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Mahage

Mahage LPN

IMCU
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Mahage has 1 years experience as a LPN and specializes in IMCU.

Mahage's Latest Activity

  1. Mahage

    Support Stickie for New nurses who are not coping

    Student2Regstered and Calypte and anyone else out there pounding away....."It does get better!" Nasty Nellies will continue to be Nasty Nellies but when they see you aren't going anywhere, that you learn from your mistakes and that you will not allow yourself to be made into sausage without bitting back, they will find another target. There will stll be people in a foul mood and those who hate to come to work and lash out at anyone and everyone.:argue: Part of the problem is that we work with so many varied personalities. This morning I gave report to three differnt nurses. I try to always be organized and have my report together so that even the pickiest of them can't find any questions which I can't answer but unfortunately this A.M. I had a doc in, writing orders on all 3 patients and between consulting with the doc at last minute and taking off orders, I did not have a well organized report ready for the very nice young lady relieving me. :imbar This was embarrassing and had I been giving this report to Nasty Nellie, it would have resulted in hard feelings. I don't like to be caught in that situation but it happens. I try to give good complete concise information. I don't like to leave without having everything done, and I pride myself on that! The unit clerk from days came up to me this morning with a hand full of rounds report and said to me, "Ladies, the rounds reports are supposed to be IN the chart!" I smiled at her and said calmly, "Well I do believe mine are in the chart, I could be wrong, but I do believe they are in the chart." "Yep, Yep, mine are in the chart!" When I was a new grad she would have hurt my feelings, but no need, I was on top of it! I have been at it a little over two years and I learn loads every shift. I try to make a learning op out of the most negative situations, and I take responsibilty for MY mistakes but I don't hold myself responsible for being perfect. My job is to do the best I can do, and I am able to do much better today than I could at 6 months and hopefully I will be much better in year 4 than now. I used to cry daily, on the inside, though I wouldn't let anyone see me. The other day I lost a patient that I was not prepared to loose,(first time) we did everything we could to save him, and I let everyone see me cry. The support I got from my coworkers was fantastic.:redbeathe Even one of the not so nice coworkers on my shift offered to help me out with my other patients. It gets better, keep on keeping on! Mahage
  2. Mahage

    LATERAL Violence. How Nurses treat Nurses!

    I don't think bullying is ever acceptable, but sometimes the line between being inconsiderate, just plain thoughtless and rude and actual harrassment and bullying is very fuzy. It is hard to tell which it is while it is happening and shortly after while still experiencing the sting. I have survived 2 years on a unit which is tough but doable. We have a load of jerk nurses and a load of good ones. I have learned a lot from all of them. I developed a tough hide and sharp fangs. I know who's finger prints are on the knives in my back, but I be darn if I would give anyone the satisfaction of whining, but I will say no, talk back, and yell back if neccessary. I am not one to tell on people but if I am pushed in to it, I will. I take responsibility for my mistakes and pride in my achievements. I have learned to change some things about myself even if I didn't like the way the critique was delivered and I learned that there are a lot of things that don't need to be changed about me. Mahage
  3. Mahage

    Anyone start their career late in Life?

    The folks who express a negative opinion about older RNs don't really surprise me. I work in a very busy unit and can hold my own with the best in most ways, but I do not have the physical strength that some or most of the younger RNs have. I am forced to ask for physical assistance many times when a stronger person might not, but so do the pregnant nurses and those with back problems. I am not exceptionally dependent on coworkers but I have noticed some staff seem to resent assisting me, particularly some techs. I think this is more to do with predjudice than with reality. Mahage
  4. Mahage

    Do Nurses Eat Their Young?

    i totally agree. even when the other person is a total jerk, i might bite back, but i generally try to see any truth in their criticism. i try to make suggestions directly but take care to never talk down to a person. mahage
  5. Mahage

    Do Nurses Eat Their Young?

    "I was working with a patient who was having respiratory difficulties. I had done all the basic things I could for the man, and needed the doctors to make some decisions (like a ventilator). An older nurse at the unit I floated to made some pointed comments with the intention of "aren't you going to do something?" implied. At first I was a bit irritated, then I realized that it was not about me and my ego. It was about the patient. I was not being as strong a patient advocate as I needed to be. I would have to get firm with these doctors to help my patient. The older nurse gave me the nudge to be the assertive advocate for my patient in distress. The nurse helped me out. I made a point of thanking her for all her help at the end of the shift. " Learning the culture of the unit makes things easier. When I started as a new nurse, I had no idea that if the MD didn't order it, that we could and should push for things. I had the "non -medical" picture of the MD as the ultimate authority. What I have learned is pretty obvious to most folks, we work with residents and even the chief resident has an attending. It is unfortunate that the more experienced nurse didn't just come out and say "You need to push harder to get him on the vent, call Dr. SoandSo. At any rate you did what you needed to do without dwelling on your ego. I try to use all info to improve my performance. I examine each criticism, regardless of the way in which it was delivered and attempt to see what is true in it and what is not. I do get tired of the excessive nit picking and I try to be upfront if there is an issue that another nurse needs to know about without nitpicking. Apparently this doesn't always work, but I don't know a preferable approach. I took a patient from a nurse on days shift who worked with me and helped me out a lot on night shift when I first started. She was definately one of the goodguys! When I went to give IV meds through the picc line (which I had pushed easily when i had the same patient the night before), they would barely push. I have De Quevains Tendonitis in my right hand so this was really painful. When she came back the next day in report I mentioned casually to her, "Be sure to flush the lines good, I had a real hard time pushing her iv meds last night." She didn't acknowledge this but I knew she heard me and I was not invested in anything but her remembering to flush the lines, no apology needed. So several days later, I was givng report to her again, and I had gotten in a new patient. I knew something was wrong, when her first words were, "did you do the data base?" Of course I had done it, if not, I would have stayed after and completed it. Then as I was finishing my notes, she had logged on the computer and loudly told me, "You didn't mark the effectiveness of two pain meds!" Well when these are given at the end of shift I just routinely mark them for the first shift, as a matter of course. This really bothered me a lot as I had her pictured as a good guy. I guess she just can't handle any criticism without getting her feelings hurt or maybe since she had helped me so much she thought I shouldn't mention it. I just have to let it go, and mark it off to her having a bad day. We work with a lot of different people with different personalities, maybe someone had reemed her about something, who knows. I try to learn what I can from all these situations and apply it. I am still learning. Mahage
  6. Mahage

    What is the worst thing a patient has ever said to you?

    Don't get me wrong from my reply to the last post. I strongly believe alcoholism is a disease. NO ONE wants to loose everything. I have a dear child in the throughs of it right now. She is ripping our hearts out and is in process of loosing everything and with her fragile physical conditon may loose her life. I am sure someone loves the jerk you described also. Hopefully some day there will be more progress made in treatment and maybe even prevention. Until then, absolute abstinence is the only way and right now I alternate between being mad and scared for my child. As a nurse I try to remember that someone loves the person who is giving me a hard time, but I don't take a whole lot of crap. It doesn't work to get my child (adult) straight and it won't work to make the mean drunk or other belligerent rude patients straighten up. I am kind but I set limits. Mahage
  7. Mahage

    What is the worst thing a patient has ever said to you?

    His loyal wifie of course! Mahage
  8. Mahage

    Five sue over nursing-school ouster

    I wouldn't have any reason to be suspicious of one year time frame. I completed my RN in 3 summer sessions lasting 4 months each. I passed my boards with 75 questions, and all of our class passed boards the first time. We had 4 students start with our class who did not graduate with us, two who moved early ad 2 who transferred into conventional format. We were told it would be like taking a shower under a fire hose and they told the truth! I would definately do it again! The school involved is very unethical. I can't imagine our instructors and administration treating us that way. I don't think the students should have any problem winning this law suit. I sure hope they get damages also. Mahage
  9. Mahage

    Things Patients Have Taught Me NOT To Do

    Nope dont do that one, not ever, not even to an enemy. Mahage
  10. Mahage

    What is the worst thing a patient has ever said to you?

    I have had one family member tell me that I should be sure to take the patients used commode chair to the ICU where he was being transferred along with a huge bag containing a wardrobe, personal computer and electronic games. I told them that the ICU did not allow so many personal items and that a new commode chair would be ordered for him. They stated that "exceptions would be made for them" and that it was just too difficult to wait to get a new commode chair ordered that I had to take the one in his room. Just about that time the docs decided to take the patient for emergency surgery and i was quickly trying to complete the check off list on this patient for whom I had not recieved report as he was to be transferred to ICU and the day shift nurse gave report to the ICU and left as I was working extra and had agreed to transport him for her. While I was trying my best to get his pre surgery work done as transport was already there, the wife asked me what his blood type was, I told her I didn't know that I had to complete the check off sheet. She acted very miffed and said "well,I was only trying to help!" I don't know what she was trying to help by attempting to make me stop what I was doing to look up something she was curious about. Then as we were preparing him for transport, she informed me that I had forgotten to take his contacts out(true). I replied, thanks so much, and please get the contact case and remove them. She acted stunned, but complied! Boy was I glad to get these folks out of my hair. The huge bag of personal articles were left behind as they all went to follow him to surgery. I put them in the storage room as a favor and they picked them up sans commode chair. I guess they just had to wait to get another one in the unit. I have run into some families who acted entitled but never quiet like these folk. On the other hand, I had a patient's grandfather who must have been in his 70's tell me that I must have led a hard life.........after he asked me if I was his age. I had a patient become very irrate the other night because his internet access was not working and we don't have anyone available at night to work on internet issues for patients. I know I have tried to get technical support for them before. I pretty much take things in stride but set limits with them when I need to. Mahage
  11. Mahage

    Lazy Aides I have worked with..and my answer to it

    It will be interesting to hear what you have to say your first 6 months on your first job as a nurse. You won't find this so insulting then I betcha! Mahage
  12. Mahage

    Lazy Aides I have worked with..and my answer to it

    I have the regular experience of working with some excellent CNA's. I get very happy when I see certain ones are covering my patients, yet I cringe when I see two particular names on my board, I know it will be a long long night. Recently I had an order to insert a rectal tube in a patient who had a huge build up of gas and feces. This particular type of tube is not intended to catch the bowel movement but to assist in the passing of gas. It is simply a large catheter like object. It has no bag or receptical attached and it is not designed for one. When my patient had a huge bowel movement, the CNA ranted because I had not attached a bag to it. I explained to her that it was not designed to have a bag and that the feces had come out around the tube not through it. This didn't help her feelings one bit. When the same patient had the second huge bowel movement of the night and I requested her assistance along with help from two other nurses to clean up this large helpless fellow, she continued to express her opinions. She addressed this with the oncoming nurse who again explained to her how this particular appliance worked. She was just mad because she had to work to help clean him up and she would rather the patient had retained the contents of his gastric system! Cleaning poop is not my favorite task but it is one that I willingly undertake when needed. We partner with our CNA's and it is rare that we ask them to clean up a patient by themselves. We often engage another nurse to help with cleanup if a patient can't move himself and the CNA is busy. I can't help but dread every shift that this young woman works with me. I wish she would go to nursing school, but wait, no, the patients would have to look to her for their care................Oh well! Mahage
  13. Mahage

    Anyone start their career late in Life?

    Unfortunately it is an opinion which is not taking individuality into consideration nor is it taking the financial dynamics which will be changed by the baby boomers who continue to work and pay taxes. Would you prefer I draw my social security out or pay into the system from age 67 to age 75? I calculated that to be about 20 years in nursing from age 55 to 75. Although I paid my tuition to a private school and I have paid a lot of taxes over the years that help subsidize the public schools and grants for which I didn't qualify as a second degree student, I certainly do not resent that. I do however expect that other long term workers with life experience will have the same opportunities that the youngsters have. If you can prioritize according to age, you can prioritize according to gender and marital status. When my sister went into teaching she was paid less than a male teacher. It was the norm. Women were not allowed to work as nurses at the hospital where my mother trained after they were married. Career nurses were forced to choose between marraige and careers. We have come a long way, lets not advocate going backward because often times the old experienced turtle wins the admission race. It is indeed NOT just about the good of the individual worker it is about the good of society as a whole. Learn from history. Also it would be a good idea to not ignore the number of people who work beyond retirement age. Times are way different. People and goals are different as are economics. Your interpretation of economic benefit isn't very inclusive. The later people retire, the more taxes that are paid, the more private insurance retained and the less the drain on Medicare. Regarding the good of nursing profession....well most older nurses don't spend a lot of time on the phone or texting, we aren't often late for work and if we are absent it is usually for a significant reason. We rarely have the problems with death and dying issues that our younger cohorts do, and we serve as role models for many of them in personal interactions. We rarely take off work to have babies, though we may take responsibility for parenting our grand children. We are careful and consistant and generally quiet well organized and come with a high level of time management skills. We may be short on physical strength and sometimes computer skills, but those things vary among young grads also. My point is that we are very good for the nursing profession. If we make the profession better we make the country better! Mahage
  14. Mahage

    Anyone start their career late in Life?

    This certainly is not the first time your particular point of view has been expressed, but I must say that I believe it might be more suited to a rant thread! We have this thread to encourage one another, not to criticize or receive criticizm. We can learn what works for one another and most of us posting here are either looking at school, in school or recently out and working as nurses. There are things that we have to consider that a twenty something doesn't and certainly can't identify with. This is a thread for those of us who have the age issue to deal with personally. Why not get to know some of the older new grads and find out what we are really like and what our experiences and our plans are. Don't count on me leaving in 10 years unless it is to work as a nurse practitioner after I finish my MSN hopefully before I am 60. That won't give me but 5 years to work as a floor nurse. As an FNP I will probably retire from full time work at about 75. So lets see that would give me 20 years in the profession full time, if I retire at 75! Retiring at 75 is not an exception unless you have a lot of money or you really hate your job. I plan to keep working as long as I am able because I like people and I like to do things. I like accomplishment. I enjoy being able to travel and have fun. You can't do that on the pension I would draw if I retire at 67. Years ago, jobs were given to men over women because men needed to support their families. After world war II all the women factory workers were fired when the men came home from the war because they were taking a job which a man needed. Women still have a hard time getting into some medical specialties because of the unspoken agreement that it is a mans field, like orthopedic surgery specialty. Think this through. Mahage
  15. Mahage

    Anyone start their career late in Life?

    We aren't very likely to get out of our career to have babies! If the student is admitted based on age that is blatant discrimination. We have been paying taxes supporting public programs for a long time, access being withheld would be atrocious! I think if the young ones want it, they just have to try harder or wait their turn. Mahage The fairly new nurse with 57 years life experience!:dancgrp:
  16. Mahage

    Anyone start their career late in Life?

    Sorry you felt ill at ease. You may find yourself in nursing class with some of your former students. I think that could be a blast. I loved the young classmates when I was in nursing school. We had a ball. I helped them and they helped me. It was always fun, never a boring minute. Good luck! Mahage The fairly new nurse with 57 years life experience!