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ICU/ER/Med-Surg/Case Management/Manageme
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DallasRN specializes in ICU/ER/Med-Surg/Case Management/Manageme.

RN for 34 years

DallasRN's Latest Activity

  1. Great comments. We need to be more forthcoming in our support of other nurses. Thank you for your comments to the OP and others who are reading.
  2. DallasRN

    12-Hour Shift | Life of a Nurse

    Good for you, Susan E. I'm glad you find satisfaction in this type of day. However, I personally find it frustrating so many of us look at this type of work day as the norm. In the last lines of your article you said, "I cannot think of any job that is more satisfying than being a nurse. Six people put their trust in me to care for them at a time when they’re not feeling their best; did I do it perfectly, no I did not. It’s a privilege to do what I do and I wouldn’t have it any other way!" I look at that a bit differently. A day (actually a "good" day on some units and as someone else said, thank goodness no code or any other time consuming event occurred), you didn't have time to eat, not a moment of stress relief throughout the shift, you were unable to complete your charting as you worked and we all know the perils of that - omissions, incompleteness...were you really able to deliver safe patient care with that load and those multiple interruptions? Not to criticize because we've all "been there, done that", but I don't think it's possible. Most patients now-a-days are older/geriatric with multiple health issues, fall risks, multiple meds with multiple side effects, risk of IV infiltration in paper thin skin, and the list could go on for a hundred pages. We are doing a disservice to our patients, to ourselves, and to our colleagues by thinking this type of day/schedule is OK. It isn't. Find any other profession with the educational requirements, the hours, and especially the responsibility of a nurse (we are responsible for human lives! Just one error...) that is routinely denied meal breaks within 12 hours, that often don't have a chance to sit down for 12 hours unless they somehow manage to slip off to the bathroom...not even a 10 minute coffee break...I just shake my head and thank my stars I no longer do that. I don't make as much money, but I'm happier (and healthier).
  3. I promise this will be my last comment (and also, an attorney has already addressed some of this), but... An actual lawsuit would likely fail. Hospitals/big pockets, etc. But I'm thinking more along the lines of attorney involvement as in "how did you come to the conclusion to believe the tech vs the nurse - let's discuss this". While they don't have to provide re-hire status, if asked and they hem and haw, the answer becomes apparent. Putting "no" in the question about contacting prior employer is another red flag and especially as she had been there for a long time. Basically, it's a no-win situation for this nurse and I find that terribly frustrating. As valuable as nurses are and as tough as the education and the job is, it seems the first to be tossed under the bus is the nurse. Just ain't right!!
  4. Nurse Beth, I very much do not like your reply. This situation as told may well have ended the career of this nurse. Certainly she can go with the "not a good fit" thing but as soon as this hospital is called for a reference and it's determined she's not eligible for rehire the game is over. Let's face it...most hiring HR people would be real skeptical of a long-time OR nurse suddenly "not eligible". Beyond that, how horribly demeaning for this nurse. Personally, I like the recommendation of legal recourse. If nothing else, being contacted by an attorney might wake up this hospital and force their hand in terms of making all parties aware of exactly why this particular decision was reached. Who knows...maybe surgical tech was a relative of someone? Had a relationship with someone? And I can't help but believe an experienced RN has more "value" than a surgical tech. I'm disappointed. Best of luck in your job search!
  5. DallasRN

    Serial Killers Who are Nurses!

    You bring up some excellent and interesting points, dholly2015. Quality of life. The two cases you mentioned...I would hate to be one of the people having to decide their fates. I now work entirely with seniors ranging in age from 55 to 93. And I am a senior, as well. Across the board, those that are in the 70 and above age group would vote quality over quantity for whole hosts of reasons...financial, physical, depression related to the previous reasons. Personally, I believe people should have input and some control over their end-of-life decisions but that absolutely does not include a killer/serial killer making that decision for them. We all need advance directives and they need to be honored. Those with mental inabilities? Tougher and perhaps an ethics committee? I'm not sure about that scenario. The man and grandmother who killed their loved ones? Compassionate. The serial killers? Pure evil.
  6. DallasRN

    Serial Killers Who are Nurses!

    Agree with Walti - too short! So interesting. Tell us more.
  7. DallasRN

    Where to go from home health?

    Good point, Kaisu, on the "drug monkey" thing. I didn't pick up on that. We all have preconceived ideas about things we've never done/experienced. In my case, I started my career as a "hot shot" ICU/ER nurse and thought Med-Surg was on par with "drug monkies". Far beneath this "hot shot". Yeah, that was me. Then, years later, and to satisfy a particular goal, I went to work on a Med-Surg unit thinking it would be a piece of cake. Planned to stay no longer than 6 months. Well. Med-Surg kicked my fanny! Stayed several years. Loved it. Most Med-Surg nurses have a skill set that most "hot shots" don't have. Major lessons learned.
  8. DallasRN

    Where to go from home health?

    Oh, my goodness! If you've survived 10 years of HH - and especially entering and surviving as a new grad - you have skills that many of us with 20-30-40 years of experience don't have. DO NOT sell yourself short. Really...sit down with paper and pencil and start delving into your skill set. Wound care? Bet you have a lot of experience with that. Perhaps you might want to consider becoming a certified wound care nurse. Hot commodity. OK, I'm betting about 98% of your patients have been geriatric patients. Hospitals around here are actually opening specialized geri-care units because they're realizing caring for this segment of the population requires a certain skill set. Another hot commodity. Betting your venipuncture skills are good. Maybe a bit rusty on IV insertion. But skills are easy...practice 1-2 times and you're good. Assessments/organizational skills/documentation skills/coordination skills (family, doctors, PT/OT, other team members). And let me mention organizational skills again. And again. And one more time! You have so much to offer. We nurses aren't too good at selling ourselves. Work on your resume, certainly, and maybe some professional help with that. But also, keep in mind at time of interviews all you can bring to the table and let them know about it. Take that paper and pencil list with you.
  9. DallasRN

    Dry, Cracked Hands

    This probably won't be a well-received comment, but when you said "but I feel like I am constantly washing my hands because I see an open red split and fear there might be some blood and so then I rewash them and then the problem worsens" it made me wonder if some of the issue might be related to a little OCD behavior. Other than that, those that mentioned being allergic to the hand sanitizer may be on target. My boss is seriously allergic to many of the hand soaps that have disinfectants in them. She carries her own hand soap at all times. Good luck!
  10. DallasRN

    Help! Preceptor Issue

    No, nothing wrong with asking what others think, but frankly, upon reading your initial post, I thought you were an inexperienced new grad. If you've "been a nurse elsewhere" I don't think it would be at all unreasonable to expect you to work one shift with a different preceptor. As for float pool nurses, in my almost 40 years of experience, I found most floaters to be excellent nurses with tons of experience. Perhaps not the exact experience on the floor to which they were assigned but experienced enough to know when to ask for help and as far as I'm concerned, that's one of the most important things any of us - 40 years or40 minutes experience - can offer our patients and our co-workers. Since this situation appears to be a major issue for you, I'm afraid you are going to have a difficult time through the years. You'll come across many management decisions that don't make sense but that's true in any industry.
  11. DallasRN

    6,500 Nurses to Go Out on Strike 09/20/19 in Four States

    Another thought. Maybe and hopefully if this Chicago strike gets enough media attention, it just might influence other hospitals to get their acts together. Wishful thinking?
  12. DallasRN

    6,500 Nurses to Go Out on Strike 09/20/19 in Four States

    This has been a big problem of nurses for as long as I can remember (and that's a looonnng time) - nurses not supporting nurses. In big ways (crossing picket lines) and in smaller ways (why are you leaving ____ for me to do? - not always spoken but the attitude).
  13. Read this article: https://www.chicagotribune.com/business/ct-biz-university-of-chicago-hospital-nurse-strike-20190920-7ddk2jacgbgsxea47kqwp6delu-story.html Focus on Dr. Stephen Weber, U. of C. Medicine’s chief medical officer, comments: Weber disputed the nurses’ claim that more staffing is needed on a regular basis to keep patients safe. “I think there’s very clear information that that’s just not the case,” Weber said. “The benchmarks show that nurse staffing is not our challenge. Like any place, we have other challenges but we’re going to keep directing our resources and investments based on the needs of our patients.” Doesn't that explain a lot of the issues we encounter in our profession? I'd love to ask him how often he's gone 12 hours without eating? Or peeing? Yep, I'm one the ICU/ER nurses that left the bedside 12-14 years ago. Well qualified at that time but tired of the incredibly long hours, lack of respect from managers/doctors/patients/families. Tired of not having a change to hardly sit down during those 12 hour shifts (many of which ended up being 13-14 hours), tired of having to stay over "until your replacement arrives". Tired of going home 95% of my days worried I had forgotten something, knowing I had not given the type of care to patients I wanted to give. Tired, tired, tired. And then the likes of Dr. Weber wants to tell ME more staffing is not needed??? And I guess those thousands of Chicago nurses are striking because they have nothing better to do. Right.
  14. DallasRN

    Home care pay

    GapRN, thanks for reply and I know you're right, but trying to keep up with all of that time can become exhausting in itself. (Sitting here documenting on A, Dr. calls about pt D, hang up and call D, office calls about new admit...now where was I???) Maybe not everywhere, but here in Texas it seems to be a cluster. Admittedly, I don't have much HH experience but even nurses that have been in this specialty for years seem to struggle. And your last line..."Am we need..." Amen!
  15. DallasRN

    Home care pay

  16. DallasRN

    Home care pay

    It does sound illegal, agreed, but I found that to be the case (similar case) at three agencies I worked for and that is the exact reason I left home health care and will never do it again. I'd work at Walmart before home health. These agencies want to pay you 2 hours for an OASIS. Well, maybe 1 out of 5 can be completed in 2 hours, but most will take longer. Some considerably longer. The last one I did I spent about 5 hours! Pt just home from hospital, in an apartment that boarded on "hoarding", medications scattered all over..."just look in that little box in that bookcase" after you moved the sofa, the cat litter box...to this day I don't know if I located all the meds. She was in a recliner but up to the commode multiple times during the time I was there, friends calling on the phone, the cat had to be fed...wounds not reported at time of referral (back to car for wound care supplies/waiting on call from physician, etc)...on and on it went. Then the hour + drive home in traffic, almost 3 hours of charting (which included trying to get in touch with providers) and they wanted to pay me for just 2 hours. Personally, it wasn't just the pay that did me in but also the fact that I rarely completed a visit feeling like I did a good job. Always in a hurry, having to get to the next pt, having to get to office for clinical conference, never-ending phone calls from patients, office, providers, calls all weekend and into the later hours of the evening. Having to use my phone, my computer, printer (toner/paper)...home health was exhausting and expensive. For me. One more comment: IMHO, because of the reasons I listed and others have listed in previous posts, many of these companies can't keep nurses. Therefore, they hire whoever walks through the door - some of whom I wouldn't want to take care of my enemies (I did meet some great nurses but they are no longer doing home health - tells you something). Until these less than stellar and lazy, corner cutting nurses are eliminated from agencies, nothing will change other than agency owners raking in more and more $$'s.