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CeilingCat ASN, RN

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  1. CeilingCat

    Malaysia: "Please, help my son! He is dying!"

    It sounds like this was very traumatic for you. I can see why such a moment stuck with you so long. The thing is that you don't know why the boy died. He never should've been hit in the first place. He should've been brought in by an ambulance who could've started treatment sooner. His injuries might've been too severe, even at a better hospital. Or for all anyone knows, he may have died in the days following, for example if infection had set in. Some things just happen, and we really can't know for sure why it happened. Try not to hold onto the blame you have for that employer. You were smart enough to recognize ways that ER could've been improved. But it's in no way your fault.
  2. CeilingCat

    Mixed Emotions About Nsg School

    Nursing school is a full-time (sometimes even an overtime) job unto itself. I think you're right to be noticing differences in the kids. If you don't need to enter nursing right now, don't feel bad about postponing graduating. Once the kids are adults, you'll reflect back and know you could never get those missed years back. I think you're setting a great example for them by putting THEM first, ahead of paycheck. I don't mean to be sound pessimistic, but I know that of the people who dropped out of my nursing program, family/spouse/child stress is the top reason. Some people are getting divorces. One person had her younger kids suddenly involved in discipline issues at school. Another was putting her infant in daycare so much, a stranger was raising her, and the mom realized she was uncomfortable. There will always be another year they offer nursing classes. There will only be this one time you can enjoy your child's first day at school, first baseball game, or first dance. In the meantime, have you considered working p/t as a nurse's aid. Get experience and get a little extra spending money? And this way you can see if it you like it.
  3. CeilingCat

    Community College or University...that is the question

    It really depends on what schools are in your area, your budget, your personal goals, etc. I did the community college to RN route. I am graduating now and will be working under my RN license as soon as I pass boards. The plus of doing it this way is that many employers still offer at least partial tuition reimbursement. So when I do the RN-to-BSN bridge, it won't cost me much. The college credits at the community college level are also 1/3rd of what the same classes at university level costs - at least in my area. So if I get the first two years done locally, I am not stuck with a big loan that is only going to keep growing as interest accrues. The total cost for my nursing school including books, pre-requisite classes, lab fees, and other expenses is under $10k for my ENTIRE education. But if you don't have a community college in your area it might not work. Or some community colleges have pretty good programs which means getting on a waiting list, which may not work for you. I'd also say look at all the schools carefully and talk to graduates. There are some SUCKY nursing schools out there. They keep their NCLEX pass rates high because they fail out more than half the carefully-selected students who start the program. In other words, it's that they're only letting the self-motivated able-to-self-teach type students make it through to get to the Boards. There's no point in starting at a really bad nursing school just to have to repeat a year or quite entirely.
  4. CeilingCat

    nursing care r/t pregnancy termination

    staff note:please, answer the op's questions about how to provide proper care for patients following the loss of a pregnancy (for whatever reason) and the other things she wanted to know. do not post about the inadequacy of her instructor/program in this thread. do not turn this into a thread about the morality or immorality of abortion. thank you. i don't wish to start a flame war, but i have some honest questions. i am just weeks from graduation from a public college, to become a rn. my program director admits to keeping anything remotely relating to abortion completely off-limits. her values are very conservative, so the curriculum seems to reflect it (birth control was also left out). the textbooks they chose don't mention the nurse's role when a pregnancy ends without a live birth. when i did maternity/peds rotation, it was never mentioned. as we got to the part about molar pregnancies and eclampsia, all i was told was that the "resolve the pregnancy". i still know nothing about it, other than it makes some people angry enough to picket planned parenthood and it saves the lives of other people. the internet is even worse -- everyone shouting at each other and very little medical-focused info. nursing care: i am guessing it might be to monitor for hemorrhage and infection. but there has got to be more to it than that? is care any different depending on trimester? on miscarriage ("natural") vs pharmaceutical vs surgical terminations? if conditions are incompatible with life later in the pregnancy, is it considered an "abortion" to use surgical intervention to remove an already deceased fetus? do nurses get training in how to handle the psych aspect for a post-abortion patient? not all women who have abortions want to terminate. is a psych or post-partum type screening typical done? do nurses interested in a obgyn/reproductive health type specialty get any additional education? or do you just pick it up on the job as you go? and can you ask colleagues about it and be sure to get an accurate answer? or is talk relating to it greatly discouraged in the workplace, too? does anyone here regularly give nursing care to women following pregnancy termination (intentional or miscarriage)? forgive what might be a naive question: but if you work in a clinic setting, is it true you have to be scared of terrorists and harassment? or has television really exaggerated that? what is the nurse's role as patient advocate, when a dr's personal/religious beliefs cause permanent harm to a patient? eg. when a mother's life is in danger and a provider doesn't want to consider terminating the pregnancy or doesn't want to treat a recent post-termination pt who is having a complication. thanks for giving me your professional advice, as i graduate and head into practice. i apologize in advance if i've offended anyone by asking about this topic. i know how strongly some people belief for/against this issue, and i do respect everyone's' beliefs on this issue. i just need some factual information. thank you.
  5. The emt did a stupid thing. Very stupid. And he is paying for it. Is he paying enough? Well, that's a topic for a different thread. The family certainly has a right to file a civil suit against him if they feel they need to But suing Facebook for allowing people to share pics: that's just crazy. Facebook had no way of knowing the pic should not have been shared publicly. The family doesn't like the photo floating around, but the reality is that anyone could've copied it. Are they going to sue email providers next, to penalize them for *possibly* having one of their customers email a photo? Will the family sue the internet provider the EMT used to upload the photo in the first place? Maybe they should sue the entire Internet because any one of us could in theory pass along the photo. It's frivolous lawsuits that drive up the cost of doing business and bog down the court systems, slowing down service to the people who are really hurt. And let's say they sue facebook and win. Facebook has no way to prevent that image from being uploaded again a week later. Change the filename and edit it a bit, and any automated picture detection software will miss it. Are you proposing they hire 10,000 people to sit in front of screens full time and look at EVERY photo & file uploaded to their site? Do you understand facebook will no longer be a free service to users if they have to do such a thing? Facebook can't even get a lid on the people posting photos of kittens being stomped, dogs being stabbed for fun, borderline child porn, pics of hard drug use, you name it. If FB can't control the blatantly illegal stuff, how will they control one family's request to delete pics of a crime scene?
  6. CeilingCat

    LTC facility-TAKE DOWN THAT ARTWORK NOW!!!

    Can you follow up with someone in admin? Is it possible the aide does not know the full results of the report the facility got from the inspector? Something sounds fishy. Is it possible a snotty shift manager doesn't like it for some reason and is using the inspection to "clean up" anything he/she doesn't like?
  7. CeilingCat

    Can an ER Nurse to an ER Physician?

    You could become a MD, but the path you follow to become a nurse is not the same one a Dr would follow. You COULD become a nurse and head to grad school to become a NP or PA. The NP and PA both do some duties as a doctor, though you still aren't a "M.D." In some ERs there are quite a few NPs and PAs. Expect to put in an additional 2 or 4 years of grad school once you have your bachelor's. You might also need to fill in a few additional pre-reqs depending on the grad school (example: Organic Chem).
  8. I know I risk ruffling a few feathers of moms on this board, but I feel this needs to be said. The nursing schools don't warn against it and they can't ask if your pregnant when they admit you. But I am saddened to see classmates drop out, so I feel compelled to warn others. I've watched SEVERAL classmates out of my class drop out due to pregnancy/birth, and it makes me sad to see the loss potential good nurses. I don't know if they didn't realize what was involved in nursing school.... or perhaps did not realize they might need a c-section or extra time off? Out of an original class size of 72 students, we're now just weeks before our graduation and I estimate we've lost close to half the class -- between failing exams to medical/personal reasons including a bunch of dropping out related to new babies. In my school you get one second chance to re-enter the program. Then you're done pretty much forever. This week really got me: we lost a classmate who was only weeks away from graduation. She had to drop out last year's senior year because of giving birth. This time around it was a major conflict with her clinical instructor. Instructor failed her in that rotation, so the student fails the semester. If she hadn't missed last year, she could just re-start with a new clinical instructor and finish the final semester. But now she is done - as in failed out of this nursing school forever. The next closest nursing school has a 3-4 year wait list and high admission requirements. So please please please.... think long and hard about mixing nursing school and pregnancy. Even the best planning and best pre-natal care won't guarantee you might not need a c-section (a guaranteed clinical rotation fail due to days missed). And it's just a stressful time in general: hard to enjoy the joy of that beautiful new baby when you're short on sleep, studying constantly, and stressed out.
  9. CeilingCat

    Things noane told you about nursing

    I didn't realize how many patients one nurse gets. Even when some are acute, some hospitals still keep piling on the patients on a regular basis rather than hiring extra staff. In the search for short-term profits, the hospitals ignore the studies showing higher rate of errors & even moralities when staff is overwhelmed. I also did not realize how little time the nurse did what I considered was nursing care. At least half the time the nurse is at the desk, doing documentation, calling doctors, straightening out pharmacy mistakes, calling family, doing more documentation, and trying to keep track of aids. When in the room with the pt, some shifts the nurse only has enough time to do a quick assessment, ask pain level, and hand out meds because she has 6 patients to see in that hour. I don't understand why in nursing school they bother to train us on communication, alternative pain management, the psych variable, educating family, and other things -- when some nurses on the med-surge floor don't even have time to pee before having to zoom into the next room to give out meds. (And can someone tell me why ALL patients have their meds due right at 8am? Wouldn't it make more sense to schedule half at 8 and half at 9 or 10, when pt load is 6+ per nurse?) It's also frustrating to have to listen to the corporate B.S. about top quality care at their facility, how they're magnet status, blah blah blah -- and walk onto a floor where the first THREE dinemapp machines are broken, two of the computer terminals are down, the single pulse-ox unit was lost weeks ago, and there is absolutely nobody assigned to equipment maintenance. They want us to be "customer service reps" to meet any need our pt or pt family has, but they give us 5 high-maintenance patients and a nurse's aide who hides in the closet to TXT her friends. How can we take the time to really show each patient is special if you're treating us like cogs in a giant machine, geared to run as fast as possible? And a personal pet peeve: school trains us on proper nutrition. But then we work in facilities where they think it's ok to serve over-processed, over-salted, inappropriate foods. Fresh vegetables are unavailable and most dishes are full of fat (esp saturated fat). Why are we serving diabetics a meal of Wonder (white) bread, instant white rice, and a deep fried hunk of factory-farmed high-fat meat? And patients learn from this bad example how to eat.
  10. CeilingCat

    Coming to work after taking a narcotic?!

    Refer to your facility policy. Or talk to your supervisor. If you feel she is impaired for any reason, you may be better off sending her home. That being said, I don't agree with some replies which seem to assume anyone using a narcotic at all must be "impaired" or "drunk". OTC drugs don't work for me. If I am in extreme pain, vicotin does work. I am not suggesting taking it DURING a shift or just before one. But don't assume taking one vicotin will put everyone to sleep or make them useless; each person responds to drugs differently. You'd never be aware if I took one (and to be fair, I would not take one within 10+ hours of a shift). But then again I don't blab to coworkers, complain about being tired, and want to pop one after the other, either... lol
  11. CeilingCat

    New Grad, don't want to work in hospital

    Then apply for a position that's set around a 4 x 10 hour shift. Or a 5 day x 8 hour shift. They do exist in hospitals. Can you get away with doing no weekends? Depends on the hospital/unit. The feedback I get is that the people making the really good money are those willing to do evening or night shift. So, if you do go for a hospital day shift, they do exist but your paycheck will reflect it.
  12. CeilingCat

    Maybe I'm just old and cynical, but....

    I have a bachelor's in Computer Science from a reputable university. After doing that for over a decade, I've had enough -- and I'm becoming a RN. I could've gotten a MBA and been a project manager "for the money", but I want more out of life than to shuffle papers & make Power-points for pointy-haired bosses. In the medical field, I DO make a difference. Am I rich? No, of course not. But any job done well is going to be work. If I am going to give up my time & energy it needs to be in something I care about. I can have the wrong outlook and find the bad in any career- long hours, exposure to disease, grumpy patients, bad bosses. But I choose to find the good: that I am doing something that society needs and that I doing it with the most competence and compassion I am able to. And perhaps one day, if I ever find myself in a hospital bed, it will be another Nurse who makes a difference in my life.
  13. CeilingCat

    Compassion or reality for obese patients?

    Your job is not to dole out "reality" to patients, no matter what you think their health needs are. You can educate, once you've assessed a readiness to learn. Anything else may be seen as judgmental and confrontational. Why do you have an issue with obese people specifically? Is it because their choices are so easily seen? Tell me about your life: have you ever had alcohol, used recreational drugs, eaten meat more than sparingly, or sometimes laid on the couch instead of exercising? I bet if I looked through your history I could find some flaw. Now imagine for a moment: how would you feel if you're in the hospital, laid out after a surgery, to have some stranger come up to you and lecture you about this unrelated bad habit? I have a friend who died a few years ago (in her early 40s) of complications r/t fighting anorexia/bulimia her entire life. She was NEVER thin enough. She was a lovely person who did fantastic charity work, and she was a role model for me. It was a tragedy she had to die. She felt could never escape others judging. Over 50% of teen girls in America have experimented with behaviors characteristic of eating disorders; people can do terrible things to their body without looking "obese" -- all in the name of looking "thinner". http://www.anad.org/get-information/about-eating-disorders/eating-disorders-statistics/ I, even back in high school when I weighed the least, never fit into government weight charts. I simply have a very large build & 5'10" height. And I get my "reality" every time I go to the mall and can't fit into size 4 clothes. My body will never look like the women on TV or in Cosmo. Never mind that I'm healthy, have ideal bloodwork values, and am more active than my peers. Never mind I don't abuse drugs or alcohol, nor do I engage in risky behavior. Because if I walk into your hospital, all you may see is a fatty. People get this idea in their head of what a healthy weight should be. We're reminded constantly by advertising, TV, magazines. Except what they're telling us is "healthy" and "beautiful" is fake. Have you seen this great short video that Dove created, showing how distorted the image of "beauty" is? http://www.youtube.com/watch?v=iYhCn0jf46U Your role as a nurse is not to give anyone a dose of "reality". Educate when they're receptive to learning. Help them find the support & other resources they need. But please don't go around placing your judgments on your patients.
  14. CeilingCat

    Any nurses understand how isolating infertility is....

    I have voluntary infertility: at 38 I still am choosing not to have kids. And it's tough. Everyone keeps asking when I'll start a family. My parents want to be grandparents. My peers are given extra days off because their needs need something, and I don't get any special consideration for anything. There is SO much social pressure on having kids. We're led to believe we can't be complete without them. We're prejudged as someone who "doesn't like kids" because people don't see children in our family photos. Over the years friends drifted away, once they had a baby and the baby became the most important thing in their universe and adult friends stopped mattering. So, yes, in a way I do understand how isolating it is not to have kids. I spent a lot of time thinking about it. Am I missing out on something irreplaceable? Are any feelings of dissatisfaction I might have are holes having a child would fill? Will I still be able to relate to my "mommy" friends whose major topic of interest are their children? I felt alot of doubts. I felt alone. But as time went on, I started to realize something: there are some wonderful aspects of not going through pregnancy or raising a child full time. I have the time to do all the things I want to try out. I have the time to volunteer or get involved in a cause. I have the time to further my education, feeling fulfilled and contributing to society, in my own way. I ended up becoming founder of a 501©3 non-profit organization 5 years ago. Our org had slowly grown ever since. We now have a wonderful Board of Directors, and we really do make a difference in the community. I could never have had the time, money, and resources to do this if was fertile & had kids to raise. People talk about kids being their legacy. For me, my non-profit is my legacy -- as it continues to grow and hopefully outlives me. We're all dealt a different hand in this life. To be happy, the challenge is to identify what is good and to make the best of it. It's not about dwelling on the pregnancy you can't have... it's about the joy you can find in adoption, foster parenting, volunteer work with kids, teaching kids, or a fulfilling cause/career.
  15. I don't think aiming for 90%+ accuracy is a bad thing. That >10% you don't know could be a med error or procedural mistake that'll kill a patient. I am not saying all mistakes on an exam will cause patient harm... but the more you don't know, the easier it is to have a serious error. That being said, based on my own experiences in nursing school, for the 90% to be fair the exams must be fair. And the exams I've taken are NOT fair (we have a 76% minimum passing grade). There will be typos or wrong answer keys, which they usually fix if enough students bring it to their attention. But some questions just don't make grammatical sense. Last exam we had one question that was NOT in any of the chapters we studied and the specific info won't be covered until later in the semester. If the 90% rule applied at my school they'd lose almost everyone in the class. As it is with the 76% rule, we'll be lucky to graduate 40-50% of the students who started out (and this is AFTER all pre-reqs are done and then selective admission). The $50k thing seems high. I did a 2 year ASN program which cost me about $5,000 including books, which is also a RN program.
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