Wishinonastar

Wishinonastar BSN

Member

All Content by Wishinonastar

  1. "At the first hospital i worked for after graduating nursing school with all the expectations of 'helping' people, i ended up on a Trauma-Telemetry floor of a county hospital where the non-insurance...
  2. I hate to tell you this but hospitals are in tough competition for patients these days. They cannot afford to have angry patients, and there should be no reason for you to be so controlling and crass...
  3. Learn To Say It Correctly!!

    A word mispronounced is nothing. A wrong word is something entirely different. I cannot believe anyone would say O2 stat for sat. What do they think it stands for?
  4. See even the word ebonics offends some, and the word itself was developed to describe a particular type of speech that is in fact a form of slang. This instructor was only trying to decribe what her...
  5. Yes, but as a new grad he will go through a lot of hoops yet to prove himself. I see how torn you are, and I know you are right. In a perfect world there are only the best coming out of our nursing...
  6. Wow. I have taught before, so I know all the politics that goes on behind the scenes. The bottom line is always money when you work in education. It really has stressors that people do not know about...
  7. I need some help

    Dementia= Neurosensory area- how does you patient show the dementia? Confusion? Impaired memory? Tailor it to what you know about the patient Falls=Safety-what is the biggest problem your patient is...
  8. If he is unsatisfactory clinically you have to fail him, but you have to have objectives that he did not meet and be able to state why. Is this at the RN or LPN level? How did he get this far if you...
  9. You will lose your skills in LTC

    SKILLED assessment is not part of the realm of the LPN. They are not taught the critical thinking skills of the RN as part of their education. You cannot expect the same level of depth of learning,...
  10. need help asap

    My first job was awful also. I wanted at least year's experience so I stayed a year. I was looking around in those last weeks and tried to transfer without success, but I jumped immediately to the...
  11. You will lose your skills in LTC

    I could tell you horror stories about hospitals too. It has to do with the motivation of the staff. Good LTC nurses know their patients well enough to recognize when something is wrong, even when they...
  12. New to HH Nursing, I need help with charting

    The Handbook of Home Health Standards: Quality, Documentation, and Reimbursement has a lot of information. There are lots of books out there and Home Healthcare Nurse is a HH journal that has lots of...
  13. New to HH Nursing, I need help with charting

    A lot of places have some standard orders that they use, but a good 485 is like artwork- crafted to the individual patient. There are books out there you can buy. Looking at examples helps. The main...
  14. Is there a place to FIND an RN interested in a position?

    Oh how I wish I was there to apply! Home care is certainly not for everyone. Your best bet is to advertise and steal one away from another agency! Where do nurses go to look for jobs in your area?...
  15. Nurses' handwriting

    We have had staff who had to print everything except for their names because their writing was too bad. I used to have beautiful penmanship, but I have found that years of documentation have resulted...
  16. The Trauma after the Trauma

    Wow that was sad. People have no idea of the feelings that pass through us as we care for those we don't even know during their most fragile moments. I never liked being pulled to the ER because...
  17. If the instructor truly feels that the student is not nursing material as part of a clinical evaluation then she has every right to gently tell the student this and why. If it is because the...
  18. "Fired for NO Reason"

    lamazeteacher you are so right! This is a trend everywhere. In one of my two current jobs (school nurse) I had one day with someone and access to them for 1/2 of the second day for my orientation. At...
  19. First Medication Error.....feeling horrible!!

    feliz3 I agree completely and I have argued to all my co-workers for years about this. DO NOT COUNT ON YOUR EMPLOYER TO SUPPORT YOU, ever. They would much rather you hang as being incompetent than to...
  20. Latex allergy

    I am putting this out to you and also the occupational health nursing area because I need your help. I work in a Vo-Tech school and we have a new student coming in with severe latex allergy. The...
  21. New to Quality Improvement

    It is not for everyone, but you learned from it and that is the main thing. A lot of people think QI is a cushy job, but as you saw it is very complicated making real change. We are often carried...
  22. First Medication Error.....feeling horrible!!

    I'm re-reading this and trying to figure out what was wrong here- was it the dose? Was it to be adjusted if below a certain number? Please, go easy on yourself. We all remember a med error or two in...
  23. Nurses & Emergency Scenes

  24. You will lose your skills in LTC

    That is true, and if you work in any area you lose skills from other areas over time. It has been ages since I did a newborn assessment! You also gain skills in your specialty. It is a tradeoff. You...
  25. Nurses & Emergency Scenes

    Don't paramedics have their own website somewhere so they can bash nurses to their heart's content? I have seen them act like real clowns in the field a few times, but I don't spend my life bashing...