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CCRN "Cram Cram Repetition Nail it"
Sorry, I never saw this question. Yes, know those superficially. I assume you took test already. Just know the main ones of regurge, stenosis and where to listen to on exam. Aortic, pulmonic, triscupid, mitral where to place scope. what s & s see with regurg and stenosis ( edema, JVD,SOB, dyspnea, chest pain...) Did you pass?
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male nurses
YES, YES! Let's dilute all of the estrogen a bit. Tired of all the backstabbing,grudges, nepotism, whining, gossiping, bullying, favoritism. We women behave better when men are around. That's MY opinion.
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when you feel creeped out
People come in all types. We can't pick and choose. Here are some deal breakers for me: physical contact, throwing objects, fluids, or spitting, threatening comments by patient or visitors,extreme personality clashes, ethical dilemmas- I feel all of these issues need to be escalated to the charge or management immediately in a calm, professional manner. Usually social work, family, doctor, security.... are called upon to remedy as appropriate. Maybe you can continue to be assigned, maybe not. As a women, I've been complimented or whatever by men my entire career. I just ignore it. If it bothers someone, they can professionally work it out with superiors. Sometimes another colleague may have a better connection with the patient. If the patient is really bad, we usually "take turns" caring for someone. It can be very draining on one person all the time.
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Is LinkedIn Necessary?
I guess its only valuable to one if they 1. found an employee or 2. a job by it. In my case, it opened a whole new world to me in terms of companies, positions, and recruiters. I had 3 solid leads for jobs by being part of Linkedin over traditional sites like Indeed, where I'm thrown into a bin with hundreds of other people, with no human to contact. If you consider nursing a professional business, it can open doors for you. I also network with people now, read articles, and feel more involved than just being a "hospital employee." Recruiters definitely reach out to you for pharma and medical device opportunities. They are polite and ask you to call them, or they ask if you're interested in a certain job, and you can click yes or no. Second, I was able to express my talents and experience far better than any resume could speak to. There are sections where you describe certain things and can really give an employer an idea who you really are. I like this. Gone are the days of walking into HR and chatting.
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Jury Duty
I'll say something really un PC. Let all of the unemployed, those loving it, getting paid to do so, and retired people do it. Yes, the system doesn't give a darn about working people or those with kids. Come wait all day in a room, only to be cancelled! Come to the courthouse not in your town, but an hour away!...... I can't..
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Private Grumbling but NO Open Discussion!
Yes! You are correct. Hemorrhaging of staff is almost universal now!! Managers need to wake up! I've worked 28 years and only seen handful of those that care. So frustrating. They get in their offices and get accustomed to the good life- surfing internet, leaving early, talking about their kids all day.... Does anybody have the answer? Best management I've seen was at UCLA Medical Center. Someone should clone them. Hospitals don't seem to care about the revolving door. No worries! We'll use Travelers and Registry!
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Private Grumbling but NO Open Discussion!
It's so sad that I have to agree with most of you all. Speaking up is brave, but it all too often has repercussions. There are lazy managers, unethical leaders, inexperienced leaders..... Nurses are often promoted to these positions without the necessary qualities of a Manager. True too, that the quiet people will be left alone. The change agents are viewed as trouble many times. Throw in a bunch of estrogen (hate to say that) and good luck with making positive change. If any Managers are reading this, listen to your employees. Sit them down, one by one, and ask them, "How are we doing as a unit? Do you have any suggestions? Here's what I appreciate about you..." Loyalty to employees gives it back in volumes to the organization and patients.
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Seven Hells: Vent
Nobody can tell you how to feel or what to do. It doesn't sound like she values you for reasons you may not even be aware of. Hiring people is somewhat of a subjective process because we are human beings. You could (a) finish out your residency because its not a waste of time, then reapply, or (b) finish up and go where you might have a better chance. Start looking near the end. Then if you get another offer AND she accepts you, you have a choice ( assuming there's no contract to stay). Take charge of your future. I've trained countless new grads and seasoned RN's.Drive and intelligence often level the playing field. In other words, some new grads turn out to be better nurses in a short period of time. You're correct. Med Surg irrelevant for NICU. I assume you already understand the hospital infrastructure, now it's time to focus on the medicine and nursing of newborns.
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Bedside report - hate it? Like it? Love it?
You nailed it! Hope Managers are following this thread. Maybe family should be allowed in the OR too???
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Bedside report - hate it? Like it? Love it?
Bedside? I guess if you want to listen to a bunch of stories, complaints, questions. The patient and family have all day to do that. Professionals need to speak privately,without editing for the patients sake.OF COURSE we share sensitive info that the patient does not need to hear, but is pertinent to the plan of care. . This family involvement thing has gone too far. They don't need to see their family member coded.Why not let them sit in the OR then too during their loved ones CABG? Or maybe have the doctors do all of their consult talks in their room too? Patients understandably have generally have very little knowledge of medicine. Having them listen to report just creates more problems. I think, time allowing, introducing the next nurse and saying goodbye is very professional.
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Customer satisfaction callbacks
Total waste of time and taxpayer's money. We don't have to call just once, but 2 attempts! Spoiled people making petty complaints about coffee, the chairs in the waiting room, and the "How dare you make me wait!" mentality. Maybe Americans would like to get their care in a third world country instead?? Complaining about the staff really gets to me. If someone is unsafe that's one thing, but other complaints about a nurse personality... are unwarranted. I still say that if people were accountable, starting with their wallet, we wouldn't have half the problems with healthcare waste and abuse. People need to take responsibility for themselves. Amen.
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In desperate need of advice
I like your idea about Nutritionist. Nursing doesn't seem like the ideal match for you. It's ok. There are plenty of other jobs in the world that make a difference in people's lives. Open your mind and heart to other options. Speech Therapy, Occupational therapy. Physical Therapy, to name a few. Social work is very stressful and one should be in tip top mental shape to deal with people's problems.
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problem with my DON, help!
Guess what. Once a jerk, always a jerk. You will have future problems. Run as fast as you can. They don't deserve you. I've been at this a long time. I can sniff out the bad bosses. There's no point in trying to stick it out, report it, or pretend. I have a saying, " You don't get me", meaning that I value myself and my profession. If I have to compromise. lie, stay quiet when it's serious, I can't work in this environment. Stay true to your set of ethics.
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Top ethical concerns to RNs
Massive waste of healthcare dollars for terminally ill patients, usually related to family members who cant accept death. Guarantee that if they had to pony up the money, they'd pull the plug.
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How do you deal with being called a "snitch" by your co-workers?
Welcome to the world of managers who rise through the ranks, but some who aren't meant to be leaders. You've experienced a negative feedback loop, and will now be hesitant to report concerns in the future. There was NO reason the manager needed to open his or her mouth with your name. It could have been dealt with by watching the particular offenders and reminding staff as a whole about breaks. I find this a lot in nursing. Lots of drama, gossiping, and not handling staff complaints professionally and legally in some cases.