Mechi

Do not panic ,I started like this 17 years ago??????? First ,Look in the thread nursing with disabilities and look at hearing impaired nurses,you will find our post to help you.In this forum Secong :get subscribe to AMPHL.org and look for nurses for nurses and you will read my post done recently. I know how you feel I can help you a lot to surviver in the ER ,I had been a nurse for 20 years at the ER/ICU Third : write to me for support and chat I will help you my e mail is [email protected]. Fourth:Look at Obama time table comments and policies to come ,we have been very active with Senator Daschle(new health minister) to help us next year,they are working with all the health care people like us to interacte in an intense -debate ,you need to get active e mail :change.gov look the policies for disabled and health care. Fifth:get a digital Phonac exilia ear aid The best in the market to survived now ,the best behind the ear ask your audiologist compatible with blackberry storm and I phone ,I did the research it has bluethooh incorporated and you will hear the ER phones very well,I will give you all the tips as soon as you get your ear aid .OK Frustration is the first stage then panic , fear and you will be in acceptance if you let us to help you .You are normal human being but it is an invisible disease,I will let you know how to handle your bosses and co workers to accept you and your new disability. Mechi

I am agreed with your suggestions we should help the ones who are facing discrimination to find help or learn how to speak out in their jobs,I have been a truly advocated in my hospital about discrimination against disability people specially us . The hard of hearing nurses should be respected ,we hear some way but our problem is unable to be audible all along.In noise places it gets worse but we developed other senses .We develop the clinical eye to diagnose if the patient is sick or worsen and this is very helpful to our career we become more aware of the human factor and emotional turmoils in our patients which sometimes will develop as physical illness. Our own co workers are the problem we face, they are ignorants as nurses helping co workers who are disabled to succeed and be more happy and less stressed at work.We become more perfectionist at work and we look for reading every magazine in nursing to keep updating knowledge so we become better nurses. Human Resources as per joint commission in any hospital or health provider should reinforce a mandatory teaching every 2 years as Aids and Domestic violence ,etc for license renewal "Respect and understand the rights to your disable employee (co worker)".We need to joint together to write them as one voice to make sure they will audit the disable employees and how the get support from the heath institution.Like statistics ,and successful outcome in the departments and how the institution support them.

Association of Medical Professional with Hearing Losses (AMPHL) You need to contact them and ask for help I am sure they will know better.I suggest you to become a member in this organization .It will decrease your fear as a new hard of hearing professional . You are not alone anymore hope to help you in anything you need you can write to me ok

I am very happy with your decision ,I hope you will get the knoweledge you are looking for.If you feel adults are not for you or overwhelmed try pediatrics you will love it. May be you need some push in your life and pediatrics and newborns units are encouraging. I did the change after 15 years experienced ER /ICU nurse I moved to pediatric ER /ICU world. I loved it for another 10 years.

1.Find out how many years of nursing bedside your manager had. I am always seeing new nurses less than two year become managers,her attitude correlates with her fear of not knowing bedside care and how to be an efficient manager to well so she would delegate to you everything she can not handle even though you are a new nurse. 2.She would not treat you as a new nurse because she is protecting her position(managerial) and she will pick on you so she will look better till you stop her or quit ER. This is happening all over the country with the new managers with no experience and good leadership,in corporate america this is call vertical abuse behavior , Many companies are not accepting this behaviors any more so keep it in mind .they new managers love to mandate , intinidate you with power or e mails but few of them will seat with the new nurses to talk their future needs in learning to achieve their goals in the nursing caeer.(to understand your staff you need to remember you were a nurse bedside once)They forget it very soon .They behave like Corporate executives and forget their role as patient manager care. 3. I wuold suggest you to transfer to another departament with better orientation tool to give you the happiness of being a good nurse . 4.Maybe another ER hospital like county teaching hospital,they are more focused in training residents and new nurses so you would get the help you need and protect your license. 5. Do not panic this is a bad experience that will soon be in your past if you seat and think another options as a nurse .Remember nursing shortage is on rise they need you and many hospitals are willing to received you and give you the tool you need .LOOK for it .

Continuation to previous page (computer shut down) 8. Were nursing care plans utilized? Yes 9. What differences do you see in standards of care now versus when you were in school? The clinical experience as graduates,new nurses are preceptor,educators supervisors and managers within a year.This was not possible in the past ,experience ladder in years was important.The new technology with internet access communication is braking the patient -nurse-MD/nurse to nurse relationdship,accuity increasing less time for patients.The need to discharge the patients home obstacle in the follow up discharge instructions for the patient at home.The needs of the patient emotionally and physically at home is not well documented or discussed. Health care is risen in cost and pressure in the hospital administrators and managers to speed up care.Rushing pt's out of the hospital so soon.So they come back again sicker.Poor follow up with same PMD,to many doctors due to insurance changes . 10. What was the role of nursing on the health care team? To be involved with their patients and all the health team involved with the patient,we were the eyes,ears,and voice of the patient and families concerns.Communicate any finding with the doctor and promote safetiness to the patient before discharge home.Medication teaching and follow up with their primary MD. I felt very appreciated and happy at the end of the day.We did not have so much negative non constructive behaviors in our co workers or peers,we were very busy with our hands full of patients and responsabilities to care . 11. Any other interesting facts, or differences between nursing then and now. Yes. In the past we rely in experiences nurses to learn and survived if we were graduates . Now,the new generation have more academic education and less hospitality manners to treat peers or patients. Sometimes they behaved like Executive enterpreteurs instead of good samaritans as our career mission stated. The new teaching is changing more toward administrator field than bedside fields,Good researchers in the field will write papers in the future 2010-2020 about nursing shortage at bedside vs high degree paid nurses leaving the profession to and easy managerial positions(no holidays/weekeds /8-5pm and over 90kto150k per year,they will no longer stay at 29$/h). The patients will loose care due to computerize writing,increase economy and less time with their daily provider.We the new generations of baby boomers will feel the diferent in the future of our own care.The acuity is risen the new nurses will have less time at bedside to know the patient well. I hope the school of nurses will start teaching the root of nursing career and the foundation of such a beutiful degree again to avoid the detachment of human needs and illness care vs technology and paper /economy rushing care. I am happy to see new changes in my career but we need to keep in mind always the humand side and ENHANCE AND CONGRATULATE the wonderful role nurses in our society. Everybody is born with a nurse and will die with a nursing touch.

1. why did you go into nursing? i always wanted to go to africa as missionary,but it was to far away so i decided to joint the red cross as volunteer when i was 15 years old to learn first aid twice a week /4hours afternoon while going to my high school. i fall in love with florence nightingale's nurses school graduates job/values in the institution oversees . i was very impressed with the swiss nurses. so i decided to become a nurse and haunted a full degree to achieve my goals and knowledge in the usa. 2. where did you receive your education? in what year did you graduate? i graduated from my ba app bs (old fashion degree)biology and chemistry in houston ,tx . i moved with my husband to small town in florida and the only nursing school was daytona beach community college 3. what kind of education did you receive? (rn-diploma, associate's degree, bsn?) aa nursing degree i already had all the requirements met from my ba ,to start in my nursing program 2 more years. then i received cs critical care nurse . 4. what was taught in nursing school and how were clinical experiences structured? (more class time than clinical time, etc.) i had an excellent program 3 days clinicals 2 days classes. fundamentals, m/s i, ii, and iii, peds, psych, ob, nutrition - d/h class vs. clinical - lots of both. it was an excellent program in achieve practice 5. who were your instructors and what were their level of education? they were from boston retiree nurses from nurses corp vietnam war(some japanese, philipinnes ,and americans), i am sure they had good education maybe some aa,ba or bs but their experience were beyond learning in the school. 6. what were the conditions of the health care system during your education? we did not have a lot of administrative burocratic personnel,we had the preseptorship ,teacher /educator and manager.the communication was direct and informative to the nurses students .the doctors and nurses were very respectful and the patient care and care plan was very important to meet the patient outcome. in every post clinical meeting our clinical educator will teach us something new for us to learn or investigate .ex: i learned swan -ganz catheter/wound care/trauma/how to teach new students in post conference and never being in icu/er/burn unit at the time. a lot of learning at the time was done at bedside as clinical rounds with md's and rn's 7. what was nursing practice like at the time you were receiving your education? for me was the best,i think still being the best compare with the clinical practice i see on new bs /msn today

I have the same problem you have sometimes but even though you are the primary nurse ,any nurse who touch that patient should sign their name and the intervention with the time and signature if not you should add and addendum before you leave your shift explaining your care if the chart is closed and the patient discharge look for the name and you closed it with an addendum note .If not write an incident report to risk management explaining the care of the patient and anything that was wrong in his care if you did not have the responsability with the care .It will cover your license.Let your manager know the problem you are encountered with the charting computer situation ,they should fixed the problem I am sure many nurses are facing the same problem and the liability of the hospital is in jeopardy. Many managers does not face the daily routine problems as the staff you need to initiate alternatives for corrective action to help the departament to be more efficient in legal documentation ,Do not be scared to bring it in a meeting .It is your licence first.

Welcome to the ED,you will be a good asset to them.I was an ICU nurse for years before I decided to become an ER nurse you will love it.The ER is so different ,it is not controlled universe as the ICU ,but your knoweledge as ICU will be excelent in the ER.You will be overwhelmed with new cases/families and challenges but I am sure you made the right decision to move on in your career .You will be using everything you got to safe any patient arriving to the ER. An ER nurse with ICU experience will be happy in the ER if you show your MD"s/ARNP /co workers you are knowledgeable and safe , very conciuos nurse they will trust you forever. You will do ok.

Miami Childrens is the best teaching Hospital the other one is Jackson memorial Hospital they do ECMO.I will go to them. If you like NICU and pediatrics ,for adult traumas the best ER is The Ryder at Jackson Memorial Hospital.If you learn in it your career will be well paid in the future. Shand Hospital in Geneisville at :welcome:University of Florida is #1 in the state they have also transport team teaching.

Call all the Hospitals in naple or near you and ask for the educational dept ,almost all the hospital give ACLS/PALS/CPR courses mandatory to ER/OR/ICU nurses and fire fighters. I am sure you will find a date to register in one of them ,if you are employee on a hospital ask for them to pay you is like 250$ maybe the will reimburst you. The course is very good for you,will enhance your knowledge. Is a web site call nurses unlimited they teach it

Miami Children and Jackson Memorial are teaching hospitals #1 .I will asure you they have Varsant residency or preceptorship training while you are learning.Make sure you call them but i know people that just transfer to them because they learn more in a teaching settings.

The Miami childrens and Jackson Memorial hospital in Miami are the best teaching hospitals in Miami,They both have a trauma level 1 and recognized world wide.For a new student I will start in one of them Miami cildrens is just pediatric JMH has everything #1.

Whenever you get this type of situation filed an incident report and send it to risk management dept via fax or intradepartament mail,not e mail do not give to any body just send it to risk management dept explaining the situation ,if anything happens you will be covered and the hospital responsable for short staff Ex:In your unit you must have and incident report paper work with a number write everything they asked or stick the patients name label and medical record number ,incident you should mark unit short of staff ,then explained the situation .You need to send it within 3 days of the event,that should help in malpractice law suit to cover your licence ,make sure you always write if you call your supervisor or manager for help and write their names and answers.You need to sighn it with your co-worker as a witness.Incident report are to help you to have a cove up in your liability if you are concerned with some of your practice.Some managers thinks it is a punished to them from the staff nurse. EX :I had a similar case in the ER in dicember we were short 3 nurses 17 beds I closed 4 rooms and call every staff to help at home to come to work if possible no body to help,call my supervisor ,the manager,and the upper levels no help.Medicaid audited a pts chart that day, a pt had fever it took us 1 hour to give the baby 3 months tylenol because we were in the trauma room .The risk management came to the unit 2 weeks latter and we had a meeting with our manager I told her I did file an incident report about that case to your dept gave the number which I kept in my house file and case closed I was dismissed from the meeting.No problem for me we got 4 more nurses hired in the unit within 2 months .Full staff now with needed list for xtra hours if anybody wants overtime.

http://www.google.com/search?q=hazmat&ie=utf-8&oe=utf-8&aq=t&rls=org.mozilla:en-US:official&client=firefox-a Thanks ,did you ever assist to a Hazmat course in your hospital is mandatory.Read web site