JKL33

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All Content by JKL33

  1. JKL33

    How do you move past a mistake?

    JKL33 replied to friendlylark's topic in Emergency

    I pretty much walk a fine line between these two things. I guess deep down I don't really buy the idea that--no matter what inordinate amount of external pressure...and no matter that we are being...
  2. JKL33

    Question!

    JKL33 replied to nursing_potato's topic in General Nursing

    You have to pass the exam to have an active
  3. JKL33

    Contested a Doctor's Order Psych ?

    JKL33 replied to mhadvrn34's topic in General Nursing

    All you can say is that they were not effective FOR YOU. And that possibility has already been acknowledged here. No one on this thread has dismissed this patient's pain. It is not dismissing it...
  4. JKL33

    Contested a Doctor's Order Psych ?

    JKL33 replied to mhadvrn34's topic in General Nursing

    At that juncture the best thing to do would be to call the hospitalist back and come clean about the problem, which is that the patient's situation had been previously discussed with the psychiatrist...
  5. JKL33

    rewriting documentation

    JKL33 replied to ASCRN1212's topic in General Nursing

    You could ask your manager what is preferred in your place. If I didn't have that information I'd be inclined to just make a note on the paper itself that says something to the effect: "Note: All...
  6. JKL33

    I'm a new employee, how do I deal with a passive aggressive coworker?

    JKL33 replied to cookie123d's topic in Patient, Colleague Relations

    I have had one--only one--person in my career so far who kept pushing it. I maintained the MO I am now advising you about. Want to know how it ended? As soon as the person crossed a basic line...
  7. JKL33

    traumatic wound documentation

    JKL33 replied to melissakp's topic in Emergency

    What is your goal? What parameters would suggest whether or not you are meeting that
  8. JKL33

    Handling med errors

    JKL33 replied to Goaldigger80's topic in General Nursing

    ^ Agree. Do the audits if that work is assigned to you, fill out the audit tool and give it to whomever is actually in charge of what other employees do or don't do. Her reason is none of your...
  9. JKL33

    Contested a Doctor's Order Psych ?

    JKL33 replied to mhadvrn34's topic in General Nursing

    It seems reasonable except for all those situations where the condition in question is not exclusively one or the other. Without any judgment whatsoever, I think it is correct to say that pain itself...
  10. JKL33

    Contested a Doctor's Order Psych ?

    JKL33 replied to mhadvrn34's topic in General Nursing

    Narcotics are a last resort for endometriosis. NSAIDs are the first line pain treatment. I am glad that your goal was to advocate for your patient. ?? That said, ^ This is not a...
  11. JKL33

    Pospective NP student

    JKL33 replied to AlexM96's topic in Student Nurse Practitioner

    It might be wise to strongly consider PA school. That is not
  12. JKL33

    How much do you owe in student loans?

    JKL33 replied to MJB2010's topic in General Nursing

    Also zero and I wholeheartedly agree with you here. (?). I believe it is very important specifically with regard to nurses' ability to act in patients' and their own best
  13. JKL33

    Lead Clinical Nurse is Dealing with a Negative Nelly, HELP!

    JKL33 replied to Nurse Beth's topic in Career Advice Column

    I agree. I don't know why (a lot of work gaining self-esteem, possibly) but I have spent way too much of my career thus far in a system (Magnet, not-for-profit) that has a particularly patronizing and...
  14. JKL33

    Lead Clinical Nurse is Dealing with a Negative Nelly, HELP!

    JKL33 replied to Nurse Beth's topic in Career Advice Column

    I feel that she's just driving at a result and she is mocking nurses to get there. People's emotions are real. Maybe if anyone ever leveled with us it would be much easier for us to learn how to...
  15. JKL33

    Lead Clinical Nurse is Dealing with a Negative Nelly, HELP!

    JKL33 replied to Nurse Beth's topic in Career Advice Column

    Seriously?? She's literally up there with the 'you know what you do' coy spiel to a group of professional nurses waiting for people to clap while she mocks people's emotions...??‍♀️ She has...
  16. JKL33

    Lead Clinical Nurse is Dealing with a Negative Nelly, HELP!

    JKL33 replied to Nurse Beth's topic in Career Advice Column

    Just disagree. Reassurance is not always warranted although explanations and especially active listening almost always are. Reassurance is inappropriately utilized as a tool over and over and...
  17. JKL33

    Lead Clinical Nurse is Dealing with a Negative Nelly, HELP!

    JKL33 replied to Nurse Beth's topic in Career Advice Column

    Also: I believe my interpretation is correct because she doesn't work through this in an intelligent ("we're equal") way but rather in a way that utilizes mockery and (uh....fingerpointing) to make...
  18. JKL33

    Lead Clinical Nurse is Dealing with a Negative Nelly, HELP!

    JKL33 replied to Nurse Beth's topic in Career Advice Column

    I agree that a reactionary calling for heads to roll in a hotheaded manner is not productive. I'm not sure I agree that reassuring the patient (that, 'hey, it's cool, I know it seems completely...
  19. JKL33

    Lead Clinical Nurse is Dealing with a Negative Nelly, HELP!

    JKL33 replied to Nurse Beth's topic in Career Advice Column

    I'm glad your career has catapulted and I do think it's great if you were able to receive and apply something she said in a useful way. ? There might be a sliver of what she says that I do...
  20. JKL33

    New grad- job stress/depression

    JKL33 replied to nurseMR2020's topic in General Nursing

    It's impossible to say whether you're overreacting without being there to understand the situation. So...random thoughts: Based on years of observation, I don't think the managers are the...
  21. JKL33

    Feeling immense guilt for past mistakes

    JKL33 replied to dergs's topic in Health, Stress Management

    You can move forward and you should. I'm no counselor but it seems to me that guilt can be both useful and harmful. It is useful when it motivates us to correct a wrong, improve ourselves in...
  22. JKL33

    Advice

    JKL33 replied to Dtwjj's topic in Patient, Colleague Relations

    The entire house of cards relies solely on this foundation, though! That's the entire playbook: this pretty-much-gaslighting malarkey of how everyone is supposed to produce ideal outcomes despite...
  23. JKL33

    IV spa/infusion center

    JKL33 replied to mermer_rn's topic in General Nursing

    And they are waaaaay less likely to be routinely administering IV medications than something called "IV spa" or
  24. JKL33

    Standard COVID Precautions

    JKL33 replied to rooftop-yawp's topic in Disaster Preparation

    I always kind of thought it also (maybe moreso) had to do with the fact that business is in even bigger trouble with PPE if anyone dares admit that the coughing and the breathing generate
  25. JKL33

    Standard COVID Precautions

    JKL33 replied to rooftop-yawp's topic in Disaster Preparation

    This is not meant to be a well-researched intellectual comment ? but some of the talk about AGPs and especially associating them with intubation didn't strike me as being very commonsense right from...