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jadelpn LPN, EMT-B

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Mom to three

jadelpn's Latest Activity

  1. I understand that culturally, you are obligated to obey your parents. Who have decided that as a nurse, you would have better opportunities for a job. Unfortunately, your current school is not using best practices. Much like th US has for profit schools that take tuition and churn out unprepared nurse candidates, the same apparently goes on in your country. But with an added "American Dream" component. I am at a loss as to how to change your school's practices. Only that you know you need to wear gloves and wash your hands. There are many nurses that come to the US from the Philippines. But if the market is saturated, this is no guarantee. Bottom line is that this is all a moot point if you are still under the direction and authority of your parents. Your father saw practices that were not ideal. And I would assume he is paying for your education. Perhaps due to this, you could negotiate another path. Teaching perhaps? And your medical equipment you could sell to someone who doesn't have those advantages. Best wishes in your endeavours.
  2. jadelpn

    June 2016 Caption Contest. Win $100!

    This is so going on you tube!!
  3. jadelpn

    June 2016 Caption Contest. Win $100!

    Gives new meaning to "night shift makes a nurse whacky..."
  4. jadelpn

    June 2016 Caption Contest. Win $100!

    Some nurses ARE "whacked"!!
  5. jadelpn

    Disrespectful patients

    "I will get my charge nurse to come and see you immediately". And do so. Being stuck 8 times is wearing even with the most mild mannered person. And yes, it would be very frustrating to most people, Unfortuntely, you were the brunt of that anxiety/anger. I will tell you not to take any of it personally. It seems to me it was the situation, and not you as a person or a nurse. Going forward, just simply say you will get your charge. Let her/him smooth feathers and perhaps come up with a plan "b".
  6. jadelpn

    June 2016 Caption Contest. Win $100!

    It's like threading only quicker....
  7. jadelpn

    June 2016 Caption Contest. Win $100!

    When landscapers become nurses...
  8. jadelpn

    June 2016 Caption Contest. Win $100!

    I have heard of WAXING...but WHACKING?!?!
  9. jadelpn

    Disrespectful patient

    And in some order sets, patients have things that are taken from them upon admission, one of which is a cell phone. With that being said, this patient needed an alternate level of care, and/or to be seen by behavioral health. No one can assume that this patient's suicide ideation was not "real". Or the motivations behind his admission. Just because you would not "allow" your child to act in such a manner doesn't mean that everyone else has the same parenting techniques, or techniques to deal with bad behaviors. And if we are talking a personality disorder, it does take a sense of "ignoring" inappropriate behaviors, and redirecting. I have heard many a nurse make the "bad parenting" and "I would kick that kids butt if he were mine" and "he was not serious, just wanted attention" stuff. Makes for some juicy nurse's station gossiping. Now that we all are good with the perfection of our own parenting of our stellar kids, lets start telling our patient's parent how to improve. Not. Remember, people who have personality disorders and acting out behaviors, are more than likely(in my own opinion only) trauma survivors. Behavior is how they cope. Hurts my heart, but we are there as a nurse, not as a interventionalist, or a behavior modification therapist. Separate yourself and your own ideals from your nursing practice. Best thing you could do for your career.
  10. jadelpn

    Lied to in Interview

    You can pretty much set your clock by the fact that in any acute care setting it can become unpredictable quickly, and yes, you may have to stay over to finish up when and if that happens. Additionally, policies are such that most schedulers have to go down the line and call everyone when they are short. This is the way of any sort of acute care, rehab or not. It would be akin to if one of your patients on the machine in dialysis had an issue as you were finishing, and this was your last patient of the day. They needed to be seen in the ED, and you needed to call EMS. You certainly are not going to leave the patient out in front of the building to wait because you need to be home at 5:30. In other words, no manager can say with any clarity that things are not going to come up--with regularity or rarely--that would require you to stay over until things are stable. Further that you are not going to be on the list of employees that would be called in the event of a call out. Or a "disaster" or an "emergency". And really, your dialysis manager also can't say that. If a patient is late on the machine, has issues....Does it happen often? Maybe not. But it can happen. Or that on Tuesday or Thursday if the nurse calls out you will not be called and asked if you want to work.
  11. jadelpn

    Why can't we all just get along?

    You can only do what you can do. Maybe it is nervousness that they won't get a job, they can't form their own business, they are up to their eyeballs in debt with no clear plan or goal. Whatever. You don't need to be BFF's with them. You don't even need to see them out of school. Your life and goals are your own. Some people just like to stir the pot. So you would think that if they don't want to know the answer, they just wouldn't ask. Not the case most of the time. Its a phenomenon not exclusive to nursing. Keep on keeping on.
  12. jadelpn

    Micromanaging

    If management is not responding, but know what is happening it is on them. They could be creating a paper trail against her, who knows. You do not have 18 gauge blunt syringes? Perhaps that is something that you could ask for to remedy this problem going forward. Then you could change out the needle for injection. That could certainly solve that issue. Is it just you and her, or are there other nurses? I know everyone's patient load can be overwhelming at times, but if you make it a point to help each other out when you can. And try to chart as you go. Very frustrating for sure. But until you have the backing of the powers that be who are in a position to do something about it, DOCUMENT and CYA. "Charge nurse made aware, 1800 hours" or something of that nature. Because the only way this may (may) change is when all heck breaks loose and you document "sought assistance of charge nurse at 1800 hours" and charge nurse says she was doing crosswords at the nurses station, I would think there would be no choice at that point. Thank you for the work you do in a difficult specialty. Best wishes and let us know how it goes.
  13. jadelpn

    was this a HIPPA violation or not.

    I am not sure it was a HIPAA violation per se, but most certainly a privacy violation. How did this EMT know that the parent was in police custody? Perhaps after being medically cleared by the EMT's? Was the EMT on duty? As adults in general, I would never suggest that one who knows a parent is in a sticky situation that the child may be upset about to ask such questions of any kid. It is wrong on a number of levels. A more appropriate response would be "you know you are welcome at our house as usual anytime" and leave it at that. More than likely, the person was let go due to privacy violations, and/or inappropriate communication while on duty. An upset and crying kid in response to such an emotional trigger question would be hard enough in one's own living room, but even more so on the street while on duty.
  14. jadelpn

    ABG Results, Explain this to me....

    Love this question, and the answers. I learn something all the time. Thank you. I am throwing it out there--Is there a difference between what you would see on an arterial blood gas and a venous stick? Also 6 lpm of O2 can be excessive on the drive to breathe. Of course dependent on situation, but something to consider. Perhaps type of stroke dependent on deficient. Further, are the results skewed or could be due to the patient not being off of their O2 for whatever the policy is prior to the ABG stick? Just thinking out loud--I do not know any of this to be necessarily correct, just some musings..... Great question, great answers.
  15. jadelpn

    Administration hovering and criticizing

    So now OP, you need to start a campaign of seat belts on busses, and that EMS is called and waiting for anyone who is injured on the bus. That should go over well. You did the right thing. I would say to the AP--in an incident review that I am SURE you are going to have--(hint, hint) that you need to be able to do your job without his questioning your clinical judgment. Period. And if anyone is going to bring forth the lawsuit--it would more than likely be on the bus company. But I am just throwing it out there, the bus company should have a policy. And that policy should be clear. And the transition of care may need to be bus to ambulance. So that YOU are not taking on the liability of taking on care and making those decisions for students who are hurt while not at school in questionable circumstances.
  16. jadelpn

    Why do some nurses "hate their jobs"?

    I think some people aspire to be nurses because of a hands on/critical thinking combo. So I don't think some people are "built" to be nurses. Bedside has become rather robotic with a chicken with head cut off pace. Ratios and acuity are difficult to say the least. So it is not the profession per se, but rather the job. There are people who are more ill, more complex and limits on the time they can spend in house. So that leaves nurses to be working a practical miracle with a deadline. Back in the day 20+ years ago, there were fewer choices for women. Even a bit longer than that, there was getting married, being a teacher, a nurse or a flight attendant kind of culture for some. So there's a level of frustration there. Equally, at that same time, a hospital job was a really good job to get. The pay was amazing, lots of staff, really good benefits, room to be sent back to school, all around employers were invested in keeping nurses, and keeping nurses happy. Not so much today. And changes are not to the patient's benefit, even though the powers that be say it is. Wolves in sheep's clothing. And any number of us who have been on the job 20 plus years can see right through it. By then, you are stuck between a rock and a hard place. Financial responsibility, losing seniority and significant pay be going elsewhere, conditions the same or worse....and the ever present fear that people don't hire bedside 50+ year old nurses who have put in 25 years. They all want to grow their own for less money and no expectations/preconceived notions. But then you put a new grad in a place where seasoned nurses have been for a long time, and all heck breaks loose. New grads do not have the kind of instinct that was expected of a new grad 20 years ago. But you are playing with sicker people for less time. The days of Gram in the bed for a month because of her "failure to thrive" is over, vs the complex patient with multiple comorbidities that you have 3 days to fix and discharge and you best not have a readmit for the same thing is alive and well. Yes, to be paid well is not a bad thing. But to be paid fairly with a acuity level and patient load that makes sense and is safe, not having all of this strange passive aggressive bring all your personal problems to work weeks even better.