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MomBSN

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  1. This situation reminds me of a conversation I had with a patient's wife just yesterday. The patient and his wife refused the Physician's recommendation for Hospice and opted to have home health involved. Medically, this patient is very appropriate for hospice. I did not mention hospice to the wife but she shared with me that she and the patient refused hospice as it was against their moral beliefs. She stated that while she understood hospice's purpose, the choice of giving up of "the good fight" was like choosing to end your life. Now although as a Nursing Professional, I may not share this belief I am also a patient advocate and so I chose to support the patient and his family in the best manner I know how. I see that they are willing to have a hospice and hopefully things will work out for the best. It sounds like you have done the right thing by clearing the visits with the director as well. In review of the situation, I wonder if you have a MSW to consult regarding end of life/hospice info? Or since you are uncomfortable with end of life, perhaps there are some Nursing continuing ed in your area?
  2. It is great that you have recognized so quickly in your career that which you do not enjoy. Often I see nurses in the same job that they dislike for far too long and they just end up bitter/negative. Thank goodness that nursing offers so many opportunities that you do not have to do something you do not love. The biggest difference I have noticed between nursing administrators and nursing management is that nursing managers have more opportunities to still have patient contact, working with rns in the "trenches" and still have a great deal of paperwork. Administrators tend to deal more with operations, budgets, following standards, etc. Both managers and administrators can work outside of hospital settings. Best of luck in finding the position that makes you happy.
  3. MomBSN replied to psysn's topic in Correctional
    Not appropriate even for corrections nursing. This really is not safe nor is it fair to you. Remind them of your new grad status and ask for an extended orientation period. I understand they need warm bodies but they will benefit much more if you actually are trained appropriately. Good luck
  4. While I cannot answer to the specific facility to which you have applied, I would say it is high stress/burnout. The population that you will be serving is a challenging one. Not only must you do the usual nursing duties but you must be aware of your surroundings, determine if someone is trying to get away with something,expect to be fairly autonomous, be mindful of security issues, etc. It is a delicate balance of providing appropriate care to your patient in a correctional facility. Some nurses, correctional officers, doctors, etc are just not cut out to work in corrections...just as some nurses are not cut out to work in other areas of nursing. I found corrections quite interesting, challenging and often interesting. I frequently had new opportunities for learning as well as teaching. Best of luck
  5. in Or, MA's are not governed by the BON...they are not required to even be certified. They do fall under the Provider's license. As for supervision, the licensed nurse supervisory position over the MA. I would suggest reviewing the job description and orientation for MA's at your work site. Obviously, there are restrictions on the MA role. For example,some of the things a MA in OR may not perform include administration of Rhogam injections, ua cath samples, no triage of pts and no IVs. However, they may place ppds, IZs, perform throat swabs, phlebotomy and take vitals IF they have been trained (via a school program) and signed off by the RN/Nursing supervisor. This is just a brief summary...hopefully it will give you an idea of what to expect and some possible resources. Best of luck!
  6. have to say i agree here! i have worked in a male dominated field and oh-my-word...the cattiness ! lol Matter of fact...i use to think women were bad....not so! An even mix of genders seems to keep both in check in my experience
  7. Engage yourself...i think the behaviors that make a person appear uninterested are most annoying to me (eg. sitting there the entire time, frequently denying new opportunities of learning something new, a look of disinterest or sitting with your feet up on the other nurses' station chairs ) If your really not interested then your not learning anything...talk to your clinical instructor for a different site....you are paying to LEARN.
  8. you received some great advice here... 1. look for a skills checklist, ask for an expected schedule (routine)...if you have an orientation packet this type of info should be included. 2. keep the mindset that you are "learning". when we are learning, we expect to make mistakes....hang in there...you are not alone :) 3. talk to the nurse educator and preceptor...review the expectations with both and review policy if answers are unclear 4. as for the unprofessional nurse...sorry she was acting like a jerk...and i could say..see it from her perspective but i wont...as i fail to find that reply helpful. I will say how i would respond...i'd reply with an apology (not because she is right in the way she treated you). Starting with apology will take the fight out of her little tirade. I would then tell her that I am doing my best to learn everything as quickly as possible but that I am going to have to ask for guidance. I would also ask her if she has any tips or suggestions. I would even add that i know that she is busy and would appreciate any recommendations. Asking for help, acknowledging her experience...etc are ways to enlist allies. Please keep in mind that this isn't exclusive to nursing....all jobs, professions have bad eggs, bad days, etc. Listen now...your a single mom...that is quite a challenging position..if you can do that...you can do nursing :) Your dreams is to be a nurse...don't you dare let that go!
  9. you like animals...how about volunteering? guess what...females like animals too :) As for the conversation...it goes a lot smoother if you are actually interested in what she has to say (when interested, people tend to ask questions). As for the mixer, consider it practice in meeting women...it won't kill you to practice with some of the older women... :)
  10. there are plenty more females out there your age... i'd recommend taking up a hobby....joining a sport league (bowling, softball, etc) do something you enjoy...you never know who you might meet just by putting yourself out there
  11. After precepting several times...i think this is the most solid advice. document your concerns and back it up with the incidents, address it with the coordinator/supervisor, develop a plan (hopefully this includes assessing the NG learning needs) and f/u with the NG. Think the above poster really hit the issues on the head :)
  12. You know, I don't think knowing what you want is a bad thing. If spending time with your family is important then you make it a priority. You are wondering if this is possible in nursing...it is possible. You can get holidays and weekends off, it is possible to get decent pay and you will still get to use "skills" to care for your patients. All jobs (in and outside of nursing have trade offs...you just have to know what is going to make you most happy and be willing to fight for them). Nursing is a very large field and with networking, research, etc you can find your niche. It won't be perfect but it could be perfect for you. That being said the first few years might not be "heaven on earth" as there is a very big leap the first few years from novice to expert. I'd like to encourage you to check around with local nurses, read the forums about different areas of nursing and even check out some nursing journals. Good luck!
  13. I find that i tend to do best with positions that keep me busy (mentally/physically) and with a fair amount of autonomy. Psych was not my favorite...i found the borderline's exhausting..but who doesnt? :)
  14. a couple things come to mind... first, if you are in a position that requires you to supervise aides, the dating could be construed as abuse of power or sexual harassment (or even hostile work environment) Second, any married couples in the company? and finally, you could go out in a group setting, take things slow but can you manage that? If so, if you feel that there could be more than just a friendship developing, start looking for another position.
  15. the "best" area is dependent on you....your likes, strengths, goals, attitude, etc. Consider which area you enjoyed the most in school and try starting there. Best of luck.

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