Jerry 75

Hi, Looking into Correctional Nursing have 16 years exp in ER plus Psych and Triage. -Are ICE facilities any better or worse then county or state Prisons to work in? -As an RN in a Correctional facility do you start many IV's? Are many pt's on AB drips? -If you have a pt. with Chest Pain do you monitor, keep and treat or treat and ship out? -What level pt's are sent out to a hospital? -What is it like working with the guards? Do they protect you?

Hi, Out of work now and thinking about a specialty that I can feel comfortable in. Been an RN for around 31 years 16 in ER, a few in Psych, and Telephone Triage. Looking for something where I can spend time with my Pt. without having to push meds and mess with IV's and drawing blood all day. How often are you having to access Hickman or other ports in Hospice? What route are meds given? Are these pot's still receiving all their daily routine meds or only meds for pain? When pt. is on comfort care is it vi IV or IM meds? I was looking at a Triage Hospice Nurse job but they want 4pm-4am. What is your role as a Triage nurse that goes to house? Are you doing the same wound care and assessment as a home care Nurse?

Sounds interesting in ER there is hardy ever time to deal with Patients emotional needs just no time. As a matter of fact that is frowned upon. Just get them in and out "Treat em and street em! For my self someone who is very into empowerment and building trust with my patients, and taking the time to listen to a Patient it becomes very conflicting to me!@

I got treated there once seemed like a nice little place to work. Has anybody worked or working there now? What are the capabilities of the facility? How do you get hired there?

Do you work 12's or 8hr shifts? Nurse Patient Ratio? Do you have time to spend with your patients or task oriented with allot of clinical stuff Like IV's and meds and blood tests? Are you required to pray with your patients? What type of staffing besides RN work with your guys? What situations are most stressful to you in your specialty? I work ER and wonder if you guys wind up overloaded as much as we do most of the time?

In regards to mfill4545 Abuse situation. SomEthing I believe that will benefit you would be either an EAP program or any group therapy that deals with Nurses. People who have undergone similar abuses at the hands of dysfunctional Nurses. It would provide you with a frame work to see how others have dealt with similar situations and also to see that it is a survivable even and you can work thru it and continue in a high paying field NURSING!

You went true PTSD the Preceptor made you relive past trauma from Coach. Either the bullying, harassment programs at your facility are inadequate or not being applied. But to see a teacher/Preceptor acting in such a manner is inexcuseable. I looked up def of Preceptor An expert or specialist, who gives practical experience and training to a student, especially of medicine or nursing. I didn't see harrassment nor condecending, nor belittleing behavior as part of that description! For my own style I am extremly confrontational when nessesary but not in work enviornment. But only after I have exhasted being assertive and I have a long fuse but after a point better off stayuing out of my way. But it takes a long time to get me there!

My most recentNursing experience x 9 years has been as Advice Nurse / Telephone Triage. Planning now on return to probably UC orED. Had worked ED x 14 years in the past. and 2 years Psych Charge. Concerned about low starting pay or not being accepted back into Nursing d/t long timeout of bedside nursing. I plan on taking a 2 month Nursing RE entry refresher then getting my ACLS andTNCC and PALS. I have total of 27 years experience as RN. Will that refresher and updating of certifications be enough to open doors for entry to ER Nursing?

I totally agree with @trai1971 Respect for colleagues should be taught in Nursing school. It amazes me thatrespect, professionalism, compassion, sensitivity has to be taught! You wouldthink that those would be some of the basic qualities of a person who wants tobe a Nurse or Doctor but obviously it is not! Speaking on the subject of respect I have noticed over the past 9 years that my interactions with MD's seem to be much more Civil, respectful and pleasant. I hardly ever run into rude Docs on my phone consult. Used to be "Why are you calling me for this" "Doc I am calling you not because I want to, and not because I don't know what to do but rather because I am compelled to get your permission as perpolicy. Now are you willing to assist me or not? Having said that the incidence of such encounters has become very rare! At least from what I have experienced. I wonder if they are teaching interpersonal skills and manners to MD's inschool now! How I wish that were the case 28 years ago when I started out in Nursing, a timewhen MD's temper tantrums were common place in the Emergency room A Jamaican Charge Nurse of mine used to say. There are 6 words that open every door with ease "Thank you mam and if you please" Getting back to complaining about troublesome colleagues. All you have to do is mention Sexual harassment,Religious harassment, Racial or Ethnic Harassment or discussion about any personal medical problems you have= HIPAA violation and that troublemaker willbe history!

In Your Face Sadly enough when you have exhausted your resources to stop the harassment you may have to wind up becoming the aggressor. I had the displeasure of being provoked by a very annoying co worker who just would not stop messing with me even after asking for change in a very well mannered gentlemanly way numerous times, evenspeaking to the supervisor did nothing "Oh that's just the way he is don't let it bother you" but he was spoken to by Super Finally I was fed up took him into a supplyroom and gave him the Stink eye and told him Don't you ever pull this"*&&%" again or I will"(($*$)&". So the only way I could shut this clown down was to intimidate him to the point that he was petrified of me and started shaking., But my encounter with him proved to be fruitful. The behavior never occurred again!

To me itseems as though Male co workers are much more confrontational and relentlesswith their bullying. They seem to take pride in embarrassing one and other,demeaning each other, ridiculing. Female Co workers seem to be less overt with this behavior (at least in myeyes) although they can be just as rude and incessant with their attacks. It isvery childish, non productive behavior that should never be tolerated in theworkplace environment. It causes distraction from your assignment, destroysteam work and causes the victim discomfort. Now a day's quite a few Hospitals have compliance departments to whom you mayreports such behaviors anonymously! And the supervisors will be contacted andhave to respond to the complaint and people can be fired over this. Harassment of any type whether Religious, Sexual, Racial, Ethnic should neverbe tolerated and supervisors when aware of this should nip it in the bud! I shouldbe able to ask for change once and that should suffice to make you cease anddesist with your annoying behavior. Youhsould show enought respect and consideration for me to knok it off. I should not have to get angry, enraged norescalate to the point it might get physical Thosewho Harass at work are garbage who should be removed from the work area.

I had some questions RE Nursing jobs as USPHS Nurse Has anyone worked as a Nurse for this agency in California? -Do you get a stable loction to work at or can you be moved around to different locations? -Do you respond to disasters in different parts of US? -Can you enter the agency with AS degree in Nursing? -How similar to Military is the Job? -I read something about "Basic Training" What does that consist of and how long is it? -How do salaries compare to other Nursing Job wages? -How do you get to higher pay grades? Is it by time on or written tests? -When are you obligated to wear formal uniform? -Are you given a Government G grade? Thank-You!!

In this system does anyone but a Nurse pass Meds? Does an officer remain with you during all prisoner contacts? How long an orientation do you get? Do you have a code cart available or at least AED? Have you ever been assaulted by a Prisoner?

Thanks for your help but doesn't answer my question. Will just call them in the Am !

I gotta fill out some paperwork and need to know if United Nurses of California has a Local Number like some other unions do like local 30 or something like that? All the years I have been a member do not remember any local number? If any brother Nurses are out there please try and answer this for me! Thanks!!