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KalipsoRed

KalipsoRed

Telemetry
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KalipsoRed has 3 years experience and specializes in Telemetry.

Currently a traveling nurse for med-surg and telemetry. I have a love/hate relationship with my chosen profession. I want a family and a husband but I hate dating. :P I like camping, food, travel, martial arts, and science fiction.

KalipsoRed's Latest Activity

  1. KalipsoRed

    Why are so many new nurses having problems?

    @TheSquire It doesn't sound like you've worked med-surg. Tele and Med-Surg are EXCELLENT places to get a background for emergency. I know because I worked ER before med-surg and tele and am now going back to the ER. Your hospital likes new grads so the department doesn't have to pay as much for staffing and they can 'mold' you into doing whatever they can manipulate you into doing.
  2. KalipsoRed

    Why are so many new nurses having problems?

    As I've read some of the other posts now I'd like to address a few other things. LPNs/LVNs--- I don't know about the rest of you but I don't even know how to work with an LPN/LVN. In school and in real life we were taught how to work with aids or CNAs, thus I understand their scope of practice. I know what I can ask them to do and what they can't. And it doesn't change to much from state to state. I have no clue what the scope of practice of an LPN is. When I traveled to a hospital that still uses LPNs I often felt disorganized and unaware of my patients because the LPN was doing so much of what I felt was my responsibility. I didn't know how to implement her in my daily organization and I found it frustrating. Please do not take that as I don't see value in LPNs or don't think of them as real nurses. I just honestly have no clue what they are qualified to do. I know they can't do EVERYTHING an RN can because at the hosptial I was at there were medications the LPN couldn't pass and I had to. I think almost all new grads have this issue, because schools just don't teach us about them. I do agree that those with direct care of the patient get paid far less than they deserve. My first RN job I worked nights with a CNA who had been there 22 years. She knew how to do my job better than I did, and basically for the first year I was there I just did what ever she told me and bought her a lot of dinners. I would also like to add that nursing does itself a disfavor by telling others to not be concerned about the pay recieved for what we do. I think that is one of the worst things we do to ourselves. No, when I'm doing my work I should only care about my patients needs and give them my attiention, compassion, and support. However, nursing is a career. It is one that we deserved to be compensated for, and we deserved much better compensation than we currently recieve. Have you ever heard the saying, "People don't appriciate free." ? Well they don't. BSN new grads are paying far more than this job pays to get a degree...they are egged on by instructors and media that tell them this job will pay them more than adequatly. Then they get the reality of their meger pay and decide to go to specialties or get more education to get the pay they thought they were going to get as a nurse. I don't blame nurses for wanting to be better compensated and I get sooooooooooooo freaking tired of hearing others say, "You shouldn't go into nursing for the pay." Why not? Just because I expect to get fairly compensated in my profession does not mean I don't care about my patients. It means I also care about myself and nurses need to do a WHOLE lot more of that.
  3. KalipsoRed

    Why are so many new nurses having problems?

    Ha! You know what I took care of a nurse today who has 37 years of nursing experience, so she's only 34 years ahead of me, ;P Anyway, here is kinda what we came up with: I thought being a nurse today was so bad because of a high patient load, but my patient tells me that on a medsurg unit 37 years ago she would have 16 patients to care for with the assistance of two aids. Then I asked what she thought about the acuity of the average med-surg patient today compaired to when she first started. However, she said that she felt her patients were just as sick 37 years ago, they just didn't leave so quickly. The one thing we did agree on is that newer nurses get a poor education. The book learning is important, but we've swung to far towards it. When she started nursing school she spent every day of the week in the hospital. When I was in nursing school I spent every day at school and 4 hours twice a week in the hospital. Yes, my last semester I had 185 hours of bedside, along with classes, but that still wasn't enough time. I think that nurses 30 years ago learned some invaluable team work ability and precision that newer nurses today do not understand because we just were never exposed to it. When I got out of school with my few hundered hours of clinical under my belt, I was then precepted by a nurse who had only been a nurse a year herself. So if nursing school only teaches us how to think and gives us minimal experience, then we get out of school and gain experience from those who have minimal experience, what do you get?? A bunch of fairly new nurses that are over whelmed and not confident in their skills. They end up believeing that this career wasn't for them because they couldn't keep up and they leave. Not to mention the fact that since these nurses show a lack of confidence they had doubting doctors and NPs treating them poorly to further decrease their faith in themselves. Nursing today is vicious and a down right awful expereince for a new grad (on average). A experience I would not wish on someone I cared about. I truly do not believe this is how things were 30 years ago, because there is no way the public at large would have the respect they seem to in our profession if it was this way 30 years ago.
  4. Well I have $47K in subsidized and unsubsidized Federal Loans which is $532 a month for 30 years. I also racked up debt by credit card and other things while trying to live on my own while going to school out of state. The first 3 years out of school I've managed to pay off all my debts except for my federal loan. My federal loan is my next goal.
  5. KalipsoRed

    Does this really make me look weak?

    You know, I think the unfortunate thing is that the guy who gave you the advice was a guy. It sounds like he showed some emotion for a patient at some time and was shuned for doing it. Might have been shuned by the patient, but I'd think it just as likely that his co-workers (mostly women) probably gave him some grief for the action also. I'm sorry, but over all working with women is almost the worst part of being a nurse. We are so snarky. I think it far more likely that someone who sees a female nurse crying for her patient is an Angel and a male nurse crying for his patient is a Wuss. That's not how it should be, but to many it still is that way. Women are just as uncomfortable with male emotions as men are. (I'm talking majority here, I know there are exceptions.)
  6. KalipsoRed

    What is a new nurse to you?

    Well if she saw it and did nothing she should be fired. The CNA should be in some serious trouble for not reporting it to BOTH the day and nightshift RNs if it was change of shift. In fact she should have reported that kind of blood pressure as soon as she took it. However, as a nurse with 3 years of experience, I can say that vitals taken by my CNA and not reported to me, just put in the computer, have been missed. I rely on my CNAs to tell me abnormal vitals and only look up blood pressures when administering meds. Is this what I should do? No. However, I find that this is what happens as I try to stay on top of things...it happens with lab work too. I only check K levels if I give lasix or potassium, I only check H&Hs if the patient recently had surgery or looks really pale. I'd like to check all my labs on all my patients....but there's that time issue and to many patients to get to...otherwise I'll be passing morning meds at noon. P.S. It's not this way at the current hospital I work at they have a 5 to 1 patient ratio and every nurse gets their own aid! (Heaven! I know.) But the other 3 hospitals I've worked at, I've had the above issues.
  7. KalipsoRed

    Staffing levels

    I agree. I've never worked in a LTC, but it's crazy for me to have 8 ortho patients without an aid or a secretary in the hospital. Also to have 5 cardiac patients (like two fresh thoracotomies and 3 fresh CABGs, 12 to 24 hrs post surgery) with an aid that has 10 pts. More than once I've had two at the same time get a little hinky on me which involves a lot of time and total neglect of the other patients I have. Can't ask other nurses to watch for them because they are overloaded themselves. Aids should also be limited on how many patients they can have, we ALL have to many. Unfortunatly I think we are about to go into a HUGE economic depression...we've kinda already been in one...and staffing levels are only going to get worse.
  8. KalipsoRed

    Maybe nursing doesn't suck...

    I don't know if I'll stay or not. I've asked, but my boyfriend is in a different city and my family. With travel nursing at least I can possibly get placed close enough to them to see them for more than just a week or two out of the year. But I wish I could stay, this place is tops. I think it just gives me hope to see that there are really places out there that follow all the 'by the book' stuff I learned in school becuase they have the time and resources to do so. I was so tired of feeling bad because I didn't even have time to do all the critically important things, much less the little things like talking to my patient. If it wouldn't put every state in to bankrupcy, I think all states should have manditory nurse staffing ratios....or more nurses should start to form unions so we can have acceptiable ratios and pay.
  9. KalipsoRed

    First RN job & it's pay

    My first job was in Saint Louis Missouri at $21.16 per hour ($20.16 for other new grads.). I got no increase for having a BSN I got the dollar because I'd been a nurses' aid for 3 years prior to becoming a nurse so I had 'clinical' experience. I don't understand the people who are aggrivated with the OP for asking this question. Does no one else find it interesting that there has been no increase in the beginning pay for a new nurse for 20 YEARS?! Minimum wages has gone up 4 times since I was able to start working. PLUS the fact that many of us are getting BSN now, not ADNs or diplomas, which are quite a bit more expensive. So the work force has more educated nurses with bigger student loans and hasn't had a base pay raise in 20 YEARS?! I couldn't find any information about degrees, but in 1981 the average cost for a house was $78, 200. Today, even with the recent drop in housing, the average cost for a house is $176,000. So making $20, 20 years ago is a HUGE difference from making $20 in 2010 at your first job. To me there is nothing wrong with being concerned about making $40,000 for your first job when you have $50k in school debt, and haven't even considered buying your first home. What if the OP already has a home is $30k in debt and is starting a family? Just because we care about people doesn't mean we shouldn't care about ourselves....in fact nursing needs to do a WHOLE lot more caring for ourselves to get what we deserve.
  10. KalipsoRed

    Nursing a Profession or Vocation?

    I think that CNAs and LVNs are more the vocational area of nursing and ADN and BSN are the more 'professional' sectors of nursing. Mostly because BSN/ADNs have college degrees AND are responsible for being able to do everything a CNA and LVN does plus registered nursing duties. Anyway you go about it though, none of us get paid enough or the professional respect for what we do...I'm including CNAs and LVNs in that statement just to be clear.
  11. KalipsoRed

    Physically abused by resident

    I think it's obvious...get a new job, no one at your facility sounds like they are going to help you. When you find a new job post every where you can what a horrible work enviornment your current job is for nurses so no one else has to put up with that crap. Private pay or not, if there are enough incident reports and pictures to back up your story the manager should go to the family and put down the law: "Psych consult or find her another home. We are here to care for her, not get abused."
  12. KalipsoRed

    Transfer nursing license

    Well when you sit for your test you should be able to state that you want to get a Texas license. It has something to do with how you fill out the forms that you need to fill out to apply for your NCLEX exam, thus you will never have an Illinois license to begin with. However, if you ever see yourself going back to Illinois it may be easier to get an Illinois license and then get an endorsed license in Texas. I'm a traveling nurse and it was a PAIN in my butt to get my Illinois license. I started with a Missouri license and I plan on getting a Texas license because that is now the state that I claim as my residence now. To get a Texas license you also have to take a jurisprudence exam. It is an exam of Texas nursing law, it's not to hard, mostly common sense stuff, but you can find all you need to know about that by looking up the Texas Board of Nursing. Here's what I've also found out about licenses in states that are part of the compact states. If your legal residence is in a state that participates in the compact then your license is good for all the compact states. If your residence is in a state that is not part of the compact states then your license is only good for that state and not the rest of the compact states. For example: I started with a Missouri license and my permanent home at that time was in the state of Missouri. When Missouri became a compact state my license was good to work in all the compact states. However, when I decided to move back to Texas and changed my permanent residence back to Texas my Missouri license was only good for Missouri and could not be used to work in any of the other compact states. I have to use my Texas license for that purpose now. So when you graduate and if you choose to get a Illinois license then get endorsed to Texas the only way you will be able to use a Texas license in one of the compact states is to make sure your permanent residence is listed as being in Texas. If you ever move back to Illinois you will not be able to use your Texas license to work in a compact state (like Missouri). It all has to do with the mailing address you give the Boards of Nursing for the endorsement applications. I hope this makes some sense.
  13. @ Roy Fokker: Thanks for saying what I was trying to say in much more civil terms. @79Tango: Just trying to use simple words for simple people.
  14. KalipsoRed

    Physically abused by resident

    Poi Dog, I'm sorry you have been violated just to care for someone. Nursing is insane to accept such hazards as part of our field....especially for the lousy pay we get for such a s**ty work environment. I say start looking for another job. While restraints are a good idea and can work for a short term, it really isn't something that can be considered for long term care. I'm guessing your resident is like this. You go along your day and she's doing alright, then she has a sudden outburst and slaps you or calls you a name. You call the MD get a restraint order (which is a ton of documentation for you) the resident gets the restraint and is fine in an hour when you have to reevaluate the use of the restraint. So you take the restraint off and the resident is good for an hour or two until she has another episode and verbally or physically abuses you or other staff. If you work in a LTC it's not like you have a ton of time to keep going back and calling for a new restraint order 3 or 4 times a day. Most places don't allow PRN orders of chemical restraints anymore either. I'm guessing your patient is already on some sort of psych medication and the truth of the matter is that she will be having such outbursts for the rest of her life. I realize it is something we have to deal with in our line of work, but we sure as hell don't get enough respect or pay for dealing with this kind of crap. I say look for a different job.
  15. You know, for all those people who say "What's the big deal?" or "I'm a guy and I like hot women, where's the problem with that?". Please grow up. I'm glad you're a guy and you like hot women...I like hot men, but it is fully inappropriate and UNGRATEFUL for the *sswipe of this topic to complain about his hospital stay because his nurse wasn't cute. Our profession isn't to look sexy, last time I checked that was for those who wished to work for Playboy and Hustler. I work at a hospital and spent a lot of time and money to learn to care for people and pieces of crap like this guy should be grateful that anyone gives a rats a** about him, including a "70 year old crone". And for the crazy dumb people who replied, " he was giving a compliment to the sexy women of the area". Please, who else here is that ignorant? Does it matter that he was 'complimenting' the sexy nurses of the area if he was critizining the older nurse who probably took really good care of his slobby, lard-butt while he was in the hospital JUST because she was old? Hello retard, your going to get old too! And the woman who dresses sexy for her husband...that's great. I'm glad you feel sexy, but to be proud of your profession because of it's history as being a side line profession for prostitues is kind of messed up. In case you haven't noticed we've been trying to move AWAY from that image so that other medical professionals will take us seriously and your attitude is not helping. Blow jobs and sexy outfits at home, to the rest of the world try to show us that you have some brains to go with that beauty.
  16. KalipsoRed

    Maybe nursing doesn't suck...

    Saint Luke's East in Kansas City Missouri. Yes ladies and gentlemen they are hiring and will be hiring more as the second part of their facility is being built. Get this, there are a lot of travelers at their hospital right now...wanna know why? Because they are letting their staff take their summer vacations!!!! Have you ever heard of such a thing?! It's like I'm Alice walking through the looking glass. Seriously I feel like crying right now writing about this. I'm so relieved that I don't hate the career I spent 4 years getting a degree in. It took 3 years to figure that out, but at least I finally did! The 8:1 ratio ortho was in a hospital in Wisconsin. Wonderful people in Wisconsin but all the poor girls I worked with were new grads on this horrible floor and most of them were trying to quit nursing all together. But who could blame them? Their poor floor manager was honestly trying to get them some aids but the hosptial wasn't comming through....so aggrivating. 24 patients post op patients, 3 nurses, no aids, what kind of madness is that?! I recently read an article about a nurse that commited suicide after she accidently harmed a baby with an over dose. The hospital fired her and sent her home without any couseling support after 24 years of service and one mistake. The family should sue the hell out of the hospital for that sort of negligence of a current or former employee under those circumstances. Plus if the family did sue and made a big media stirr about it maybe hospitals would finally see that they can no longer treat us like slaves and use us as scapegoats for the f***ing lawsuits! Sorry, side rant there. I just know how often I feel something like that will happen to me because I was so overloaded that I couldn't slow down. Heck, I know I've had a few near misses as it is because of high patient ratios. If I accidently killed someone I'd feel like commiting suicide too, and it's really not right that we give up our time with family and friends for the love of strangers then get s*** on by our employers.