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geriatric, hospice, med/surg
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nurseangel47 has 26 years experience and specializes in geriatric, hospice, med/surg.

nurseangel47's Latest Activity

  1. nurseangel47

    hating my job in the er

    When I was practicing, I found that fearful feeling in my gut actually kept me on my toes but too much at times...a sort of functional anxiety if you will. What I did learn over the years, was to pace myself, take the time no matter what was going on to go to the bathroom to promote bladder health, not going to be given time off for polynephritis, are we, if we do not ever void enough! That urine just sits there allowing microbes to set up infection, to also eat and drink enough to have fuel and hydration enough to be able to even function in a healthy state. Also, I stopped worrying about my license being on the line, 'cuz I promised myself that if I just concentrated, did the very best that I possibly could, that no harm would come to my pts. as a result of my being careless from being nervous or distracted. Once I came of that mindset, of being as careful as humanly possible, carrying malpractice insurance ALWAYS, and then letting the thought drift away from the above mindset, I was much more relaxed, hence, able to do a much better job! Hope this helps. It is not safe to go without fuel or to empty your tank! I know that's easier said than done. Good luck to everyone...and by the way, I could never be an e.r. nurse That used to be a goal of mine, but I eventually let the dream go...I'm too much of a nervous nelly to ever be able to function in that mode. I take my hat off to all of you e.r. nurses. God bless you for your nerves of steel, critical thinking skills, etc that make you a gift to the needy in rushed hours of delivering nursing care of an awesome level.
  2. nurseangel47

    It's 48 hours after the test ended!

    Wow! What a nerve racking wait you had! Whew! Make that cocktail an extra jumbo, won't you? And have two or three, put your feet up, and prepare to hold on to the comet tail of being a registered nurse! Now, your true work begins! Way to go! CONGRATULATIONS!....you've earned your wings!
  3. Mikethe rn: How do you know the return would be so concrete if investing in stocks? I don't know anything at all about the stock market, etc. but how can one predict it doesn't turn way down or way up on any given day? I'm confused. Also, why aren't you an investment broker rather than a nurse?! LOL!
  4. nurseangel47

    May be interviewing for a dialysis job, HELP!

    I did dialysis nursing for about a year and half and in my younger days as a nurse. It is difficult in that the populace of patients never feel good, ever. They are chronically tired, drained, achy, whiny, noncompliant, etc but to that I will add that if I had to be a dialysis patient, I would be the same. They are mostly diabetic/blood pressures out of control for so many years that they've shut down their kidneys on their own, so to speak. There are some who were victims of other causes of renal failure, though, so bear in mind I'm not slamming dialysis pts. In fact, I myself have those precursing factors not being treated very aggressively at the moment due to no insurance so I may yet end up in renal failure myself some day! I would choose, no. I'd rather not, thank you very much. It is very hard on your joints. Especially your back. LOTS of backbreaking bending over the pts. arm or shoulder area, depending on if they have a temporary cath in place while shunt or fistula is maturing. It takes a certain finesse and lots practice but it is doable in so far as the cannulation. Some of the shunts being worn out after every other day usage. They crash on you a lot, too. B/P just plummets and they must be revived/resuscitated. There's a lot of teaching potential, encouragement to improve their diet if they're willing to learn, to be able to better live with renal failure. I learned valuable nursing skills, so it is definitely something to consider when weighing the two offers you've had. If your back can take the constant bending over and holding that position for 3-5 minutes without pulling you into a constant pretzel, then go for it. Also, if you shadow at the dialysis clinic, ask them to let you observe all or most of the day. There is a thing in dialysis called "switchover" that occurs around 10:30 to 11:00 a.m. in which they take off of machines, switch over to the next group of dialysis pts. The company I worked with wouldn't let me observe this when I shadowed with them. It was too chaotic to the observer, they said, and didn't want it to scare me off! Just a thought. I've also done gastro in a clinic. Much kinder to your physical body, in my opinion. And just as interesting. IV skills, assessment, intervention, are used constantly. Might be a better option if your body is as aging from overuse in general as mine is.
  5. nurseangel47

    Leaving the Profession!

    Momdebo: I like the idea of creating subway sandwiches, being a "safe" sandwich artist as is the logo on their shirts! I have considered it. In fact, it was the first non-nursing job I stated that I'd like to try! I'm now working for a bit below minimum wage at a doggy day care facility. And having the time of my life other than being broke! If it weren't for my husband, I would be living my parents again or with three or four roomies!
  6. nurseangel47

    how do you deal?

    KylieBear, I sooo feel your pain and frustration. Try hospice nursing. It is AWESOME! I, too, became tired of fighting the good fight. Now work in a non-nursing job. No pay compared to nursing salaries, but I am happier and more peaceful than I've been in a long time. Heck, I'm even off of blood pressure and blood glucose regulating meds now! My general physical and mental health has vastly improved since leaving the field of nursing. Miss helping folk but do NOT miss the physical/emotional/mental stress of it all. Good luck in the future. Try to find a better fit for your particular nursing talents. I did, and left wherever I felt uncomfortable with the suits up above trying to run facilities from their ivory towers of an office environment while we good soldier nurses were out fighting in the line of fire for them to line their pocketbooks with outrageously high salaries and understaffing us to do so. The need for good nurses is there. There are many specialty areas you may be more comfortable in than LTC. Give one a try. You've been there for long enough you can harmlessly change jobs now. Go for something different. You've earned the change.:yelclap:
  7. nurseangel47

    The exhausting side of home care

    sorry....got cut off by hitting wrong button on keyboard! The end, it's near. The only reason I resigned is because of a bat out of you know where who took it upon herself to do a witch hunt within the organization for some strange reason, to prove herself on paper, I think. Turns out I was an intended target due to the friendly relationship I had with another one being targeted, who eventually resigned herself, well before me actually. She was turned into the board of nursing for xanax use while on duty illegally obtained off the street! She was primed to exit nursing as far as I was concerned in reflecting on her situation. She reentered the local Waffle House as a greasy spoon waitress, insisting she made more in tips on any given night than she'd made at the hospice as an LPN. I have digressed from original addition to this OP, and I apologize. It's been a healthy vent for me though and I do thank you all if you stuck thru to the end of the post! CHEERS EVERYONE of you home health nurses who are fighting the good fight on the front...while the rest of the top staff in suits are counting their money and breathing easier, knowing THEY are not oncall that night!
  8. nurseangel47

    The exhausting side of home care

    What with oncall duties where you don't get enough sleep on the week/weekends that you're "on" plus the dreaded paperwork overload, it's no wonder that my brief (less than a year) stint in home health didn't flourish. I don't understand why the powers above in suits cannot get it thru their thick heads that they need (a) less volume of new admits per day per nurse, (b) less mileage to cover no matter what! (who pays for the newer vehicle one must purchase when one drives 100-200 miles per day on average! and © a prn nurse well practiced in home health who can be their oncall nurse and/or new admits nurse to maybe buddy up with another nurse of same ??? And those forms, paperwork volumes! Why, oh why, must one fill out in triplicate the same frikkin' information over and over and over again! Can someone say, " To heck with the OASIS forms?! Why can't the government be gobsmacked with some of it back in THEIR face to have to do and get them off our back!...it's not like we enjoy or can even get the mess to jive for them the first time it's done anyway! Geeeezzzz! Our office had a "nurse" (retirement age, slow as the dickens, lazy, felt entitled to sit in the office all day) who insisted we bring the new admits to her for "coding"...well, that meant she racked our brains, thoughts, and actions verbally in her office for as long as it frikkin' took to extract the "correct" coding for surgeries, therapies, treatments, etc. It was like, hello, who's doing the coding here? If she, for example, would've gotten out there and helped with openings, she would've KNOWN which code to look up. Another thing: she DIDN'T know which code (s) to use, she had to look it up, hmmm and haw over it, then change her mind, she'd never done codes in her life 'til then and apparently never been taught! Oh! That lasted from February to October for me that year. One more thing: Some nurses/cnas/pcas etc. believe that the mileage money made somehow is a magical "bonus" paycheck in and of itself. It is NOT! Figure the gas, wear/tear on all four tires, damages to vehicle in the way of exhaustion on it's body/frame/etc. and you are IN A HOLE before you turn around! It's not just gas you have to buy to keep your car running, people! Think about it! My hubby is a Panel Beater, or restorative body man, here in the states. He quickly educated me on the finer points of the cost of running my car into the ground versus the "extra" pay in the way of 40 cents per mile or whatever it is now. (32 to 34 cents per mile at the time I was driving the massive amount of miles in home health.) If home health picques one's interest, I suggest trying hospice home health. It isn't nearly the miles each day, or at least it wasn't in the hospice I worked with. They tried and usually succeeded in keeping the territories based on what zip code YOU lived in! within boundaries even from the start of care of a case, plus the paperwork is not nearly the bear it is in regular home health cases. No OASIS forms AT ALL unless you take it upon yourself (optional, usually) to do a "true" home health case in and of itself thrown in with hospice diagnoses. They also provided LPNs to do visits for us WHILE we sat in the office once or twice per month at least to complete monthly eval. forms for recertification...! I felt like I had died and gone to heaven. The only reason I ever left was, the
  9. nurseangel47

    Spiritual Experiences

    This is eerily similar to a story my husband (who is originally from England, also) tells whenever he's in one of his "spiritual" moods... He was then still living in England at the time. No, he's not a nurse, but a "metal surgeon" .... the best "panel beater" ever imported from London's outskirts that ever lived! (me, beaming!)... Anyway, he was driving on a deserted stretch of road in the countryside between towns late one night. Car dies from lack of gas. He starts walking towards the nearest town with gas can in hand to try to find fuel to siphon into car's empty tank. Along comes a car out of nowhere, slows and lets him in to assist in taking him by vehicle rather than walking. He goes to nearest station, purchases the fuel, returns to car. Offers to pay the chap but he'll have no part of it. " ' Just repay the favor someday and it will be even,' " he says. Off he goes with advising John that he'll follow behind in case the car stalls again. They get into town, John sees him turn right at a light. He turns back around because he wants to see which direction he's gone. When he gets back at the light, THERE IS NO ROAD AT THE LIGHT NOR A DRIVE TO TURN INTO! That's where things get strange. John went back in the daylight also to see if there was something he'd missed. Sure enough, there was not anywhere for a car to have turned into. The car just vanished!
  10. nurseangel47

    My Poor Hands have been Washed Raw

    Come to think, it just might be the Udderly Smooth lotion or cream that someone else has posted...didn't read it before I posted, sorry!
  11. nurseangel47

    My Poor Hands have been Washed Raw

    Walmart and other sundry stores market a remarkable product called udder cream...it's in a container with print similar to a cow's hide, the white background w/black spots all over. Might be called Moo cream, don't remember. That or wearing cotton gloves over slathering of vaseline all night is wonderful relief. Gives those raw hands the entire "shift" off from any friction at all! Even the bed sheets!
  12. nurseangel47

    question about stethoscopes?

    And along this vein, what brand/company would I find a moderately priced general med/surg practical stethoscope, not listening for cardiac/pulmonary/g.i. sounds outside my usual realm of nursing practice, that is, just plain ol' well rounded 'scope but one that would stop ambient noise or at least reduce it tremendously and one that would enhance the sounds I'm trying to hear! What say you, oh kind nurses? I've gone thru 2 or 3 I guess in twenty years so I do tend to hold on to them longer than is probably recommended! Thanks for any responses.
  13. nurseangel47

    LPN role in Clinical Research

    Most of the research jobs in nursing involve more extended education than LPN. Not knocking LPNs, believe me! I LOVE YA'LL! I've learned more from them than other RNs on the floors, believe me! But all the research jobs in my area (with huge, metro teaching hospitals and med schools attached) require a BSN at least. Sorry. Hope this helps in some way. There's always the exception. You might could be useful in helping an associate gather some data for the research. Call a university of medicine/teaching hospital and/or go online and inquire thru human resources or they could maybe point you in the correct direction insofar as finding out the information you seek. Good luck.
  14. nurseangel47

    I Gotta Job!

    Great news! Good for you! You go, girl! :yelclap:
  15. nurseangel47

    Question for OR nurses

    What a WONDERFUL opportunity for you as a new nurse and congratulations! Wow! I bet you ARE excited! I would be over the moon if that were where I was starting out getting my feet wet in the nursing arena! Hats off to ya, hon. You're gonna do just fine.:Melody:
  16. nurseangel47

    discouraged and depressed

    Oh, sweetie! So sorry you're having this difficult time adjusting to gore and bloody wounds and such! I thought I had the rock of Gebralta insofar as having such a strong stomach where all this is concerned. Until, my student nursing rotation thru the OR. All the cases were going fine for me until I watched 'em scrub/prep the site for a vag hyst. I thought I was going to maybe have to step out for a few minutes of fresh air but was determined not to have to. So, I just used guided imagery, distracted myself, took slow, deep breaths, even through the mask I had on, it helped. I was ok but ouch! it looked like it was going to be sooo sore by the time that poor lady woke up in recovery from the prep itself! The nurse was, I mean, scrubbig the heck outta her vagina! I know they have to get it sterile, or as sterile as possible, but OUCH! I guess I "identified" too much just by being a woman and thinking, those bits are tender pieces of flesh! I, too, have had moments, as all nurses have with feeling squeamish. And don't let others tell you that they haven't. They're probably either suppressing those memories or fudging! Some folks may never have any of the willies from blood, guts, or gore that are in nursing or medicine in general. But I'm willing to just about bet the farm that's not the case, if the truth be known! :wink2: So, perhaps you might need therapy, counseling, and/or an anti-anxiety agent, or perhaps not. Only you and your doc can know for sure if that's what it takes. Then that's ok, too. You're not a baby, you're just inexperienced and have had one bad time with fainting. Some of the rooms are too hot some are too cold, our bladders are usually full to bursting, our stomachs are oh, too empty from hours and hours of running full steam ahead up and down halls or being stressed to the max with alarms, lights, overhead pages, other staff and family members/visitors conversations, the beeps, tweeps, and alarm bells of multiple machines wheezing in and out and monitoring equipment AND we are supposed to concentrate on the job at hand! Whew! It's enough to make the bravest sink under the floor for lack of a better phrase on most days! Hang in there. Yes, with more exposure you CAN and WILL make it thru this awakening of the senses, so to speak of the world of nursing and medicine. You, too, can do it. Ask around. Other nurses you know may be willing to share a few horror stories of what makes them gag! You never know. You might be surprised. We all have tales of what we've survived to tell...not quite "fish stories" or fisherman tales, but close! Have faith in yourself, don't let it beat you. It's just anxiety, fear of the unknown, keeping you from fulfilling a dream. And excelling at a great career. We need good nurses in the trenches fighting the good fight!