. jojotoo

    Patients on Medicaid

    quote "on another note, my mother is on medicaid, since having colon ca back in 1992. she did have major medical, but the company tried to say that my dad lied (which he didn't) about her having epilepsy and dropped her just before surgery. the first few years that i went to the reviews to renew her medicaid, the county assistance people acted like i was trying to scam them. they were very demoralizing! my parents had to practically live in poverty to qualify. my dad over the years had to cash in life insurance policies, not work quite as hard (he was part owner of an automotive shop) and a variety of other things to come in below the cash income levels. " doesn't anyone else see anything wrong with this? an able-bodied man chose to work less so that he could have government assistance? so the extra shifts that i work to pay my bills - the extra taxes go to help him so that he can work less? :angryfire
  6. jojotoo

    Who makes your assignments?

    The night charge nurse makes it for the following AM and PM shift. But we're pretty fluid with it. Usually it's not a problem if someone wants to change it.
  7. jojotoo

    Where are all the happy nurses?

    I'm happy. I'm happy that I don't have to work at McDonalds or Wal-Mart. I'm happy that I make an excellent wage with a two year degree. I'm happy that I can go any place in the country and make a good living. And I'm especially happy on those rare occasions that I truly make a difference in someone's life.
  8. jojotoo

    I don't want to be a CNA anymore.

    Do we know that these residents are being deprived of sleep? Perhaps they're going to bed at 7PM or 8PM. Those times seem odd to me too, but not abusive. If I ever had to go into a nursing home, I would want to get up at 5PM and go to bed at 10AM. I've been a "night" person for so long now, that's what would seem natural to me. Do I think that the nursing home would be willing to accomodate me? Most likely not. Almost everything is done for the convenience of the institution - whether it's a nursing home or a hospital. Is it really necessary to start AM lab draws at 4AM? Well, somebody has to be first if they're all going to be done by 6AM. (And why do they have to be done by 6AM?) Don't you think that it's odd that hospital patients get three meals in ten hours - from 7AM to 5PM? I don't eat like that at home. But it's for the convenience of the institution. Why do we make hospital patients wait ALL day for the MD to dischage them home? So the doctors can finish their office hours. That's certainly not for the patient's convenience. My whole point in the previous post, is that this CNA has very little power over her work situation and she appears to be doing the best that she can. I have no doubt that if she rocks the boat she will be fired. Then what? That won't help either her or the patients. Is there a way that one of the moderators can get some suggestions from the LTC nurses? Is it really that unusual to get residents up that early?
  9. jojotoo

    Does this scare anyone but me?!?!?!?!?

    The patient may not have been a pysch case, but it sounds like the charge nurse must be. Is she CRAZY? I have never worked in any ER that tolerated patients having weapons. And that includes peace officers. Even their guns require being secured (by a fellow officer, or sometimes security). Some ERs even have a lock box for that specific purpose. And the nurse that was going to CT with the patient, she's going to sue if she gets hurt? Maybe her next of kin will be able to.
  10. jojotoo

    I don't want to be a CNA anymore.

    I think that some of the posters are being a little hard on the OP. Either they've forgotten what it's like to be at the bottom of the totem pole or they've never been there at all. It's all well and good that a CNA is being advised to be a patient advocate, but where is the role model that she is supposed to learn that from? If the RNs and LPNs are not active in that role, how can we hold her to a higher standard. It seemed to me that all the OP wanted in her original post was a little support and maybe a few strokes for the good job that she was trying to do. The reasonable suggestions that were made to her - approaching administration, asking for more help - she's tried those. If she refuses to do the tasks assigned to her, in the time frame given, she'll probably lose her job. That's not going to solve anything. The one viable suggestion that I read - report the nursing home to its regulatory body - this may not have been something that she knew about. But now she does. And for the posters that thought she was making excuses or not acknowledging her errors, I don't see any thing that she's done wrong. True, getting people up and dressed that early may not be ideal, but I don't think that it's abusive - unless she's dragging them out of bed against their will. So to Ms. Nurse Assistant: My advice to you is to go back to school, get a degree and a license, so that you will be in a better position to advocate change.
  11. jojotoo

    Doctor Practices that Dump Patients

    As long as we live in a free society, I think that MDs should be able to choose who they will and won't treat in their private practice. For whatever reason that they choose, as long as it doesn't violate the law. If they are affliated with a hospital and required to take call, then it's just the luck of the draw if they get a patient that is acceptable to them.
  12. jojotoo

    PLEASE read. I need help!

    I think that this would only be a HIPAA violation if the patient (the biological father of the OP) objected to the student sharing his clinical information. Did he? But if this is a HIPAA violation, I also think that the punishment is too harsh. School is supposed to be a learning experience and I don't think that it's fair to expect a student to know every nuance of a law that even professionals may still struggle with. Even the OP's own teacher didn't recognize the violation at first glance, otherwise the OP would have been disciplined immediately. While I can understand the OP's interest in finding out if this patient was her father, this clinical setting was an inappropriate venue for that pursuit. THAT'S the problem that I see here. The clinical setting should be about the patient, not the OP. I don't see any indication that was discussed with the OP. I do think that it was appropriate to remove the OP from that facility and have her finish her psych rotation at another hospital.
  13. jojotoo

    can you add KCL to IVF?

    Some institutions do allow nurses to prepare IVF with certan additives. But I thought that all vials of KCL were kept in the pharmacy now (and not on the unit) due to errors where KCL had been given as a direct IVP.
  14. I would have guesssed PID.
  15. jojotoo

    LONG - Incompetent, me? Nah - just inept

    I don't think new grads have realistic expectations about how soon they should be able to function independently. For me to take a new grad in the ER and teach them what they need to know, I would expect that they would need heavy duty mentoring for two years. Bring a floor nurse to the ER (not critical care) - I would expect that most will need at least a year before they can pull their own weight. An experienced ER nurse, but a new employee to my ER, I'd expect four to six months before they really understood our "flow". Of course they would already know the clinical aspect of the job, but it takes a while to learn how to solve problems and "get things done" at each specific facility. I don't understand why so many of your peers are so impatient and just plain rude to new nurses (either grads or employees). Can't they remember when THEY were the new ones and didn't have a clue? Or only had a partial clue? Obviously not. So, to ALL of you new nurses, hang in there. It will get better. Find a nurturing mentor that you can go to. One thing that I do with new grads is to run through practice scenarios - what would you do if a certain kind of patient came in. What would you do first. What's important and what's not. What kind of meds or diagnostic tests would you expect the doc to order. The real world is NOTHING like school! I went through a good program and I did very well in that program. But to this day, I still think that I could have completely skipped nursing school, because all the important stuff that I learned was on the job AFTER I graduated! Good luck.
  16. jojotoo

    Am I the only one?

    You only waste ONE day?????