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Rexie68

Rexie68

Vascular Access Nurse
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Rexie68 has 21 years experience and specializes in Vascular Access Nurse.

Single mom of 4. Great fiancee' New job. What more could I ask for?

Rexie68's Latest Activity

  1. Rexie68

    "You cannot have BSN or MSN on your nametag?"

    our hospital allows only your professional title....rn, lpn, md, pt, etc. no education level or certification. under our title is the department we work in....micu, ed, peds etc. it matters not to me, i only want the pt to see that i'm an rn.....they really don't care beyond that.
  2. Rexie68

    Back to Traditional Nursing Uniforms?

    that's exactly how my hospital handled it. rns and lpns wear either all white or white tops with maroon scrub pants, cnas wear all maroon, radiology wears dark blue, respiratory wears black (hey, they picked their own color), medical records wears pink, housekeeping purple, student interns bright blue, dietary black with black visors and aprons, physicians in street clothes or green/blue or scrubs, therapy white tops with blue pants.......and i'm sure i've missed a few. patients would never remember them all, but they do remember that their nurse wore white!
  3. Rexie68

    What's your reason for putting up with it?

    samanthaeh, first, thank you for the compliment of asking for my feedback. i wasn't always assertive; it took time and experience to gain self confidence in my skills and assessments. while i no longer let myself be taken advantage of, i also don't get upset easily. even a pt who is alert and oriented can have a bad moment or bad day and may end up yelling at me for no particular reason. usually i remove myself from the situation (as long as the pt is safe) and return a bit later to attempt to engage in conversation to figure out what may be the cause of the pts anger. as i said before, we're on the front lines and readily available for a pt to vent their frustration. after all, no one wants to yell at the almighty physician! (though this is slowly changing). often i've found that it's the pts attempt to control their situation....they may feel that there's nothing else they can control in this environment. we see them at their most fragile and vulnerable moments, while at the same time examining every inch of their body. also, for some pts, yelling and arguing is a part of their normal living environment (unfortunately) and they haven't learned other skills to cope. again, most verbal tirades don't phase me anymore. of course, if it were a continuing barrage despite my efforts at remedying the situation, i would insist that the pt/family member talk with social services or the nurse manager. when a pt is demented, delirious, etc, it is not unusual for them to act out physically. if i know a pt has a history of hitting, kicking, etc i will bring in another staff member if at all possible when caring for them. keeping a calm, soothing voice may be helpful, as may a no-nonsense yet cheerful demeanor. don't let them feel your trepidation or anxiety. if you are confident and professional, this helps. there are times when there is just nothing you can do to prevent physical abuse except medication and/or restraints. it's never the first choice, but a viable option. pts who are demented who may pat my bottom or some such thing are usually easily redirected. i just don't make a big deal about it. if a pt is alert and does the same thing, he/she will get a very direct, no-nonsense "that is not acceptable." usually that is enough. if not, i will absolutely have another staff member with me if i must enter the room and i report the problem to my nurse manager. i've never had it go beyond that. i find staff to staff hostilities to be the most problematic. we tend to be passive-aggressive and would rather complain about someone than confront them. i think you acted appropriately at the time in the situation you described. you even attempted to talk with her in private....kudos to you. as you said, you didn't know about the chain of command at the time and so were left without recourse. i'm sorry that this is so long....i just started typing and my fingers didn't want to stop!
  4. Rexie68

    do you care about your patients?

    You can't please everyone all of the time. As long you're doing your best, don't worry about it. You'd burn out quickly if you took everyone's problems to heart.
  5. Rexie68

    What's your reason for putting up with it?

    We also have to remember that even our patients who are usually A&O may not have all their wits about them since we often-times give them medications that can affect the way they think and behave. And EvolvingRN is also correct in pointing out that pts who are A&O have the right to refuse treatment.....good point!
  6. Rexie68

    What's your reason for putting up with it?

    i agree that patient isn't exempt....he'd probably end up in four point restraints at our facility. i was thinking more of the lol's who kick or bite or hit when they don't understand what we're doing. even though i may tell her i'm putting in an iv, she doesn't understand and only knows i'm hurting her, so i don't blame her at all for fighting. i usually have a cna come in the room with me to help hold and reassure the pt, but there are times when i have to go it alone and do my best. i may end up with a few swats, but i'm not going to get upset about that.
  7. Rexie68

    Small nose piercings at work?

    my nursing school was a bit different, they allowed piercings anywhere in the ear, and small piercings in the nose or eyebrow. tattoos were supposed to be covered due to institutional policies, but most of the time that wasn't enforced, unless the tattoo was large or offensive. then again, my school didn't have us writing care plans either (other than 1 or 2 the first year just so you knew how), so they were definitely more progressive in many ways.
  8. Rexie68

    no cell phones no personal phone calls at work

  9. Rexie68

    no cell phones no personal phone calls at work

    ummm.....well you have the right to believe what you wish, but i'm keeping my phone in my pocket on vibrate, so you'll just have to stay away from me. oh, and i assume your facility hasn't yet gone to giving all the nurses cell phones while at work....not sure what you'll do then. luckily for you, though, the employers aren't using bluetooth capabilities, as the devices are too easily lost. i've read the scientific data, and it appears that you're overly concerned. http://www.cancer.gov/cancertopics/factsheet/risk/cellphones
  10. Rexie68

    no cell phones no personal phone calls at work

    We're allowed to have our cell phones on us, but not use in pt care areas. So if I'm in a pts room and feel it vibrate, I can excuse myself if possible and go into the break room and check the message. Also, our facility recently purchased cell phones for all nursing units for the nurses to be available directly so we wouldn't have to run up and down the halls to answer phones. We still try to excuse ourselves from a pts room before answering the cellphone and are careful not to violate HIPPA. Our families also can call into the office and leave a message or have us paged if needed.
  11. Rexie68

    What's your reason for putting up with it?

    i also have been screamed at, hit, spit on, kicked, choked and grabbed by patients. most of the time i can talk them down or otherwise diffuse the situation; if not i call a "doctor green" and all available male employees respond to take control of the situation. as far as having my butt or boob grabbed, if the pt is demented i try to redirect. if they're oriented i tell them that's not going to be tolerated and i haven't had anyone continue when i stand up for myself. i don't make a big deal of it, though, especially if there is dementia involved. as for the harsh words from pts or families, that rolls off of my back.....they're in a time of stress and i'm the easiest target.
  12. Rexie68

    What would you do?

    i love it!!!
  13. Rexie68

    Why did you if you hate it ?

    i'll be the first to admit that i don't iron my uniform. it may not have crisp, starched seams, but it is clean and relatively free of wrinkles. as single mom of four working full time while continuing my education towards my bsn, ironing is the last thing on my mind! (i haven't had a pt or supervisor complain yet!)
  14. Rexie68

    Why did you if you hate it ?

    wow. my hospital does it's best to keep the rn/pt ration at 1:5 or 6 on regular med/surg floors during days and evenings and 1:8 at the most at night. plus there is usually one cna for every 8-10 pts during all shifts. i'm counting my blessings!
  15. it's the only in the above sentence that makes me growl. we couldn't function very well without our cnas or mas!
  16. Rexie68

    Small nose piercings at work?

    i think the "undergarment" problem-lack of or visible through white scrubs- is the reason our hospital switched rn uniforms to maroon colored scrub pants!
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