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massrn116's Latest Activity

  1. massrn116

    The death of nursing

    I have been an ICU nurse the majority of my 30 years in nursing. I started out and am still a diploma RN. I learned "old school" but have kept up with technology and have always felt that at the bedside one did not know if I had a degree or not. My employer has been actively at war with nursing for the past few years. Making cuts in the name of lack of medicare reimbursement. I have watched the nursing numbers dwindle, have seen ancillary staff done away with. We are now facing cuts in our hours to save the hospital on having to pay benefits. I am sad, very sad that nursing is dying. I have always been the type of nurse that has frequently, on an almost daily basis been sincerely thanked by my patients or their families, have frequently had a patient say "you have taken such good care of me." Have frequently gotten a smile out of the sickest or most nervous patients with my "humor." But now I am afraid. I am afraid that nursing is dying and I am afraid I will lose my job and won't get another because I lack a BSN and I am in my 50's. I am sad that I devoted so many years to a heartless hospital system that does not appreciate my years of service and the fact that I am not a bump on a log. I am mainly sad because nursing is dying and all those "nurses" with advanced degrees are not acting as nurses and being proactive in trying to save nursing. Instead they are siding with management big wigs, ceo's with big salaries and allowing nursing to die. You are the ones that never stayed too long at the bedside and realizes there was a real, live person who was depending on you to give excellent patient care, to be an ear, to give hope to the hopeless, to crack a whip on those that were giving up, to hold the hand of the dying. I would have to think if you had stayed just a little while at the bedside you would realize the value of a nurse, the value of me and would not contribute to the death of nursing.
  2. massrn116

    How To Spot a Workplace Bully, Part Three

    I have found the articles very helpful in making me realize I am not "paranoid" and my complaints are not petty. My current nurse manager is SO threatened by my confidence and my ability. She can never "get me" on my patient care so she has targeted me by saying "people" have called me rude (other colleagues) or "you don't seem very happy" etc. All little vague accusations that at times take their toll. The "problem" with me though is I refuse to be her victim. I stand up to her any way I can, I challenge her vague complaints and I am just waiting for my next evaluation. I am possibly thinking of attaching a copy of the bullying articles for her review.
  3. massrn116

    I hate being a nurse

    I am finding that lately after 25+years I am also hating the bedside. Mainly because of the backstabbers I work with, a nurse manager that plays favorites and interprets the "rules" based on the person in front of her. Mostly because of a day like yesterday. I busted my a@@ from 7am to 3pm getting a critically ill patient tubed, lined, ct'd, a-lined, med titrations, no bathroom, no lunch and today one of the docs questioned today why an abx went up later than he expected. Do doctors really get "it" ? After all these years I still see some write an order and forget the process/s it takes to carry out the order.
  4. massrn116

    Are you so busy that you don't get a lunch break?

    I work 12 hour shifts in an ICU, I make sure I get at least a 30min. break in that 12 hour period. We used to have the mentality that we were too busy to take breaks or lunch....when I am booked resource I make sure to assign lunch to give people a bench mark to shoot for. In nursing school I was fortunate enough to learn that in order to take care of others I needed to take care of myself. The norm for our unit now is for people to sign off to each other and take a break. Put your patients aside and plan for lunch, they will survive 30 minutes without you, no need for martyrdom, which a lot of nurses seem to give in to.
  5. massrn116

    Makeing 80k

    Not nice Noahsmama.....anyway...I have worked 25+years in MA and with OT my current gross income is 120,000 at a small community hospital...in it for the long haul I guess........
  6. massrn116

    How To Spot a Workplace Bully, Part Two

    I too am one that many staff turn to for answers and advice....is that why??
  7. massrn116

    Mandated Flu vaccine?

    I got severely ill about 5 years back post flu shot. Could not sit up without getting a severe headache. One thing led to another, neuro visits, CTs, MRIs, LP, being told it was stress, "tight neck muscles" went to chiropractor, sustained a subdural hematoma, had to switch nursing jobs, EMG hygromas by MRI,....needless to say I am more than hesitant to get a flu shot but I will get one if my employer will cover any adverse reactions/loss of income if I should have any type of reaction.
  8. massrn116

    How To Spot a Workplace Bully, Part Two

    I have been a nurse a lot of years. I opposed my former peer becoming our nurse manager. It has been about 4 years she has been in the position. Most recently she is forming her "inner circle." It is composed of nurses that she deems "worthy" of the charge role, preceptors, committee members etc. Then there is the "middle circle" nurses that will just go along with things though they know there is favoritism and just sit back and take it. I am one of maybe five outcasts. I do not go out of my way to cause trouble but I do tend to speak up. What I have found is that I am not able to express myself as freely as my peers about every day nursing frustrations because then I am called into the "principals office" I am not allowed to have a bad day, it becomes a personal issue with the charge nurse or nurse manager and another reason to find fault with me. Although I see many worse behaviours in my peers that never get "noticed." It bothers me but I also don't sit back and take it. I call my manager on it and remind her of our past and the fact that she may simply not like me.
  9. Suppose you have a stroke patient and the person arrives within the window of opportunity to be treated with TPA and they are given TNK in error....then the stroke extends and the person is paralyzed on one side and you know that person rec'd the wrong med, and wonder if the patient got TPA, would the outcome be better. Would you tell the patient somehow?
  10. massrn116

    Getting thrown under the bus

    I agree with JOLIE, don't ever take a telephone order from that MD unless you have a witness. He has lost his priviledge in giving telephone orders.
  11. massrn116

    Scared of MD

    He sounds like an ***. So treat him like the donkey he is. Hold your head up, you were right. HE, ordered the MRI wrong.
  12. massrn116

    How do you protect your back health?

    Sleep number bed, swear by it
  13. massrn116

    per diems

    Just wondering if any of you have per diem nurses working in your units and do they get preference on shifts or is your manager loyal to his/ her regular staff?
  14. massrn116

    How far do you go with precautions...

    We all know that gowning and gloving has become all too common place. Most recently in the ICU it has been decided for safe drug passing we are to bring our MAR charts into the patient room (they are paper in a plastic binder). We are told to gown and glove. Take a wipe, wipe down the bedside table(usually covered with patient's bedside personal effects)put down a chux, put the chart on it, administer the meds then take off our gloves, put on new gloves, wash down the chart, and then take off our gear. Any thoughts??? What do you do? Currently we take the chart outside the patient room, verify meds and then administer them.
  15. massrn116

    Spiritual Beliefs and End of Life Care

    I think many of us have issues with the end of life dilemma. Often times we are being too agressive on people that really should be made comfortable. Where I work we get into many a debate about code status. Most recent, an 86 year old with metastatic cancer that told his family member he wanted to fight till the end even if it meant being coded and on a ventilator, I wonder if he really knew what he was talking about. Prior to admit his appetite declined and was having periods of increased lethargy. Albumin 1.2, so you know where all the fluid we gave him went. Kidneys failing, how far do we go, do we honor the wishes of that patient or do we say "sorry there really is nothing more to be done?" I read in a christian pamphlet once that when the body stops taking nourishment then it is time. Today one of my collegue physicians gave me a NE Journal of Medicine article "Is It Always Wrong to Perform Futile CPR" It was an article pertaining to the fact that even though we know a patient's outcome will not be good, we should go to extreme measures just to make the family feel at ease with the death knowing that "everything" possible was done. Thoughts?
  16. massrn116

    Things you would like the ICU to understand

    I am an ICU nurse. It seems things are pretty much the same at a lot of places. I would like the ER not to try to send a patient at change of shift. This happens all too often where I work. We have shift change at 3p,7p, and 7a, inevitable we get a call at those times to take an admission.