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  1. IHeartPeds87

    children's hospital of michigan?

    Can anyone tell me what it's like to work here? I am an aspiring pediatric nurse and wanted some insight on what working at the hospital was like. How is it like working for a for profit hospital? Is there support for nurses? adequate orientation? What are the ratios like? Enough supplies? Do you enjoy working there? Pros/cons? Any information is appreciated, thanks!!
  2. IHeartPeds87

    advice: tout your own horn!!!

    I wouldn't use patient thank you notes as references, but I have asked patients/families if it was okay to USE THEM as a reference for another job sometime in the future. I work home health. If they don't want me to too, I don't but I ask now. As for not needing management to pat you on the back to know you are doing a good job, I don't NEED that either. I am confident in my own abilities. This isn't about needing kudos from management. This is about communicating to management the positive things that you are doing. There is a system in place for communicating negative things that happen (errors, etc). There is no true system or method to bring up the positive things that happen without feeling like you are "tooting your own horn" and I think that by getting over the weird feeling of doing that, my supervisor is better informed of the level of care I am providing. I think it is in the benefit of management to know what is going on- negative AND positive. My supervisor has told me that since learning how happy patient's families' are with me, they rest better and are more confident when I am working, knowing that they don't have to worry. This is my career and the fact is to move up, get a raise, etc, I think that you should let management know if patients are happy with your work. Like I said, I work home health and so my supervisor doesn't SEE me at work. I realize that not every nursing or aide situation is like this, but a lot of them are. A lot of night shift workers rarely will see management. You bet that a negative situation would be communicated, and I am getting over the 'weirdness' factor of communicating the positive for the sake of my career and hopes to move up and maintain a good reputation with the company I work for. That's my :twocents:
  3. IHeartPeds87

    I miss bedside nursing.

    "No offense to anyone." Seriousely? Don't make an offensive statement if you don't want to be offensive! :idea:
  4. IHeartPeds87

    Compassion required???

    I was going to post the paraphrased version of this. Thanks Purple Scrubs! I completely agree. You don't have to be the world's most compassionate person to be a nurse, and money and job security are good reasons for choosing a career. That being said, the 11th hour into a shift when you are being pulled in ten different directions, being asked to do eight different things, have a stack of paperwork in front of you, and are covered in various kinds of disgusting bodily fluids, the motivation to continue working is RARELY the extra 20-40 dollars per hour you'd be getting. When you have a patient 'painting with their own feces' rarely is it the "knowledge of neurons" that you have the motivating factor to make it through your shift. When you have a 2 pound baby pulling a tube out for the 87th time that shift, rarely are you going to have enough motivation to get through the shift if you don't care. Money, scientific knowledge- great reasons for wanting to be nurse. If they are your only reasons you aren't going to be very happy. Could you be a good nurse without compassion? Perhaps. I would think it would be EXTREMELY difficult though, and more importantly WHY would you ever want too? For all the negative reasons there are about nursing, for most people, it is the general idea that they were able to do something good for their patients that in part make them stay in the field. Without that, I can't imagine even WANTING to put up with all the rest of the BS you'd have to put up with as a nurse. Could you be a good nurse without compassion? Perhaps. But why would you EVER want to be one without compassion? Seriousely, there are so many careers out there that are better suited for someone without compassion compared to nursing. :confused::confused::confused::confused::confused::confused::confused::confused:
  5. To the OP: THANK YOU! You posted in words what I have been thinking about for awhile, but had the writing skills to put it in an eloquent post :) A hospital near where I live has implemented a lot of the same sorts of 'fluff' things. There is valet parking, a large beautiful lobby that I'm sure a Hilton or Mariott hotel would love to copy, and beautiful sky lights throughout the hospital. I also have a family friend that is a nurse at that hospital, who has privately mentioned to me that the nursing staff is generally overworked and understaffed. What saddens me more though, is that people, meaning customers/patients buy into this. My own mother saw the lobby of the hospital and immediately thought that "this must be a good hospital." In reality, it's common sense. I mean, truly, what would YOU want from your healthcare providers/hospitals/facilities? I'd want: - Caring and competent nursing staff - Competent, respectful physicians - Efficiency - Getting me out of the hospital as soon as possible, with me in the best possible health my situation realistically provides. Guess what? Valet parking doesn't help me with any of that!!!!!
  6. Okay, here's a little background : I work for a home health care agency. I'm new to this job. At the very beginning of this position, my boss expressed that she was a little frustrated because I had called her to check in on a patient that didn't need to be checked on. I learned from the incident, and learned when it would be appropriate to call her and when I could just deal with the situation best I could. Since then, things have been going really well. The client's family loves me, and has told me repeatedly that they are at ease when I'm working. The client lives in an assisted living facility, and staff members not related to my agency have come up to me and told me how good of a caregiver I am. They have even told the family this. One of the staff members even asked me for my boss's number to call my boss and tell them how good of a caregiver I was. Well, I don't think that the staff member ever made the call. The client recently passed away, so I have no reason to go back to the assisted living place. I love my job, and miss the client dearly. From a professional stand point, I want my boss to know how good I've been doing! Is there any way you can think of to pass this on? Why is it that only the bad stuff reaches their ears!
  7. IHeartPeds87

    What does DNR mean for the caregiver?

    Thank you!
  8. IHeartPeds87

    What does DNR mean for the caregiver?

    Hi everyone. Sorry to bother you. So I work home health, and was recently told that my client has a DNR status. As an uncertified caregiver, what does this mean to me? I was told "you don't call 911 unless it is an acute care situation" and that I should instead call client's family and then my boss, but I would like clarifications: - So if I suspect a heart attack, do I call 911? - If client is breathing very heavy do I call 911? - If client is sweating profusely but is cold/clammy? Basically, under what circumstances legally do I have to call 911? Like, if the client has a fall and breaks a bone or something then obviousely I would call but in not so obvious situations....? :confused::confused: Sorry to bother you all, i'm just confused and would like clarifications.........talking with a friend of mine has gotten me confused
  9. IHeartPeds87

    If you love your job, what is your speciality?

    What types of things do you do? Your post has me intrigued :)
  10. IHeartPeds87

    Working night shift, spouse working night shift & kids

    Do you mind me asking, about how much do you pay for an overnight sitter like that? For a college student to come to your house and truly be able to sleep/hang out/do homework/whatever and just have common courtesy type rules, how much would you charge?
  11. IHeartPeds87

    Hiring outlook for ADN vs. BSN in your town?

    My advice? Go ADN and save your money, but plan on bridging to your BSN RIGHT AWAY!! That way you can save money, and if your goal is hospital nursing you will still be able to do it! Plus any and all experience helps. It is still my understanding that LTC's don't mind taking ADN's. If I were you I'd get my ADN, apply for hospital jobs and if it didn't work out I'd apply for jobs at an LTC all while simultaneously getting my BSN online :)
  12. IHeartPeds87

    Best place to work for a new CNA?

    For a new CNA I don't think that I would reccomend home health. I work home health now but I have a year of experience (I worked at a facility for adults with DD prior to this). I would not recommend home health to a new CNA because you are by yourself! There's no one to help you, to guide you, to assist you while you become more comfortable. There's no one to help you get htat patient up when you can't, etc. There's no one to tell you if this situation is worthy of a call to your supervisor or if it's something you should deal with on your own. I would not recommend home health to someone new to the field. Home health is awesome once you have been around the block awhile and are confident in your skills. I'd say its the perfect job two years in, because then you are confident and don't have to deal with coworkers who sometimes can be the roughest part of any job. But until you are confident in what you are doing...I wouldn't recommend it.
  13. IHeartPeds87

    how long does it take you to leave work

    I understand what you are saying. It is because of this that I will often stay after my shift if necessary. I usually get done within a half hour of my technical time to be done. It is great to leave when it is safe and ethical to do so, and as I said i'm not going to be a sticker for 15-30 minutes here or there. But still, I have a life. And while I try not to schedule things very near to the end of a worktime, it isn't always possible. I don't think it's fair that if your shift is scheduled to end at 7:15, you should have NOTHING planned in your personal life till 11:15 or later. That just isn't right. As another poster stated, this is a 24 hour job. There is ALWAYS something you could do. You cannot run the place/help the patient/etc 'enough.' It is NEVER done. We really do not get paid enough for the level of expectations there are placed on us. I work home health, so I do not leave until my client is in a stable position (sitting or lying down) and dry. Typically, I can get out on time but there have been MANY times where I haven't been able to clock out until a 1/2 hour to 45 minutes later. Again, i'm not going to leave my client in an unstable position, mainly because on one of my shifts, there is no one that comes in after me for 4 hours. But another shift that I work, I leave as my coworker comes in and I will not necessarily 'get everything done' and will clock out on time. If I was repeatedly staying beyond a half hour of my official time to leave, I would talk to my supervisor about it. I have a life outside of my work, and I'm a little tired of feeling guilty about having it!
  14. IHeartPeds87

    Patronizing coworkers!

    How do you deal with patronizing coworkers? Example: elderly client who hasn't been diagnosed yet, but is believed to have dementia and is possibly developing alzheimers. Client is 280+ lbs. Said client was sleeping and was urine-soiled. We were told not to roll this client, so I could not change the brief in bed. I had the client stand up (as the client did three hours early without any problems!). Client would NOT stand up. I tried my best to get the client standing up on my own with a gait belt, could not pull client up on my own. We had 3 attempts of client half standing up, not making it and sitting back down. Then client flat out refused to stand. I was able to sit the client on the edge of the bed, but that was it. So I page coworkers for help. Coworker X enters room, sees client in position looks at me and says "You can't get Client X up? It's not that hard." And of course when Coworker tries, client stands right up no problem and makes me look incompetent. Said coworker then looks at me, smirks, and says 'good luck' rather condescendingly and leaves. . I like my job, but sometimes it's just hard. It's hard to try your level best, and still be made to feel like a fool. It's really unfortunate. Earlier in that night, I paged for a coworker to help me and that coworker was helpful in a non-patronizing way. Both of us tried to get client up and couldn't, so we tried again after fifteen minutes and client was more cooperative. The difference between helpful coworkers and patronizing ones is often the difference between a good and bad time at work. Anyone relate?
  15. Hi! Good luck with everything :) First off, definitely bring a resume. Just because you haven't had work experience doesn't mean that you don't have skills you should be higlighting. Google "resume for first job" or "skills based resumes" as pointers about how to start this. You have things: you have a high school diploma, you have internship experience CAREGIVING (I would USE that word!) and you have your enthusiasm. I would play these up. Talk about how you developed patience through working with children and being a caregiver for them. Patience is key in this field. I would stress about how you are interested in nursing as a career choice and are confident that you can handle the "bodily fluids" so to speak because you were around your mother's work place. I would stress your enthusiasm because that speaks volumes: as a person interested in the field of nursing this isn't just a random minimum wage job to you; rather it is a stepping stone for your entire career. You don't have job experience....so play up what you do have and hope for the best!