djmac

Hi to all, My wife is a nurse who recently quit her job at a state (michigan) hospital for patients who suffer from emotional illness. She tried it for over a year and after being assaulted 3 times by patients, forced to work double shifts (without notice) and working understaffed almost continually (hard to hire help when they get beat up on a regular basis) she finally gave up one night and sat down with her supervisor and after a long talk handed over her keys and quit. The next day she emailed her formal resignation and later received via the US Mail a letter indicating that she was fired for leaving her post and that the record of her firing would be sent to the State's licensing board. Her union rep (not a real fireball) is representing her in a hearing with Director in a couple of days and I don't expect much in the way cooperation from him so i am looking for recommendations from those who have been down this road before. I believe in the future she will be more mindful of waiting so long to act on the situation. Clearly giving 2 weeks notice to the facility would have less problematic but she kept "hanging in there" until the frustration put her over the top. Thanks in advance for your help.

my wife works at a substance abuse facility and they are using naltrexonemore and more frequently. she is concerned about the large dose that is injected in a single injection. has anyone observed any adverse effects from the injection? [color=#333333]

I am uncertain about the dependability of an infusion indicating trouble if there were a blockage in the line. For example if a Nurse were to hang an IV Piggyback and the clamp was closed should the pump sound an alarm? Or would it move over to the primary bag and never indicate a problem? \

Thanks alot

When you state "she/he cannot be forced to engage in the order"....is that opinion or statement in print somewhere? I really could use that info if it is in print somewhere.

Sorry for hurting your feelings. That was not my intent. But for the record Sewer workers are by and large very nice people who are family orientated and hard workers. Not really a bad lot to be compare to. That said I appreciate everyone's help in this matter. I found a digital steth and had it overnighted and we will see how it works. According to a couple of nurses I talked to it helped them screen out unwanted sound and amplified the target sound and it may give my wife the edge she needs to overcome this problem. Thanks again for taking the time to help.

As for the nursing student, I would suggest she get a part-time job as a nursing assistant. When I was in nursing school, I landed a job as a CNAII in a ventilator unit. I only worked one 12-hr shift every other weekend, which was very doable with my rigorous ADN schedule. We had to take manual blood pressures and some of the patients' pulses were so weak. It was great practice for me and I really got to be a pro after awhile. I think this would be an excellent strategy for her to pursue. Thanks for the insight, I will pass it along.

Glad you asked. My wife was a stay at home mom for 30 years so her children would benefit at the expense of her career. She just now is finishing her nursing training she started when she was 20 years old and then delayed for the sake of our family. That time lapse has left her behind the times as far an the internet and web bases information sources go so I pitch from time to time to support her. But you might reconsider your aggressive attitude toward other nurses as a fellow nurse. It was not long ago that I was surfing a nurses forum and it might even have been this one where an enlightened author wrote that one of the biggest problems in nursing is that you nurses are so cannibalistic towards each other. I in the construction industry and frankly I have seen more unity and support from the sewer cleaners local than many nurses. Please don't feel that I am singling you out alone. As I observed my wife complete her training in the WCCCC nursing program I wonder if they are running a boot camp or school of higher learning judging by the day to day conduct of SOME of the instructors and administrators. Often what I have observed bears no resemblance to the their stated mission statement of encouragement and enlightenment. The attrition rate is pretty impressive. Although my wife and her classmates have worked with many find caregivers and instructors there are too many who have no clue as to how to inspire and educate their students. Well this is getting long so I will end it by saying I admire your vocation it certainly takes plenty of determination and stamina to train and to remain in it. It just y'all should be a little kinder to each other.

Thanks for the tips. She has been practicing for a very long time without much improvement. It is very embarrassing for her to be so far along in her training and still struggling with such a basic technique. She has done very well in within her program but this one thing has been very tough for her. Would you mind telling me which electronic steth you have used with success? She has tried at least 2 standard instruments without improvement.

there will be no mistaking that first sound. How is your girlfriend at listening to apical pulses? Does she hear sounds fine on the chest wall? If not, perhaps she's got a hearing problem. Electronic steths, or ultrascopes if it's very mild, are wonderful. I've got an electronic and wouldn't have made it past my first quarter without one. Good luck! Thanks for the tips. She has been practicing for a very long time without much improvement. It is very embarrassing for her to be so far along in her training and still struggling with such a basic technique. She has done very well in within her program but this one thing has been very tough for her. Would you mind telling me which electronic steth you have used with success? She has tried at least 2 standard instruments without improvement.

I am trying to help my wife out. She is in her senior year of her nursing program. She has never been able to take blood pressures accurately. The way she describes her problem is that she hears her own pulse in the stethoscope instead of the patients. She doesn't seem to be getting any help from her instructors, in fact the current instructor is "God's infallible gift to nursing" so therefore can not imagine anyone else having problem that is legitimate. Has anyone heard of someone else having a similar problem? How did they work around it? My wife's instructor says she aware of some nurses paying other nurses to take BP's for them because for one reason or another they are unable to. Thanks in advance for your help. Dan