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2 years Nurse Tech on Ortho/Post-Op floor; 6 months psychiatric; 1 year LTAC

IKnowYouRider's Latest Activity

  1. IKnowYouRider

    Barriers to SNF and ALF improvements

    I think the title speaks for itself...but I'll try to elaborate. It would be difficult to find any nurse who would argue against the notion that the status quo of doing business in SNF/ALF facilities needs a huge overhaul. That being said, what are the issues that need addressed? Staff burnout, poor regulation, and care models that prioritize profit are a few that come to mind. If you work in one of these facilities what would you change?
  2. IKnowYouRider

    'Force feeding' at Guantanamo

    Hahaha, you'd be right. I have not been very active over the years. You say 'the military doesn't need you'...okay, like I agree, they don't need me as an individual, but as a whole, they require the support of tax payers, civilians, etc. What the military actually needs -- at least to grow and thrive and continue receiving nearly 3/4 of a trillion dollar budget -- is a scared public to justify their job. They need a vast majority of Americans to be complicit in co-signing the fake narrative that the US is the arbiter of conflict around the world, and unquestionably the 'good guy'. I happen to not be one of these people. I quickly raise my hand to increase the chances that I'm blown to bits by a terrorist, in replace of my country continually dropping bombs on poor countries while failing to care for those at home.
  3. IKnowYouRider

    'Force feeding' at Guantanamo

    I'd also feel differently after I realized that the reasoning behind bombing and invading such people is complete fiction. I'd wonder, "Why have I signed up to participate in sanctioned murder perpetuated by a government that doesn't care for me once I return home?"
  4. IKnowYouRider

    'Force feeding' at Guantanamo

    I'd also feel differently after I realized that the reasoning behind bombing and invading such people is complete fiction. I'd wonder, "Why have I signed up to participate in sanctioned murder perpetuated by a government that doesn't care for me once I return home?"
  5. Okay, so I searched through several pages of threads and didn't find exactly what I was looking for... I've been an acute care nurse for 6 years (tele/IMCU). I've started thinking about attending a brick and mortar FNP program. My dream career would be to run a primary care clinic with some MD or NP friends. Ideally, not attached to any hospital system. Is this at all reasonable? 10-15 years down the road I'd like to do international work with my wife who's a lab scientist. At times I've considered backing away from the FNP program and just add some certifications, change departments (ER, ICU) and just keep trudging along.
  6. IKnowYouRider

    Assessing the student on drugs

    I think it's difficult to assess students while on drugs, especially when the amphetamine causes my penlight to shake. Wait...what are we assessing for again?
  7. IKnowYouRider

    I am new to nursing but I don't want to do this anymore

    Whoa, whoa, whoa... You have to take it easy there! You mentioned "even though the most patients I've had is 5"...do you understand how crazy it is you're even able to do that? Taking care of five acute patients for 12 hours is badass, no matter how well you pull it off. Like other posters have said, sometimes you won't deliver the care you want, but who cares? The system is set up against nurses, and set up against providing good care -- we do our best and remain proud of what we're able to accomplish. It took a solid year, but probably more like 2 years to feel completely confident about walking into any at day work. It'll happen for you, you just gotta pay the entry fee. Hang it there, keep it real.
  8. IKnowYouRider

    Giving OTC medications to your aides/coworkers?

    Then don't give out OTC to co-workers if you don't want to. Are you being harassed for not giving out OTC meds? If not I really don't understand the issue here.
  9. I've been a nurse for 6 years. Three years LTAC, three years IMCU. I have a strong work ethic, and really commit myself to serving my patients for the 12.5 hours I'm at work. When I start my day, I ask, "How can I best help my patient progress towards a safe and healthy discharge?" This being said, I checked my email this evening and there's a message addressed to all RN staff about how we need to solve people staying over late. He expresses in the email that this is not a matter of staffing shortages. The hospital has cut positions left and right since I started 3 years ago. It IS a staffing issue and I'm simply done with being a pawn to these hospital systems. I love my work, and do it well, but I love myself and my life more. //rant
  10. IKnowYouRider

    'Force feeding' at Guantanamo

    @wtbcrna: You're right, only the nurses who have been to Guantanamo are able to question the ethical nature of force feeding prisoners. Also, civilians who have chose not to serve in the military should never question its actions because it's an infallible institution. Thanks for the update. @nurse2033: Again, I appreciate your post. I wish more intelligent responses could have followed. Edit: "Where a prisoner refuses nourishment and is considered by the physician as capable of forming an unimpaired and rational judgment concerning the consequences of such a voluntary refusal of nourishment, he or she shall not be fed artificially" (Declaration of Tokyo, 1975).
  11. IKnowYouRider

    'Force feeding' at Guantanamo

    Unlike the poetic post below by ckh23, I can respect your answer even though I disagree on a few points. First, I misspoke by stating that 'they haven't been convicted'. What I meant was that many have not been charged, which is even more appalling. But, anyway, that doesn't really relate too much to the subject at hand. What I don't understand is that you seem to equate involuntarily detainment of mentally ill patients with prisoners at Guantanamo Bay. The only relevant similarity between these two populations is that they are both being held against their will. What really matters when speaking of patient autonomy is mental capacity. Clearly, patients in psychiatric units don’t have mental capacity, but I would argue that the prisoners of Guantanamo do. How do we know they have mental capacity? Well, they make understandably sound arguments as to why they’re participating in their hunger strike, and their reasoning remains consistent on a day-to-day basis despite being persuaded to change their behavior. Due to their present mental capacity, I think a better comparison would be the hospice patient who decides to stop eating due to unresolved pain, hopelessness, etc. What does the medical profession do in this situation? Well, typically, we let them die. Therefore, I believe we should allow the prisoners at Guantanamo to do the same.
  12. IKnowYouRider

    'Force feeding' at Guantanamo

    Is this torture? I would have to think so, especially since many of the prisoners being held there have not been convicted of a crime. Every time the media covers this story, it's always a nurse administering the feeding. What is this doing to the integrity of our profession? If the military wishes to move forward with these practices, they should leave nurses out of the picture. And of course, military nurses should refuse to take part in such behavior.
  13. IKnowYouRider

    To Suction, or Not to Suction

    I just started working at an LTAC facility and have a lot of patients on vents, so I'll probably have a lot of posts in this section for a while. Yesterday I had a patient on a trach collar, SaO2 95% on 4-6L of O2 (I don't remember exactly). He had recent bacterial pneumonia infection. LOC probably x1, restless, agitated. So, he was expelling a lot of secretions through his trach by coughing all throughout the day. I would clean around his trach frequently. Still, he sounded pretty coarse and I asked my orientating nurse if I should maybe deep suction him a few times to help him out. She told me not to because he was expelling a lot on his own and his SaO2 was normal. Is this what your recommendation would have been, or would you have deep suctioned? I regret going against my best judgement and not suctioning because I now feel maybe his agitation/restlessness was somewhat low Pa02. He was also getting a lot of opiates/benzos, but still....
  14. IKnowYouRider

    Win $100! February 2013 Caption Contest

    Pt presents with childlike behavior and jaw-dropping speed.
  15. IKnowYouRider

    Win $100! February 2013 Caption Contest

    The side effect of 'osseous mandibular hypertrophy' was just too much too much to bear.
  16. IKnowYouRider

    First Interview in 4-5 months!

    I started my nursing career at a psych facility and then moved to another state. Since then I've been trying relentlessly to get a job and have had tremendous difficulty. This morning I got a call from a well-known LTAC facility to come in for an interview tomorrow. Thank God. I'm staying open to the possibility that this might not 'be it', but then again, who knows. For those of you searching, this thread: https://allnurses.com/nursing-job-search/how-i-got-689384.html was priceless. No, really, I was told by the recruiter that she had received my resume from the online application AND from and email forwarded to her by the nurse manager. It works!

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