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mazy

mazy

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  1. mazy

    Part II: "Nurses Eat Their Young"

    You say that you don't care what anyone thinks, that you like the sound of your own voice, and that you don't have any problem speaking your mind regardless of how it effects other people or whether it crowds out their own abilities to say what they want to say. In a sense you have summed up the essence of the characteristics you will find from a nurse who "eats her young." So God bless and good work. But if you are interested in discussing the subject you can do a search on this site and find thousands of conversations about it.
  2. mazy

    Not doing what I was hired for

    It...?
  3. mazy

    Have you ever witnessed this situation?

    Allrighty. So back on track. Here is an example of a situation that happened to a friend of mine. She went to the pharmacy to refill a prescription for a narcotic. The pharmacy announced in front of everyone what she was taking. As she then went about her shopping she noticed that she was now being followed by three men. She started to leave the building to go to her car and they followed her. She ended up turning around and going back inside and having to call security to escort her to her car. Which did little to alleviate her fears because the other guys had cars too and could have followed her home. She finally did get home, but shaken. And then filed a complaint. It is not possible to know what is going on in the minds of the people around you. A pharmacist asks your name, your birthday, and announces your prescription, maybe it means nothing to the person behind you, maybe it does. I cannot imagine a training course in which pharmacists are told that you don't have to follow HIPAA if someone is getting Vit D or synthroid because no one cares about those meds, but you do have to follow HIPAA if they are taking bc pills or ABX. That puts the pharmacist in the weird position of judging your lifestyle and making determinations about what should and shouldn't matter to you. Pharmacists are not some elevated species of individuals, they are human beings, and flawed in the same way as everyone else. I do not want anyone making judgments about what should matter to me. I don't care what they do for a living.
  4. mazy

    Have you ever witnessed this situation?

    I'm surprised about this too. Pharmacists are bound by HIPAA. There is no list of meds that are "acceptable" to discuss in public. It is not OK for someone to disclose medical information about someone in public. In the case of it happening in a professional capacity, there are professional regulations and consequences for violating HIPAA. This needs to be addressed. I don't understand the argument that it's best not to say something because by making a fuss you draw more attention to yourself. To create change you need to make a fuss. The OP can complain about this in private, later, after the fact. No one needs to know but the pharmacy. If privacy areas do not exist, then they need to be set up for patient confidentiality. The OP is describing a scenario where the pharmacist took out her med, announced it out loud, pulled out the instructions and counseled her in public. Whether it happened in front of everyone or in another area, either way it's not going to affect the wait time for the other customers. Wherever it occurs, they're still going to be waiting while someone is being counseled. So if it creates problems for other customers that pharmacists are consulting in private, then the pharmacy needs to find a way to accommodate privacy issues. Customers shouldn't have to be in a situation where they say, oh well, I have no choice but to let this happen because the pharmacy doesn't want to adhere to HIPAA. Just because something happens in another area of health care, that doesn't mean it's OK to happen somewhere else. Privacy may be hard to come by in the ER, however up on the floors it's a completely different story. Same as in my doctor's office, or in the pharmacy.
  5. You got a raise, which is good. If they really felt you needed more improvement you would not have gotten a raise. You did not get docked, you got a raise. Not the raise you were hoping for, but it was a raise. A lot of people, myself included, have not gotten a yearly raise because in this economic climate facilities are cutting back on things like staffing and hours, and they can get away with murder when it comes to compensation. We have been told flat out at my job, there will be no raises. For anyone. Now. I know full well that some people are getting raises. But mostly that is because they are taking on responsibilities that no one wants, or they are able to negotiate taking x shift or y unit or some such other weird thing into a bump in pay. But that's life. It's the politics of the work place. It's the same everywhere. I would not stress about this too much. People are not always honest about compensation, even with themselves, and every facility can be counted on to have layers and layers of secrets. You may think you know something to be true, chances are you have no idea of all the back story that is behind everything you hear about.
  6. mazy

    Have you ever witnessed this situation?

    I would be very upset. To me that seems like a violation of your personal health information/HIPAA. Usually when I go to the pharmacy, the pharmacist shows me the med without saying what it is, and asks if I want any counseling about it, if I say no, then that's the end of that. The one time I had a question, there was a separate window away from the main area so there was some privacy. It doesn't matter what the med is for. The pharmacist may not think it's a big deal that I'm taking whatever it is that I'm taking but that isn't his or her decision to make. I was in line at the pharmacy once, and the pharm tech came out and asked the young women he was helping if she was pregnant. She was standing with a young man who may or may not have been a boyfriend, and with whom she may or may not have wanted to share that information; and I'm sure she didn't want everyone in line at the pharmacy to hear about it either. I was stunned that he did that. And if it had been me I would like to think I would have complained but I think I would have been so mortified I would have just skulked away as fast as possible. I think you have every right to complain. I am angry on your behalf.
  7. People can be very peculiar when it comes to talking about salary. Are you sure the other nurse is telling the truth?
  8. mazy

    RN vs. LVN

    This is incorrect information.
  9. I get that you're fresh out of school but your grades don't matter in the real world. I've always felt that 90% of what you learn as a nurse you learn on the job, so you and she are really on equal footing right now. When I graduated from nursing school I used to joke that I knew less about being a nurse as a graduate than I did when I first started school. It is a truly humbling experience to be out there on your own as a new grad. You may be feeling a little of that and your co-worker may as well. I hope you can try not to make this about school, because if I were her, knowing that you are thinking about her failures, I'd be feeling a little condescended to also on that end. But I do agree with the others that no matter what the dynamic, it is important to establish boundaries, and it sounds like she is trying to get the upper hand with some of her questions. Hopefully, you can find a way to look at her as just any other nurse who is being disrespectful, rather than a former classmate, and not get sucked into any games. You can take control of report by sticking solidly to the subject matter and not allowing yourself to be dragged off on a tangent. So if she asks you a question, answer it and then keep in your head the strategy that the question was asked, the question was answered, and let's move along now because we're wasting valuable time here with this silliness.
  10. mazy

    Did i really do anything wrong?

    It's not common for a PRN nurse in LTC to be assigned an acting or interim management position, and it's not all that common for an LPN to be working in that capacity -- although I've seen it happen -- so I think that at first glance the OP was put in a difficult situation, and it makes me wonder what the standard of care was in that facility. That said. It was a mistake to leave early, especially when it was clear from the conversation with the DON -- who came in and stayed, even though there wasn't much to do -- that the DON was not really comfortable with that decision. The OP may have told staffing she wouldn't be staying, but the DON didn't seem to be fully aware of it. And the message received there was that the OP didn't feel there was much need for her to be there, and the DON picked up the ball and decided that there was no need for her to be doing that job at all anymore. Given the fact that the OP was hoping to be assigned permanently to that position, she probably should have been more vigilant about proving that she was committed to the job. By leaving early she was basically saying that she doesn't think her job is that important. As a result the OP has been placed back on the cart and I imagine management will be stepping up there search to find someone to permanently take on that job. It would have been better to just take the day off.
  11. This horse has been beaten to death so many times that there are no more horse molecules left in the universe.
  12. mazy

    Too much emphasis on "caring"

    I think you have made a really good point here. Reminds me of the dilemma anthropologists face when observing cultures -- do the behaviors of the cultures change as a reflection of the observation, do the observers change as a reflection of the cultures observed? It's hard to identify a pure concept of what care means in nursing, with so many people involved, and to separate the subjective ideas of caring for x or caring about x, or even being cared for, from the objective, tangible tasks of providing care. Because nursing, at it's core, is about disparate individuals interacting with each other; and what happens when people interact is that they change. And for nurses, that means that everything we do changes everything. All the time. It's exhausting to think about or to try and keep up with it. It's also a good reason that computers will never be good nurses.
  13. Had to look it up on the Urban Dictionary as I am old and addled. Per TOS I'll advise that the Urban Dictionary uses strong language. Urban Dictionary: extra
  14. mazy

    Discrimination Against Ethnic/Minority Names

    As much as I hate to admit that this is true in 2012, I agree with the OP. I am curious about using a different name to apply for a job though. Whenever I've applied, I have to give my license info and that comes under your real name. How do you get around that?
  15. mazy

    Too much emphasis on "caring"

    I agree with others. I always thought that Florence Nightengale was the ultimate battle-axe. Along with Mother Teresa. I think sometimes people see these women as fluffy, cloud-like, angelic creatures who moved mountains with their love and compassion alone. But I think about what they were up against and I imagine they had to have been tough as nails, driven, true warriors to get anything done. It frustrates me so much when I hear people say "nurses are supposed to be compassionate" as if that means we are soft and malleable and will sacrifice our own personal well-being just to make sure people get what they want. And that is the way I learned about nursing theory. In fact the opposite is true, that we are advocates for our patients, and advocating is a fight, and the fight can be bitter. Nurses need to be able to identify the real problem areas in the system that get in the way of providing patient care, along with tactics for overcoming those problems without becoming sacrificial lambs to the system. It seems to me that when teaching nursing theory, schools would better serve us by focusing on what those principles can teach us about how to advocate for patients and ourselves in a system where everything seems to be an uphill battle. Teach us how to be strong and effective in a way that doesn't destroy us. If being caring and compassionate were easy, everyone would be doing it and this would be a very different world.
  16. mazy

    How many verbal warnings before write-ups?

    Since you've been out of LTC for a few years, and what you've heard is rumor, you would probably be better off focusing on learning how to do the job, and trying, at least initially, to build solid relationships with your co-workers. As a new nurse in a facility, it's best not to go in with the idea that you are going to be having problems with anyone. You don't know the politics or the personalities, and you might find yourself in conflict with colleagues that, several months down the road, after getting to know them, you will realize that they are valuable members of your team. Prove first that you are a worthwhile addition to the staff, then worry about all the rest. You'll have enough to deal with just getting up to speed with the pace and routine and demands of the job. That should keep you busy for a good, long time. And really, try to go in with a positive attitude about your co-workers.
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