LSRNgrad2008

Sorry for typos---it's wee hours of the am for me.... :)

Is your book talking about someone with a CVA, or someone with a CVA and unilateral neglect syndrome. There is a difference as mentioned in ealier posts. If it's a straightforward CVA, approach from the unaffected side, if it's a CVA with unilateral neglect syndrome you approache from the affected side. Someone with UL negelect has no awareness that side is there, someone with a straight CVA knows it's there and can't use it.

I don't think that filing bankruptcy will necessarily affect your job search per say, but it will affect your life. I would be hesitant to do this. Look at possibilities, you are young, so going part-time to school is an option, can you move in with a family member? Can you get a roommate? Can you sell your car for a cheaper one, or refinance? Can you take out a loan to consolidate your credit cards, loans, and car payment into ONE payment at a lower rate? CHOP up your credit cards. CAREFULLY look at your spending, when I was in school.....I got rid of my cell phone it was $50 bucks a month that I didn't need to spend......we survived FINE before cell phones, and they are a luxury not a necessity unless you are a parent. What are your utilities? Do you have basic cable? If not......get it. You definitely need to look at your budget........ are you an impulsive shopper? Do you spend a ton of money on weekends with friends? These are all avenues you need to look at before you make any decisions about going to school and or filing bankruptcy. As far as jobs looking at that....some do and some do not, it would suck if the job you wanted did.

lol....I agree, but sometimes I can't help but get defensive and have a chip on my shoulder....I need to get over that:bugeyes:

It was MRSA isolation, and as I stated I am not debating that isolation is isolation, I should be gowned or not. My point to my thread is how he handled “disciplining” me.

MRSA isolation

Well I know older Docs hate the idea that the days of a nurse standing up to salute them, making their coffee and lighting their cigarettes are over.......but......they are! How do you guys handle being disciplined by a Dr in front of a patient or other colleagues? Can they even do this.....or do you ask that they bring their concerns to your manager who holds the responsibility of disciplining you. Correcting someone tactfully and reprimanding them are two very different things. When you sense that you are being reprimanded by another coworker (Dr.s included in that, because they are peers whether they like it or not) how do you handle that? I can take a lot of crap from patients, or otherwise....but the bully mentality I don't deal well with at all. Scenario: This Dr. (Infection Control Doc) is a nazi.....and I understand this is his job, he has been known to take the time to gown up, mask etc when called to a Code, he has even gone into an isolation room ungowned just to tell the people in the room that they should be gowned! (?????......er nothing like setting an example) Anyway I had a pt on isolation precautions the other night and he desated into the high 70's so of course I ran into the room to sit him up quick and put his 02 back on. I didn't gown (good, bad, or indifferent decision....that's not the point) My point is that the Infection Control Doc from the pt doorway yells out you should be gowned gloved mask.....not only in front of my pt, but another nurse......I at this point was walking toward the doorway and said back (just as abruptly) he was in respiratory distress and I ran in here......he then repeated himself......I repeated myself back....I could see it escalating so I stopped walked away and washed up. End of story right? No, he later comes back and asks another nurse for my name.....funny, this guy doesn't know me from a whole in the wall, didn't assess the situation at all, but wants to file a complaint. Wants to file a complaint because I bruised his ego? Anyhoo, thoughts, opinions? I think it was inappropriate; not his concerns, but he should have taken me aside.

Yeah, she's one of those people that HAS to be right..and be the shining star.....that's ok with me.....I don't need to be that way. I had also given him a pillow to splint his abdomen (he had a lap chole) not major abdominal sx, and she felt the need to take the pillow away and give him a taped up blanket that said "hug me" with a smiley face.......the pt is a 70 yo A/O man......the extra smiley face is nice and cute but c'mon now.

I have to chuckle.....at how many nurses feel the need to be superstars.....I say come to work do your job and go home. I had a pt...in a nutshell post op....had 3 small lap incisions and a jackson pratt drain with a ABD dsg over it. Throughout my entire shift (night shift) all the dressings were CDI.....I checked them several times, the last time at 0630 and emptied the JP (had 25 mL in it the whole shift). Everything was just fine. I gave AM report to "the superstar nurse" and returned that evening at 1900. One of the first things she said was that the JP dressing was "saturated" at the start of her shift....I said hmmmm.....I checked it several times and again at 0630 (on purpose as to not leave the oncoming shift with a mess) and it was CDI...well according to her it was saturated that AM when she went in, BTW she felt the need to tell me all this at the nurses station in front of everyone.......WELL......(giggle)....I looked back at her assessments that day and per her charting it said 11:30 am dressing CDI with SCANT drainage and at 1759 dressing bloody and changed. SOOOO if it was soooooo saturated why did she wait 10 hours to change it, and why did she document scant drainage at 11:30 that AM (several hours after I left).....Makes me wonder..... Anyhoo.....just needed to chuckle about this......for any nurse out there that feels the need to be this way....I feel terribly sorry for you.....life must be mundane.....so my lesson learned......I now write progress notes in addition to my assessments......just to cover my ass.

Eeeekkkk...... Well for $50-100/yr it's worth it. You may not "get sued" in the end but liability insurance pays you if you have to be out of work pending an investigation if your license is temp suspended. So it's not just about "getting sued" it protects you in many other ways. What happens if your license is suspended pending an investigation that lasts 6 months.....sure don't want the bank taking your house because you're out of work. Better to be safe.....just when ya think it won't happen to you

You could also try taking an EMT class. It's usually pretty short 8-15 wks long you can try that out to see if you even like working with people, blood, guts all that. Then if you still think about nursing, well you can work part time as an EMT through school. If you are a troll, I could care less.....I'm at work and things are quiet right now, so you are keeping me entertained enough to stay awake through an overnight.

That is an incredibly low pass rate. The schools that I had to choose from had pass rates in the high 90's. I would check around for sure.

As far as the microwave thing, it's a fine line because we want patients family to assist in care of their loved one......and it should start in the hospital.....if they know where the nutrition room is.....there is no reason why they can't grab their loved one water, crackers, etc. if the pt is allowed to have those things. We are nurses, not waitresses (please don't take that the wrong way I am not above these things by ANY means) but enabling family with every need is not healthy in the long run either. If a pt needs help being fed and the family is there they most certainly should help them eat.....they may have to do this at home, and there is not a reason why it shouldn't start in the hospital. Just like we teach pts to inject themselves if they are diabetic, or we teach a new mom to change diapers on a new baby, and they do it themselves. With all of the above, it's all in your delivery with how you say it to patients too. As far as the allegations of VS or whatever else being documented but not done.......this is serious....very serious......and you better make sure you have UNDISPUTABLE evidence that this is the case. You don't want a lawsuit slapped back at you for defamation or slander of someone's professional character. I'm not sure how you can prove it......but you really better make sure that this is the case before you say anything. Make sure it's all just not back talk and rumor....or speculation.

same NSO 3,000,000-6,000,000

there are so many things that you have no control over. try to spend your energies making yourself the best nurse you can, rather then focus on things around you that you can't control. you will not change anyone......do not try. i think "going to management" can blow up in your face, you want to pick and choose your battles when going to management.