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socalpca specializes in Medical-Oncology.

socalpca's Latest Activity

  1. I was a beach lifeguard for 14 years until I suffered a pretty bad knee injury that severely limited my ability to do my job. I'm about to finish my first year as a RN on a medical-oncology unit and I'm very happy I made the career switch. Not only do I have more job security, but the opportunities for advancement and learning are much greater.
  2. socalpca

    Hostile and demanding patients. How do you handle them?

    True, but most of the unreaonable patients I care for don't know that.
  3. socalpca

    Do Nurses Eat Their Young?

    The thing about nursing, or the medical field in general, is that there is no much at stake. You need to be good at what you do and you need to learn your job quickly. Some patients don't have time to wait for you to make the same mistakes over & over again. I had several different preceptors-- some mellow, some hard-core. The hard-core preceptor cared about my success just as much as the mellow preceptors, but had a different style.
  4. socalpca

    Nurses are Pathetic!!

    Speak for yourself, lorster. Don't attempt to pull all this "we" crap. If you feel pathetic, then that's fine. I certainly don't feel that way. The MDs in my hospital would be taken out behind the woodshed for yelling at a nurse in the nurse's station.
  5. socalpca

    Hostile and demanding patients. How do you handle them?

    Patient: blah, blah, blah, some unreasonable request. Me: We will be happy to help you, but right now you have already had all the pain medication I can give you right now. If you will return to your room, we will be able to talk further when I get there. Basically, I tell them that PRN doesn't mean scheduled and just because it's been two hours, that doesn't mean that you will get that medication every two hours....especially if I notice you sleeping/passed out. If the patient becomes unreasonable/loud/abusive, i tell them that their behavior is not helping their situation and that this outburst of energy shows me that you are feeling better and not in need of more medication.
  6. socalpca

    Advice on catheter stabilization devices

    We use Stat-Locks for PIVs as well as PICCs. While I love them for PIVs and am satisfied with how they secure PICCs, I would feel more comfortable with PICCs being sutured, especially during dressing changes. However, I don't want to rely on sutures and tape to replace Stat-Locks. I just want as many layers of safety as possible for my patients.
  7. socalpca

    Some mean Nurses.......

    i was a pca for 4 months after failing the nclex. during that time, i learned that rn's as a rule treat the techs like dirt, but don't know it!!!! like you, the rn's on my floor are quite a bit younger than i am (i'm 33). now that i'm a rn, my time as a pca taught me "how the other half lives" and showed me how i do not want to treat any tech who helps me take care of my patients. i know that i could not do my job without them, and i do my best to tell them and show them my appreciation.
  8. socalpca

    List of meds

    Don't bother trying to learn individual drugs-- there are too many. Instead, try learning the different classes of drugs. If you learn what the SSRI's do, how they do it and what the side effects are, then you have 5-10 drugs nailed right there. Also learn the suffixes for each class(-olol, -pril, etc) Hope this helps and good luck.
  9. I don't think Mike is over-stressed or burned out based on what he's posted. I think the only generalization he made was comparing how his OR works to the rest of the healthcare field. My unit certainly is not like that. Any healthcare professional-- from CNA to MD-- would be severely disciplined for yelling the F-word to any other staff member.
  10. I don't know what it's like to work in the OR, but I would not take it well or calmly if someone were to yell at me in front of all. I'm not trying to attack you or the way you do your job, I'm just telling you how I am.
  11. There is a difference between being rude to a person and yelling at them. If you yelled at a co-worker on the job in the hospital, that may be grounds for disciplinary action levied against you. I'm not saying you deserve it, I'm just telling you like it is in this uber-PC world of 2008. Also, yelling at someone doesn't earn you respect.
  12. socalpca

    Failing Clinical... What is a friend to do?

    I hate to sound cold & heartless, but there are times when you have to take care of #1. Unless you or your friend have documented evidence of unfair or unprofessional practices on the part of the instructor, there is little to be gained for you and so much to lose. I'm not going to tell you what to do, but just be 100% sure before taking any action.
  13. socalpca

    Elitist Attitude?

    It's been my experience, albeit a brief 7 months, that almost every nurse in every specialty thinks that they have it as tough or tougher than the other nurses in other areas of the hospital. On my unit, there is quite a bit of bad-mouthing of the ER in general for various things. I'm sure there are other areas of the hospital that bad-mouth my unit. I don't really care. I'm just trying to clock out less than 30 min late.
  14. I don't think the healthcare industry has the monopoly on mean & arrogant people. Drive on our roads, go to a store, surf the internet...there are mean & arrogant people all over the place. I'd be interested to read what prompted you to write this post.
  15. For me it's not about being a nurse, it's about being a man. As a man, I would not work at a place that forced me to wear feminine-looking clothing. It wouldn't matter what the job was.
  16. socalpca

    help clarify this for me!!!

    I was hired by my hospital after I graduated from nursing school but before I took the NCLEX for the first time. I was hired under an Interim Permit(IP) and allowed to practice as a RN under this IP with the supervision of a preceptor with a valid RN license. I also failed the NCLEX two months after starting my career. I was then made a Patient Care Assistant(PCA), which is basically a CNA. I did this until I finally passed the NCLEX and could practice as a RN. As a PCA, I could not pass meds, perform any patient teaching or even troubleshoot our IV pumps.