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Accolay

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All Content by Accolay

  1. Haven't been back in a while. Anything come to fruition while I was gone? Any internet oracle's prophecies come true about the current administration?
  2. Why would it seem to seem that? The full thought was "seemingly trivial." As in seems trivial to whoever jacked that zofran. Not to me. I'm not going to put job or license on the line for 3$ or $300.
  3. I voted. That's what I did to stop this. That was the only thing within my circle of influence to do. Trump is the smoke and mirrors of single issue voters and social issues to get us peons to argue with each other to distract about what's really going on: the ultrasuperrich getting what they want. Zero taxes, kings of their own personal fiefdoms. Recessions are good things when you have the means to buy the stock market at a deep discount and property can be gobbled up cheaply. The people cheering all of this on who don't have the foresight to see the problems and suffering that will be created will only care when it touches them personally. And I hope it touches them really hard. Remember this: we tried to warn you.
  4. Yeah, probably depends on how that BON views ethics violations for RNs in this particular state. Zofran isn't controlled, but it was theft. Businesses, at least, tend to look down on that. Never worth losing your source of income and good standing for a seemingly trivial amount of hospital property.
  5. I don't know if that's true, but it sure sounds good. There's nothing wrong with taking a break from hard stuff for a while, but it sounds like you just did that. Why not buckle down and do the more challenging job? Learn. Grow. Move forward.
  6. I think medical insurance sucks. I think the stories of people who have to ration their insulin sucks- especially since it costs pennies per dose. I hope that Martin Shkreli and those like him find a nice place in hell. I think it sucks that people forgo medical care due to costs- especially when they have to let their problems get so bad they come in really sick. I think a businesses that only provides catastrophic medical insurance coverage to its employees is hot garbage. Also ties into businesses that don't provide PTO and make their employees work when they are sick (and make other people sick), or they don't pay enough and people can't afford to take an unpaid day off. And the jobs that make people get a doctors note for missing a day or two of work like they're ten years old? Really? And that's just insurance. Don't get me started on politicians denying healthcare. Having a healthy populace is integral for a successful nation.
  7. Well... I'm late to the party on this. I hope your decision went well. For anyone else: All I know of the working establishment is hearsay from other RNs who have worked there: it's easy and boring- you give meds and chart. I hear they have a team for everything: IV team, bladder scanner team etc. They have a union, get paid well enough probably. Mayo seems like a well-oiled machine and is Doctor and research centered. If you have an weird medical issue it's the place for you. They have in the past, maybe present?) given care to a lot of celebrities and ultrarich people there. But it's not the Mayo of 30 years ago which is good and bad. Their leadership seems like your basic corporate goobers. See their Supreme Court case from 2011. See the last CEOs statement on not wanting to care for poor people I.e. prioritizing private pay patients over Medicare and Medicaid pts from 2017. Also see their opposition to state nursing staffing mandates from 2023. They're a magnet hospital if that floats your boat. I guess they're a Level one trauma center. I'm told they're the number one hospital in the nation. Rochester is OK if you like small (mid size?) town mid-west life. If you like more amenities head north. A quick apartment search has rents that seem high to live in Rochester, but I guess that's the way of the world these days. Minnesota is currently a well-run state with a lot to offer, but only ever one election away from the opposite and will probably get the shaft economically from the current Federal administration.
  8. The new company is saying that nurse notes aren't required or aren't necessary? As in you could write a note but you don't have to or you shouldn't write a note? Nursing notes aren't important until something goes wrong and you get sued two years later and can't remember any circumstances.
  9. I do remember that movie. I also remember The Terminator. Neither ended up well for the humans. I think AI will start to dictate some if not most of the physician plan with the insurance companies/medicare/medicaid: if pt has X we should do Y. Insurance companies will only pay for what the AI says is the best practice/best way to help this patient. Which could be really good and really bad. I also think AI will real-time audit your charting.
  10. I have so many questions/thoughts: What part of the country does this nurse work? Does she work full time as in 40 hours per week? How long has she been working as a nurse? Where does she work- hospital? nursing home? Kids are expensive, that's why a lot of people have decided not to have them. Corporations are greedy. A lot of that "inflation" we're experiencing was just them raising prices because they can. I'd like to see their budget and where their money is going. Survey says that what's left of the middle class in America is not good at holding onto cash.
  11. I don't think this is unethical. If you are able to keep work and personal stuff separate then you'll be OK.
  12. I'm right there with you. I'm trying to figure out if I should stay or if I should go. I don't see a lot of good on the horizon for nursing in general or where I work. My department used to have certain experience requirements for hiring RNs but now have instead gone to the pulse check method of hiring because we're short staffed. Nursing skills translate to basically any type of work, so we've got that going for us.
  13. I'm biased- I work in a hospital represented by a union and have for the entirety of my nursing career. We have a strong union. My comment here is going to sound like I'm trying to recruit you. I'm pro union but wish it wasn't necessary. Besides, there are other things I could do with the money used for union dues. But I think it is necessary- I don't like paying taxes either, but it's how the world works. What I have experienced is that with the union you know exactly what you're going to get- the contract is there so both the employee and employer know what is expected and there is no mystery with compensation, benefits or discipline. The only reason the debate about unions exists is because companies have used consultants and the PR industry to sow the seeds of doubt inserting magical thinking such as "I'm a free individual American citizen, I can bargain for myself and do better than these schleps without having to pay for these expensive union dues" and Americans end up accepting worse compensation and benefits as Americans have for over 40 years now. I have heard some (not many) complain about the union where I work, mostly it's about the union not doing enough or the monthly fee we pay for representation. Those people have not considered all the history of benefits the hospital wanted to decrease or remove. The question I ask is if they've ever participated in the union- ever been to a meeting? They never have. I know many good nurses who had problems with a bad manager and would have been fired if not for the union. Regarding the union dues, we have received much more compensation in the form of raises- I view the dues as a wash. Direct benefits of the union in the time I've worked here, among other things in our contract: -wouldn't have bargained for raises I.e. either not gotten any or much much less. -they would have given us garbage medical insurance -we would easily be mandated for shifts -we would have worse or no differential pay. -the pay in our area with good union representation has actually helped raise the pay in the surrounding areas without good union representation. -removes discrimination in pay. Doesn't matter your age, sex, ethnicity, no favoritism, yada yada yada. The pay chart is right there. Unions depend on participation of their members or at least agreement on what they bargain. If you live somewhere where people have bought into the idea that unions are a bad deal, it's the only thing that would make me think twice about working in a union.
  14. I usually address MDs by Dr. Surname until they correct me because you can't go wrong and no need for a conversation with everyone about what they want to be called. Generally, I use profanity among people I know- lets not pretend the naughty words aren't conversational speech these days for a lot of people. Otherwise I keep it more professional though I have come under some circumstances where things are absolutely ****** and I will say so. I have on occasion used profanity with patients, but as a quote of what they just said I.e pt screaming in the hall "where is my ******* hat?!" I walk up to the patient and say calmly, "I don't know where your "******* hat is, sir." On the two or so occasions I've done this these out-of-control patients are taken back, took a pause, and calmed down because these were the sneaky, manipulative types who seemed to think that their use of profanity would make nurses wilt.
  15. I don't make new year's resolutions. If you want change, do it now- don't wait until the arbitrary date of January 1st.
  16. Short answer: No.
  17. I know I'm jumping the gun here, but who's looking forward to having all visitor restrictions lifted, visiting hours gone, hoards of visitors back? Our patient satisfaction scores are way up, wondering what the hospital head honchos think is the cause? I'm not saying I never want visitors again, but do you think the Powers That Be will swing the pendulum back just a teensy bit? Also regarding mask wearing, how many influenza cases have you seen this year?
  18. Long term health effects of the covid vaccination should be the least of your worries if you're a lover of true freedom.... the main issue is really about how many microchips Bill Gates put in it and how to get your tinfoil hat to fit so They can't track you. Because obviously all of those who have made their entire career, their entire lives as specialists in the medical and biological sciences worldwide have come together to dupe us all into buying this vaccination from them for this covid hoax. Too bad all those doctors won't get any more money for covid deaths though. I hope they don't make the vaccination mandatory- it has worked out so well for parents who didn't want to vaccinate their kids from the measles. It's only 350,000 deaths in the US at this point. What, me worry? (I really hope everyone detects the sarcasm- but just in case...)
  19. https://en.wikipedia.org/wiki/Swiss_Policy_Research
  20. Just a little under the weather (No Covid) and bored so I thought I'd see what's going down on AllNurses in 2021. Anything happen in 2020? Turns out I'm an "Adventurer" and interacting with me is recommended and I'm open to new things. What I won't say is what that badge looked like to me at first glance... ?
  21. Dude... you've only been doing this for 5 weeks. Give yourself a real chance. You are going to make mistakes. No sugar coating here: this will be hard. Give yourself at least 12 months before you burn it all down. Bear down, batten the hatches Eat food, drink water, get sleep, have some fun (self care, yada yada yada) and hang in there.
  22. Just breathe, man. Everything is normal. Everyone has been exactly where you are right now. Your BSN isn't lifelong- you will eventually finish. Eat that less-than-ideal-score because what you've now learned the magic of group work and how to deal with it next time: Trust but verify. Schedule a little social life. Schedule a little extra sleep. Schedule "me time." Or else you are looking at burn out. Maybe there isn't room for a romantic relationship right now, but there will be in the future. This too shall pass and you'll be content when looking back. Suck up the once a month mentorship meeting and get them over with. Get what you can out of them and move on. Only four left. It's your first year of nursing. It's going to be challenging. It will get better as long as you keep at it. Read and know your institutions policies, form good habits now so they will last your career. Master less intense things such as medication administration and work your way up to more difficult tasks. Learn from mistakes and forgive yourself for them. You will get more comfortable talking with providers- every conversation is an opportunity to learn something. It's ok if you need help. Make sure you ask for it before mucking something up, but also make sure you have used all your resources first, or at least try to find the answer (emergencies notwithstanding) There is nothing worse than a lazy coworker asking for help or answers they can easily find for themselves, either in policy or other work related literature- it's always the same people. Lastly, leave work at work. You're not superhuman. You're developing a career. It takes time, Padawan.
  23. Expressing an oath towards a situation isn't a big deal to me, especially considering I grew up in the Navy. Swearing directed at people is where I draw the line. After all, you might be "happier, healthier and more honest" if you do swear: People Who Swear May Be Happier, Healthier And More Honest | HuffPost Life
  24. What a horrible way to die. I don't want to fully blame the nurse, since there were many things that should have been in place to stop this accident from happening... but man... if you don't know the difference between versed and vec you might want to go ahead and look something up. It's like they took a brand new nurse and let them run with it or something. Makes me wonder how orientation is with other nurses there?
  25. If my math is correct, and only assuming the easy 50 minute commute and working a .6/8day per month schedule, that's still over 13 hours of driving per month. 32 hours and more of driving assuming working a .6 if considering that they are all the long commute of two hours. Driving is inherently dangerous, the more driving, the more chance of an accident. And you're trying to do it some of the time with little or no sleep. Eesh. You could pick up almost a full extra week of hours to work for a job closer to home. Maybe it's because everyone is commuting 2+ hours per day? /s So I'm thinking your job has to be in one of four areas: CA, NY, IL or WA. TX?? I'm just curious. There is another solution: move closer. Sure rents are more expensive, but the cost in maintenance of your vehicle and the cost of time would offset that price. What is your time worth to you? It's ok, we know that's not going to happen. So my takeaway from your post only reconfirms my bias towards long commutes, and that is that they are absurd. No offense.

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