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  1. angeloublue22

    Older Doctor doesn't think nurses should be in charge

    Wow, thank you for all your replies. Just a few clarifying details. No, I was not offended in the least. I specialize in psych/addictions, so my skin is tough as nails. I just thought it was a an interesting topic to discuss. Yes, doctors have more education and expertise, which I fully recognize, but I don't want the hierarchy to get in the way of patient care. Also, she was questioning nurses being in charge at all as they should be at the bedside. That included nurse supervisors, charge nurses, case managers, and NPs. No nurses were in charge of the care she was delivering. The nurse she was referring to just questioned one of her orders because it wasn't an appropriate dose, so the nurse was doing what any of us would do, even if we didn't have a charge position. When we work as a team with mutual respect for skills and education, it can bring positive changes to patients and each other. That is that point I was trying to make with her, not that nurses should be in charge of everything.
  2. I worked with a very old school doctor. She has held on to old school ways of looking at healthcare. For instance, doctors are in charge of nurses. I love speaking with her because she gives a lot of insight into how healthcare has changed. The only thing is she not willing to change with it. The other day she got angry after speaking about focusing on team care and not so much hierarchy, which is encouraged and used by everyone else in the facility. I'm the lead nurse in small satellite facility and at the main office there is a supervisor case manager RN that she must work with. After we both got promoted and she was approached by the case manager RN to see a client about a med issue, she started to complain to me. She stated... I again brought up the team approach and informed her that we see the clients more and can recognize their needs faster and more accurately, so of course we should have a major influence in decision making. She of course argued back and I let it go because I wasn't going to change her mind. I was flabbergasted that she said any of this. After she kept complaining to every nurse and not listening to our recommendations, which was effecting patient care, she was asked by the other providers (team players) to not return to our facility and they would work extra to cover her shifts. This was a rant but also a heck yeah for our awesome providers. Has anyone else had this issue with providers?
  3. angeloublue22

    What are you doing?

    I got the urge to write this after our new nurse just had her first shift and she group-texted us to see if anyone could call her so she could ask questions, and the entire team said they were ready. It warmed my heart that we were all so willing to jump in and help our fellow nurse. We talked about it later and she said how grateful she was to be part of a truly supportive group of nurses because she knows it's not like that in many places. We had a conversation about why it might be a rare occurrence in nursing because isn't she the one that is taking shifts so we don't have to, and don't other nurses want someone competent to do the job? What a concept! In nursing school, we did have some discussion about dealing with the pitfalls of being the newbie nurse on the job, whether experienced and brand spanking new. I never understood why this was an issue. I mean, wouldn't we want to be supportive and train our colleagues well. That newbie could be the one that saves your butt when you are drowning and thanks to you, has the ability to do so. They could be that nurse that takes your shifts when you need a much-deserved vacation, and you don't have worry about the care they will deliver because he/she was trained well and is confident in their skills. They can prevent you from getting burnt out and hating your job. I have 8 years of nursing under my belt. I've been a caregiver, LPN, RN, charge nurse, lead nurse, and nurse supervisor. In all of my jobs, I've ended up being the main preceptor/mentor. Why, because I love it. I love training the new generation of nurses. I've had a couple of wonderful mentors and I wanted to be that for others. You would be amazed at how much even little interactions can affect a new nurse. Give them some easy way to remember something and they may remember it for the rest of their career and pass it onto to others. We are essentially creating those nurses we want to work with while creating a long-lasting supportive nurse culture, which is why I find it so puzzling that bullying is so prevalent in nursing and in medical teams in general. A negative nurse culture can have long-lasting effects on the entire medical system. The way a nurse was trained or exposed to said culture can affect everyone else he/she interacts with. For instance, if a nurse was not supported at first, they can be unduly stressed, leading to burnout and "whoops we just lost another one", they can become negative about nursing and perpetuate the bullying themselves, and pass that onto the next generation of new nurses, going round and round until we have a larger culture of negativity. This can affect not only the entire medical team but can dangerously affect our patients as well. This culture is not conducive to stable, knowledgeable, and supportive nurses. I experienced these issues firsthand from multiple nurses, and it actually took a lot of work on my part not to become a negative person. When I asked for some pointers from my seasoned nurses, I was treated like I was stupid or threatened with "well, you better figure it out or you're not going to make it." There wasn't much training going on, it felt more like a trial by fire. It made me feel unsupported, stressed, and scared to be on my own knowing that I would have no one to turn to. This was on my first-week training. This was also a place where nurses got into screaming matches, no one helped each other, and everyone was in a battle to write each other up. I was treated better when I worked at a pizza restaurant. I finally decided that I wouldn't let it get me down and instead of dwelling on the negativity I had an innate drive to change it for other nurses, even if it's only in my little neck of the woods. I quit that job and others that had the same culture while trying to remain a positive force wherever I worked. Finally, I had an opportunity to start my own nurse team at a brand new facility. I made it my mission to be that positive, supportive, patient nurse that other nurses would want to learn from, and hopefully pass on to those they train. Then, to my not so surprise, I was able to build a great nursing team, full of happy, competent, solid nurses. You know, the nurses you want to work with. We also have great supportive providers and support staff because, just like negativity is contagious, so is positivity. I want to hear from you. Please tell us what you are doing to make the next and current generation of nurses better?
  4. angeloublue22

    As seen on TV

    My favorite is when they perform an injection and the effect is immediate. Sometimes they haven't even finished pushing the med before the person passes out. Yeah, because Ativan works that fast and well. I wish! Or they give an IV injection and they have a massive needle injected at 90 degrees that, if it was real, would probably go though through the other side of their arm or hit bone. Cracks me up!
  5. angeloublue22

    Failed Nursing 1 by less than a percent looking for advice

    I was 4.0 student before nursing school because I have a really good recall memory. When I started to not do so well on my med/surg classes, I had no idea what I was doing wrong. I didn't realize that memorizing the info was only half of it. You might want to try other study strategies. Study groups are great and it gives you time with other students to discuss different ways to look at the material and critically think about it. I didn't see you mention flash cards but you might want to give them a try. Also, youtube can be a great tool. There are good nursing teachers on there that will help you delve into the subject matter and again increase critical thinking, which is the basis for most of those tests. Try "simplenursing" on youtube. Good luck!
  6. angeloublue22

    Random Lice talk!!!

    Oh this brings me back to when the school nurse taped the offender with clear tape on a note for my parents. It was so embarrassing but now I know why they did it.
  7. angeloublue22

    Out to a stressful start.

    I've worked in both a prison and a jail and what are describing is pretty typical. At least it's not a contract medical company. Those are even worse with staffing and admin. The prison didn't do prepopping but the jail did and they were told by state that they couldn't and they changed. I'm not sure if it varies by state with the prepopping. Because med passes are so extensive, people find prepopping more convenient but it is definitely not best practice. I would stick with it for now and at least get your year experience, especially if you are liking the actual job. It will make you a dang good nurse because are being exposed to almost every disease process, including mental illness and addiction. It definitely made me a better, well-rounded, confident nurse, and my bullcrap meter is always on alert. I was terrified at first because it was only down to me to make medical decisions for 700-2000 patients. The most important thing to remember is to not let the patients manipulate you. You want to read an article titled, "Downing a Duck." You can search it online. It is very insightful on how little manipulations can spiral. If you need any other insight or help, feel free to message me.
  8. angeloublue22

    Teaching nursing with a Ph.D. in medicine?

    Our medical terminology and first A&P classes were taught by a chiropractor. My micro and further A&P classes where taught by a former family doctor. I don't see why not.
  9. angeloublue22

    Help! Failing my first semester of nursing school!

    We just used a basic pharmacology textbook. I used flash cards and youtube.
  10. angeloublue22

    Failed NCLEX 2x help needed

    I've said this to a few others. On youtube there is a nurse that helps with all the info on NCLEX and he gives you great ways to remember the info. I passed my NCLEX in 45 minutes. Simplenursing is the name he is under on youtube. I hope that helps.
  11. angeloublue22

    Help! Failing my first semester of nursing school!

    Try simplenursing on YouTube. He was the one that helped me the most and he has fun ways to remember information. That was one of my hardest classes as well and now I'm known as the "med queen" because I will most likely be able to answer most questions about meds. He's also great when you get to med/surg classes.
  12. angeloublue22

    Why do you do it?

    I've worked in both a jail and a prison and I will never go back. I actually loved the actual job or helping people and the patients were usually kind and I felt safer there then working in acute psych. I've always liked helping people that general society doesn't seem to care about or sweep under rug. The problem was the severe purposeful understaffing in both places. Both paid the fines for low staffing instead of hiring even though we had people applying. Both had shady practices but asked the moon from the staff and it was impossible to deliver. At the jail, the staff were treated so terribly by management that we all quit at once, including the providers, and they lost their contract. The private contracted correctional medical care companies are destroying the specialty. Just look at the employee reviews for these companies. As for just regular understaffing as in no one applying, the cause for us was the long and arduous process of actually getting hired. At both places it could take up to 3 months to get hired. When people are looking for jobs, they don't have 3 months to wait for approval. It can also be very intimidating. For instance, at the jail I had to be interviewed for 2 hours by 2 detectives and fill our a 15 page application. My other friend had to be put through a lie detector test and if they found you lied about something they warned you that you could be prosecuted. Because we all know lie detectors tests are 100% accurate. Frankly, it's just not worth the low pay, stress, lack of respect from management, and the lack of good benefits. I don't regret taking these jobs though because holy cow, you learn a lot, and the confidence I gained to be a independent nurse (because I had to) was invaluable. Also my "bullcrap" meter is tried and true now.
  13. angeloublue22

    Returning to school after devastating Camp Fire

    That is wonderful that you thinking ahead like this. You have some legitimate concerns and some I don't have advice for. I'm not a school nurse so I'm not sure but are there any temp or on-call providers that could provide orders if needed? The one thing I can offer is make sure to brush up on you're therapeutic communication skills and trauma informed care because these kids and parents are more than likely going to some trauma that's going to need to be addressed. This may not be up your alley but it may be a good idea, if they haven't already, to start some kind of support group for these parents and kids. They might also be hurting for basic medical supplies, especially diabetes supplies, inhalers, nebulizers, etc. Would your local hospitals be able to donate these to help? What an awful thing to go through. I wish you the best and thank you for helping these people. I wish I could be more help.
  14. angeloublue22

    Medication Error

    First, give yourself a break. I know it's hard, but the fact that you are worrying about it means you learned something. Mistakes are learning opportunities. That's it. This took me years to finally accept and I think nurses in general are too hard on ourselves and the emotional abuse we put on ourselves can actually hinder our learning and leads to burn out or quitting jobs. Find out what part of the way you do things led to the mistake and make a change. Find ways to prevent yourself from making them. Writing notes to yourself helps for reminders (I'm a sticky note gal) and double checking even if it's 10 times is a good idea. I've been giving meds for years and I'm still psycho about checking and rechecking. I've made my mistakes and I know I will continue to make mistakes but that doesn't mean I a bad nurse, it means I'm human and you sure bet I never make the same mistake twice. You can do this.
  15. angeloublue22

    My Pain clinic was raided by DEA

    What terrible thing to go through. The answers to all your questions. 1-it's likely you could lose your capacity to participate in medicare. 2-Yes 3-a resounding yes and do it ASAP. Anytime you are under investigation, especially for something this serious, even if you did nothing wrong, you need representation. You need to get ahead of this thing and be prepared to fight for you innocence. Do you have practice insurance? 4-you would be seriously hard pressed to find a job with this over your head and with those stipulations. Also, you know this already but yes, it was a mistake to hand over your DEA license. I hope it works out for you.