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canigraduate's Latest Activity

  1. canigraduate

    Flu Shot or Mask?

    Or that they are non-American articles not submitted to American journals. The original question asking why non-American articles aren't published in American journals was self-answering, I thought.
  2. canigraduate

    Be honest: do you feel valued by your employer?

    That would be a "Nope."
  3. canigraduate

    Quitting job during orientation?

    Yeah, what Wuzzie said. I was let go during orientation on the day they found out I would be moving. In the middle of a shift. It was very annoying.
  4. canigraduate

    ADHD Student on Rampage

    I would ask for more training so you can deal with this child appropriately. The current plan sucks. I am a bit upset that you tried to force the kid to take the medication. That never works. It just escalates the behavior. It sounds like this child has some behavioral issues on top of his ADHD. My younger brother used to act like that, but he was abused before we adopted him. I don't know what's going on with your student, obviously, but he may need further evaluation. The best thing you can do in an intense situation like that is to remain calm. Getting agitated only inflames the child's behavior. If his behavior escalates secondary to stimuli, then the next thing to do is stop doing whatever is bothering him. Back away and leave him alone until he settles down. If he is unable to calm himself, then it's time to call the parents. Forcing meds on a child in the midst of a meltdown is a good way for someone to get hurt. If your school system has a special needs teacher or program, I would suggest that you get in touch for immediate solutions. For long term solutions, you'll need to get the whole team involved and get plans in place.
  5. canigraduate

    A fungus among us...Ringworm

    If it keeps coming back, it's likely from a home source. I used to get it from my dog. You could send a letter home with the class's students educating the parents about possible home sources. From Sources of Infection | Ringworm | Types of Diseases | Fungal Diseases | CDC The fungi that cause ringworm can live on skin and in the environment. There are three main ways that ringworm can spread: 1. From a person who has ringworm. People can get ringworm after contact with someone who has the infection. To avoid spreading the infection, people with ringworm shouldn't share clothing, towels, combs, or other personal items with other people. 2. From an animal that has ringworm. People can get ringworm after touching an animal that has ringworm. Many different kinds of animals can spread ringworm to people, including dogs and cats, especially kittens and puppies. Other animals, like cows, goats, pigs, and horses can also spread ringworm to people. Please click here for more information about pets and ringworm, and click here for information about how to stay healthy at petting zoos and other animal exhibits. 3. From the environment. The fungi that cause ringworm can live on surfaces, particularly in damp areas like locker rooms and public showers. For that reason, it's a good idea not to walk barefoot in these places. Click here to learn more about how to protect yourself from ringworm.
  6. canigraduate

    Stupid, lazy, or ADHD?

    Hi! Sorry for the late reply. I'm working on my BSN and don't come here as often. I haven't disclosed at work to my management, just to a couple of my coworkers. So far, I haven't needed accommodations. Just realize, nurses are some of the most judgmental coworkers on the planet. Be careful who you disclose to. In my experience, until the current societal image of mental health changes for the better, it's best not to tell your employer unless you have an excellent relationship with your manager. If you don't, that manager will use every mistake you make as a disciplinary action and will eventually fire you for cause.
  7. canigraduate

    We've all been venting

    I'm not one to call "bully." I usually denounce the mistaken assumption that someone is being bullied. You, however, are being bullied. I would report the principal. A) His remark about your wedding planning was inappropriate. B) He is attempting to make you violate your professional ethics. C) He is using threats and intimidation, which is causing a hostile workplace. He should be more worried about you suing than the parents.
  8. canigraduate

    I'm Not Flaky, Lazy, Or Stupid...

    Thank you! That means a lot!
  9. canigraduate

    Tube feedings: To pause or not to pause?

    1. When providing basic patient care (turning, perineal care, dressing change, etc), I always pause the patient's parenteral nutrition. False - I don't see the point. The residual in the stomach isn't going to magically go away because you paused the TF. It took me a few years and some cases of TF aspiration to figure that out. 2. On average, in the last 3 months, I have forgotten to restart the parenteral nutrition... Never - I don't get TF patients much any more. When I did, I would forget to restart them all the time until I stopped pausing them in the first place. I honestly think it's more important to keep up with checking the residual. 3. I pause the parenteral position when providing quick patient care because NA - I don't 4. I'm aware that there is new evidence based research that says pausing tube feedings when providing basic patient care is not necessary. No - I wasn't, but I am now. 5. I would stop pausing tube feedings for brief periods of time when providing basic patient care if evidence based research showed it was counterproductive. Again, N/A. My thoughts on the matter: a) a survey redesign would be beneficial to reflect that some nurses don't pause, b) if your project is also about positioning, you may want to add some questions about that, c) tube feeds need to be carefully managed and stopped at any sign of reflux. Make sure your doc knows if the patient has any GI history, especially GERD or bariatric surgery. Always, always, always check residual, especially on patients that are new to tube feeding. If there is too much in there, it's going to go up, not out.
  10. canigraduate

    I hate nursing

    Neezy, I read through about the first 10 pages. As some of the long-term posters know, I have ADHD and the attention span of a puppy. I may have missed some important things, but I did want to comment on what I saw in your posts. I want to tell you that what you feel is valid. Your emotions are your own and there is no right or wrong way to feel. You can't just manufacture feelings, they are what they are. It sounds like you have a lot of stressors in your life, not even counting your experiences of violence. You sound a lot like I did after my Mom died. I was depressed, hopeless, and suicidal. I had experienced a lot of trauma at a young age and losing my mama triggered a lot of that. I couldn't see any way out of my situation. I finally got help once I realized that I had a true plan to kill myself. Scared me into making a change. Believe it or not, it was the thought that my husband would take the cat to the pound if I died that got me motivated. (Good thing I love that cat.) I first saw a psychiatrist, who gave me antidepressants. That literally saved my life. Once the worst of the depression lifted, I was able to find a good therapist to help me work through my troubles. I think it most important, in your case, to collaborate with your healthcare team to get yourself emotionally stable. There are several therapies targeted towards resolving traumatic experiences. I would recommend asking someone you know in the military or in law enforcement for a recommendation, as those therapists are experts at dealing with trauma. I used to be a part of the "put up or shut up" crowd, much like Sour Lemon. In my own time of crisis, I found that "tough love" hurt more than it helped. There were times I had to leave the house to get away from the various implements I could have used to kill myself. I always seemed to reach for those more when I reached out for help and was told that I was the problem. There's nothing worse than to feel like you're dying and everyone is slapping at the hands you're holding out for help. You become more hopeless when you believe that you are so worthless that even fellow nurses tell you that what you're feeling is your own fault. The best thing I ever did for myself was to find a compassionate therapist who believed in helping me. The next best thing was ignoring people who tried to minimize or dismiss what I was feeling. I'm glad you reached out online. I want you to know that you are not alone in what you feel. I also want you to know that you are a valuable person, that you don't have to be nurse to be validated, and that this, too, shall pass.
  11. canigraduate

    Precedex vs. fentanyl/versed vs. propofol

    You may get a better response in the ICU forum. You can go to the help desk and ask them to move it for you.
  12. canigraduate

    Attention nurse bullies... and victims!!

    I thought it sounded racist, too. littlepammy, I am sorry you experienced discrimination. It is very hurtful.
  13. canigraduate

    Attention nurse bullies... and victims!!

    No, it isn't. It is perception. Sometimes you need a change of perspective to get a view of the truth. That being said, I was bullied by a nurse when I was a CNA. It wasn't any of this "she's so mean to me" whiny crap, either. She systematically set out to get me in trouble and set traps for me so I would get written up. Luckily, I am from a dysfunctional upbringing and know the signs. She was never successful. I left the position within months and have not encountered any bullying since. Incivility in the workplace, yes. Lots of it. But that is something entirely different. I have been called a bully by a new grad and by an ex. The new grad wanted me to kiss her boo-boos and take care of her patient for her. I wanted her to tell me what she thought she should do, listen to the rationale behind why she was wrong, look up what she should do, and then do it. I have to give her a hug every time I see her and tell her she's wonderful and amazing to get her to function. I finally referred her to a good therapist. Hopefully that will help. The ex was just mad that I wouldn't compromise on multiple dating partners.
  14. canigraduate

    Narcan pens for kids to use on parents?

    Nobody sets out to overdose in front of their kids. Addiction has been recognized as a legitimate medical problem. It isn't a character flaw. Please watch this video. It may change the way you approach addicts. Uplift Connect - Timeline | Facebook Instead of providing Narcan to the kids, go to the source of the problem and provide counseling for at-risk parents. Education and compassion will take you much farther than condemnation.
  15. canigraduate

    How to politely tell a patient "do it yourself"

    This type of patient is manipulative and is pushing to see where your limits are.
  16. canigraduate

    How to politely tell a patient "do it yourself"

    This thread is hilarious. That's a lot of snark! While it is funny, not many of the responses are actually appropriate. The key to this is to maintain a professional attitude. Smile, be polite, but be firm. Nice is not the same thing as passive. Look up therapeutic communication techniques. And, by golly, don't apologize. You aren't doing anything wrong. The first time you say, "I'm sorry," you're validating their perception that you just don't want to help them. Being obsequious always backfires. Dialysis patients often have family members who cater to their every need. You need to teach them by treating them like a perfectly able person that they ARE able. Just because they're hooked up to a dialysis machine doesn't mean the rest of their body doesn't work. There's no need to be rude or huffy, or even passive aggressive. Just treat them like they are patients.