jmtndl

The patients are the best,easiest part. I love them,figure out what they need, get more brains involved if I can't figure them out, and document with excellence. The hardest part has been discovering and accepting that hospital and nursing administration care about one thing and one thing ONLY...making money. They do not care about you or the patients at all. They are not interested in your ideas on improvement, they do not understand what you have to do to keep the patients safe but will totally dictate what you do, how you are staffed, and what equipment you have to work with. They OD on management seminars and pop psychology fads and spout the latest "coolest" phrases like they mean something. They will never ask what you think of one of their new dictates, or even if it's something you can accomplish, because they do not care. There is no team between administration and staff, and hospital situations would be vastly improved if there were.

We have a new very toxic bullying manager and I am at a total loss what to do. She changes routines that work and feels it is appropriate to make people "move out of their comfort zone", which I have always felt should be a personal choice. She openly lies to the staff, and has the full support of her upper manager who is 2 circuits short of being a zombie.Anyone ever experience this? How do I deal with the unmitigated hatred I feel for her. I am a Christian and am distressed at my reaction.I love my job, and fortunately do not have to interact with her often, but her decisions directly impact my job.

She should be charged with involuntary manslaughter and lose her license. Her careless action resulted in a nightmarish death for a patient. I feel for her, but I feel more for a lady who laid in a long banging tube and slowly suffocated to death completely unable to communicate with anyone.

Um, I'm in the day now with my ADN at a job I've worked at for 5 years. They are still hiring ADNs.

you know a virgin in Texas got pregnant from a flu shot...

TB mask and negative air flow for Hep C? When did Hep C become airborne?

I'm about to shoot myself in the foot here but....does the hospital close down if you don't work 10 12-hour shifts in a row? Is that even safe? Does your manager not arrange for enough staff because he/she doesn't have to because the night shift will work ad nauseum? It is good, I guess,that you and your crew are willing to work beyond the realm of mental health and safety...I kind of don't know what to say. Set a limit? Define a boundry?No one can MAKE you work like this.

I just attended an inservice on a new device. It is an LVAD pump on a catheter that must be placed exacxtly between the left ventrical and tha aortic root and sucks blood from the ventrical and gooshes it into the aorta. I am seriously wondering about my reaction. This device could save lives in very specific clinical situations, but I am afraid it will be used as a life prolonging tool in unfixable situations when the familys have been poorly educated by the doctors and anticipate seeing it utilized in very elderly patients whose hearts are completely failing and who cannot recover but can die with their families saying "we did eveything for Mama".I don't even know what I am trying to say, but I see this device as leading to tortured deaths where the poor patient must be immobilized, not turned and made comfortable, and will die in agony.Will there ever be a voice of reason for the acceptance of death and the best interest of the patient.Does anyone else understand what I am feeling?

inservice on new device is anxiety producing

It's a basic med test, not difficult, but has some trick questions on it. Read all questions completely and think a minut before answering.

I put the bedpan in the trash then remove the trash from the room so I'm not leaving a stinky bedpan in the patient's room. Housekeeping doesn't even know.

Dying with Dignity is for those with a condition that prevents them from an expectation of life,not for those who are so depressed they don't want to live,even tho they may not be overtly suicidal.Please reach out for help! Recontact your family without the expectation of rejection!You are alive and you can live! It may be a struggle,but then it is for many people! Don't focus on what you can't do...focus on what you can do.

Nursing has totally changed how I view physicians. You can't bill a dead person.I have seen orders "Place feeding tube Monday then discharge to nursing home Tuesday on Hospice." I have seen Stage 4 decubes debrieded. I have seen 1 mg of Dilaudid IV q 4 hours ordered on a 320 lb patient with a dinner plate sized stage 4 decub.This pt hasn't been out of bed for 6 months and cannot be weaned from the vent.She screamas in pain often and her doctors are fully aware of this. They don't want to give her "too much" pain medication. I don't think America has such an obsession with a fear of death as we have gutless greedy physicians who want to bilk Medicare for the very last cent they can get.I had a family member tell me she wanted to make her loved one a DNR and the doc said "shame on you".I had a family member tell me the nephrologist told her he thought beginning dialysis could turn her 94 year old mom "around".I had a doctor throw a royal fit because I didn't draw a pre-abbumin on Wednsday when termination of life support was scheduled for Thursday.I had a doctor chew a nurse out because she didn't call him to try to talk a family member out of a DNR. Now, at the risk of being shot by a sniper all of these "physicians" are foreign. Maybe it's different with a different physician population.I am just not seeing families educated by the physicians about the realities of their loved one's health situation.

Happened to me and freaked me out! Got a call-back...questioned veeery suspiciously about why I drank so much water before the test (...??because I had to pee for them??) Went back after walking around to let my pee concentrate (!) and all was fine!So silly...

lipstick and reading glasses.