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cleback

cleback

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  1. Overall I agree except that basic hygiene was pretty cutting edge back then... we're talking about an era doctors were literally killing mothers and newborns because they went from autopsy to delivery without washing... and when a doctor realized it, the profession basically ostracized him for his revelation of the importance of getting corpse juice off before providing invasive patient care. Wild times, I tell you.
  2. I am less concerned about placing blame and more about providing tools to prevent it from happening.
  3. I didn't call you or anyone names so don't make me out like I did. I appreciate that you or your family have never had this tragedy... it is uncommon, afterall. I'm just saying the causes are unintentional and rooted in the human condition. We can work with it to help prevent it from happening to other children and families.
  4. People can take as much responsibility as they want but it doesn't make them less human. People will still get tired, distracted, go into auto pilot. The question is how to protect kids despite unintentionally imperfect parents?
  5. I would eventually love carseat technology that syncs with a car alarm, like the reminder alarm to fasten your seatbelt or take the keys out of the ignition. Edit to add I used to be one of those moms that blamed the parent for unbelievable carelessness... that judgyness reassured me as a mom but it doesn't save the poor kids who die a horrible death. We can do better.
  6. Not sure if I agree with all of your post or understand your point behind pointing out #2. If the nurse knew it was a lower dose for anxiety, not sedation, she would likely not be closely monitoring, so wouldn't the fact that it was an anxiolytic dose make her offenses less egregious, less fitting of a reckless homicide charge? I'd be curious to see the Vandy policy on it. Anyway, I am going to be completely honest... I would love to join in and say this could never happen to me... but I've made a med error (gave the wrong eye drops). I've technically made a monitoring error (gave low dose iv fentanyl for analgesia without realizing the instituional policy for ANY iv fent was akin to conscious sedation). If the stars had horribly aligned with different circumstances, I could've had a patient tragedy too. Personally, I find the "no, not never me" reaction to be human nature as well. In horrible circumstances, people want to believe that bad things only happen to bad people. My two cents, at least...
  7. cleback

    Older Doctor doesn't think nurses should be in charge

    How is asking a doctor to see a patient over a medication issue acting "above" doctor? It's recognizing the doctors expertise in medication ordering... sounds like the doctor didn't like being asked to do something... silly.
  8. cleback

    I've had enough.

    I don't know if you have clinical depression or would be helped by medication, but I do notice maladaptive thought processes in your post. At the very least, counseling should be able to address those with you. There's no reason to continue being unhappy, OP.
  9. cleback

    Full time RN- Part time Real Estate agent?

    What would you do for a client in a bidding situation, who possibly needs to quickly change the offer, and you're in the middle of a 3-4 day stretch?
  10. cleback

    Changing directions at age 46

    I'd personally wait until your kids are grown and then see if you still like acute care. You likely won't be able to get a prn acute care position as prn since orientation is usually during the week, likely full time. I'd maybe keep your cardiac rehab job prn of you decide acute care isn't for you. It's a big change, with nights, weekends, and holidays... something that I wouldn't want with school aged children. Once you get into acute care, then you can evaluate going back to school. For an acute care np or crna, you'd need acute care experience... and honestly for primary care, you may need acute care to accommodate clinical rotations. Good luck to you.
  11. cleback

    Never got the job :(

    I would ask for a reason. Might make you a better applicant next time around, or at least, let your manager know it didn't go unnoticed.
  12. cleback

    Privacy curtains are covered in MRSA

    Yeah, I know a big push in a large Healthcare organization near me was to either get rid of them or have a regular laundering schedule. Just think, there were at least some curtains that never got washed.
  13. cleback

    I'm lost. I want to quit nursing.

    This was my thought too. Psych can be busy but is probably the only nursing area where finding "what makes people tick" is actually a part of the job.
  14. cleback

    Drinking water for low BP or blood loss

    We used to do this a lot in inpatient psych for low bps and no iv access (not for acute blood though).
  15. Some nurses like teaching, some don't. Even if you have a crabby nurse, there are things to be learned. Be attentive. Be appreciative if they go out of their way to offer you a skill or include you. Ask questions but be careful of questions in front of the patient.
  16. cleback

    Psychiatric nursing and technical skills question

    You will probably see a bit of everything, although at a lower frequency than a medical floor. IVs for ECT. IM injections for psych meds in emergencies. SQ for insulins. Lots of CIWAs. Wound care, particularly those who self harmed. Even had a patient needing trach care after the patient tried to stab themself in the throat. Maybe you'll also see some pregnant women having gone off med for their pregnancy and having an acute episode and needing fetal monitoring q shift. And of course, those with debilitating psychiatric illness likely are not to have well managed medical diagnoses, so be confident in physical assessments. Honestly, any kind of nursing experience will help in psych and vice versa.
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