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Anna S, RN

Anna S, RN

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Anna S, RN's Latest Activity

  1. Anna S, RN

    Pain patients being denied their medication!

    Yes! My doc prescribed 5% lidocaine cream for me and the cost of a small case was $1,400.! Of course, I could not get it filled! But thirty Tyl #4, w/ 60 mg of codeine is five bucks! OTC 4% lidocaine is only a few dollars. Why the huge cost increase for 1% more? If docs and whoever else want people off of narcs, then they need to come up with EFFECTIBE, and AFFORDABLE alternatives!
  2. I've been in dialysis for 12 years, and it's gotten way worse over that time. Extreme over-regulation, extreme amounts of charting now.
  3. Anna S, RN

    Tell me about your week in Acute dialysis.

    I loved the patient care in acutes, but the hours and working conditions were awful. One shift, I had to work 22 hrs straight, without a break. Most days it was 17-19 hours. One co-worker quit right after she had been required to work 24 hrs straight. And yes, this is legal. I read my many pages of my state's Dept of Labor, Wage and Hour division web site. Shift starts at 6am, ends at 6pm, but call starts at 6pm. I would be getting calls at 5pm telling me how many pts were already in ER, waiting for me to start call. One pt after another can come into ER, needing dialysis. Whomever was on call had to just stay until all the pts were done, or until regular shift started at 6am, and staff scheduled that day came in. I covered two hospitals. Docs would be upset, feeling that their pts took priority over other doc's pts. Tore my meniscus when I had an on-the-job slip and fall- due to faulty, leaking RO machine. A kidney became available for transplant that evening, I was on call. No one could cover for me. Mgr called "everyone." If I didn't stay, pt supposedly would not get transplanted, and would lose the kidney. I worked 18 hrs with my acutely torn meniscus. Much of the equipment was in really bad shape. Old, and jerry-rigged. Did not function properly. Equipment and supplies were kept on several different floors of the hospitals, requiring many trips back and forth, hauling tons of stuff all over the hospitals. These are just a couple of stories from that job. I have many more. It was awful. I worked there a year. We lost a nurse a month that year. All resigned. Hopefully, others have had better experiences.
  4. Anna S, RN

    Pain patients being denied their medication!

    I recently heard excerpt on NPR from a local MD conference, which was aimed at stopping opiods from being prescribed for chronic pain. The doctor speaking said that physical therapy could be used instead of opioids. Right... the cause of my chronic pain was misdiagnosed for many years. I was sent to physical therapy over and over again. This only served to exacerbate the problem, and make the pain worse. I have spent thousands out-of-pocket on every OTC, and alternative therapy available. None of it has worked. With practitioners cutting people off of opioids, without coming up with effective alternatives, FIRST- I predict that a lot of people desperate for pain relief may turn to street drugs, or purchasing pharmaceuticals on the street.
  5. Anna S, RN

    Horrible experience with one of the Big Two

    I am in a right-to-work state, and did not have a contact. I consulted a lawyer online, and was told that since I only intended to work for two more weeks, and Unemployment payments start after one week of unemployment, I would be eligible for one week, total, of unemployment payments.
  6. Anna S, RN

    Long hair at the bedside

    I remember as a teenager in the 1980s, visiting a friend in the hospital. His nurse had hip-length loose hair, and very long hot pink fingernails. At the time, I was a clueless teenager, and I remember even then, thinking she was unprofessional.
  7. Anna S, RN

    Too ugly to be a nurse..?!?

    The fact that you want to make your living caring for and giving to others as a nurse makes you beautiful. As others have said, take care of your skin, practice good grooming, wear nice scrubs. It will help your confidence.
  8. Anna S, RN

    Horrible experience with one of the Big Two

    I was hourly, and had only been there two months. During the latest brow-beating and put-down session over the phone on Saturday, I gave my two weeks' notice. The mgr was so shocked- this from someone who told me "There are other units you can transfer to..I have invited people to leave this unit" when I told her that I needed to be allowed to take notes on orientation info. She and her relative have both told me repeatedly to stop taking notes when being instructed on how to navigate any of the three computer systems used at the unit. She told me "Only two weeks' notice?! That's so unprofessional! I can't believe you're just going to jump ship!" Huh? I'm a regular staff nurse, two weeks' notice is the professional standard! And why would someone whose communication with me was primarily to tell me how inadequate I am be surprised that I quit? Being called "unprofessional" by a manager who leads with threats, insults, verbal tirades, and who comes to work with exposed back tattoos really pissed me off. She also said that because I did not "fulfill my obligation" to complete my orientation, that my two weeks' notice was not valid, so I would be "terminated" on Monday. Does this mean I'm actually being fired? I don't know. There is an opening in acutes, and I contacted that manager. Because my two weeks' notice is not being honored, she told me I would need to apply through the web site "and go through the hiring process." Is this encouraging? I'm so confused right now. I've been a nurse for 26 years, and have never had an experience like this. I am unemployed for now, but feel so relieved to not have to go back.
  9. Anna S, RN

    Acute Inpatient Dialysis Patient-to-Nurse Ratios

    I used to do 3:1 in acutes and one hospital, with q 15 min charting on each pt, sometimes data transferred and sometimes it didn't, would often have to do all entries by hand. Sometimes had a tech (had to share with other nurses with their own 3 pts) sometimes didn't. Pts were all in different rooms, requiring constant running back and forth, and only being able to have one pt at a time in my line of sight. If I had to get a bag of saline, I'd have to leave all of my pts unattended to go all the way to the other end of the unit to the Pyxus. Did all nurse and tech duties, arranged transportation to unit, labs, orders, doc calls, blood, add-on pts, etc. If a pt needed extra attention, and my q 15 min charting got behind, mgr would call me out on it- she said "Charting is your number one priority." No thank you. Worked about 70 hours a week. Worked 20 plus hours straight without a break numerous times. We all did. Very high turn-over there. I left after a year.
  10. I have a lot of experience in dialysis, both acute and chronics. Recently took a job with one of the Big Two, at a chronic unit. The pay is great, the techs are good, but nurse preceptor and FA constantly belittle and criticize me. (They are relatives of each other). My experience at this job has affected my confidence in myself as a nurse. If I even ask a question, I am put down. Today, I was verbally humiliated in front of others staff at a meeting. Other team-members brought it up to me afterwards expressing sympathy and saying "She better not ever talk to me like that." I see that I am being held to a higher standard than peers as far as charting, and productivity are concerned. I am also expected to open and close- working 14 to 16 hours a day. Other nurses are only expected to work 12 hrs. I was told at the interview that shifts are 12 hours. The commute is an hour each way. I'm told that most of the nurses who have left have told the FA that it's because of the long commute, but that they really left because of how they were treated, I've been a nurse for 26 years, and this job has been one of the worst I've ever had. This job is a $30,000. per year pay increase from my last job, but I'm learning that it's not worth it. There are local acutes positions open within the company, but policy states a team member must be with the company for six months before applying for another position. Pay and bennies are very good, don't want to leave the company, just this particular unit. Any words pf wisdom?
  11. "Strictly addressing the ease of access between fistula v. catheter, the fistula is easier for the outpatient nurse because the tech usually does it. If comparing a good fistula to a good cath, I would say the fistula is easier to access. If comparing a difficult fistula to a difficult cath, then it really just depends." At my outpt unit, we have many pts with very poor fistulas (very small, poorly developed, very crooked, full of bends, lots of stenosis). I find that caring for these pts is a lot more time consuming, difficult for both nurse and pt, and these pts get poor dialysis adequacy from their fistulas. I much prefer working with catheters. At my outpt clinic, nurses function as techs running a full load of pts, plus have nursing duties. I also do inpt acutes, w/ q 15 min charting, which must be done on paper, then entered into Epic manually. Not too difficult when doing 1 : 1 care in ICU, but can get very hard to keep up w/ the charting when running 2 pts at a time in an acutes room, especially if pts are unstable. As far as work load, difficulty of work, and autonomy, I much prefer acutes. As for the hours, chronics is better. Acutes hrs can be very long, and unpredictable. Work load is very heavy, and labor intensive in chronics, but hours are generally routine.
  12. Anna S, RN

    Being Sued / Losing License

    I've been a nurse for >20 years. I've never known a nurse whose been sued, that I'm aware of. I personally know two nurses who have lost their licenses, both for uncontrolled alcoholism. I have seen the names of literally dozens of nurses I've known in the disciplinary section of my state board's newsletter.
  13. Anna S, RN

    why do many MAs and CNAs call themselves nurses?

    [h=1]"why do many MAs and CNAs call themselves nurses?"[/h] Ignorance, jealousy, and wanting to seem like a big deal.
  14. Anna S, RN

    Taking notes during an interview

    I always take notes at interviews.
  15. Anna S, RN

    Frugality thead:work less, spend less

    Who can recommend the cheapest cell phone service- unlimited calls/texting/moderate data? I still use an iphone 4- paid for for years, and want to continue to use it.
  16. Anna S, RN

    What nurse life-hacks do you have to offer?

    When giving a bed bath, float the bottle of lotion in the warm basin water. The lotion will be warm by the time the bath is done.