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carolmaccas66 BSN, RN

Med/Surg, DSU, Ortho, Onc, Psych
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carolmaccas66 is a BSN, RN and specializes in Med/Surg, DSU, Ortho, Onc, Psych.

carolmaccas66's Latest Activity

  1. Groups can be good but you can also waste a lot of time chatting & socialising. Groups didn't work for me at all. They wasted a lot of time mucking about. You have to be quite disciplined in a group and focus your time & energy. Pscyh is very hard to study as it covers many areas (I can't speak for maternity as I have no experience in that area). And I don't understand why you are studying psych & maternity? This will be a HUGE load for you. With psych, at least get a very good psych handbook and set up a study schedule for yourself. Talk to a lot of people online and ask a lot of questions of your lecturers once you start studying. Set up an email buddy system where you can talk to other students as well, most universities provide this online anyway. But pscyh is a huge area, so you won't learn everything at once. Try to get the basics down first, then deal with specialities in psych nursing later.
  2. carolmaccas66

    RN job with criminal record

    Sorry meant 2 say NMs are more concerned if you had been convicted of messing with children, or stealing narcs maybe, not just traffic offenses. Couldn't get this to add on to my post??
  3. carolmaccas66

    RN job with criminal record

    If you haven't been arrested or convicted, then you're not a criminal. And simple traffic offenses (down under anyway) are not considered criminal offences as such, though you can be arrested depending upon circumstances etc and booked. I would be up front & honest in any applications that say 'possible pending convictions', state what you have stated above & say you do not know what is happening. I worked nursing HR for 3 years, & cannot tell you how many people lied on their applications re criminal/possible criminal convictions (we do a national police check here), then these people were found out. My big boss used to get more annoyed that people lied on their applications, rather than be upfront as she still would have employed them, albeit at times perhaps with some restrictions. If you don't know if you will be convicted, why don't you just ring up the police station you were stopped through & ask re this? They should be able to give you some idea of what is happening. Better than sitting on the internet, being stressed out all day & wondering what will happen. Are you scared you will lose your license? Just get it sorted, and do it today to save you all the worry and bother of trying to deal with that and applying for jobs.
  4. carolmaccas66

    DANGER! I think...??

    Talk to someone first before you quit. EDs are always hectic but you can't be down there if you don't have experience. And you are jeapordising your license. Also talk to your nurses board, they may be able to offer you some advice. And you are only 21 - despite what the 'mature' young people on here think, you do not have the experience or maturity to handle very difficult and sensitive situations. If the **** hits the fan, they will get rid of you quicker than an explosion of diarrhoea, and you WILL be prosecuted. The hospital is probably trying to save money as well by not having a preceptor & that is NOT your problem, it's theirs.
  5. carolmaccas66

    Sense of Dread....When Will It End?

    Write it all down in a journal - everything, even the curse words you think of! I also do yoga/pilates to help relax & exercise helps a lot of people. If you do forget anything, just ring & tell the staff on the next shift. No biggie here, I've had to do it so have many other people.
  6. carolmaccas66

    Injury on the Job

    Sorry, your PCP and you THINK you have a herniated disc? Did you not get an MRI done? I would be asking for a proper scan and seeing a neurologist I think, to get a proper diagnosis.
  7. carolmaccas66

    Why RNs cannot say 'That's not my job'

    The simple fact that the RT interrupted a nurse receiving report (as the OP said), and was blunt, rude and unprofessional seems to have been entirely missed by everybody on this thread. The OP stood up for herself against this ignorant, brash person. Good on you. I would have done exactly the same. And no-one IS stopping the RT from becoming a nurse, a doctor, an inventor, are they? The RT is the one that is bitter and is only holding her own grudges against things she could very well change in his/her life, but chooses not to. That is why she was rude and obnoxious. There's a lot of bitter, unhappy people around, the trick is to stand up to them and just act happy anyway! It really makes them mad in the end.
  8. carolmaccas66

    #!@$ I hate cancer

    You can't fix everything unfortunately and it does suck. You can only be there at the end sometimes, and be that person that holds their hand, says kind words, or is just physically THERE at the last moment. If you can't be the carpenter repairing something, just be the support beam instead. Sweetie, I have people in my own family who are ill at the mo and who were abused as children. THEY will not even acknowledge any help I try to give, and I do not push it on them: they are so scarred they cannot accept what happened to them. I even suspect that my own mother was perhaps abused more than what she says, but she would rather die than admit it. She does not let people get close to her, takes her temper and anger out on me & everyone else, & suffers to this day from an (undiagnosed) mental illness. I cannot help her; she will not accept help. I can only be there for her & try to empathise. When my close patients or families are screaming at me, and I know they have been abused, or a family members' loved one is dying, I just stop and listen. Sometimes I give them a hug when they have stopped ranting & they burst into tears. I try to do practical things for people as well. They will not always appreciate it but you will have touched them in some small way. I am sure you touched this person in a special way as well.
  9. carolmaccas66

    Tips for a good shift!

    - Start everything early on ur shift. Do IV meds first: they take up the most time, ie: mixing, checking & setting up the pump. - Use a good cheat sheet to get yourself organised. - Don't let people/patients/families etc manipulate ur time. Learn how to say no or how to handle people. - Get to work a bit earlier 4 handover & to get ur pt load. - Learn to prioritise your work. - Time management & people management will be your 2 biggest hurdles to overcome. - If u make an error, say something. Don't try 2 cover it up. Report med errors immediately - the outcome won't be as bad as you think. Covering up med errors especially looks worse than not reporting it. - People will always be annoying, impatient & demanding. Learn how to handle them quickly, talk to a psych nurse if unsure how to do this. - Always start writing your notes EARLY. The earlier the better. If you forget something after u have written ur notes, you can always add it in later. -Always call the doc for anything necessary even if it is 3am, and yes...they will be grumpy so expect it. Just have all your facts in front of you & apologise for disturbing them & remain professional. Use a walkabout phone next 2 the patient's bedside so if u 4get anything the doc wants to know, you can access it right away @ the pt's bedside. - Old patients will take up A LOT of ur time. They can be petulant & very demanding. They love to talk about anything: the weather, their grandchildren, their pets. Do not let them take away ur time - you can be talking whilst doing ur work. Learn good work & people habits, and if you need to get away from a particularly chatty person, just cut them off and say: I will be back Mr/Mrs later on as I have to go see my other patients now. Do not stand & hope for a break in the conversation, cos it won't come - time will fly away from you otherwise. Cannot think of much else at the mo.
  10. carolmaccas66

    What do you think? (warning: vent ahead)

    You did right. I guard my license like it's GOLD. If the CN wants to give in 2 a pt, that's her priority. And it does make it harder for the next nurse. This is why I despair of nursing, no team work, no thinking along the same lines, no accountability from patients for their behaviour.
  11. carolmaccas66

    Two parents workIng shift work? Need advice.

    I counsel peple re this situation all the time in psych. It's a big problem with families today. One of you will have to try and perhaps work dayshift. If ur hubby can't change his schedule, you will probably have to. Once the other baby comes along, you will have less time to decide what to do. Better to see if you can get a day position perhaps before the baby is born. Can you talk to ur current boss at all? Do u have any holiday time owing to you, where u can take time off to find a position that suits you and ur family? Can u afford 2 take a year off 2 spend time with ur children? Also, this is what gets to me, people constantly complain on here re not having money, but we all can do without less money & material goods but nobody wants to. Nobody wants to sacrifie anything to get where they are going to. When I was studying, and sometimes only getting one shift a weekend during a 6 week unpaid clinical, I made do with only what I needed. If I couldn't afford steak - or any type of meat - I bought other stuff on special in the evening from the supermarket, trawled the markets, made cheap but nutritious meals. I did without for many things. I went to opportunity (opp) shops & got shoes, clothes, handbags, blankets, sheets, etc - I still do. I did not go anywhere unless I had to, I walked or caught buses to save money. I actually got fitter and was probably healthier. I had no holidays at all for about 4 years when studying. You can still save money & have good, quality family time. You can borrow DVDs & toys from the library for ur kids for example. I have always said that sitting in front of TVs or DVDs all day & night destroys families - because nobody listens or talks about their problems. People don't talk anymore to each other - we are all too busy & stressed 2 listen to other people, & that is the problem with the world 2day. I know one family who did not have the TV on for their kids for 6 months - they got rid of it, and went on walks/exercising instead & did family things together. When they said to their kids we are getting a new TV soon, the kids were disinterested and didn't care! If u take the other job, will you have to work all the shifts they want you to? Do u not have any family at all to help you out? If you get the new job, ask if they have a daycare program where you can drop ur kids off then pick them up after work. I'm afraid probably one of you will have 2 stay @ home 4 a while with ur kids & economise. It won't be forever, but you can do it if you really want to. Also you could look for a non-nursing job with better hours to suit u & ur family. Let us know what happens anyway.
  12. carolmaccas66

    Almost had a coronary..

    In Australia we must count all and every narcotic with another RN and sign for them. We cannot give out 'bags', and don't have bags of narcs. Get into the good practice of counting all your narcs individually - it will stand you well in the future. Good luck with ur future endeavours.
  13. carolmaccas66

    MRSA question

    In other words, this is homework. Your professor knows the answers. He/she wants to know what YOU think & how u have researched the question, & ur critical thinking skills, not what a bunch of strangers on the internet think. There are many resources on MRSA. I just googled it and got 2,840,000 hits.
  14. carolmaccas66

    Why RNs cannot say 'That's not my job'

    I remember talking to a very, very old nurse (who'd retired many years b4 hand) & she had been born around 1890s approx. She said she'd lied about her age & been accepted into nursing when she was about 14 (said she was 17 I think). She told me many of the duties nurses did in those days which included: - All medications; mixing, dispensing, measuring, etc. - All dressings. - All other treatments, ie: splinting fractures. - Mixing the plaster of paris (or whatever they used then to set fractures). - Cooking & serving all meals, and working out diabetic meals/portions. - Putting sawdust on the floor of theatres to soak up the blood (yes, this was one of the things I couldn't believe nurses had to do!) - Sterilising all instruments BY HAND, cleaning theatres and wards, all the floors, beds, windows, scrubbing floors. Scrubbing and cleaning all the windows, all the beds, until they shone, and everything was inspected by matron afterwards. - Attending lectures during the day even if u were on nightshift. - Washing patients clothes (by hand) and having to wash your own uniforms. - Lining up for inspections by matron. - Doing rounds when the doctor wanted to do them (not much change there). - Fixing anything & everything: broken beds, replacing lights, etc. - Cleaning and keeping tidy your own room, plus the nurses' sitting room, cleaning bathrooms & toilets used. - Scrubbing bedpans by hand as there was no sluice room as such (yuk!), & running round with bowls of water for patients to use for washing or for bed baths. - Writing all notes by hand in ink. She told me heaps of other stories, like how they used to sneak out the windows at night & climb over the roof 2 go dancing after curfew! but I cannot remember them. Thank God I wasn't nursing in the bad old days *rolls eyes* I was fascinated by her tales!
  15. carolmaccas66

    I can't understand what you're saying!

    I did not read all the posts, but I think some are using "text speak" because they are on ipads, iphones, other smallish devices and typing is sometimes difficult. But I agree, we all should use standard Engling. Thank you for reminding me of that agreement. I have tried to press QUOTE to quote this and the system will not let me, so I have had to copy & paste this comment manually. People all use iPads, iPhones etc. They are here 2 stay whether we like it or not & it's the way of the world. Everyone has moved on with this, maybe AN should to. If people don't like too many abbreviations I suppose either complain to the moderators re it, or don't read the posts. I remember when the general usage of computers became common, some of the older nurses & other workers refused to use them, even though the training was simple & they didn't have to do much. They were so techno-phobic they would not even touch a computer & still did massive rosters etc by hand. How slow & time consuming! Move with the times, or get left behind I say.
  16. carolmaccas66

    Who is Responsible for Discussing End-of-Life Treatment Options?

    I don't know re other countries, but I should clarify that RNs in Australia must have the primary doctor talk to the family first; it's a legal and ethical requirement. On hospice units, the doctor must see the family first before we go into any details re treatment or lack thereof. We are not allowed to discuss end of life decisions with the family otherwise, though we can give information after the doctor has seen them, and scribed in the notes re DNR status or whatever. My apologies for not making this clear.