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Content by LadysSolo

  1. LadysSolo

    Would you have gone to nursing school....

    Would I do it again? Probably, but there are days when I wish I had done something else. Am I unhappy with my career choice? Some days yes, most days no. The thing with nursing is that you can change paths at nearly any point - you could do MDS, patient education, pharmaceutical sales, work for an insurance company, work in an MD office, home health, LTC, hospital, outpatient surgery, clinic/STATcare, and probably more that I can't think of when tired. So not a terrible choice, just not all roses and puppies.
  2. I had a BS in Biology, got a Diploma in Nursing (giving away my age, LOL!) at age 27, went for my Master's in my 40s and got my BSN and MSN at the same time (the program I attended was Diploma to Master's.) All my BS courses counted towards my Master's.
  3. LadysSolo

    No alcohol. NONE

    I just tell people I don't drink anymore because it puts me to sleep, and I prefer to stay awake. Works, no further questions.
  4. LadysSolo

    NP pay mid-career

    OMG! You make $80,000 more than someone from your graduating class, and with 14 years experience I make $85,000/year! I need to move to Texas!
  5. LadysSolo

    NP Work life balance

    My first NP job was great, but the MD hired a partner after about a year, didn't need both of us so out I went. Second NP job was even better, but another NP in the practice made a bad comment about the CEO's mistress, so all the NPs in the practice were fired the next day. Oh, the joys of an "at will" state! Next NP job, I was the first in the practice, MD re-did everything I did, put up with that for 18 months (he was in his 80s so I hoped he would figure it out, he didn't.) I quit, current job is better than #3 but not great. I work 5 days/week, we are on call 24/7/365 (we work out of our homes but have "productivity" requirements,) computer charting program sucks, salary is supposedly based on a 10-hour day but realistically I chart on average 4 to 6 hours/night after working all day. As soon as I am Medicare-eligible I am going back to the floor to work 4 8-hour shifts so I can have a life!
  6. LadysSolo

    Fired for Falsifying Documents. What to expect

    I would actually recommend (and I know I will probably get repercussions for this) that you NOT write people up again. When I worked in the hospital, writing someone up usually led to "write-up wars." Go talk to the person that could be written up instead. It is a little tougher, but in the long run less trouble for everyone.
  7. LadysSolo

    Evaluation scaries

    Congratulations~you must have found an honest evaluator.
  8. LadysSolo

    Fired for Falsifying Documents. What to expect

    Unless an employer-to-be specifically asks if you have ever been fired, I would NOT offer that information. You left for better opportunities, for opportunities for growth, it was not a "good fit," etc. Do you know if your first employer reported the med errors to the Board? If not, the Board may ignore the matter. Was your most recent employer aware of your previous med errors? I have been fired twice in my career, once before I became a nurse, I was working for a company that had a reputation of firing managers whenever the assistant manager was good enough to replace the manager. In fact, the week before I got fired there were 3 managers debating which of us would go first, because all of us had good assistants. The next time I got fired was because one of the other NPs in the practice made the comment (in front of the CEO's mistress) that the mistress was a "****." The next day, all of the NPs in the practice were fired (oh the joys of an "at will" state.) Both times I had a new job in a few hours. Both times it hurt, I had done nothing wrong, but I got over it quick, and both times I ended up better off in the long run, although I STILL miss the NP job I got fired from, I truly felt like I was making a difference for the patients there. If the **** (she truly was) ever leaves I would go back.
  9. LadysSolo

    Fired for Falsifying Documents. What to expect

    Technically, every med error is falsification of documentation, if you want to take it literally. You said you gave someone this med, but you made a mistake and gave them something else. So you falsified the documentation. So in that case, every one of us in this profession had falsified documentation, because I don't know ANY nurse who has NEVER made a med error, unless it is extremely early in their career. If called before the board, you made a med error, you intended to give the med you signed out but got called away and forgot to go back and give it. A MED ERROR, not intentional falsification of documentation. I believe at the worst (and probably) you will have to attend a class on passing meds safely or something like that. I don't promise, but it happened to someone I know who made multiple med errors, and that was their punishment from the BON. Your experience may be different, but since it was not a scheduled med, it may be all that happens to you. Or Maybe nothing.......
  10. LadysSolo

    Nursing nightmares.

    First of all, Congratulations Been There,Done That on retirement! My nightmares are all the same, I am running and my legs won't move. My real life nightmare is my alarm clock - the beep is identical to the beep of an IV pump going off! I HATE my alarm clock!
  11. LadysSolo

    Evaluation scaries

    I have read in several threads that dialysis centers will hire nurses in monitoring.....
  12. LadysSolo

    Evaluation scaries

    I'd love to see just for "kick and giggles" what one of these evaluators would say about me - the last time I had any alcohol was before I got pregnant with my son, and he's 32 years old, and the last time I took anything stronger than Ibuprofen was when my horse stepped on my leg in 1999 (1/2 Norco.) What do you bet I would fail an evaluation and be recommended for treatment? (Just from reading the threads on this site......)
  13. LadysSolo

    Evaluation scaries

    I agree, I too thought it was meant to help rather than be a money-maker for the BON and their apparent cronies. What an eye-opener this site has been (and it makes me even more disappointed than I was before with the BON.)
  14. LadysSolo

    Evaluation scaries

    I red about a nurse who got a DUI on vacation (not scheduled to work for days, not even in home state!) who got thrown into a BON program. Seems like it hits no matter where you are.
  15. LadysSolo

    Evaluation scaries

    You could perhaps try medical billing an coding, or transcription, or something like that. Good luck!
  16. LadysSolo

    How do I get out of the home?

    I agree with this or some variation - "I'd love to have tea with you, but I have to get 6 more visits done before 5 o'clock today," "So sorry, but I have a timed IV I have to get hung, it HAS to be done on time," etc. In home health you are ABSOLUTELY allowed to say such things to keep on schedule. Also, you may want to look into your local Passport or whatever they have in your area, they may have people who are willing to visit the lonely (or a local church group, or whatever.)
  17. LadysSolo

    Thoughts on Covering Own Shift

    I had norovirus last November, my boss gave me a hard time because I was off for 5 days, 3 of which were spent throwing up and having diarrhea (often both at the same time,) and two days recovering enough to work. Such fun dealing with people who supposedly care about their workers -NOT!
  18. LadysSolo

    Thoughts on Covering Own Shift

    I can understand if you want the time off to go to a party or concert, but unexpected surgery is not a good time, and not always easy to schedule, the surgeon and OR have to be available. Management should step up and handle it.
  19. LadysSolo

    Suicide attempt while at school

    She may have done what she did trying to cause an abortion (just guessing) or because of not seeing a future with an infant since she is only 13. You did great trying to help her, and she obviously trusts you, but she has HUGE problems and sounds like she gets minimal to no support at home. You may be the only person she thinks cares about her. Huge kudos to you, and keep trying to get a debriefing for the rest of the kids.
  20. "If a patient with known and proven beyond reasonable doubts CHF chooses not to follow salt-free diet, it is his business as long as he is informed about what happens as a result (no improvement in his condition doesn't matter how many miracle pills he is taking and eventually death). Now, if that patient is in health care facility, has an acute CHF exacerbation directly related his refusal to follow salt-free diet, has direct provider order for that diet and still demands salt, would it be ethical to allow him to, essentially, aid to his disease in the name of keeping him "satisfied"? Or, even more, try to influence provider into dropping the diet order and not providing salt-free food at all under the same premice (recently witnessed practice in LTC)?" I have witnessed in LTC because of state regulations, if diabetics want pancakes with ice cream topping for breakfast, lunch, and dinner, the facilities have to attempt to accommodate these requests because the LTC facility is their home, and if they were living in the community and that was what they wanted they could have it. In theory I agree, but often these people are not cognitively capable of making appropriate decisions, hence the LTC facility. So why are they allowed to make inappropriate meal choices? If their guardian signs off on it, okay, but otherwise, I don't think unwise decisions are appropriate. If they wanted to go outside in only their underwear in 20-degree below zero weather, should we allow it? If they wanted to drink bleach, should we allow it? It is their right, because they want to do it, correct? Competent adults are allowed to make bad decisions, but not all adults are competent (even some who have not been declared incompetent.)
  21. LadysSolo

    Anyone having a hard time getting over the verbal abuse?

    I agree with the above posters that the encounters do not rise to the level of abuse, probably pretty rude, but just try to chalk it up to they are having a bad day and you just happened to be there. With the NP, I also am an NP and I love to teach and share knowledge, so perhaps she does too and just didn't handle it well. I usually try to preface such encounters with "for your future knowledge," or "just a teachable moment," realizing these phrases can come across as rude, but the people who know me and hear my tone of voice know I am really trying to be helpful. So don't be too hard on yourself, and know that some cardiologists think they are "god" and you aren't going to change them, and others don't always realize how they are coming across to you.
  22. LadysSolo

    Keeping experienced staff!!!

    Pay, staffing, respect, and LEAVE ME ALONE WHEN I'M DOING MY JOB!!! I don't need someone looking over my shoulder, I KNOW how to do my job! You don't, and don't walk in my shoes, so GO AWAY! And if I NEVER hear "work smarter, not harder" again it will be too soon!
  23. And I try to treat my patients the way I would like to be treated, I show my patients their lab work and explain it to them, I explain how their bad choices are impacting their health, I explain what their meds are and the side effects and benefits, and am ignored regularly. I frequently think it is a shame I care more about my patents' health than they do, when they come in and expect me to "fix them in spite of themselves."
  24. LadysSolo

    Any RN CM input needed

    I agree, more specific questions would help. I consult with two home health companies, and in both of them I know the RN case managers are stretched very thin, and do the best they can for the patients, so "poorly managed cases" may be "people stretched too thin," perhaps if the case managers are still with the company get their input and ask what they may need to do their jobs better?
  25. LadysSolo

    Medicare Fraud?

    Some patients can put on a "good act" at times, there was one person in a nursing home that I take care of other residents in that I thought was a visitor. But when I talked to her more on one day, it was obvious that she was far from 100% competent and would have been unsafe outside of a supervised setting. So safety is key, if someone is not capable of making rational decisions they are unsafe. They may be able to use the bathroom, but are they REALLY safe using the stove? Will they ALWAYS remember to turn it off? Are they ALWAYS safe in the tub or shower? Can they take their medications safely EVERY day? Will they remember to take them? These are things to be considered......