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keithjones

keithjones

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  1. keithjones

    Blindfolding: Is this an intervention or abuse?

    Semantics mean a lot here. "I blindfolded the patient so I could do my job:devil: and "I laid a towel over the patients eyes to help her remain calm while I provided care":saint: could both be used to describe the same scenario, but I wouldn't be caught dead saying (or charting) the first one. I observed an I&O cath the other day and I placed a towel over the patient's eyes because she had been sleeping and the light level necessary for the procedure was causing her visible discomfort. As with all care I described to the patient what I was doing and why and there was no problem. Think about it this way, covering a patient with 8 lb. or more of sheets and blankets is not restraint, I wouldn't expect a half pound hand towel to be considered restraint either. And YES, If it were my mother I would prefer a towel over her eyes to manual restraint. I think the OP just phrased it poorly and biased others responses.
  2. keithjones

    I think I got an unfair grade in clinicals

    For those of you who said grades don't matter, I can only assume none of you have applied to competitive graduate programs. I'm not sure about other programs but I believe that most average your clinical grade into your nursing class and a letter grade difference in a 9-10 credit hour class can drop your GPA significantly! Like the OP said though, not much you can do about it. In the future just find out what your clinical instructor wants and do it. Unfortunately, in clinicals (as in life) fitting the mold often beats out excellence in terms of reward.
  3. keithjones

    Calling all Paducah, KY Nurses!

    I've been working at Western Baptist as an aide in the TCU (transitional care unit) for several weeks now and got accepted into the nursing program for fall. Only one person had more points than I did because she used her SAT score which was worth one point more than my NLN score. I tied with two others for points. I kept my 4.0 this semester and got a 50% scholarship and a $500 scholarship for Fall! the job is great, I am working 36hrs a week now and will drop to 12-24 a week during school.
  4. keithjones

    Facial Hair

    I'm kind of in the same position, I have been clean shaven for over a year doing prereqs. I have a job at the hospital as a CNA on nights and was considering growing it back, but I start Nursing School in the fall and I have heard much about prejudiced teachers and the more masculine a male you appear the more prejudice you get from those types. I don't think I can go 2 whole years without growing it back.
  5. keithjones

    Male nursing and needing chaperone

    If you are a scrappy fellow just violate the policy, then sue their pants off. That policy discriminates against men and will not stand legal scrutiny. There was probably some incident that spurred this policy, but it is reactionary and oversteps sound logic and basically eliminates your ability to do your job. I am just an aide and would be fired at least 20 times over on my next shift if this policy was enacted. The only way it would remotely work would be to segregate the entire hospital along gender lines. I would be in the new MALE transitional care unit!
  6. keithjones

    New CNA, need help with speedy vital checks.

    We use temporal thermometers so no stopping the talkative ones, unfortunately. I love the patient interaction, just hate to get bogged down with my work.
  7. I just started a new job in a hospital Transitional Care Unit. It's basically a nursing home in a hospital setting We have 23 beds and get post-op, or post infection patients on their way home or to a nursing home, hips, knees, and people who can't go home yet in order to free up more expensive beds in other areas. There are 3-4 nurses at night and 0-1 aides. This is my first job as a CNA, or in the nursing field in general. I am working nocs 2 nights a week 7P-7A and will pick up 1-2 more nights a week once I get off orientation until nursing school starts in the fall, it will be my first semester in nursing school. Getting to the point, My first two nights we had 13 patients, 17 on my third night and 18 on the fourth, nice build up to full load for me to orient with and I am learning my duties pretty well, my only problem is speed. Last shift that I worked the aide who is training me took 10 patients and I had 8, when we did 03:00 vitals she was done and charting by 3:30 It was 04:10 before I got done, granted I had two incontinent patients to change, one of which required a whole bed change, but I still felt I was very slow by comparison. The night before I was alone, my preceptor was a LPN who had her own duties and was just there in case I needed help. I started at 02:30 and finished at 05:10 with 17 patients. I am supposed to chart my vitals by 05:00 at the latest with a 04:45 time stamp because updated graphs with vitals print at 5:30 and there is no way to redo them after that point, you have to print out your latest vital check seperately which makes updating the charts take twice as long and then the Docs get upset because it takes more work for them to read the graphs since a plot point is missing and on a seperate page. That night the nurses charted half my vitals for me and all my I&Os. Does anyone have any input for speeding up my vital checks? I can do blood pressure and temps in less than a minute (unless it is a Lying, sitting, standing check), my problem is counting respirations, it often takes me 1-3 additional minutes to get an accurate count, I often feel as though others must be writing down random numbers between 14-20. A few times I have found that I can count respirations during the BP check and do a quick temp scan after, but chatty patients make it difficult and often I feel as though patients are holding their breath during the BP check. Wheezers are a cinch, but shallow and irregular breathers may take me 2-3 minutes and I still feel as though I am guessing. I know a certain degree of speed will come with time, but I feel some tricks of the trade would best help with the particular problem I am having. Thanks for the assistance. Oh, by the way during my vital cheks I am responsible to collect I&O sheets, including emptying urinals and foleys and checking water pitcher levels, recording temp., pulse, respirations, and BP, some of which are lying, sitting and standing, and daily weights (which involves clearing the bed of all but one sheet and one pillow).
  8. keithjones

    Official Palm Pre Thread

    I'm currently looking at getting an android based phone instead of the PRE. Since WebOS, the PRE Operating System, is only used on 2 phones on a single carrier the development base just isn't there and probably never will be. Sad really as from what I've heard the PRE is snappier and smoother than the android based phones and the way it merges e-mail accounts, calenders, Instant messaging, etc. is unrivaled. Palm thought it could replicate Apple's success with the Iphone by following the same model. The problem is that apple invented a new category of phone and as apple had no serious competition for nearly 2 years app development thrived. Android will succeed where WebOS failed as the operating system is available on several phones from several companies spread across multiple carriers. (think Windows vs Mac, windows became a dominant force by being available on hardware from anyone that wanted to build a PC, MacOS ran on hardware made only by Apple). Also Android has given open access to developers from day one to build apps and improve the OS, The Software Develomenet Kit (SDK) for WebOS wasn't available to the public until well after the PRE was launched. Another problem for the PRE seems to be that developers that have software that ran on PalmOS seem content that their sometimes years old software will run on the Pre using the Classic interface. So your top of the line touchscreen smartphone is stuck using antique interface. Kind of like running a windows 3.1 emulator on your brand new Windows 7 machine. And you cant blame them really... would you port your software to a phone/OS available only to sprint customers or make it available for an OS that anyone can use? I have already found several free and Fee based nursing apps for Android and no native WebOS nursing apps (you have to run old ones on Classic interface). Since I am a sprint customer I have decided to go with the Samsung Moment ( I like having a full sized QWERTY keyboard). The Hero is excellent touch screen only version for Sprint and the Droid, and Droid Eris, etc are all equally as nice for Verizon.
  9. keithjones

    Calling all Paducah, KY Nurses!

    Anyone have any contacts at either hospital here? I am needing to get a job ASAP 2nd or 3rd shift as a nurse aide. was going to stay on unemployment through this semester and look for something this summer but just found out Jan 2nd we are expecting! So I'm going to need a decent job with good health benefits so we don't go broke with this baby! I've got my state license and am ready to go. Got about 5 apps in with Baptist and don't see anything but first shift available at Lourdes. If anyone can help me out I appreciate it... I know a word from someone on the inside can get a resume pulled from the pile and that alone is extremely helpful. Thanks
  10. keithjones

    How many of you are the only income for your household ?

    Having been to truck driving school and having worked for 2 years as a truck driver I can give a little helpfull info here... first of all most truck driving schools are mills that are in it for the money and the physicals they give are a joke "here lie down so your blood pressure will drop enough that I can pass you"...so if he can't pass a physical there try a different school... that nurse may have been fired already for turning away paying customers! Second Don't let him be a truck driver! Trucking companies try to lure drivers with promises of $80,000- $120,000 a year and the like, but in reality only "real" truckers that live in their trucks and never go "home" make anywhere close to that, and these guys have the best routes with the least downtime because "if the wheels ain't rollin you ain't making any money". Expect to be a truck driver for 5-15 years to get a sweet route like that. Most guys going into trucking these days aren't the hardcore truckers of old but family men torn from their homes in search of promised security and stability that just isn't there. Once the trucking company gets you they lure you in further with the promise that leasing your own truck gives you more freedom to choose your routes and how much you can make, but in reality it means the trucking company gets to make money off of you in addition to their customers and you get stuck with multi thousand dollar fuel bills and when you blow a tire... there goes $800 for roadside tire change of a $600 tire!! It's just sick! It forces many into bankruptcy and the profession as a whole destroys marriages... If you are smart and lucky you might do a year "Over the road" making around $35,000 (much of which you spend on meals and entertainment for your abundant downtime) and then get a local driving job where you can be home everynight... but still expect 12-14 hour days for $30-45,000 a year. In that case "home" is just where you crash for a few hours to sleep . I worked for a year over the road and nearly had a nervous breakdown. I wasn't making any money solo so I became a trainer. I made better money but most of my students were morons that couldn't navigate so when it was their turn to drive I couldnt sleep or I risked waking up 300 miles in the wrong direction, so I slept 3-4 hours a day for 2 weeks at a time and then got to go home for 36 hours (that I spent comatose) and go out and do it again! I had anxiety issues for nearly 2 years after that. I did get a local job for a year but again I was working 14 hour days and you didn't know when you were going home because you could think you were done at 3:00 pm (after starting at 6:00am) and get a call that you had to do a 150 mile round trip pickup in the middle of nowhere... so you get home at 8:00 pm. this rushing around caused several minor "incidents" (turning into a parking lot with low hanging power wire, getting stuck on soft shoulders 3 times, backing into a residential driveway on 2-lane roads requiring a tow truck each time etc.) which now make me unhireable as a truck driver! So you can see in my case I lost 2 years of my life, my mental and physical health to some extent and almost my family to make a few bucks... There are many better options available even in this tough economy (btw trucking companies nationwide have thousands of trucks sitting idle due to the slow economy and drivers wait days on loads sometimes, making $15-30 a day while they wait.) Tell him to go to nursing school or become a radiology tech. he can get a job as a nurse aide after a 6 week course and do that while in school! Even though the nurshing shortage isn't all its cracked up to be for the moment, healthcare is the place to be for longterm job stability these days.. Our parents may have worked 20+ years in one job and only 4-7 jobs in their lifetime, but these days expect to work 15-30+ in your lifetime making no money unless you choose a stable career instead of a job. Thats why I am 33 years old shooting for Nurse Anesthesia. If I fall short I still end up an advanced practice nurse with infinite possibilities. Good luck to you both
  11. keithjones

    Announce that you passed your CNA exam here!

    Settly down... It's Holiday season. Everyone is on vacation and no one is getting hired anywhere till after the first of the year... everyone who would train you is taking time off for the holidays (or fighting for time off anyway). Enjoy the holidays with your family and hit the streets January 5th looking for work. Also, your attitude comes out in your interview and while "I doubt I'll get the job" attitude may soften the blow if you don't get the job, It also lessens the chance that you will actually get the job. One question I always ask in an interview is "when can I start?! Congrats on passing your test and good luck on the job hunt.
  12. I took the last 30 minutes and reviewed your post history, something happened to you dec 2007 - mid 2008 that broke your confidence. You went from posting helpful advice confidently and talking about loving your job and where you worked to seeking help on the basics, nothing wrong with asking for help but in your case I think it speaks to a loss of confidence. In order to move forward again in confidence you need to overcome whatever that event or series of events has done to you and I agree with previous posters that outside professional help is needed (many places offer free or discounted services based on your circumstances). I also noticed that your problems seem to have caused, or followed,or coincided with your decision to Travel. You may need to seek out the cause-effect relationship there and see if traveling triggered your anxiety or if you are traveling to run from something (just to find that the problem is there waiting for you). Maybe settling down and finding a "home" would help. Again, this is a complicated road to go down and professional guidance can help you get there, but there is healing and confidence at the end of the road. I have been through a similar depression, lack of confidence and lifestyle of fear and starting down the nursing career path oddly enough broke me out of that cycle. I pray that you find the healing and peace you are looking for!
  13. keithjones

    your thoughts on testing

    I never meant to say that anyone should go without ADHD meds, my family already consumes more than $300 worth of ADHD meds per month and I can't afford to add more expense for mine. I learned through 32 years of trial and error how to cope but it is still very hard and I will be getting meds once I get good health insurance! I forgot 2 homework assignments this semster, luckily only 5 points each, due to my ADHD (combined with blackboard glitches that threw of my scheduled homework times) and could request accomodations, but some of my classmates "hate" me already due to my excellent grades, I prefer to gloat a little (in that funloving sort of way) rather than lose that ability and get told I only did so well due to special accomodations.
  14. keithjones

    your thoughts on testing

    on one hand i understand making accomodations for disabilities, on the other hand nursing licenses don't include restrictions that dictate you get a quiet nursing environment, or extra time with patients. If you can't get through nursing school without accomodations then you probably don't need to be a nurse. that said, there are many places you could be a nurse and not have issues but critical care would probably be out of the question. also, just so you know I have inattentive type ADD, do not take meds and just completed one semester of prereqs with a 4.0
  15. keithjones

    Calling all Paducah, KY Nurses!

    I pulled off the 4.0 I was shooting for, got 874/900 points in A&P1! Now I just need to do it again in the spring with A&P2, Developmental Psych(online), Public speaking, and English 101. Wish me luck!
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