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brillohead ADN, RN

Cardio-Pulmonary; Med-Surg; Private Duty
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brillohead has 5 years experience as a ADN, RN and specializes in Cardio-Pulmonary; Med-Surg; Private Duty.

changed careers at mid-life

brillohead's Latest Activity

  1. brillohead


    This is a big deal and a contributing factor in a lot of cases like this. If I walk out of a patient's room and ask an aide to toilet that patient, get them fresh water, get a set of vitals, or whatever, I make a point of saying what I'm going to be doing instead that prevents me from doing the task myself -- I need to get meds for someone, I have to page the doc for an order, I have to check that beeping IV pump down the hall.... things that need to be done by an RN, so the delegation of the other task is understandable. And oftentimes it's "can you get her an ice water so I can go get that call light" -- both things that can be done by either an aide or an RN, so one of us does one and one of us does the other. Drawing attention to the collaboration helps with awareness.
  2. brillohead

    Nursing School Forces Retake of Passed Courses

    If you're going to have to pay to redo the entirety of nursing school in order to graduate, instead of battling the administration pointlessly, why not just pay to attend a DIFFERENT nursing school? You could also attempt to retake the exit-HESI to see if you pass. But the fact of the matter is, the school is allowed to make its own rules as to what constitutes graduation from their particular school. If you don't meet the graduation requirements that they set, then they are within their rights to say that you don't get to graduate from their school.
  3. brillohead

    I'm shocked

    And people wonder why I always spend the night with my mom when she's in the hospital (provided my own work schedule allows).
  4. There's a separate forum here for Private Duty Nursing. If you check it out, you'll see that parents of special needs kids can be on the.... difficult.... side sometimes!
  5. brillohead

    Dealing with quadras

    NEVER touch a resident's money, and be careful about doing these little "favors" for them. You could end up losing your job and your certification from that. Boundaries, boundaries, boundaries. All it takes is someone claiming you stole his money, and you will be shown the door with no ability to defend yourself. If residents need / want items that they can't purchase themselves, check with someone in management to see what allowances can be made for the resident. Maybe they can have a staff member serve as a "concierge" for a day where that's their assigned duty to do shopping trips, or maybe a family member or guardian (if applicable) can be notified to take care of the resident's wishes, etc. But do NOT do things for residents off the clock, no matter how hard it is to say "no" to them. Your job and your professionalism and your licensure/certification have to come first.
  6. brillohead

    Just grin and bear it!

  7. brillohead

    Dealing with quadras

    Actually, after the first TB injection, you have to get it rechecked within 48-72 hours.... after that, it's useless. But back to your original problem, I hope my comments help. It's really all about setting limits and STICKING TO YOUR GUNS. If you let them run you ragged, they will. I think a lot of the time, they're worried / afraid that they won't see anyone for hours and hours, so they try to hold onto you as long as possible. If you can explain to them that you will be in their room every two hours at a minimum, and that you'll stick your head in the door in between then as often as possible, and then you follow through with your promise, you will hopefully see positive results.
  8. brillohead

    Little boy reading

    Glad to see I'm not the only person who raised a kid to behave in public. Who wants to spend time with a brat??? My son got many compliments (and even some free desserts!) in restaurants, simply because of his polite and appropriate behavior. He was ordering his own food at 3yo, saying, "please" and "thank you" to the server, etc., looking them in the eyes and speaking loudly and clearly so they could understand. I took it for granted that a child would be taught things like this, but when he started dating his then-15yo GF, she was too afraid to order her own food, and he had to teach her how. And lawd almighty, thank goodness for e-readers! Praise and Hallelujah to the inventor of that necessary gadget!!!
  9. brillohead

    Dealing with quadras

    This is something you have to take up with your supervisor. You're not going to lose your CNA license because you left a resident who wants someone to scratch his nose, but you have to find out what your facility allows you to say. If allowed, I would try to set some boundaries. "I am doing my rounds, and I have five minutes to spend in your room before I go to the next patient. Please decide how you would like those minutes spent. Anything I don't get finished on this round can be addressed on my next round." You can even get a timer from the dollar store to keep in your pocket... set it for four minutes and thirty seconds, and when it goes off say, "I have 30 more seconds, do you need anything else that I can do in that time period?" People who have almost no control in their lives will latch on to what little they can control. Setting limits and letting them choose within the parameters that are available is usually the best you can do. With a toddler, you don't let them choose from every outfit in their closet -- you set out 2-3 outfits and say, "These are your choices for today's clothes. You choose which you want." Same with demanding residents (quads or not). If they're not going to pay triple the going rate for monthly care, then they don't get triple the time, plain and simple. And thank you for your service. My son is currently in the Army.
  10. brillohead

    You just can't make this stuff up!

    Sorry, I flushed but it just wouldn't go down!
  11. brillohead

    Funniest, Weirdest, Most Unusual Baby Names

    This makes me think of the Bobcat Goldthwait bit about flying (video is NSFW):
  12. brillohead

    Anyone Else have to Sub in classrooms??

    I'd be interested in hearing how much they pay a substitute teacher for a day of work, and if they're going to cut you a check for that amount for the two days you've already worked as a sub. ???
  13. brillohead

    I don't think i can be around this co-worker anymore.

    The initial encounter was on him and has already been handled. The OP has her own issues about being around the dude, and that's on her to fix. If she wants him to just never be near her or talk to her unless it's strictly about work related issues, then she needs to tell him that. (Send him an email if you're too scared to talk to his face.) He doesn't know that talking to you is too traumatic for you unless you tell him that -- you can't just assume that he knows to not talk to you at all, nor can you accuse him of being a sexual predator for talking to you at the nursing station. You have to actually tell him. I would also recommend more therapy, as it appears there are still issues causing the OP stress / anxiety.
  14. brillohead

    La la la la... I can't hear you

    I don't see the big problem with OTC meds and older kids. I used to self-carry OTC meds back in high school (in the 80s) all the time. I was driving a car, working a job, and I paid for them at the store with my own money. I didn't give them to anyone else, but even if I had, I would have said, "it's Tylenol" or "it's Motrin".... one would expect a high schooler with a known allergy would have known what they can and cannot take. Incidentally, Michigan doesn't have school nurses typically, and we don't have standing orders for OTC meds. It's very much a fend-for-yourself environment for school kids here. (I totally agree with not administering even an OTC without an order, though -- that's the same as at the hospital.)
  15. brillohead

    Notarization Question

    If she has a bank account (or credit union account), most financial institutions will notarize paperwork for free (provided it's not 100 pages or something -- a single sheet of paper is fine). I used to be a notary public in the state of Michigan in my pre-nursing life, and I think the state capped the fee at $6.00. It's not an expensive thing, even if you do have to pay for it (like at city hall or a courthouse).
  16. brillohead

    A nurse with a difficult name??

    My hospital will let you put your nickname on your badge (provided it's not obscene!) instead of your legal name. One coworker named Richard is Rick, another coworker named Richard is Calvin. My mother had a good friend from childhood who went by "Tootie"... I knew this woman for several decades and never did know her legal name.