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

http://www.google.com/search?client=safari&rls=en&q=ecmo+training+for+nurses&ie=UTF-8&oe=UTF-8 Read this training courses before you ever do it alone.

http://www.google.com/search?client=safari&rls=en&q=international+nurse+work+for+usa+job&ie=UTF-8&oe=UTF-8 Call/write if you want to do it : INDIANA NURSING BOARD international licence requirements to meet the RN NCLEX.

Please do not panic ,you will get thru it. 1.Did you kill a pt? if not 2.What mistakes did you made ? 3.Where you in orientation with a good preceptor? 4.Did the hospital explained you how to get better and gave you the tools to improved? 5.Did they give you the opportunity to learn in this hospital?if not 6.Go back an initiate a grievance procces in human resources, if they fired you, you need to explain them you never as new graduate gave the opportunity to learn. 7.The 6 weeks contract must have a time to learn and follow up mistakes are corrected if your clinician is good. 8.Maybe you should talk to the next person in command above the person that fired you. and express your teaching frustration. 9.I had a new grad that they fired in one week because she could not started 2 PIV's,she complained and started a grievance process and she was restarted ,given to me to retrain as new preceptor .She is now in a wonderful nursein a teaching hospital teaching new grads to become better than her. 10. go to a good teaching hospital and make sure you get the proper training and make sure you get in the best hospital orientation program. Your career is not finish this happens a lot ,nurses shortage is big and they need you so badly ,They will never give bad references about you if you did not kill a pt,so go either to the steps I recommended you or tomorrow go to a new place to find a new job. Keep in mind the next time to make sure you follow the policies and procedures manual before you do anything wrong if you never deal with that situation before ,call pharmacy to guide you in any drug you are not sure . Please relax you are not alone in this situation,it :welcome: is common now in many places around the world fight for your career and become the best nurse ever good luck.

what about bio-medical degree,you will fit in it as master degree .

http://emszone.org/PDF/Drug%20Dose%20Calculations.pdf maybe this will help you to find the answer.Let me know if needed more help.

thanks for your thoughts, I don't want to quit yet, I am making my log situation, she is harassing the entire group not just myself.I am the oldest one and experience left in the ,I:idea: will read about enable possibilities ,good tip .

http://www.uoworks.com/pdfs/feats/BULLIES.pdf http://www.kickbully.com It is a real issue today in nursing profession with the new SHARE GOVERNANCE (please read the web site and it controversies,Who is the boss?in place and magnet hospitals. I am a witnessed of a Bully Administrator who already fired 7 nurses including clerks and 16 new nurses left, 1manager and 1 asst nurse manager ,she has the total control on her hands of the complete children's dept in 2 years. If you read the profile of a bully ,it is some time impossible to win ,you will leave before she/he will is not coorporate well handle.The bully is always protected by the administration and human resources does not know how to handle it (read national statistics in bullies in health care).The retention and strategies to keep nurses will no be completed if the legal bill already pending in 14 states will not pass .It is considered Ilegal harrasment at work place. Sometimes people quit but never write the real reason "I was bullied by somebody at work." The CEO ,I am sure does not know,it is not good cost effective economically , this is happening the bullies are the perfect to them ,they cover themselves very well in writting and the problems are the others ,the excuses are perfect match to hang you always. They will get you if you speak,sooner or later with psycological abuse looking over you. You will be a lagger to them. That's my experience at work. All my dept is frustrated and the morale is low,but nobody talk due to poss firing and insurance lost.I tried ,now sheis bullying me but I cover myself with my profesionalism and excelent patient care I do not talk to anybody at work .In my research is called terrorism at work. Any comments will be appreciated.

indigo girl here you have the email you asked for ttp://www.whcenter.org/body.cfm?id=555603

Why don't you try to ask the human resources of your hospital if you can transfer to other unit like pediatric if neonatal is impossible ,make sure you let the manager of neonatal know you will love to be trained there so, if she gets short of staff maybe she will give you the chance and training ,I will move to pediatric floor or post anesthesia or ER ,you have cardiac training is a plus in adult ER,the doctors in the ER and pediatrics are very nice .At least in my hospital. Do not leave your hospital for one bad experience .They should help you .They need you the shortage is coming .Let them know you are unhappy .Tell human resources you would like to explore other units instead of quitting the job.

Hello I am knew to this post but I am very happy to find nurses like me .I am Hard of Hearing for 7 years ,severe in the left and profound on the rt I wear bilateral hearing aids .I don't know why maybe a contamination with a drug called Ribavarin for RSV to treat a cardiac kid while she was in the croup tent ,at the time we did not wear head cap or mask to avoid the crystal to damage our life. I don't know if it is hereditary ,no body could find out so I gave up and started to adjust my new life I also lost my speech and learning was a road to my success I was tri -lingual at the time so I learned both again , Spanish the easy one because is low peak and English the harder one because is high one ,my french is in my head but difficult to restart. I have been a nurse for 20 years ICU and ER it was not easy because people never know what's wrong with you remember we have a SILENCE DISEASE nobody see your defect except when you do not answer their questions if they are on your wrong side. I learned to speak out and be an advocate for my rights in the hospital.Everybody in my unit will be introduce to me and will know my defect so they can approach me the right way ,I have been an advocate to the patients so the nurses will know if the patient is deaf of hard of hearing ,so they will not hear the intercome or call thru a wall when they call a nurse for help,nurses do not know the problems in geriatric population and when they are in the floor the pats can hear if they do not see the nurse at bedside ,so a sticker is placed in the chart for everybody to know the pts defect and how to aproach them,falling pts are common due to hearing lost and poor nursing approach to listen to them. I am advocate in the community with fire rescue and ER triage nurses to let them know if a pt needs to come to the hospital either from home or street they need to make sure her device is with them or children's cochlear device must be around the accident ,It shoul be placed in triage notes as dentures ,the cost goes from 3000$ to 100.000$ and insurances do not cover it .If a pt gets out of surgery the device should be placed ASAP,nobody should be assessing the patient without their device or the nurse /MD will assess confused or agitated .This happens in many hospitals . In a Emergency situation like bomb or fired etc nurses should recognized the handicap pts situation to help and translate their needs or even explain what's going on.When NY disaster happens many elderly were asking what" going on ,we turn the TV on with CC to read. Education is the key to all,human resources should start educating nurses and healthcare personnel during orientation and explain the importance and liability on how to treat disabilities the legal implications to their career and the ADA employee and pts rights . I am also a member of AMPHL .org (americam medical profesionals with hearing lost)and my state association. You don't need to be afraid to speak out and be respected with dignity your colegues are nurses ,so they should be more caring toward your as same as their pts or they are in the wrong field,legal rights should be protecting you .If you need a change of phones in your floor with amplification etc let your manager know by law they will give you anything to get you to your daily professional life at the hospital. President Clinton is hard of hearing and he was our president so you need to be proud you became a nurse. I know we suffered so much and some of us have been very humiliated ,but we need to become one voice to live a productive life as much as we can. Mechi