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  1. defyinggravity2009

    scab nursing

    tonight at work, my coworkers and I saw a fax came through around 5pm, mentioning a 'possible nursing strike' at an unnamed hospital in my state. The only other information provided was the maximum weekly pay, the need for a one-week minimum, vague mentions of all-expenses paid for transportation/lodging, and a phone number to contact if interested. When someone mentioned that they might call, another (very experienced) nurse said that they would be considered a 'scab nurse' if they crossed the picket line to work at the facility where such grievances are present. I've never heard this term used before, although I can gather that stepping in to work at a facility where nurses are on strike doesn't exactly get greeted with smiles from colleagues. Where did it come from? Have any members of the board ever been a part of this kind of nursing? What's it like on the other side, to be the nurses that utilize collective bargaining to meet their needs?
  2. defyinggravity2009

    New grad hired to Med-Surg. What should I review, if anything?

    Definitely review your meds and your commonly seen diseases. I've been a nurse for over a year now, and I still review the less common medical conditions - I often have 2 or 3 days in a row with the same patients, and I like to have an understanding of how their histories shape the patient I spend my day with. Having a face/experience to go with a condition has helped me understand the treatments and medications much better than reading the dry material in the nursing books. I might not be as knowledgeable on day one, but by day 3 I seem to have a pretty good idea of what I'm doing.
  3. defyinggravity2009

    Your Most AWKWARD Nursing Moment

    My story is very similar....I too made the epically terrible assumption that the patient was the mother of the man walking in the door to pick up his discharged significant other. Problem is, I have since found out that he is very good friends with my landlord, and rents garage space from him to store his Harley Davidson. I now see them about twice a week when they go out for bike rides on nice days. TALK ABOUT AWKWARD!
  4. Before going back to school for nursing, I spent a few years working as a Disability Claims Manager for a very large and well-known insurance company, however I worked only in the Short Term Disability aspect (absences lasting While insurance companies get a bad rap for denying claims, there are a lot of justifiable employment suits that result when a person transitions from short term to long term disability: these usually arise from the disagreement between how long a company can hold a position for an employee who may or may not be able to return to work after they have exhausted their (federally funded) family medical leave/short term disability period. You can usually request a leave of absence from your HR department, and it is often honored if there is some sort of reasonable estimated duration for an absence's extension. But if that estimated return to work date is left open-ended, the employer is often able to deny this request in the interest of the business. So look into your personal disability options - I often dealt with patients who had AFLAC, and they had good things to say about them (not a plug - just an observation from time in the field). You are your own best advocate, and it's a lot easier to take care of yourself financially before there is a problem, rather than waiting until your bills are piling up and you are at the mercy of the insurance company. Thanks to the OP for posting this thread!
  5. defyinggravity2009

    Vented Patient PEA

    Is your employer hiring? I wish my job had that kind of time and staffing!
  6. defyinggravity2009

    After termination: A Great Update

    That's great advice - it's never in your interest to burn a previous boss/job to a potential employer. Take the high road and stick with the truth.
  7. defyinggravity2009

    Click Here

    I would have also accepted compression stockings and crocs, but whatever floats your boat. Welcome to posting - new to it myself. :-):)
  8. defyinggravity2009

    Med-Surg Unit needs to spend money

    SCD machines and temporal thermometers - they're way better than oral or tympanic thermometers when used correctly.
  9. defyinggravity2009

    Did you attend an Accelerated BSN program?

    Which accelerated program did you attend? Not necessarily the school but what type of program. Accelerated 2nd degree BSN program What prerequisites were required for your program? A&P I&II, statistics, developmental psych, micro What is your overall feelings towards your nursing education in an accelerated program? There was a lot of information that I retained because I was hit with it 8 hours a day for 5 days a week, but then there was other stuff that went over my head because I was on sensory overload, which I had to spend more time studying and relearning. An accelerated program is for people who are motivated - if you don't get it, the program just keeps going on - you have to make sure you get it. Do you feel like you were prepared adequately? My program did not have a preceptorship program, and I wish we had. When I was hired, my medpass and assessment skills were fine, but I had a difficult time keeping up with charts and orders. It took a few months, but I finally got the hang of it. How long did your program take? 12 calendar months. I had the option to go to a 15-month program also - I am glad every day that I was accepted into and chose the 12 month program. Do you think you got a good return on your investment? Absolutely - I have a flexible schedule and a respected career. I'm not thrilled that every person I know calls to tell me they have a boil on their ass and I should really have a look at it the next time we get together, but I'm happy to help talk my grandmother off the ledge when she's concerned about my grandfather or any one of my pregnant cousins (she loves to worry about everyone). Would you advise others to pursue an accelerated degree? Yes, depending on their ability to handle life stressors mixed with career pressures. It's not for everyone - I loved it, but some people started to crack midway through about the loss of social life (working a good paying job is pretty tough when in an accelerated program). If you had it to do it all over again would you obtain your degree the same way? Why/Why not? I loved my non-traditional method to becoming a nurse - my criminal justice background set me up for a great career as a nurse, and I wouldn't have changed a thing. Maybe starting school earlier could have helped - I'd have less student loan debt to pay back. :-)
  10. defyinggravity2009

    Treat all patients the same

    Couldn't agree more.....everyone is entitled to compassionate nursing care, but I might be more likely to spend a few minutes with a patient who is courteous and respectful (and a sense of humor doesn't hurt either). My pet peeve is when patients are called up from admitting to tell us that they are "VIP." Sorry, in my line of work, I don't have time to kiss anyone's butt...I give each patient the best care I can give them, regardless of whether they are the President's mother or if she is the woman who picks up his dry cleaning. If a nurse has to be told to be nice to a patient because that patient knows who to complain to, then that nurse may want to look into another line of work.
  11. defyinggravity2009

    Screwed or not?

    Regardless of whether she lists the employment or not, employers will often use Google as a free background check on a potential employee, and lawsuits are public record. It's likely that if a boss is so inclined as to do a search, they will find out what happened - if she really wants to keep that information from a potential employer, then I would think she shouldn't list her previous work experience because it will definitely tie her to the old job. If she sued them and was in the right, then I don't see why she wouldn't want that information available - job interviews allow you to market yourself, and if she sued for whistle-blowing or advocacy, then she could certainly use that to her advantage.
  12. defyinggravity2009

    Delegating task

    Delegating is uncomfortable at first - all CNAs/PCAs are feeling you out, just like our other coworkers. I know what you mean about wanting to do it all yourself - I'm a big fan of the old saying, 'if you want something done right, you've got to do it yourself.' But sometimes it's just not reasonable. If you want your CNAs/PCAs to help you without giving you a hard time, be helpful - in the world of patient care, a conscientious nurse never has time to waste. Don't hunt them down for 10 minutes to ask them to take a patient to the bathroom because you don't want to do it. If your delegatees are behind in their work, take your own vitals, and get blood sugars for your patients. If you know you have something that needs to be done at a certain time, give them a heads up (timed bloodwork, etc). You'll never be able to do it all by yourself - their aren't enough hours in the day. But when I'm swamped with admissions and I have to draw stat bloodwork (I am terrible at drawing bloodwork), or when I have an assignment of patients who all need total care, I am grateful to have PCAs/CNAs that know I won't abuse them cause there are there for me in a pinch when I need them most.
  13. defyinggravity2009

    birth defect, not allowed to practice nursing?

    The Americans with Disabilities Act (ADA) is legislation that protects individuals with disabilities from employment discrimination. With reasonable modifications, a nurse missing 3 fingers should still be able to perform the essential functions of any nursing job duties. Have your friend review the ADA's information regarding employment rights - seems like she's gotten some bad information.
  14. defyinggravity2009

    Hypothetical, yet sticky situation for a new grad

    I had very limited information on the client, and unfortunately all was through a third party. Since he was only on hospice for a few days prior to his death, I couldn't say for certain how much teaching (if any) was done regarding administration of morphine, nor do I know if a nurse was scheduled to be there around the clock. I was told that a nurse who was there earlier had left, and they were waiting for another to come, but again, I am not certain of the details. I totally agree with this, too... but not every lay person understands that the morphine is there to ease the pain, and blaming others for the death of a loved one is a very real part of the grieving process. Had the question been posed to me yesterday, I probably would have declined to administer the med for a lot of the reasons mentioned, whether the issue was no chart, no nurse-patient relationship, unclear orders, or whatever. To be honest, even with the suggestions, I would probably have sought non-pharmacological pain relievers while awaiting the nurse. Nursing school has put the fear of God (or the Board of Nursing - whatever your higher power beliefs are) into me, and I worked too hard to lose my license privileges. I can only hope that in the years to come, I develop the knowledge, wisdom, and nerve to be able to successfully navigate through life as a nurse by helping others and still making sure to CYA.
  15. defyinggravity2009

    Do Accelerated BSN Programs look at Undergrad School??

    A-BSNs will look at your undergrad transcript, and my school was really focused on the pre-requisites listed for the curriculum (e.g. A&P, micro, etc). The occasional C shouldn't be detrimental, and as long as your GPA meets their entrance criteria, you should be ok. Good luck to you!