Chaya ASN, RN

Rehab, Med Surg, Home Care

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All Content by Chaya

  1. Chaya

    What would you think if you saw this patient?

    So sorry to hear the result. He and your folks are lucky to have your caring, insights and guidance at this time
  2. Chaya

    Dirty bed sheets/RN/CNA/UAP/CP

    Where I worked they were actually taken down and washed after patients on precautions were discharged and the room was "purged".
  3. Yep. Like they say-ONLY a nurse.
  4. Chaya

    Injection Gone Wrong: Part 3

    Seriously! Justifiable or not, I feel the training a nurse receives in giving injections is more of a defined quantity: anatomical target areas, sterile/ aseptic technique, reaction and side effects, rationales, etc. I've received many, many flu sho...
  5. Chaya

    Flu Shot or Mask?

    First, condolences on the loss of your friend. I think it important to focus on actual evidence so far as possible for the sake of clarity. (How quickly these discussions become polarized beyond the point where any communication is possible). What wa...
  6. Chaya

    ER rushing patients to the floor

    Ah, yes, that change of shift dump. I do get it, really. I understand totally that it is necessary to free up space for incoming patients. However-and this should be a HUGE factor with the current emphasis on accountability, continuity of care, and p...
  7. Chaya

    A Waiting Room Christmas Story

    Thank you for reminding us what the spirit of Christmas is really about as well as the kind of gifts we should be focussing on. And thank you for the difference you have made over the years both to your patients and to your many allnurses friends who...
  8. Chaya

    Murphy's Laws of Nursing | Life of a Nurse

    Never use the "Q" word ANYWHERE! Ever.
  9. Chaya

    Dr. told patient, "Nurses are STUPID".

    So-just a thought but shouldn't whoever the medical caregiver, whether PA or MD, have received/ had reported to them the most vital and timely info such as, for instance the patient received IV medication during the night to correct cardiac rhythm?.....
  10. I loved hands-on nursing. However, at one of my last positions, one of the questions posed in the written self-evaluation portion of our yearly evaluations was "what are your career goals and what do you plan to be doing in 5 years. Ambition was valu...
  11. Chaya

    Whistle blower/terminated

    I wish you the best. You sound like a caring, responsible caregiver. Hang in there.
  12. You would think by now I would know better than to even think there was nothing left that could surprise me...
  13. Chaya

    Becoming a Nurse at 49?

    I became a nurse at 50. For me, it was easier to study than it would have been in my 20's because I was steadier; more focused and less distractable in general than when I was younger. I found I was better able to handle it emotionally after a lifeti...
  14. Chaya

    If You Give a Patient a Cookie

    See, now I thought it was going to go something like "you'll have to do a fingerstick, and his glucose will be high, and you'll have to get the lab to verify it, and you'll need to call the MD for extra insulin coverage, etc, etc... Silly me
  15. Chaya

    got fired/terminated

    Every application I've ever completed has specifically required the names of my supervisor and/or person I worked directly under for each position I've held, independently from names you would choose to use as references. Whether an applicant has onl...
  16. "If it wasn't written down, it wasn't done." You can't be expected to read minds re: what previous doses were actually given but not recorded accurately (not to mention how future doses of warfarin are based on knowing accurately what dose received ...
  17. "If it wasn't written down, it wasn't done". (I'm guessing you've heard this a time or two). I don't know about your nursing curriculum, but mine did not include psychic divination of patient care delivered on previous shifts but not recorded. You h...
  18. Chaya

    Best quality care cannot be provided

    I can't remember the details but not long ago saw a couple of studies that estimated that after administrative duties nurses spent like 60% of their time doing actual patient care. So 70-80% would be a very significant improvement. I found that the ...
  19. Look up "Imposter Syndrome"; there's been a lot written about it recently. ( And it wouldn't hurt to watch the classic Wizard of Oz!) The coursework will be challenging but doable. Working in the medical field will help you with some of the basic ski...
  20. Also look into whether you need to continue to work full time at your non-nursing job to become vested. You may need a minimum number of hours in each year you work in addition to remaining there for a specific length of time so if you have already a...
  21. Chaya

    What is your Nursing Kryptonite?

    The denial mind set that goes hand in hand with addiction-of any sort. A patient lying to my face about when they last drank/ used drugs or what they really were eating the last few days doesn't hurt me but giving HCP's inaccurate info could delay or...
  22. Chaya

    The film: Vaxxed.

    Scary!
  23. Chaya

    Words You Hate

    [Pulmonary toilet...] Second that. Can't help mentally inserting "in the" when I hear it. (Ocassionally, but I do hear it used)
  24. Chaya

    Hospice: True Death Sentence?

    I so try to counteract the terror families feel at the term "hospice" and to emphasize that it is a different type of care that is at present more appropriate for their loved one and NOT a timetable for counting down their last days. Attitudes are ch...
  25. Chaya

    Working for free?

    We were "spoken to" if we failed to clock out for meals. You could put in for an exception but you'd better have a stellar excuse. If you were unable to take breaks on a regular basis you were admonished about your time management.