jollygreenRN

Before I medically retired this past year I was the house sup for a 220 bed level 2 trauma center. I have an ADN. It can be done, but you have to give respect where respect is due, listen to those in with more experience than you, but also know when to use the leader hat properly and effectively.

Why don't you ask the Nurse Manager yourself? Explain why you want to go over the "teaching moment" (thinking of becoming a HM as a career choice). You can learn more this way with immediate interaction with the HM. Just do it respectfully, asking if you can talk about it in private.

Here's hoping I can get this right. I've been an RN for over 18 yrs, now medically retired. I was a house manager for over half my career. The actions of the police were egregious and cast a shadow over all our rights. Start limiting rights for some, and we all loose. He needs to become a trash collector, not a police officer.

I leave the room muttering about having to go get some extra large gloves! (I'm 6'4", 250 lbs and regularly rip "large" gloves in half while trying to put them on.)

"Just another day in Industrial Paradise!"

Med surg floor expect 6-7 patients with a CNA.

I was in the US Army. Active duty from Jan 83 to Feb 93. first enlistment was Morse Code Interceptor, second was Voice Intercept operator. If I told you what I really did, I'd have to killya....

TBAR- That boy ain't right. CTD- Circling the drain DRT- Dead right there. Nursing Challenge- You know the patient refered to....nasty, disrespectful, FMPS, want's any and all narcotic pain meds known to man on a q1 hr basis, and only by IV push...... Acute momectomy- Patient's mother needs to go home and get a life. Usually still attached by an invisible umbilical cord to their 34 yr old unmarried son, who is in the hospital for an infected toe, and feeds and bathes him every day.

Hmmm...let's see. 6 patients, one quiet, one drug seeker with attitudinal girlfriend, one hypermanic, one full code non responsive, two confused. IV's, PCAs accuchecks and TPN. Computers crashed. 2 codes on floor and fire alarm all at same time! One less hour to get it all done. My feet hurt.

Always ask for a urojet if it is available at your facility. When you explain that you are going to "numb" the area, the patients become much less anxious and squirmy.

Oh, Jeez, nicknames for male genitalia:uhoh21: Never heard any:chuckle:rotfl: wood, woody, love stick, bat and balls, tackle, purple helmet warrior, heat seeking moisture missle, old man, one eyed trouser trout, trouser mouse, John Thomas, John Henry, Richard, Dick and the boys, wee willie winkie, fishing rod, bang stick, third leg, short arm, short leg, little man, big boy, da boss, stiffy, little head, the brains, 'nads, crotch rocket, love rocket, love missle, the snake, one eyed ranger, pee-pee, schlong, tool, hose, fireman's hose, Mr. T and tete. Last two are slang from the Visayas, an area in the middle part of the Philippines. 40 some odd years of hearing every slang word possible, I think I have heard the term member the least. The most colorful terms were the ones I heard in the Army and from the nursing home where I used to work. I got an admit on the floor where I work now, an elderly fellow who kept pulling up his gown to flash everyone. I was giving report off to a co worker when I went to lunch (first lunch that week:o) and told her he likes to show off his tackle (meant to say genitals). She laughed for about 5 minutes! Said that was one she hadn't heard yet. Oh, yes, several years ago, early 1992, there was a parody song featured on Dr. Demento entitled "Pet names for Genitalia" sung to the tune of "We Didn't Start the Fire". I was sitting in an armored personell carrier poised on the Iraqi border when I heard that the first time. Has it really been 14 years?

I think you did just fine. If she was abusing pain rx at home, and refusing same in the hospital, she should of at least had opiate detox orders. Sounds like she may have been going into withdrawl. As far as AMA goes, if pt is not with it enough to understand the ramifications of leaving, or the "I'll just walk" comment you got, indicate that the patient AT THAT TIME was not capable of making informed decisions regarding her health care.

It's a little known fact that many soldiers do wear panty hose when out on winter manouvers. Anything to keep hypothermia away. Those rice paddies in Korea get damn cold in the winter.

Do NOT have someone place a plastic swizzle stick inside your member while tied up at the S&M party and then have it break off. It also confuses the nurses, who when you say you have pain, wonder whether you want pain meds, or are just enjoying the feeling.

This is my second career, first was US Army for 12 years, German Linguist. East Germany went away and so did my job, I was offered retraining in Arabic!:uhoh21: After having just returned from Desert Storm in 90-91 (don't ask me WHY the Army needed German lingists in Iraq) IU finally ended my service in 1993. After a year of unemployment in WA state, I moved back home to KY as a single dad, and got a job within a month as a corrugation supervisor in a cardboard box mfg plant. Talk about a job that sucked like a hoover! Got the heck out of there. A good friend told me about nursing ADN courses, so I went back to school. One year to finish up my prereqs, and was accepted into 3 different nursing schools. Finished up in 3 years, and love it. No more living in tents, having people try using you for target practice, and great benefits. Love my job too, at least most of the time!:chuckle