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limestone

limestone

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  1. limestone

    Moral/Ethical Advice

    Hearsay is not proof. Therefore you have no case. Period. Going to your instructors with this allegation will cause grief for you without resulting in a conviction of your classmate.
  2. In answer to the last query about strangest place you have fallen asleep, mine is the ferry dock. After my 12-hr night shifts, I have a half-hour drive to the ferry that takes me to the island where I live; there are times a crew menber has had to come down to the dock and knock on my car window to wake me, or when we get to the island, knock to wake me up to drive off. My husband is always glad to see me in the driveway, as he knows how tired I am after nights and yet have an hour's journey to get home. Back as a student nurse, when I worked my first night, I then went to the beach with my friends for the day, and then worked the next night, not realizing that somewhere in there I should have slept. I was on Infant Medical and fell asleep in a rocking chair about 0300 with a baby in my arms. I was awakened by the footsteps of the night supervisor, and woke up in a panic, unable to figure out where I was. Then the adrenalin kicked in and I felt so grateful that nothing had happened to the baby. It was then that I realized that I couldn't live the life my friends were living--as a nurse, even a student, you have to sleep. Nobody had ever discussed that with us. It was, literally, a wake-up call and I always took care of my sleep after that.
  3. Recently I was standing at the pharmacy counter waiting for my husband's prescription. The lady next to me was reading the label on her prescription med. She said to the young clerk who was ringing up the sale on the cash register, "It says here Paroxetine...is that the same as Paxil?" Without thinking, because I answer questions like that all the time at work, I said "Yes, it is." Oops--none of my business! Just sheer reeflex.
  4. limestone

    Question about Concealed Weapons Carry

    I am Canadian and am shocked to read of nurses discussing carrying guns. Nurses affirm life, and guns are for killing. I know the US is a gun-carrying nation but I never thought nurses would be involved with them.
  5. If she were on a med/surg unit, she should be called dr. as it wouldn't affect her care and healing one way or the other. Probably would help with same, as she seems to need the reassurance, respect or whatever it is that she's seeking. On a psych unit, it should be a team decision and the rationale for yea or nay should be communicated to her by the psychiatrist and upheld consistently by all staff.
  6. limestone

    Job you would NEVER do in nursing....

    Hello Michaboo, Please read my letter wherever it come in the line-up (maybe Page 11). I love psychiatry, as human beings in their infinite varieties are endlessly fascinating. In psych the nurse is an instrument of healing, a wonderful thing to be. Yes, you give medications and do treatments, but your interactions, assessments and judgements about what is going on with the person are crucial. You learn to be friendly with out being a friend, to encourage and support, but also to set limits and maintain boundaries. You grow in skill and knowledge about yourself and your patients throughout your entire career. I hope I have thrown some positive light on psychiatric nursing! The only downside is that you probably would lose some of the cutting-edge med-surg skills you have worked so hard to attain. But if you come to love psych, you never want to leave it, so that is not an issue.
  7. limestone

    Job you would NEVER do in nursing....

    This is one teriffic thread! It shows how one person's hell is another's heaven. Thank goodness we are all cut out for different kinds of nursing. I have to stick up for psychiatric nursing, though. I had a dreadful experience with it as a student (scared and depressed because of traumatic events on the unit and terrible teacher) and vowed never to set foot on a psych unit ever again in my life. But I had to take a psych job at one point early in my career due to relocation, and planned to stay there only as long as it took to get back into public health--maybe a year or so. But I found I loved it and thirty years later I'm still in it and wouldn't trade if for any other nursing job. Some patients are scary but they are human beings and with kindness, medication and patience, they can be helped and healed. If you see mental illness as a human affliction that could happen to any of us or our loved ones, it really helps. Having praised psych, I have to say I could not work in a burn unit. I would love to hear from those who do what helps them cope with the pain, the contractures and the scarring that accompany it.
  8. limestone

    Health Care: The Ticking Time Bomb

    As a Canadian I read with great interest your posts re universal public health care insurance. I see that many are scared of it. All I can say is that at 62, I have had all the top notch health care I ever needed including cancer care and a timely hip replacement, and never once had to think about payment. Being Canadian means you never have to worry about catastrophic health expenses. You walk out of the hospital or dr's office and never get so much as a slip of paper about it. I can't imagine ever living under a patchwork and uncertain insurance system like that in the USA. And as for that Canadian woman who appears in the ad bleating about how bad our system is, she was PAID to do that. And b/c of confidentiality, there is no way of knowing how urgent her problem was or if indeed it even existed. Did she NEED to go to the US and pay for care? Who knows. Where I work, our patients get great care repeatedly, no $ ever discussed.
  9. limestone

    Does anyone else like working night shift besides me?

    I sharted working shiftwork at age 62. We do 12's, and I found out that I prefer nights for all the reasons other posters have cited. I work in psychiatry so we can have nights when many of our pts are up a lot, which makes it hard to get our charting and other night duties done. But I still find it quieter and there is more time to talk with patients. I switch back and forth between days and nights a couple of times a week, which is hard on my mind and my body. I sleep poorly and am "out of it" a lot, which worries me. But I am part-time and take what I can get. Hope I can last another 3 years till retirement! I enjoyed reading all the posts. Seems there are lots of nurses who love working nights b/c of the many benefits, and who are willing to trade a "normal" life to do that shift. Tough trade-off, but worth it if you can do it.
  10. limestone

    My First Patient

    Thanks for taking time to comment on my story. Of many lessons learned in nursing school and in decades of practice, it was maybe the most important one for me---the nurse is an instrument who facilitates healing, or as Henderson said, if healing is not possible, asists the individual to a peaceful death. I was and would have remained insufferable...had not Mrs. Z. had the spunk to take me down a peg.
  11. limestone

    My First Patient

    On that Monday morning, I walked onto Public Medicine, proud of myself as always in my white bib and apron over a blue under-dress, with starched collar and cuffs, distinctive hospital cap, white nylons, and white Cuban-heeled shoes. After a brief orientation to the unit, we were assigned our patients. Mrs. Z was 71, with carcinoma of the lungs; she had had a lobectomy but the cancer had returned along with a nasty bronchial infection. When I went in to do her a.m. care, she was smoking. With no oxygen present in her 4-bedroom, this was commonly allowed in those days, but I was horrified to see her doing it given her diagnosis. I did health teaching about smoking and cancer (read: lecture) but Mrs. Z. continued to puff defiantly, ignoring me. Our next encounter was her a.m. med pass, and these she refused. Another lecture about the need for taking prescribed medications and the war was on. I was not able to sign off my meds as "given"! This continued all day, with Mrs. Z. refusing every med and treatment, smoking all the while. I was used to pediatric patients doing as they were told, and this Adult Patient was not listening to reason. The next day, I finally went to the head nurse with my indignation. To my surprise, she said quietly, "Don't push her too much." I backed off with my lectures, but for the rest of the week continued to offer Mrs. Z. her medications, and could at least look disapprovingly at her ashtray full of butts. When I brought her meal trays in, she would yell at me, " You go way! You make nervous me-you go!" On the Friday she was discharged, and as was the custom, I wheeled her to the lobby to await her son's arrival. It was a raw February day and the lobby was full of puddles of melting snow and folks awaiting pick-up. Suddenly Mrs. Z.' s usually grim face lit up and she waved at a car under the portico. I prepared to wheel her forward to the exit door. Suddenly she opened her purse, took out a handful of change and flung it on the floor, yelling at me, " This is you TIP! You get it!" She got up out of her wheelchair, made for the door and let herself out into the waiting arms of her son. I had to get down on my knees and crawl in the slush among the legs of the public, picking up so that no one would slip on them in the wet, a total of 17 pennies. As people stared down at me, watching my humiliation, my seething anger slowly transformed into a new awareness. My immaculate apron dirty and soaked, my cap askew, my knees black, and my pride crushed, I awkwardly got to my feet with those wet pennies in my hand and a tip more precious and lasting than money. I failed you, Mrs. Z., but you gave me a gift that lasted over my forty years of nursing. Anne, BN RN CPMHN© Psychiatry
  12. limestone

    Jehovah Witness RNs

    I am new to this thread so am coming in late, but HAD to make some comments. If everybody expected to provide nursing care according to their personal beliefs, what a fragented system it would be--patient care would depend on the availability of a staff member who agreed with the orders. I am an atheist but a vegetarian. I abhor the eating of our fellow cratures but I would never make it an issue at work. I serve my patients meals containing pieces of cows, fish and chickens and keep my own beliefs and practices to myself. Re JWs, I find it interesting that they won't take blood into their bodies but eat meat which contains blood, last time I looked. And not hanging bags of blood, but running it after somebody else does.... Please, people, can we just stop the hair splitting and pontificating and get on with our work.
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