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MollyJ has 36 years experience.

MollyJ's Latest Activity

  1. MollyJ

    Do school nurses do any sex ed?

    I am getting ready to sex ed in my 4th and 5th grade classrooms--AIDS and "growth and development". The g & D is pretty much body changes and periods. By and far, kids are avidly interested and want to talk about the topic. We do AIDS with boys and girls combined and it is mainly what is AIDS, how can you get it and that you cannot get it from being in school with an HIV positive student. 4th graders see a cartoon type movie about kids going to camp and there is a rumor afoot that there will be a child with HIV there. 5th graders see the Ryan White story. The G & D we do in groups divided by gender. Young girls are really wanting to talk about the whole period thing. The boys are more far afield and I even had questions about where the baby grows, etc. 4th grade girls and 5th grade girls and boys see a movie that talks about body changes and periods. These movies are both produced by feminine hygiene companies. They cover the basics and are good. 4th grade boys see a hygiene and body changes movie. We send a letter out ahead of time to parents advising that we are going to do the movie. Parents are invited to preview the movie or sit in on the presentation. I have had parents contact me to see the movie which is good. THose children are more likely to have a parent follow up discussion and that is probably the most important thing. When I talk to the girls, I bring tampons, mini pads and pads. We hand them around but they only have to touch them if they want to. The movie I use with 5th graders has a young lady in it who professes to have used tampons "from the first" and if the girls mention her, I tell them it's an option but it is probably not typical that girls use them from the first period on. http://www.always.com/en_us/pages/common.shtml?pageid=zn0005 http://www.kotex.com/na/talk/educators/eduKitInfo.asp Above are two education resources. There just aren't many freebies out there any more.
  2. MollyJ


    Meth is notoriously hard to quit. Many people have said that the user is always chasing the first high, which is often seen as the best. That said, quitting anything from tobacco to alcohol to meth is often accomplished with more than one quit attempt. Some times it is helpful for people to understand that each serious quit attempt gives them some kind of useful information on what works, what doesn't work. I guess it is my personal hope that Meth will become one of those drugs that people see as "so awful" that they will avoid it. Much like LSD, cocaine some of those. Good luck to your brother and I hope he can stay healthy enough to get into recovery.
  3. MollyJ

    First Impressions Matter, B**ch!!!!

    Shay, I would suggest to you that you would, in the future, just tell the nurse that you hate weighing in public BUT that if it becomes necessary for the doctor to have a weight in order to make a clinical decision, you will gladly comply AT THAT TIME. I would tell you that serial weights CAN occasionally help doctors notice trends. I think weights are an important bit of routine health information that you request of people all of the time in your practice. Obviously, it is a loaded topic for you. Respectfully I would submit that the office nurse wasn't the only person with attitude in that examining room.
  4. MollyJ

    Need Help Pleaz

    I think that, if nurses are "specially prepared" it is because we spend real time in the trenches caring for real people. If you unquestioningly believe that life in itself is good and should be sustained at all costs, a few months, years, decades in the nursing "trench" is sure to let you see the flip side of that. The flip side is that medical science is pretty d*** good at sustaining life irrespective to quality of life. So I think professional nurses have the ethical background, they have professional background and they have the experiential background to understand the desperation that might lead someone to one to want to stop treatment, request assisted suicide, want to dc a feeding tube. Philosophers, religious leaders, extremists in the pro or anti anything arena can AT TIMES lead pretty sterile lives and often do not appreciate the day in and day out misery that some patients experience to the extent that a clinical nurse can. Certainly, clinical nursing has lead me to question whether there is a place for physician assisted suicide (and there was a very good thread on this topic about 3 or 4 months ago) and led me back around the other way to feel that patients should always be able to trust that their nurse or doctor will always care for them in a positive way and not decide to send them on to death prematurely. We are often the patient's last advocate. at the same time, that thread that I referenced showed nurses resoundingly in favor of good pain relief care even if it did hasten death. So, if we are indeed, "Specially prepared" it is because we've been there, seen that, done that.
  5. MollyJ

    Is nursing exercise?

    Clinical nursing is less sedentary than many jobs but probably doesn't replace the need for an exercise regimen of some sort. When I was doing clinical nursing, I had a exercise assessment and they respectfully told me I had "great upper body strength". Well, that's from those multiple reps of pulling 180# inert bodies up in bed against sheet resistance. But, as Mario reminds us, there's usually not an aerobic component--unless you're on the code team or maybe some days in psych. The other good news is that an exercise regimen of some sort will help many of us to manage our stress. Ah, yes! Dilemma. When do I have time to do that? As a PhD friend of mine who became a Physician's Assistant said, "Ever since I got into the health care business, I don't have time to take care of my own health!"
  6. MollyJ

    cultural diversity

    The book, The Spirit Catches You..., showed me just how poorly people who are not fluent in the language comprehend things when they are moving very fast and you're needing to do procedures. All your worst fears are realized in this book, and docs and nurses become people who take people's children and relentlessly subject them to care that has no sense or meaning. The HCP's are trying to do what's "best"; the family struggles to make the procedures make sense. I don't know how anyone gives culturally competent mental health care across cultures. I think the numbers would suggest we don't; the "patients" drop out because the care system just doesn't match their culture or their expectations.
  7. MollyJ

    cultural diversity

    My BSN completion program had a strong emphasis in multi-cultural diversity but I think awareness does not necessarily equate to culturally sensitive care. It's not that easy. I would recommend ANY ONE read this book: The Spirit Catches you and you fall Down by Ann Fadiman. This is the fascinating story of a Hmong child with a serious seizure disorder and developmental delay and her adventures with the local hospital as retold through the compassionate eyes of a woman who took the time to know the family. Words I might use: chagrining; difficult; sad. The family and health care providers were unable to bridge their cultural gap and it is (to my mind) not particularly anyone's fault. While I admit that health care providers are morally compelled to be culturally sensitive, neither can we entirely abdicate our culture to the needs and perceptions of another. Actually, the family shared many of the same characteristics I have seen in parents of severely affected parents; they saw their situation with a sense of hope that seemed at times idsproportionate to the reality. Anyhow, what I really want to say is that the intention to be culturally sensitive can be really challening and beyond comprehension to implement. As in so many things in nursing, we can only move forward, learn from our mistakes and try to do better. Always we move toward doing the right thing.
  8. MollyJ

    CE credits

    Amy, As a new nurse, you should ALSO be asking yourself, "What are my learning needs?" A Continuing ed activity shouldn't be busy work, it should answer a knowledge deficit you perceive in yourself. I wouldn't spend the time on 3 hours of Free CEU's if it didn't meet a knowledge deficit requirement for me. Once you've identified some areas of concern for yourself, then go on-line OR through the local listings and look for Continuing ed that meets your needs. In my state, college credits in nursing and ancillary sciences could qualify for for continuing ed hours. When I worked on my BSN and my MSN, I just submitted a copy of my grade card. If I was taking nursing curriculum, hours (in my state) were granted at the rate of 15 CEUs per hour of college credit. No worries mate. I took a psych class in the drug and alcohol counseling program in my community and they didn't quite grant it hours at the same rate, but I think it was still VERY good. Even if you aren't currently working at a local hospital DON"T discount them as a source of continuing ed. When I worked in a tertiary care hospital, they offered 2 and 4 CEU classes that were very much aimed at new practitioners. Good luck.
  9. MollyJ

    Feel like ----.

    Prioritize sleep; don't do or plan things during your best sleep time Darken your sleeping room as much as possible Take the phone off the hook or turn off the ringer in your bedroom Avoid caffeine during your shift so that you can have a more natural sleep cycle SOME dyed in the wool night shifters stay on the schedule even on days off. My body died to sleep at night, so I did Some people experiment with eating and find life is better if they don't eat on shift; others eat lightly. I ate to stay awake so I gained weight on nights. Be shameless and put in for your preferred shift IMMEDIATELY You are actually trying to make a u turn in your circadian rhythms right now, so it is a lot like jet lag. Your body is just screwed up. I frankly think that it takes a little more than 4 to 6 weeks to adjust but when I'd been doing it a year and a half and wrecked my car x3 I finally realized it wasn't going to be for me. Best of luck.
  10. MollyJ

    nursing school

    Nursing school was over 24 years ago for me and I still remember the feeling of being overwhelmed and terrified. There was so much to learn. Check out the Student nurse forum here. You will find kindred spirits. Also, talk to your class mates. They are feeling the same. The fact is, there is alot of information you need to master in order to be a safe practitioner. We're talking beginning level of mastery, and that is still pretty daunting. But remember, they aren't going to throw you to the dogs tomorrow. In fact, you'll likely be on a pretty short leash for a while yet. read as much as you can, learn as much as you can from others experiences. Go forth and try to have a life, too. Good luck.
  11. MollyJ

    crossing the line

    In my practice, I've seen alot of what I would call "boundary violations". It's not always easy. A boundary is a line that is created by role, socialization, culture, personal preference etc. We create boundaries in the way that we allow others to treat us and in the way we treat others. Nurses are physically close and even touch intimate areas of patient's bodies, so often what we do means that our ROLE allows us to invade people's usual boundaries in the name of giving health care (ie cleansing private areas, inserting caths). You wouldn't normally go up to a person and press your body against them BUT we may in essence do that when we pull someone up in bed, help them get up out of bed etc. Most of us will chuckle about, as students, learning to ask people about their bowel pattern because this was so new to us: most of us were socialized NOT to chat about bowel habits UNTIL we went to school. So the role of being a nurse ALLOWS new or different roles in the way you will relate to people who are patients. Boundary violations, when they occur, are often in the social, emotional and relational realm. Certainly they can be in the physical realm. Boundary violations can include: dating a patient; becoming emotionally attached and coming in early to visit a certain patient repeatedly; becoming so attached to a pediatric patient that you tell a mother that you, more than she, know what's best for her child [seen that one]; engaging in touch for your own gratification; exploiting a patient's trust for your own gain [ie ripping them off for money or things]; becoming triangulated between patient, family, other hospital staff, physicians, etc., gossiping about other patients or nurses and a host of others. A good self-check about boundary violation is when the behavior you engage in serves YOU more than it serves the patient or client. Another self-check is when you find yourself TOO wrapped up in a client or situation over time. [Most of us will experience a situation that we replay in our heads over and over for a time, but if you're violating boundaries, your putting yourself in direct contact with that patient or person over and over and constantly going above and beyond.] I would say that most of us find ourselves getting a little wrapped up in things at times, but if it's a pattern or it's an egregious abuse of a patient care situation, it can be career threatening.
  12. MollyJ

    I need advice and help, PLEASE.....

    Hi Priya, I really have little to add to the excellent info that has been given here. I would also encourage you to look into attendant care programs but I would advise other posters that these programs typically have long waiting lists in this era of reduced funding to social programs. Priya, nursing school is an intensive endeavour. Only you can decide if you can do it right now. Certainly, you may find that, depending on your own schedule that you may be able to take 3 or 6 hours of pre-reqs at a time and then pursue full time study at a more fortuitous time. I would certainly encourage you to talk with local nursing programs. If you go to http://www.nursingprofession.com they have a database of all nln acredited nursing programs that is searchable by state. You'll be able to easily see what programs are close to you. Few of us can comprehend how chronic illness in a family member can so profoundly impact the life path of others in the family. You live that. Still, you have the right to a future. Your mom may well be eligible, if she isn't already on it, for SSDI. If not, you should talk to the Social Security office in your community as other posters have said. Some of the support they may provide may free you up to pursue a life of your own. Best wishes.
  13. MollyJ

    A question about nursing school

    Sarah, are you in high school or college? And are you thinking that physics=physiology? I'm not trying to be be insulting here, just asking. I took high school physics and loved it, though I was not an excellent student of physics. The best part of taking hs physics is that the concepts are abstract and the demands can be fairly rigorous. Taking rigorous classes will prepare you for some of the nursing classes you may encounter. It certainly won't hurt you. I'm not aware that college physics (the study of objects in motion, pressures, physical relationships between objects in the world and universe) is a routine nursing pre-req, though I wouldn't care to say that NO nursing school requires it. Physiology (the study of cellular and systems level interactions in the human body) is routinely required. Good luck in your studies.
  14. MollyJ

    Heinous or Forgivable???

    Okay, folks, she's nineteen. I think I've grown a little compassion since 19 BUT I probably had a few things to learn. (Though I don't think I would have done THAT!) The most important thing that happened here is the interaction you had with her. You let her know that what she was doing was way out of line. And the good news was that she had enough humanity to be embarassed by her own behavior, hence the ripping up the note and stomping off. I would tell this to the Charge nurse or NM, but probably if I were a NM, I wouldn't necessarily act on it unless it was part of a pattern. And if she was disrespectful or tacky with clients again, I'd be on her like a dirty diaper.
  15. MollyJ


    You don't say whether you are charge and she was staff or what. Some of this stuff you just put under your hat and stay watchful on. If it's a fluke, it won't repeat. If it's a pattern, you'll see it.
  16. MollyJ

    How do you define Health?

    The World Health Organization of Health is: WHO definition of Health Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. I also think that Margaret A. Newman, a Nurse and a proponent of Margaret Rogers, has something interesting to say about health. What she says is not easily digested or quickly stated. She goes beyond seeing health and illness as dichotomous. Health is good, disease is bad. She sees disease as integrating, a way people get in touch with their patterns (ie constantly internalizing stress). She sees it as an emergent pattern. She sees it as Expanding Consciousness. This idea of expanding consciousness is particularly key, in that she sees disease is a way that people (sometimes painfully) learn about themselves and others. Newman's mother struggled with some chronic illness all of her life and I suspect that Newman sought meaning and functionality in this state of chronic poor health, which in a dichotomous system would be "all bad". Still, this view takes us beyond the dichotomous thinking and into a world where life can and will still be GOOD even in a state of altered health function. ANd that is good.