imintrouble BSN, RN

LTC Rehab Med/Surg

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All Content by imintrouble

  1. Home health or private duty nursing. I worked private duty and the only nurse I saw was the one who relieved me in the AM. I liked it. But I also like sharing a shift with nurses who endure the...
  2. imintrouble

    Have you ever lost it with a patient?

    I've never lost it in front of the pt. Honestly. No lie. I've exited the room and vented at the nurse's station. I've yelled in the med room. I've mentally dismembered some pts. But I've never...
  3. imintrouble

    Soooo, I quit

    Each of us has a threshold for what is tolerable and what is not. Sometimes we step over that threshold for financial and emotional obligations. It's never the right thing to do. My hat's off to...
  4. imintrouble

    Comparing A Nurses' Salary

    I make 2.5 times more than my husband makes. I make twice as much as any of my siblings except one. It hasn't alway been this way. The outsourcing of jobs has devastated my family. I make about...
  5. Hiring for full time and then calling the employee off is rampant. It's a win/win for the employer. Having more staff than you need means the higher paid employees are only getting half the amt of...
  6. imintrouble

    Narcotics administration

    When I was a newer nurse the drug seekers disgusted me. Then I figured out the angst was all on my side. Since then I waste no time on trying to figure out who is playing me and who's not. I don't...
  7. I always encourage family members to speak to the MD directly when they make rounds. If the pt is O x 3, then I tell them to discuss their concerns with the MD. The above is for issues that can wait...
  8. imintrouble

    Primary Nursing is for the BIRDS

    I have found that when I'm forced to wear two hats, CNA and RN, I don't wear either adequately. I go home feeling like a loser because I'm not proud of the way I performed either job. It doesn't...
  9. Exactly! If you speak plainly about the 100 year old CHFer with an EJ fraction of 12, you'll be considered "mean". Mean nurses don't = excellent survey scores. If you wimp out, and make the...
  10. imintrouble

    Welcome to the Shangri-La: My (Almost) Perfect Job

    I'm glad you've found your perfect job as I am still looking for mine. I'm just not sure I'll find it as a nurse. I'm glad that you
  11. imintrouble

    Forced to work longer than scheduled hours....

    I never agree to half a shift unless I know the other half is covered. Simply for the above
  12. imintrouble

    Drug Shortages

    We don't have that many med shortages where I work. However I was speechless when a nurse I work with mentioned that her chemo drug, the only one to treat her cancer, will soon be
  13. Had Ashley Picu Rn responded to my post in such a way I would not have been offended. Sometimes it's really hard to take criticism through these forums. I've been in your shoes reading something I...
  14. imintrouble

    Paranoia or Valid Concern, I Don't Know...

    I have children. They're grown. But when they were young, for me it was that simple. Their needs superceded my own. Not always. I'm no martyr, but in the big picture they came first. That's the way...
  15. imintrouble

    Paranoia or Valid Concern, I Don't Know...

    It's very simple. Whose needs are
  16. imintrouble

    End of shift blessings

    Confused guy. Mobile, which is always a problem when people are confused. I wrestled with this guy all night long. Trying to use reason. I know, trying reason with the unreasonable is pointless. Is...
  17. 1) There will be times when you're convinced you've killed your pt. Or that you missed something vital that caused them to die. 2) Most of the time people die when it is their time to die. You can't...
  18. "The only way out is through" I had not heard that before. As in all things, you weigh the options and the costs. Sometimes you decide to co-exist with those things that you can't conquer. Maybe...
  19. I like this no-nonsense down to earth advice. Throw in non-judgemental too. Having worked in several LTC facilities, I've seen every single scenario described. It happens. You can't fix the world,...
  20. imintrouble

    Misogyny in Nursing

    I can't tell from your post if you're the misogynist, or the bad ole females who are just jealous. Or maybe it's me for making that
  21. imintrouble

    Iv orders

    I make my worst mistakes, and am brought lowest, when I start feeling superior and holier than thou. I don't know if it's karma, cosmic justice or what. Just when I've dogged my fellow nurse about a...
  22. imintrouble

    Mom Needs a Pain Pill

    I agree totally. The problem is customer satisfaction scores. If I refuse to give a PRN that I've assessed is unnecessary, that family is going to complain loudly. There is enormous pressure where I...
  23. imintrouble

    Be aware...

    No offense intended, but I find your post hard to believe. I've even visited the DPR website and never seen a nurse license suspended for psychiatric reasons. Never heard of it in almost 20 years....
  24. imintrouble

    Misogyny in Nursing

    me
  25. imintrouble

    Mom Needs a Pain Pill

    Try to view the family's request in the best possible light. They simply don't want them to suffer any pain. Whether you see it or not. If there is an order, I give the med. There are ulterior...