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nursejoy1 ASN, RN

Geriatrics

Content by nursejoy1

  1. nursejoy1

    Attention nurse bullies... and victims!!

    I am not saying that she was the sole reason for his emotional state, but she certainly was a big part. And I do agree with you about weak leadership. I had gone to the DON and administrator more than once, but she simply got a slap on the wrist and a "Don't do that". Those of us lower on the ladder tried to run interference, but it wasn't always successful. But I will say that his very poor experience there, and especially with her was a major factor in his deciding to leave healthcare.
  2. nursejoy1

    Attention nurse bullies... and victims!!

    I don't have a story of a nurse bully, but a CNA. I was Unit manager of an LTC. We had a female CNA who had been there a couple of years. Not the best CNA, slow, kind of lazy and whiny. Always complaining someone was being mean to her. Then there was a young male CNA hired, who did a great job, cared fro the residents and never complained. She immediately hated him. One example of her bullying- The male CNA bought a resident a card for his cell phone, then the resident lost his charger. The CNA came to myself and another supervisor and asked if he could run to his truck to get a charger for the resident. We of course said yes. Within seconds, the female CNA was in the office asking very hatefully where he was going. The other supervisor told her it was none of her business. They were not even partners, she just watched him like a hawk. Another example- We had a lady who had difficulty eating. Her tongue would thrust the food back out of her mouth and the spoon had to be held in a certain position for her to retrieve the food. It took a looooong time to feed her. She liked this young man and would eat for him, but not for the rest of us. So when he was there, he was always assigned to feed her. It usually took approximately 45 mins to an hour, but she ate 100%, when her usual intake was Oh and she also started a rumor that a much older supervisor that became pregnant did so by this young man AT work. What she did not know is that he had had a vasectomy. So that was an impossibility.
  3. nursejoy1

    When Hospice Goes Wrong

    My dad was on hospice and had oral pain meds that took the edge off. He developed a GI bleed and oral meds weren't working for his excruciating pain. When we called hospice, they actually advocated for taking him to the ER where he could more quickly get IV meds. We did so. They stated that he could easily be readmitted to hospice when he came home. I knew that wasn't going to happen and later that same day, my sweet daddy died. But he died free of pain. That was the important thing. I'm so sorry that you had that one horrible nurse. Unfortunately, there are some, who do this job without the heart for it.
  4. nursejoy1

    What do you consider a heavy patient assignment?

    I work at two separate facilities. One has a nurse:resident ratio of 1:24 or 1:28 on day shift, except rehab which is max 1:18. Night shift is max 1:34. The other facility routinely has one nurse for up to 60 residents on night shift and they wonder why they have such high turnover. They have asked me to work nights at the second facility and I absolutely refused. I told them they are putting their nurses' license and their residents' lives on the line.
  5. nursejoy1

    Do you ever resent your job(s)?

    I completely understand your feelings. I work two jobs as well. My primary job is 80+a pay period and my second job is around 20 a pay period. I generally work all but one weekend a month, with two other off days somewhere in there. Lately due to requirements at my first job, I have been coming in at 6 am several days a month and not leaving til after 5 or 6 pm, five days a week. Today is actually the last of 30 days straight with no off days. (thankfully I'm off the next two days) I have an enormous amount of PTO and Holiday pay, but can't take it due to those same requirements. It is frustrating and I am actually looking to change jobs, even though I have been at my primary job for 15 years. It just gets to be too much. And financially , I'm currently stuck with two jobs, so just quitting one is not an option. I certainly hope things get better for you!
  6. nursejoy1

    Telling Patients/Residents You Love Them?

    I believe this should be an individual choice. I work in LTC and have for many years. I absolutely have had residents that I truly loved, as I had cared for them for years. And I routinely told them so. I also have had residents that thought I was their daughter, or granddaughter and tell me they love me. I usually say it back, because they want to hear it from the person they think I am. It truly makes a difference in how their day goes. That being said, I do it by choice and would never expect someone else to follow suit "just because". It should not be a policy.
  7. nursejoy1

    Linguistic Pet Peeves

    I knew a guy years ago who actually would say "I seed that"
  8. nursejoy1

    I can do your job, you can't do mine.

    I will agree with one thing the nurse said, she can do your job, you can't do hers. But to me, that means something different. It means she does know how to do your job and should get off of her butt and help you do it. I have seen way too many nurses act like they didn't know how to do something to get out of helping a CNA. To me that is absolutely ridiculous. I have been a CNA, an LPN and now an RN and there has never been a time, and never will be when I say no to a CNA simply because I don't want to. If I am in the middle of a task that has to be done at this moment, then I will say, I'm sorry, let me finish this and I will help you. But just say no, never gonna happen. Sounds like you are an awesome CNA and I would be honored to work with one such as yourself. And help you out when you needed it.
  9. nursejoy1

    How old is too old to become a new RN?

    No age is too old, if you feel that you are physically up to the task. A coworker/friend completed her RN at age 53. That was in 2000. She worked full time for over 10 years and now works PRN. I have another friend who works with me. She has been a nurse forever, but at age 75 still works 4-5 8 hour shift every week. So I say, if it is something you truly want, go for it!.
  10. nursejoy1

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  11. In my area, we have one ER that does things like this quite often. the others are much better. The "bad" ER, without fail sends our residents back with a diagnosis of one or more of the flowing- UTI, dehydration or impaction. No matter what we sent them for. once sent a lady out at 5 am for frank rectal bleeding. her Coumadin was already held per orders with an order to send out if increased bleeding occurred. It did. Quite a lot. Very thorough report given and at 10am, the day shift nurse called to check on her and they said she had all three. The nurse asked about the rectal bleeding and they said, "What rectal bleeding?" Another that fell and hit her right hip, transfer report written and verbal stated right hip pain after fall and order stated x ray right hip after fall. She received a chest x-ray and diagnosed with a chest contusion and sent back. Had to get an inhouse x ray the next day. Thankfully, she had no fracture.
  12. nursejoy1

    Stupid things that nurses say

    I was once asked to check to see if a patient's condom cath was in place. I closed the door, pulled the curtain and pulled the leg of his shorts to the side and said, "Looks good to me." He grinned and said, "I know".
  13. nursejoy1

    How long did it take you to take the nclex?

    We had access to ATI. I finished in about 45 minutes and 75 questions.
  14. nursejoy1

    How You Can Lose 50 Pounds In 90 Days

    I did the ketogenic diet and lost quite a bit of weight. Definitely could have done 50 lbs in 90 days, if I had kept at it. I had some personal issues that made it impossible to continue at that time. I fully intend to return to the lifestyle change when I am able. I felt so much better, could think more clearly and did not need as much sleep while on this diet. And one of the huge benefits, for me, was decreased pain and joint stiffness. I have symptoms of a pinched nerve in my left shoulder/arm, with pain extending down to my fingers. I also have arthritis in my left knee and generalized achiness in my joints. I noticed that while eating ketogenically, this pain disappeared. I was so shocked and thought I was imagining it, but my husband even remarked that I had not been complaining of pain in my shoulder and that I was moving better. Now that I have returned to my old way of eating- carbs, carbs and more carbs- this pain and stiffness has returned. I can't wait until my personal situation changes, so that I will again be able to return to, what is for me, the best, healthiest diet.
  15. nursejoy1

    Advice Please

    Thank you. I appreciate your advice. I was thinking that acute care experience might help me with additional knowledge. Good to know that it is not necessary.
  16. nursejoy1

    Advice Please

    I am not currently an NP student, but that is my eventual goal. Likely FNP or geriatric NP. I would love some advice from you all who are actually in the trenches, so to speak, earning the degree I want. I have been a nurse in LTC for 15 years. 9 as an LPN and 6 as an RN. I am currently Education Director and have worked in several positions. I know that I need hospital experience to do well in NP classes and was wondering if any of you could advise me as to what type. I plan to start with Med-Surg naturally, but not sure what else I need. I appreciate anyone taking the time out of what I am certain, is a busy schedule, to advise me.
  17. nursejoy1

    Would it be best to be a CNA then an RN?

    I was a CNA before becoming a nurse and now teach a CNA program. While it is not necessary to be a CNA first, I feel it does help. Mainly because in your first semester, while others from other types of previous jobs, are getting used to seeing people nude, and touching nude people, you will already be comfortable with that. You will also be familiar with the process of putting a catheter in or doing a tube feeding. NO, you won't actually be doing those things, but you will likely see them and this helps a bit with the first semester nerves. That being said, it is important that ones who are CNAs first, don't go into school with the attitude that they know everything. Good luck in whatever you decide.
  18. nursejoy1

    Unit Manager Demands I Cut My Hair

    I didn't read all of the comments, so someone else may had said this, but if there are others on your unit with the same style, then how would anyone know if it was actually YOUR hair that was found?
  19. nursejoy1

    Patient Information Access Outside of the Facility?

    Some nurse managers might need access outside of work. That being said, it would definitely need to be on a secure device. We are not even allowed to access our work emails on our smartphones unless IT has loaded security software on it.
  20. nursejoy1

    Coworker physically abusive to patients

    In my opinion anyone who witnesses abuse and does not report it, is just as guilty as the person doing it. I would report it, no question. And yes, I have two children and work two jobs to make ends meet, but would never compromise my belief that the work I do is to make things better for my residents. Also to reply to Gloriamunchkin, some facilities will do something about it. I know of a few instances at the facility where I work, where both nurses and CNAs have been terminated, turned over to the BON or CNA licensure board and even spent time in jail.
  21. nursejoy1

    40 yr old with GED. Is a MSN even possible?

    I was 29 when I obtained my LPN, 38 when I obtained my RN, and I am working on researching and applying for RN-BSN, with an MSN (NP) as my end goal. You can do it. Age is just a number and I find that I actually have done better in my classes in my 30s than I did in my 20s. I also work with a nurse who obtained her RN at age 53. Best of luck to you.
  22. nursejoy1

    Someone in my charts....

    This is definitely a HIPAA violation. A few years ago, I read an article about an MD in California who simply read some notes on patients that were not his. Did nothing with the info, was simply noticed on a routine audit of electronic records and who had viewed them. This doctor went to prison for four years. One year for each patient's chart he reviewed.
  23. nursejoy1

    I Made an Absolute 'No-No" Mistake :(

    In one of my LTC facilities, we do have standing orders, but not for Benadryl. The other, we need an order even for O2 (which I feel is nuts). I am so sorry this happened to you and feel you are doing what a great nurses does, take responsibility for your actions. Personally, I don't feel you should lose your job over this. But likely, instead of a med error, they are calling this practicing medicine without a license. That seems overboard to me, but I bet that is why you lost your job. Best of luck to you in the future and again, kudos to you for taking full responsibility. That is rare these days.
  24. nursejoy1

    CNA questions! HELP!

    Actually, some sitters do have to do the "messy work". Each job is different. Unless you work in a medical clinic or doctor's office or such job, you will be doing messy work. Also, please know that as a nurse you will still do messy work. I have been a CNA, an LPN and now RN and I have done the "messy work" for the past 24 years. It is part of most nursing jobs.
  25. nursejoy1

    CNA CLINICALS

    I am a CNA Instructor and we also pair our trainees with a CNA. I tell my trainees, that the first day its ok to kind of hang back and watch. But on day two, they need to wash their hands, put on gloves and get in there to learn it. You will almost certainly not be left alone. And as for interaction, trainees generally prefer dealing with real people over the manikins. Good luck. I think you will do great.
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