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Content by Anisettes

  1. Anisettes

    Most relevant specialties for nursing abroad

    Regarding OR nurses - you must be able to circulate AND scrub. Most of the overseas NGO's operate on the European model where nurses do both, unlike the US where most places hire RN's to circulate and scrub techs to scrub so nurses very rarely, if ever, scrub and most have no experience scrubbing. Organizations looking for nurses (OR positions as well as others) that you can check out: Mercy Ships - off the coast of west Africa Palestinian Children's Relief Fund - sends missions to the West Bank and Gaza Syrian American Medical Society - mainly refugee camps in Jordan Emergency International (Italian charity organization) - if you're okay with a certain amount of danger as they staff civilian medical and surgical centers in Iraq and Afghanistan (among others), but they pay a salary in return for a 6-month commitment. Just don't forget that just because it's not in the news much, both are still actively dangerous, esp. Afghanistan where aid workers are killed and kidnapped, so much so that several Red Cross clinics have had to cease operations. Afghanistan especially, there are no actual 'safe zones'. But they do much need and valuable work and do a lot of work with pediatric war injuries (kids step on land mines, etc.) The work is necessary, but the risks are real.
  2. Anisettes

    Terminated After Two Months!!

    I hope you hang in there and find your niche! Just a caveat though, I really wouldn't recommend jail or prison nursing for someone without at least a year or two of hands-on nursing care. Often you are alone (MD usually only comes at certain times on certain days). The system usually works like this - prisoners fill out 'kites' which are short forms requesting care for symptoms they list on the form and these go into a box that the nurse on duty will retrieve and review. You need to be able to have solid clinical experience because you will be triaging these kites and determining who needs to see the doc and who you can treat on your own using set protocols (minor lacerations that don't require suturing, minor burns, sprains, etc...), you'll respond to emergency situations frequently on your own (medically speaking, there will always be C.O.'s but you're the one making the medical judgement calls) and so you need at least baseline experience so you know what you're looking at and what the appropriate response is. Taking this kind of job would be setting you up for more failure and I'd hate to see you get walked again. You need to find someplace where you can learn the ropes and how apply both your skills and clinical judgement so you can learn to feel confident in yourself and your practice. ALL nurses have made mistakes, but nursing ethics demand that you own your accountability - and you have (and that's so much more important than you may realize), you just need to find a place where you can grow. Good luck!
  3. Anisettes

    Etiquette in the OR?

    I've seen this happen quite a few times and I don't like it either. It's more than gossiping, it's something more, another level entirely and I don't like it. I have a strong personality (re: a *****, if you like) and I call people on their crap. There's no excuse and no reason for it. I had this patient once - a big, good-looking, strapping fireman who had come in for a scrotal mass. Well, he's out and I uncover him to shave/prep and turns out he's got a micro penis. The tech turns around, see this and bursts out laughing, saying how she's going to 'tell everybody'. I was so p*ssed, I said that if I heard word one out of her mouth about it or that if I heard anyone else was talking about it, I would write her ass up so fast and take it as far up as I had to. It's one thing to vent about the behavior of difficult patients, it's something else entirely to rag on a naked, vulnerable human being's body. Our bodies are so closely tied into our self-esteem and who we are, that it's something so beyond gossip. It's reprehensible. And should never be tolerated by anyone with a conscience. I find it especially disgusting that people were so kind to this patient prior to her being anesthetized. Shame on everyone who participated.
  4. Anisettes

    "Listening to nurses is key to being a good doctor"

    I love me some Ibee Grumpy. He's one artisanal doc...
  5. Anisettes

    Image book for OR set-up

    You know YouTube has videos of everything and guess what I found? and you'll find other videos on the same topic. Hope it helps
  6. Anisettes

    Image book for OR set-up

    Epona, I don't have an answer for you - but you might get more bites if you post this over in the Specialties section under Operating Room Nursing, I'm sure there is someone over there who'll be better able to help you. Good luck! Operating Room Nursing - Nurses / Nursing Students
  7. Anisettes

    Patient died...

    As hard as it may to accept, we all are going to die one day. And many of us won't make it into our 80's even without all his co-morbidities. It's just the way it is. It might help if you remember that even when we 'save' a patient, it's not us that saved him. Not the doctor, not the nurse. We merely treated his illness or injury to best of our ability - and he either lived or died according to his alloted time on earth. Whoever or whatever or nothing at all controls this (depending on what you believe) - not you. Hang in there.
  8. Anisettes

    instructor says nursing is not for me..

    I agree. Almost 30 years ago I was told by one of the nursing instructors (at the school I ended up enrolling in) during a nursing orientation for PROSPECTIVE students, that she didn't think me and nursing were a 'good fit'. How this ridiculous woman determined this after a 30 minute question and answer session about the program I have no idea - I can't even recall asking a question. Back then I was still quite young and very shy, so I honestly have no idea what set her against me. She actually asked me to stay behind to offer me that bit of helpful advice. I guess there are just some people who like to think they are judge and authority and use whatever power they possess to weed-out those they deem undesirable - for whatever petty reasons they have. Thank God I didn't let her or anyone else stop me. I am an excellent nurse with strong clinical skills and sound judgement. I'm not a 'small-talker' either, but that hasn't stopped me from developing repoire with my patients in my way. If you this is what you want and your grades and progress thus far have been good, I hope you won't let this person dissuade you or prevent you from going over her head if you have to. I will never understand some people's judgemental little power trips. Good Luck.
  9. Anisettes

    Personal advice needed!

    I'm the last person who'd ever tell another that nursing isn't the field for them. I remember being told that several times early on - one of them was a nursing instructor on my admission board before I was ever even formally enrolled and she'd not known anything more than my name (and that was on a paper in front of her). You have lots of life experience you will bring to your practice - among them how to deal with the end of life and all the baggage that comes with it. I agree with the other poster who said you must learn that a patients survival is out of your hands. We will all die, there is no escaping it. But you are uniquely positioned to understand what the patient and his loved ones are going through when it happens. There is nothing wrong with being empathetic, it may hurt a lot the first time you identify - but try to distance yourself to a place where you can feel, but still function in your capacity as the professional. Baby steps. Your empathy makes you human, you need to learn to distance yourself, but don't ever get so jaded you lose it. I think you'll do just fine. Best of luck in nursing school!
  10. Anisettes

    how does one become an OR nurse

    Only requirement is being an RN (any degree). You can't just 'drop-in' to the OR, though. Depending on your hospital's program you'll undergo a 6-9 month training period - paid on the job training. And because of that, most places require you to sign a contract to stay 1-2 years in that position or pay them back a set sum in return for training you. Some hospitals take on new grads, some don't. Good luck!
  11. Anisettes

    How to start the new job????

    First - take a deep breath. NEVER lie, if you don't know how to do something - admit it - then ask for assistance or information. I've been doing this for 20+ years and I still don't know even half of everything there is to know. There is NO shame in not knowing something. There is great shame in the bad consequences that can occur if you screw up while 'faking' it. Yes, you can fake some things, like smiling when you feel like crying, but not when someone's safety and well being is at stake. Ask questions, clairify, ask for help or advice, google it for crying out loud - just don't fly blind. That said, if you do screw up, take responsibility. There is NO shame in making mistakes either. The last 'perfect' person, according to popular belief, was crucified 2,000 years ago. So own up, make amends if possible, apologize - and mean it, and make sure you learn from it, then do everything you can to not repeat the same mistake again. You're human, it isn't IF you'll make a mistake, it's WHEN. And don't ever be part of the nasty 'dogpile' that seems to happen when someone else makes a mistake. It could be you one day alone with everyone pointing fingers at you like they've never screwed up. Kindness and empathy go a LONG way no matter what situation you're in. Do the right thing, it can sometimes be hard at the time, but not doing the right thing can lead to many sleepless nights and erosion of your self-respect. Find your niche. The place that makes you happy. Money isn't everything. It pays the bills, but if you dread going to work everyday you may as well be poor. My current job pays less than my first nursing job 23 years ago. And I LOVE it. It's ugly and heartbreaking at times, but I have job satisfaction for the first time in my working life. It took me 18 years of less than satisfying nursing jobs, but I found it. Grow a thick skin. Nothing anyone else says, does, or thinks is about you. It's about them and where they're coming from at any particular time. Don't be THAT person. The whining, complaining, helpless 'victim' of everyone and everything. You are not 'owed' anything in life beyond common courtesy. If 'everyone hates' you, there may be a reason. I agree with the poster who said to treat others as you'd like to be treated. And be kind. Especially to yourself. Good luck!
  12. Anisettes

    What the what??

    I don't think this one is necessarily wrong, but I had an instructor who always said res-PYRE-RA-tory. She also said vege-TABLE which drove me equally crazy - strange how a non-nursing word was said so often that semester. Or maybe I only remember it because it was pronounced so strangely. I also went to high school with a gym teacher who said va-GEEN-a. Ugh! I don't know why odd pronunciations are so irritating.
  13. Excellent article. I don't want to die at this moment either, but neither am I afraid of it. Only, as the author noted "dying in pain or alone." Though I don't even really mind the alone part either, mostly the pain. I guess because I've never been afraid of death, I don't understand the depth of fear of it that so many people have. I mean, none of us will ever escape it, why don't we try harder to embrace the concept that none of us gets out alive in the end, some kind of ritual or exercise to prepare us so we can live without the fear of what we cannot stop from coming? We prepare for childbirth, for marriages, for parenting, for careers, etc... but we have no preparation for death, the only absolute commonality all life shares.
  14. Anisettes

    Operating Room nursing documentation

    We use Essentris electronic charting. We have 2 forms specifically the nurses fill out for every case 1) OR Intra-operative Record and 2) Pre/Post-Op Document. We are required to sign several other documents (Medication Reconcilliation, Procedure and Site Verification, etc...), but the first 2 are specific nursing forms.
  15. Anisettes

    "That nurse is vile" (long)

    Hang in there. I know it doesn't feel like it, but the truth is that nothing, nothing that another person thinks, feels, does, or says is about you - it's about *them*, where they've been, how they cope, what they believe, etc... Whoever this patient is, s/he acted out and dumped a load on you. And the truth is, not you nor I have any control over it - not this time, not the next time. All we can do is realize it's not about us and let it go. Believe me, I know it's not easy. I had some hard times in the early years, but you can do it and you can learn to not let it get you down. As long as you know in your heart you're in the right and you did the right thing by that patient, that's all that matters. You know and the people who know you will know - and the people who don't believe you? You can't change them either. Hang in there.
  16. Anisettes

    Forensic Nursing

    Here's the link to the Forensic Nursing Forum, you'll probably get more replies. Good luck with your education! https://allnurses.com/forensic-nursing/
  17. Anisettes

    NYC Student Nurse Killed in Senseless Shooting

    I got my ADN at Queensborough. How sad for all concerned.
  18. I've had several patients come in with shaving cream cans, potatoes, apples, etc... shoved up their butts. If they can get it in there, they'll try it out, though I don't understand the non-phallic shaped ones. When I would get them in the ER, they'd just be sitting there in triage like nothing, you didn't know what was wrong until they told you. When I went into the OR and got them there, same thing. They didn't seem to be in all that much distress. Now twice I've gotten a patient with a closed wrench on the penis (the kind you can't adjust). The first one was when I was in the ER in NYC and he was in quite a bit of discomfort in triage. I got another one in the OR when I was in Nevada and that guy died. He'd apparently had it on there for several days thinking the erection would eventually go down and he'd get it off, but his penis got necrotic and by the time we got him in to amputate, he'd gone into sepsis and died a few days after the initial surgery. I've gotten patients with other types of rings around the penis, but those closed wrenches are the worst. The metal is heavy-duty and a ring cutter cannot do the job. You'd think common sense would keep people from doing some of this stuff, but then common sense also tells people not to change a lightbulb while standing on a chair with wheels, but I can't tell you how many time I've received a patient who's injured themself doing just that.
  19. Anisettes

    Ever accepted a position knowing it was a mistake?

    Yes! My first day there was a living nightmare and it went downhill from there. It got to the point that when I hit the door to the ambulance bay (where we usually entered the ER from the parking lot) the first time of the day and the smell hit me I would get physically nauseous. It wasn't a bad smell or anything, it was just the association of the place in my mind with the horror of the job that I associated with that particular building. I quit 3 months in of a 1 year contract. Gave back the bonus gladly, would have even paid them interest on it and been glad to. There was a reason they were offering a $15,000 sign-on bonus. They could take their damn money and shove it where the sun don't shine. If I hadn't had kids at the time, I would have left that first day, but I needed to get another job first.
  20. Anisettes

    Correctional RN job vs. ER RN job

    I had a similar experience with ER burnout - eventually I ended up leaving the ER completely for the OR. Anyway, in the interim I took a job at a women's prison doing two 12's on the weekend and went to per diem in the ER. If the ER is really getting to you, I'd take the corrections job and perhaps go to per diem and pick up a shift or two a month to keep your skills up until you decide if you really want to leave it altogether. The pace is completely different. It usually works that inmates put in written requests to be seen listing their complaint(s). You'll triage the requests and call for the inmates one at a time to the infirmary and it will be you who performs the assessments in most cases - esp if you work weekends as there is usually no MD there then, and determine whether or not the doc needs to be called for further instruction. For the most part you work under treatment protocols that the MD will sign off on when s/he comes in. There is a pill call a couple of times a day and inmates line up outside the window to receive maintenance medication or other prescribed meds. For inmates on lock-down you take the meds to them. Diabetic inmates will come to you for fingersticks Qwhatever. You may also have sicker inmates in the infirmary block itself that you have to monitor RTC. It's a different atmosphere and you have a lot of autonomy. It may appeal to you and you decide to leave the ER completely, but it's not for everybody. Some people aren't comfortable with the level of autonomy and not having an MD immediately available. Plus, while you can move about more freely than the inmates, you're also locked in there and that gets some people as well. I say try it if you're interested.
  21. Anisettes

    androgel patch

    We kept injectable testosterone in our narc box when I worked for the VA and it was part of the narcotic count. It's only a controlled substance in that it develops legs if not carefully controlled. Same for Botox which we sometimes keep for injection for treating rectal fissues, etc... If we didn't keep people accountable for it, it would disappear from the pyxis and end up at someone's Botox party.
  22. 23 years in Nursing, mostly ED and OR, but have also worked as a SANE, and in Corrections (So. Nevada Women's Prison). Worked for the VA in VISN 22 (Las Vegas) for 3 years back in the 90's. Currently GS/NSPS/GS (they've changed their minds twice since I've been here) at Landstuhl, Germany in the OR since 2006. I also take Sexual Assault call here (they finally pay us to do it here now, yay! Before those of us who did it, did so out of a desire to provide the service and to keep our skills up - there weren't as many civilians then and they either lacked the mechanism to pay us or leadership didn't have a clue or desire to help get one). Love my current job more than all my other jobs I've ever had combined. My job satisfaction here is thru the roof, although the level of BS attached to it takes a little time to resign oneself to. And the pay is in the toilet. But, for me the mission is worth it all.
  23. I see this was posted in May - but I just now saw it. I'm at Landstuhl in the OR. Unlike the OR (we do 8's & 10's), the ICU nurses work 12-hour shifts.
  24. Anisettes

    Dead bodies?

    I think it depends on where you are. When I lived in NYC, the nurses did post-mortem care and transported bodies down to the morgue. But when I lived in Las Vegas, we still did post-mortem care, but either the ME's office or the funeral parlor came round to collect the body directly from the unit. I don't even know if UMC had a morgue. If they did, I never saw it.
  25. Anisettes

    Dead bodies?

    If it helps, don't think of them as dead bodies (if you can). Think of them as sleeping if it helps. That's about the only the thing I can think of to help you. The dead don't bother me, never have, even as a kid. And I've certainly seen enough bodies in my career to take any fear away if it had existed. On a farm animals die all the time, so maybe I was desensitized early on. But then I've also never been afraid of dying either (only dying in pain), so maybe that's another reason I can't empathize. I'm more afraid of the living and what they get up to than any dead body. CS Lewis wrote "You don't have a soul. You are a soul. You have a body.” The dead are just our empty containers, something no longer of any use. Try to think of them like that, as packaging that's no longer needed, it might help.