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roxannekkb's Latest Activity

  1. roxannekkb

    failed nursing student

    Her initial post only said that she was thrown out of the program, as she was unable to study at that time. She didn't say that it was a permanent thing, ie, that she would never be able to study again. I offered those suggestions, letting her know that there were other options in healthcare if she decided not to apply for nursing again. That's all. Plus I also mentioned other "quick" things, like a tech job. They are in high demand and pay well, and schooling is relatively brief.
  2. roxannekkb

    failed nursing student

    There are many careers in healthcare. How about pharmacist, occupational therapist, physical therapist, physician's assistant or physician? If you want to get into something faster, you can be a radiology tech, an ultrasound tech, a respiratory therapist--they all are in demand, all pay well, and schooling is relatively quick.
  3. roxannekkb

    Working in Paris, France

    I know that there are agencies which place nurses overseas, but to work in France, you need to speak French. Saying that you want to work in a hospital with "limited French" or "enough to get by" is the same as saying that you think it's okay for a nurse with "limited English" or "enough English to get by" to work in the U.S. And it's not. You will be dealing with patients, other staff, families, and so on. Your language skills need to be on par so as to communicate easily with all of the above, to read doctor's orders, to speak over the telephone, and so forth. I would suggest that you bring your French up to a fluent level before you even consider going to work in France.
  4. roxannekkb

    If you could no longer be a nurse?...

    I actually have quit nursing, and now work as a health/medical writer. I could never imagine working in a hospital again. I'd go work at Starbucks if my writing career ever foiled. Other careers of ex-nurses I know--librarian, dental hygienist, nursing home director (still nursing but upstairs in administration and a lot more money!), teacher (grade school), lawyer, physician, jewelry store owner.
  5. roxannekkb

    Did anyone try to talk you out of being a nurse?

    One of my instructors tried to talk me out of it. It was my last semester, and she told me to apply to grad school, medical school, law school--or switch my major. She told me that I would be very unhappy as a nurse. She herself, was going to go to medical school. Well, I should have listened to her. Nursing has its good and bad, but overall, it turned out not to be for me. I left nursing, with no regrets. I would sooner drive a truck, or work at Starbucks, than over go back to nursing.
  6. On problem with "new" nurses is that many may be entering nursing because they've seen the glitzy ads that make nursing seem almost glamorous. They're told that it's stable, they can always get a job, they have flexibility, they can "go places," and so on. What is omitted is the real nature of the job, or at least the fact that before they can move to being a nurse practitioner, CRNA, or nurse exec, they need to have some patient care under their belt. I truly think that many really entered the profession without any real thoughts on why they want to do nursing, what the work is really like, and what their responsibilities. Many schools also allow you to glide through, stuffing your head with inane theory and little practicality. Just one take on it. I may be wrong, but I think that this massive recruitment effort is merely bringing warm bodies in who may not really want to be doing nursing.
  7. roxannekkb

    where does the money go??????

    That's why state BRNs have been so resistant to having one license for the US. It is totally idiotic to have separate state licenses, since the licensing exam is the same nationwide. Some states have joined in a coalition, where the license is recognized. But the bulk of the money goes to self-perpetuate the local BRN. If we had a computerized database, and a nationwide license, then we would be better able to weed out professionals who have lost a license in one state but were now practiicing in another (same for doctors). All we would need would be a small local office to take care of infractions, CEUs, etc. And I would say, have the license good for at least five years. Paying every year or two does nothing to "protect the consumer." The BRNs don't even know if the nurse is dead or alive, as long as the money is sent to them! The system as it now exists is appalling, just a money sucking scheme to support bloated state bureaucracies.
  8. roxannekkb

    Is a BSN needed in nursing today?

    Do what you love. There really isn't any reason to get a BSN if you don't plan on "climbing the nursing ladder." You can always change your mind and go back for it. Right now, do what you really want to be doing. Take photography, take Spanish, go with what your gut tells you. Who knows, you may find that you'll have a photography career on the side. Life is too short to suffer doing what you don't want to be doing. :Melody:
  9. roxannekkb

    Peptic Ulcer

    Most peptic ulcers are caused by H. pylori bacteria. A course of antibiotics will usually cure it. Greasey and spicy food can aggravate the ulcer, and make the stomach more acidic. So eating a better diet will make the patient feel better and help heal the ulcer. And fast food is just plain unhealthy anyway.
  10. roxannekkb

    Specializing as a new grad?

    I went straight to NICU after nursing school, and never worked one day on med/surg in my entire nursing career. Don't let anyone tell you that you have to "put in your dues" in med/surg. It's nonsense. I wouldn't have lasted 10 minutes as a floor nurse. If you already know where you'd like to work, then don't waste your time. The adage about having to put in the year on med/surg is about as dated as nursing caps.
  11. roxannekkb

    Artificial feeding-Terri Schiavo

    This is an interesting article from Deutsche Welle, about how Europeans see the Terri Schiavo case. We tend to think of Western Europe as a very liberal place when it comes to end-of-life issues (ie, euthanasia), but in reality, they have very strict rules about who is "permitted" to die. According to this article, Terri Schiavo would remain on her tube because she left no written directive. When my boyfriend's grandmother (she lived in Berlin) was dying of breast cancer a few years ago, she refused food and water. But she had to sign a document that the doctor gave her, and clearly state that she did not want to be fed, and that she understood the consequences of her actions. They really want to be sure that this is what the patient wants. Europeans Reflect on Schiavo Case The legislative and judicial battle over a Florida man's right to end his comatose wife's life has drawn some surprise reaction in Europe, where legal sympathy for euthanasia is widespread. On a continent where physician-assisted death is far more commonplace than in the United States, the case of Terri Schiavo has struck a chord. Schiavo, who has been in a persistent vegetative state since collapsing in her home in 1990, has been at the center of a legal fight between her husband -- her legal guardian -- and her parents over her husband's right to end her life since 1998. Michael Schiavo went to court eight years ago for the right to remove her feeding tube, saying that she would have never wanted to live in such a state. This past week, the US Congress forced the case from the Supreme Court, which had ruled in Michael Schiavo's favor, back to a Florida district court. The court on Tuesday denied Schiavo's parents the right to restore her feeding tube, a decision that will be appealed. Holland: 2,000 assisted in death each year European countries like the Netherlands, Switzerland and Belgium allow physician-assisted death in various incarnations. In Holland alone, about 2,000 people die through assistance from their doctor each year. But Schiavo wouldn't be one of them. Dutch laws, like those in Switzerland and Belgium, require that the patient clearly and insistently request death. Schiavo, had she ever requested death should she fall into a vegetative state, did not insist on it. For this reason, even relatively socially liberal groups, like the Union of Protestant Churches in Germany, or the German Medical Association, have not recommended removing Schiavo's feeding tube. Question of recovery divides "The patient's doctors are required to continue to treat her and to feed her, because it's not clear what will happen next with her illness," said Jörg-Dietrich Hoppe (photo, right), the head of the German Medical Association. Doctors consulted by Michael Schiavo have testified in court that Terri will never recover from her state -- in which she cannot think or speak and is unaware of her surroundings. Doctors brought by her parents disagree and say it would be against Terri's religion, as a Roman Catholic, to die this way. Hoppe said there have been cases "of people who lived for 20 years in a 'waking coma' and then later came back to consciousness. The patient is certainly not dead." Dutch pave way for euthanasia legalization Fifteen years ago, Holland had a case similar to Schiavo's, A judge allowed the husband of Ineke Stinissen, who had been in a coma for several years, to remove her feeding tube. She died of starvation, and her case paved the way for Holland's pro-euthanasia legislation. In Germany, Schiavo's case would have gone to court much in the same way it did in the US. German law forbids doctors to actively assist in a patient's suicide but allows them to passively allow death if the patient clearly wills it. But Ruth Mattheis, the former head of the medical association and a doctor for more than 50 years said she could not remember such a case every making it to trial. "Quite often, families addressed me and asked for help, mostly families who wanted to stop nutrition (where) the doctors opposed it," she said. "In such situations, I always tried to bring both parties together to find a solution." http://www.dw-world.de/dw/article/0,1564,1526731,00.html
  12. roxannekkb

    Kaiser Scholarship--hot

    I worked for Kaiser and I have to say, it was one of the best places that I have ever worked at. I worked at both Kaiser Oakland and San Francisco. The pay was great, staffing was better than other facilities in the area, and I thought the patients received very good care. No, it wasn't perfect, but I would put Kaiser at the top of my list. And just to know, Kaiser has gone beyond the mandated ratio in many facilities and has a 1:4 on med/surg. They are at 1:5 in others.
  13. roxannekkb

    undocumented immigrant wants to be a nurse

    As others have noted, there is something a bit "off" about your dilemma, Huladancer. According to the profile, you are 25 years old so have been living as an adult in the US for 7 years, illegally. Sorry, can't blame your parents for that. Why have you waited until now to deal with this? And I cannot figure out how you got into nursing school in the first place. What have you been doing for the past 7 years? Working illegally? Your only option is really to see an immigration lawyer as soon as possible. It will cost you some money but at this point, you really have no choice. You can't use the excuse that you were brought here as a minor, because you have continued to stay on, and not rectify your situation as an adult.
  14. roxannekkb

    This is sick

    So now, what is the difference between given someone a fatal dose of morphine (to dying or vegetative patient) or removing a feeding tube, as in the case of Terri Schiavo? It's not like the patient is going to live if you stop feeding them, so it hardly seems like that is allowing a "natural death." I think it's more humane to give them the morphine, quite honestly, if you want to go that route. So what is the difference? Is one an "intentional act" and the other a "passive act?" Is letting someone die of starvation not considered euthanasia? It sure is in my book.
  15. roxannekkb

    Client or patient?

    Patient. When I was in nursing school, I irritated the heck out of my instructors because I refused to use the word client. I told one of my teachers that when I hang out my own shingle, and people come to me for whatever it is I'm selling/offering, then they will be my clients. But for now, they are hospital patients. If I was in a hospital, I certainly would not like a nurse referring to me as her/his "client." Sorry, but I see this change in terminology as just one of the more senseless acts of stupidity in healthcare. There's no purpose to it, no reason for it.
  16. roxannekkb

    Schwarzenegger Says Nurses are "Set Dressing"

    It is interesting about Kaiser, isn't it. They were vehemently opposed to the ratio law initially, but then broke ranks with the hospital industry and embraced it. In fact, they had every facility in compliance 6 months before the law took effect, and in many facilities, their goal was to exceed it. So funny how Arnold never mentions Kaiser when he rants about the "emergency" situation which caused him to put the law on hold. Clearly, when a hospital offers a nurse an attractive work environment and pay, they don't have too much of a problem finding workers.