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jadelpn LPN, EMT-B

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Mom to three

jadelpn's Latest Activity

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. jadelpn

    Am I too optimistic about paying off loans?

    Will $1500 be your take home pay? If not, you need to consider taxes and any other deductibles--health insurance, dental, union dues--whatever is taken out. You also need to consider your housing. Craigslist is not always an ideal--and you need to consider that more than likely you will be working nights and need to sleep. And not have to worry about having to move if it isn't working. And that you may be responsible for part of utilities. If you have a $300 a month loan payment, have that $150 bi-weekly direct deposited into a savings account. Have the loan company then take the money each month. On the months that you have 3 paychecks, leave the third as a cushion, or directly pay on the principal that payment. Also realize that a "baby nurse" is a specialty. And that more than likely the new grad positions you may find are not specialties. I would do research on the availability of positions in the area of Hawaii you would like to be. Look on the various hospital websites as to what kind of a nursing position you can qualify for. Send a resume and cover letter, and follow up with the nurse manager. Finally, get yourself a credit card that has miles on it. If you use it for say groceries, it can give you extra miles, a certain percentage back, that kind of thing. And helps you to establish credit. It can also assist in the trip you are planning. And if you or your parents are triple A, your parents AARP there are a lot of travel deals that come up with both those groups. If you are in the 25ish dollar range, after taxes and insurance, you could more than likely end up with around $800 dollars a week take home (this is such a broad guesstimate amount). The cost of living in Hawaii is rather high. It may be more worth your while to stay home for a couple of years to really have a significant cushion, have your 2-3 year experience under your belt, and then start travelling. (and of course travel to Hawaii). The pay may or may not be better, but you usually get housing or a stipend, travel costs, and the time to travel to where you want to with your parents between assignments. Best wishes!!
  9. jadelpn

    junior high student thinks she is pregs

    Ah, boys. That is the "excuse" they use for oral/anal intercourse to completion.....if not, it gets EVERYWHERE and you could get pregnant..... It is the 2000's version of pulling out/just let me put the tip in.....
  10. jadelpn

    Would You Blame This RN or Look Deeper?

    I am unclear on what to think. No nurse at any time should be shutting off alarms on critical or unstable patients. Part of the job is to monitor, with tunnel vision sometimes. However, nurses can't be everywhere at once. So if multiple alarms are going off simultaneously, a nurse can't respond to all of them in a like manner. With that being said, the answer is not to just turn them off and ignore the possibility of a significantly poor outcome. Noise fatigue, alarm fatigue--whatever you would like to call it, the fact remains that warning alarms are what keeps patient's alive. It is a part of nursing practice. An acuity based staffing system would certainly be a better solution. More than 2 nurses on a critical floor on nights would also be ideal (and I know there are some units that have more, but often not). Hard and fast rules on patient loads across the board is also something that needs to happen. When healthcare became big business it took away the very essence of why there's a business to begin with. Patients who can expect a prompt professional level of care. All dollars, no sense.
  11. Were you underage at the time? I would use the report function on whatever social media you find these pictures. So unless you were underage, stripping is not illegal. Neither is "modeling" nude pics. Unfortunately, sometimes when one is caught up in that lifestyle (and there's lots of women who have/are) one tends to sign consents that give away their right to control what happens to their pictures. I know that there's a "good moral character" portion of nursing IN SOME STATES. Which is another thread entirely, as I have my opinions on that--however, it couldn't hurt to run this by an attorney that is learned in nursing issues if you are in or plan on working in a state that has this as a stipulation. Moral Character and Nursing | Chron.com Here is a good link to give a general overview. Best Wishes!
  12. jadelpn

    Help!!!! Advice needed!!!

    Depends on where the jobs are in your area. If there's no jobs for LPN's then I would start an RN program. If there are LPN jobs, then I would do the LPN, work for awhile, then do a bridge program. If they use LPN's in local MD offices or urgent care, that may be what you would need for a more daytime/M-F job with your child in school. Best wishes!
  13. jadelpn

    bathroom accidents

    I would think at this point, the child needs a plan in place. As part of an IEP. That there is an aide who toilets him every 2 hours and PRN. An occupational therapist. A counselor. There are kids who don't understand that they need to use the restroom. There are kids who have asked to use the restroom and denied, so they stop asking. There are kids who have public bathroom phobia. There's kids that due to trauma issues attempt to "control" their bodily functions. There are kids who are sexually abused and this is a huge issue. What strikes me as odd is that it is known that this kid will not use the bathroom. Humiliating for the child for sure. They are then told they have to clean themselves up (punishment even if not intended to be) further humiliated as the child then could be sent back to class soiled. Does this child have a disability that is undiagnosed? Trauma that the school is unaware of? I would advocate for a IEP for this child. And a CNA in house to assist with bladder/bowel training. And until such time as it is figured out, pull ups and wipes. Even if this child seems to "enjoy" hanging in the clinic there is a psych/social component going on here that needs to be addressed. If the child was successfully potty trained and now has started with the accidents, this screams of abuse. CPS needs to be involved, and this kid needs a plan that will work.
  14. jadelpn

    LPN-EMT-RN?

    There are some states that will allow an RN to "comp" the EMT training and just test. You will have to see if your state is one of them. It certainly could give you something a little more as far as job prospects. There are many EMT companies that also give tuition reimbursement for your paramedic (and some nursing) as well. It could give you extra money to go towards a BSN. You could speak to your college counselor regarding if any of the paramedic classes can count toward your BSN as well. You may find as an ASN/ADN, you may not be able to find a job right away--as many facilities are wanting BSN prepared nurses. With that being said, you may find that there's many jobs for EMT's in your area, which could tide you over until such time as you continue school. Make an appointment with your academic advisor. See what options are available to you. Best wishes!
  15. jadelpn

    junior high student thinks she is pregs

    Thank goodness!! Now that everyone is aware that this kid is participating in some risky behaviors, attention seeking, and is not capable at this point of making good decisions, now would be the perfect time to set her up with a mentor, family planning services, counseling, a behavioral plan. And support for Dad. All before she ups the ante. My hope for her is that she realizes that the mind she uses for the not so good can be used just as well for good things for her. Smart and successful, she can dream a dream and make it real.
  16. jadelpn

    Blind Sided

    When you attributed the issues to them, you are correct. Don't mix work with establishing friendships. You can be appropriate and professional without making friends at work. There are many ICU nurses on AN who speak about larger patient loads. And question the safety in that. But not inclusive to the ICU, as many nurses may have less critical patients, but acute and 8-10. It's called doing more with less. And you closing the door and doing 1:1 per your unit policy, I am not sure you can get up and help someone in another room if in fact you are supposed to be 1:1 anyway--door open or closed. What would be the need to sit in the hall if you can't leave? If you are 1:1, I would assume there's at lest 2 other nurses on the floor. Can't they team up? Keep on doing what your policy tells you to do. And what is most effective for the patient. Because if your patient tanks because you can't see the monitor from the hall, I am oh so sure that the nurse who insisted you sit in the hall is going to back you up with that and come clean about asking you to sit in the hall when you get in hot water over it. Not.
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