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2ndcareerchange

2ndcareerchange

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2ndcareerchange's Latest Activity

  1. 2ndcareerchange

    Medlife institute in florida

    So if you can sit for the NCLEX, can you also transfer to get your BSN later if its not accreditated?
  2. 2ndcareerchange

    Night Shift PDNs....

    use droid tv app for $8.99 every 3 months, you do not need internet. have the shows download at your house and you can watch them internet free at the PDN. I LOVE this app. I think its on google apps now too. try it.
  3. 2ndcareerchange

    How much personal info do you share with parents?

    I mention my children, but I am usually asked where I live. I do not disclosure my personal location. Also my phone number, at this point I have been there almost 2 years, so they have my cell, but only for texting, i will be there in 5 mins or open the door please I am outside and have been for 10 mins. I work night shift so sometimes they over sleep.
  4. 2ndcareerchange

    Night Shift PDNs....

    Hey y'all, I haven't posted in a while, computer was down. I work nights too... okay here are my secrets, lol.... I have a tablet and have an app called DroidTV off of amazon apps store. Its 8.99 every three months, (free at first to try) and you can download every major tv show. Game of Thrones, 24 (the new one) justified, just my few favorites. You can watch them later without internet. The shows are available a day after airtime. After a while, its your tv schedule too. I also watch college lectures, trying to do the school thing. Now for the cards on the table..... I sometimes take provigil. I do have a script as I work swing shifts and my dr prescribed it. I only take it when I have work 8 hours before my night shift and a little tired. I personally don't eat during my night shift maybe some fruit or yogurt..... oh and days of just boredom, I downloaded a video on chair exercises... solely done in your chair. gets the heart pumping and keeps you up. Hope that helps!! Sorry for the rough grammar, leaving for work now
  5. 2ndcareerchange

    Bad Parenting equals difficult patient

    No, they fight me on every sugguestion. The next day the mother "showed" me how to use the nose bulb. The patient likes to start fights about the smallest of issues. Example I asked for them to get a pan, as patient BMs every day at 5am. I asked them to get a regular adult size pan, the grandmother decided it was too big (patient is 130lbs) and got a small child size fracture pan. Its too small and no one uses it. So the patient kept asking me was I happy about the pan chose that was made. Patient likes to "quote" you to the caregivers to start stuff. I put a stop to that quick. I told the parents, they can get any equipment they like, I can just make sugguestions. I told the Patient do not quote me i can speak for myself and I told the parents if you want to know what I said, ask me. The mother told me the Patient likes to get people in trouble with each other, patient does it all the time with the mother to the father. She said she always gets in to trouble. Foolishness!! I need to stay to finish my schooling so I am just trying to disconnect and just do the nursing. The Parents KNOW they cant keep anyone so here we are. I think these parents do not want patient to grow up. they still use baby talk, to an intelligent 13 yr old. It's another kind of abuse that is not reportable. They want to keep patient helpless, but in the meantime creating a monster. I am using the word "patient" as the name of the child, to protect from using pronouns.
  6. 2ndcareerchange

    Bad Parenting equals difficult patient

    thanks guys, I thought I was going crazy... I started really researching his dx because I truly could not understand why he didnt know how to blow his nose, or do anything simple like that... What is OT teaching him?? oh but he can get on his laptop, cell phone and play a movie or a game without assistance. And the mother, she will take him to the ER for the simple things, but will cancel dr appts for flu like s/s or SOB. I am just glad I am not alone in this and that this is somewhat normal.
  7. 2ndcareerchange

    Bad Parenting equals difficult patient

    What I am finding out more and more is making sure there are clear boundaries. My patient is clearly a product of bad to zero parenting. He reminds me of that episode of Twilight Zone where the kid has the whole house of adults walking on eggs shells, and if you get the child upset he makes you disappear. My first night my patient 13yr wanted to call his father (in the home) at 3am in the morning. After speaking to him, the patient hands me the phone and the father tells me not to let the patient call him this early in the morning because he needs his sleep for work the next day. (WHAT?) This is after telling the patient he can call father "anytime". I didnt answer then as it was in front of the patient, but the next morning I privately told the father that situation is a parenting issue, not a nursing one. I will not be involved with how many times "patient" calls you. My patient is AOx3, has MD, highly intelligent, and extremely lazy. He has a gtube running, so I propped him up on a tv pillow turned backward for a 30 degree angle, (he was flat), "patient" complained to his parents, and I "educated" the parents on positioning for a gtube, and Of course I got, well nurse soso didnt do that, (yeah, she need the hours and didnt want to be banished!) I requested a hospital bed and one was sent out 1 week later. Actually they recieved a lot of stuff, new bed, pulse ox, air mattress, bed rail, rail padding and new gtube machine. The mom thought it was christmas, she didnt understand how the insurance company magically knew their needs. (really?) Can we say documentation? This patient coughs in his parents faces, will not turn on his own, has them adjust his pillow (pull it down closer to him) All things he does for me now. Now they want me to discipline him. NOPE not this nurse. They only keep nurses for about 6 months. They wonder why? If patient doesnt like you he says oh, I think she breathes to loud and I cant sleep and poof gone. (This REALLY happened, the parents told me maybe she was a smoker, but her breathing kept "patient" awake at night.) My super is really surprised I am still here. I am not mean, just firm. I updated all weighted meds dosages with drs orders, the parents didnt want to give meds... patient is 150lbs, he was getting meds for a child under 80 lbs. But patient didnt want to take that much... what?? I explained they need to parent, not be his friend. I have no idea why I have not been banished, but is this how it is out there? Sorry for the lenght but REALLY needed to vent. I keep stopping, tonite I am teaching him how to blow his nose.... I cant make this stuff up... if I need to suction, I wlll but he just needed to blow his nose. He is 13! and has full rom He told me his parents use the bulb (the one for infants) so I got it and we compared, he picked blowing his nose, better results. LOL
  8. 2ndcareerchange

    PDN and snow: how do they treat you?

    After I got a ticket for parking on the street, I discussed with the father "our responsibilities" on my coming to work and the parking situation. If I will be snowed in like last year when we got 16+ inches of snow, I might come but as snow builds up, I'm leaving. (They have nine capable adults in this house). I park in the driveway from now on, as I cant keep up with their ticketing ways on their street. I need a safe surface to walk on and a cleaned out parking space for my car, which is a valuable asset necessary for work. All that said, I come on time, and have only called out three times in a year and a half. Once my son was sent to ER (has cancer), Snow over 16 inches biggest snow storm in the past 5 years, and I had GI issues and rather use my bathroom then someone elses. I was matter of fact about it, professional and didnt have an 'tude, but stated facts I just told you all, he looked at me, smiled and nodded. The Father agreed. He has held his end of he bargain as so do I. Reading all these messages, I am blessed I can SOMETIMES reason with this family. We have other issues....
  9. 2ndcareerchange

    PDN and snow: how do they treat you?

    That is crazy talk! What job would require you to be sooo on call to want you to sleep in your car, and they had adults home!! Crazy talk I tell you.
  10. 2ndcareerchange

    Per Diem

    Okay, Per Diem means you are not full time or part time, no benefits. You and the staffing person, decide on a schedule that works for both of you and you work that. You are not guaranteed hours, just the hours you sign up for. So another words, if you have 30 hours available to work this month, they may only need you for 15 of those hours. You also let them know which shilfts you can work, whether its 7 to 3 or 3 to 11 or 11 to 7. Per Diem usually get paid more, but watch your terms, some places want you to work a least one weekend a month, some dont pay holiday pay, some dont pay shift diff. So ask that question when signing up. Per Diems can be experienced or newbies, you do get orientation, and usually they will train you as much as you need, usually in my experience two weeks. Agency is when you need experience and hit the ground running. I suggest go to LTC, you can get good solid experience in Long term, then go to Rehab, which these days is quite near acute. You might get into a hospital too. But becareful you dont sign on with too many. Do one at a time, get it under your belt, and if you have more time, pick up another one. Also remember after you agree on your dates to work, you CAN turn down other dates when they call you after your orientation to pick up more time. They will work you to death if you let them, and you are NOT doing them a "favor". No one is going to say, oh, she made that med error because she was overworked, but she was doing me a favor. NOpe, its still your license, listen to your body say NO, that alone will increase your skill set, there are many among us who still cant say no. hope that helps... others will chime in soon.. excuse spelling/grammar I was typing fast...
  11. 2ndcareerchange

    Pediatric PDN skills are not "marketable"?

    Okay, maybe I need more sleep, or this room is hot, but I am not seeing a problem here. I work 48 hours PDN and work at a hospital and Long Term on sats and suns.... not every weekend, but a least once a month. My point is stop listening to your "friends". Look at your goal list, from what you said here, its finishing BSN, well PDN is a good gig for that, I usually have a good 2 hours of study time. And if you are worried about more skill sets, then get a Per diem in Long term, or an hospital they are always looking for per diem, just make sure you have the skill set to say "No" when asked to do too many shifts. Sorry if I sound short, I am not, I am just blunt and still working on how to make it sound sweet.
  12. 2ndcareerchange

    Craziest PDN/PDN Venting Thread

    I have the same problem, but instead of talking about it they put all the paper towels away before I arrive. So now I either bring a hand cloth from home or uses the patient's, he has a lot of them in his drawers due to his drooling at night. I understand people are on a budget, but you would think they would be glad we wash our hands so much.
  13. 2ndcareerchange

    Vent about coworker

    Like I said, you did not see this nurse sleeping, as for the documentation, talk to her about it. if she is new like you, she might have been taught some bad habits by the previous nurse. I always give nurses the benefit of the doubt, education and a learning curve, if after that they are hard headed enough not to see when someone is giving them a lifeline, then hey let the chips fall where they may. Be careful with this one, as if this is an adult, he can easily talk to the agency just like he can talk to you. Remember your psych, people like this like to create their own tv drama with live people. You come into their homes and all the whole world is a stage, do not be anyone elses entertainment. This is me jumping off the soap box.....
  14. 2ndcareerchange

    Vent about coworker

    Good advise to the patient. Don't get involved. Also don't let the patient vent to you about the other nurse, they are trying to drag you into this issue. Why tell you about how late they are, they had to have signed on. imho....
  15. 2ndcareerchange

    Craziest PDN/PDN Venting Thread

    Oh my goodness, my patients father said the same thing. I was shocked, at first I thought it was me. Did I look dishonest? Do I have jail time fraud etc stamped on my face. What good is a paycheck like that if its your last. I am so glad I am with like minded people on this board. And of course he added I do it for all the nurses. As if.....
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