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Davey Do

Psych, CD, HH, Admin, LTC, OR, ER, Med Surge

Overcome fear by seeing the funny yet ridiculous side of every situation.- Edgar Cayce

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Davey Do has 41 years experience and specializes in Psych, CD, HH, Admin, LTC, OR, ER, Med Surge.

Artist, Bicyclist, Nature Lover, Asocial, Childless, Agnostic, work 12 hour midnight shifts every weekend in Gero Psych, married to a Medical Nurse (Belinda). Am generally content. Thank you.


Overcome fear by seeing the funny yet ridiculous side of every situation. -Edgar Cayce

Davey Do's Latest Activity

  1. Davey Do

    "Survivor" Show is looking for a nurse or medic

    "While it may sound like a dream come true, it is no walk in the park. You will be providing care for anyone at any time which means you are on call 24 hours a day. But don’t worry, the salary makes up for it as you will be paid US $1,250 per week. " Sorry, but every week I make a heck of a lot more than that just babysitting psych patients for 36 hours on weekends.
  2. Davey Do

    i made a med error and feel so disappointed with myself

    I dislike all the hoops we have to jump through with the computer system when administering medications, but I sure do appreciate it. Utilizing the computer system has prevented me from making some med errors. So, barbz, you're human, you made a mistake, acted like a prudent nurse thereafter, and ingrained a process. You have my admiration and respect for your actions in dealing with this situation!
  3. Davey Do

    Annual Dog & Pony Show

    Both my supervisor and HR responded with an email basically stating, "I will look into this matter". This is a slightly edited email I received from CPI: Hello Davey Do, Thank you for reaching out to CPI. We recently received the following comments from you regarding the Nonviolent Crisis Intervention training you received at your organization: (copy of the above email) I am truly sorry you were disappointed with the training you attended at Wrongway Regional Medical Center. We do appreciate you sharing your feedback and will discuss it with your Certified Instructor. However, if you were offended and felt disrespected by the instructor, I recommend you discuss your experience further with a representative from your Human Resources department as the matter is essentially a personnel issue. Please feel free to contact me directly with any other questions or concerns. Sincerely, Nickle Morpowatoya And I responded with: Ms. Morpowatoya: Thank you for responding to my email in a timely manner, your empathy, and your plan to discuss this area of concern with the certified CPI instructor. The goal to "Use techniques to control (our) anxieties during interventions" as stated on page 3 of the Key Point Refresher Workbook, taught by an instructor certified in CPI who behaves inappropriately and cannot control his use of profanity, requires addressment. As I stated in my original email, management and HR have been informed of the training circumstances. I would appreciate being informed of the outcome of the discussion with the CPI instructor and thank you for your time and consideration. Sincerely, Davey Do RN Sooooooo... Sunday night, during shift report, Clark was hanging out in the nurses station on geriatric psych. He struck up a conversation with one of the female staff members while the offgoing nurse was giving her report. I held up a finger to the offgoing nurse, turned to him and said, "Clark- please don't interrupt shift report". Clark said nothing and left the nurses station, only to chat it up with staff members working the floor. The Alpha Dog who attempted once again to mark his place in the Old Dog's territory was given a low growl.
  4. Davey Do

    Mieux de vie

    "Better Life" is a natural cleaning product alternative for consumers. It's abstract, because basically, ali, the interviewer is asking if you favor a holistic approach, characterized by comprehension of the parts of something as intimately interconnected and explicable only by reference to the whole, versus an allopathic approach that aims to combat disease by use of remedies (as drugs or surgery) producing effects different from or incompatible with those produced by the disease being treated. Or not.
  5. Davey Do

    Timetravel

    INTERESTING question, RN_OneDay! "...one thing about nursing that you didn't know before you became one"? My Temporal Prodigy would need to hear "Given other circumstances, you could have been the patient, or, the patient could have been you. 'There for the grace of God go I' ". These were the exact words a seasoned nurse gave me early in my career after I voiced some complaints about a patient. I thank her, for these words have served me well.
  6. Davey Do

    Annual Dog & Pony Show

    Thank you, for the kind words and well-wishes, RNNPICU. I must say, you do have a way with words. Yeah, usually I'll just circle all the threes on a one to five rating scale, putting as much effort into the evaluation as the presenter did with the topic. I gave this training's evaluation a realistic rating: The highest mark was a three. Under comments, I wrote, "The instructor needs to learn the facts about who is responsible for the termination of a restraint". And I wrote down every obscenity Clark used during the presentation. Interestingly enough, when Clark was ending the presentation, he said to the group, "You can fill out and turn in the evaluation in the back of the manual, if you want. And, don't worry, I'll know who you are!" You betcha!
  7. Davey Do

    Do nurses make a difference?

    I could state and ask myself the same in a similar manner, Been there: "I went into the medical field many years ago. I was idealistic and realistic at the same time. I wanted to help others, elevate my self esteem, and make a paycheck. Am I successful?" Being in Erikson's stage of Integrity vs Despair, I feel a heck of a lot more Integrity than Despair, I have helped others, and there are no wolves at my door. So I count myself successful.
  8. Davey Do

    Annual Dog & Pony Show

    The first cartoon in this image represents my actual position throughout the majority of the classroom training. I was not only keeping count of Clark's profanities during the inservice, I was making some drawings and such in the training manual!
  9. Davey Do

    Annual Dog & Pony Show

    Thank you for you question, Daisy. Since I work Weekend Option, I've not been back to work and go in Friday night. No one has attempted to contact me at home. I do, however, have some updates. Sunday night, while I was charting in the nurses station on geriatric psych, Clark used the copier and stapler to make packets for the training the next day. We said nothing to one another and after he left I found that I needed to replenish the copier and stapler. This behavior can be interpreted as a young alpha dog marking his place in an old dog's territory. Clark gave me unsolicited permission to "report (him) to administration". He did not specify which administration, so I interpreted his permission as card blanche to report him to any administrative official. I got online and found that I could report complaints to the agency which certifies him as an instructor. I sent this email: Dear Sir/Madam: This email is to inform you of inappropriate instructor behavior during a refresher CPI course at Wrongway Regional Medical Center on January 15, 2020 by an employee known as "Clark". During the review of the key point refresher workbook, pages 6-17, the instructor used profanities, such as "p******, "a**", '"f***", and "b****" well over a dozen times before I finally requested that he cease his "flagrant profanity". He attempted to argue his rationale for the obscenities and told me that I could leave the class and report him to administration. Although there were ample opportunities, I was not approached with an apology for this atrocious behavior. I have been a medical professional for over 40 years, worked in Behavioral Health off and on since 1984, have taken the CPI course probably a couple of dozen times, but have never had to deal with this caliber of blatant disrespect from a CPI instructor. My immediate supervisor, the department director, and HR at Wrongway Regional Medical Center have been informed of this and other inappropriate behavior by the instructor during the CPI training. Please feel free to contact me should you have any questions or require more information. Sincerely, Davey Do RN Finally, I needed to take a break from left brain work and allow my right brain to have a say. I submitted this cartoon to the webcomic that I frequent. I am allowed (unlike allnurses, prudently so) to use profanity in my comics. However, I am required to post a warning of "Mature Content" before the comic can be opened and viewed. This is the edited comic: I will keep you updated.
  10. Davey Do

    Annual Dog & Pony Show

    Okay. Here is the finalized email that I sent to Mia, the psych division director and cc: RoofElmo, the geriatric psych manager early Saturday morning. Mia: This email is regarding as to who has the authority to terminate a restraint. During the CPI Refresher Class, on 1.15.20, page 15 of the Clinical Compliancy manual was reviewed which states, "the RN is responsible for patient care... and has the authority to initiate and stop the restraint", the instructor said, "Anybody can initiate or stop a restraint". I disagreed, stating that only an RN can terminate a restraint. There is an assessment and process which the RN needs to follow before making the final decision to terminate a restraint. In turn, I received an opposing argument based on a perspective, opinion, and hearsay. I assured the instructor that when I am the RN in charge on a unit, no patient will be released from restraints until I complete the assessment process and believe the situation is safe. The instructor said that I could leave and report him to administration to which I thanked him, said I would stay, and added that I was aware of what courses of action which were available to me. This is a matter with which needs to be dealt and the responsible parties informed. Respectfully submitted, Davey Do RN I sent this email to Mia, cc: RoofElmo, and HR: Mia: This email is to inform you of the inappropriate behavior of the CPI instructor. On January 15, 2020, it was necessary to request that the CPI instructor refrain from using flagrant profanity like "p*****, a**, b******', f***". Such obscenities were used well over a dozen times before I voiced my request. The CPI instructor's presentation was sprinkled with profanities, and when it was requested that he refrain, his argument was that he was merely repeating what a patient had said. In documentation, we need to enter verbatim words used by the patient. However, in a professional situation it is much more appropriate to use euphemisms or the first letter of the profanity. We all know what "F this! F that! F! F!" means without having to deal with hearing the actual obscenity. It is my hope that staff can and will be treated like valued team members as we are addressed, with due respect, and not have to deal with further inappropriate behavior on the part of those in positions of authority. Respectfully submitted, Davey Do RN Of course I used the exact words that said Clark in the email. I didn't identify Clark by name because I sense that Clark is an administrative pet and thought this approach would bring more attention to the behavior rather than the individual. Judgement is clouded for those who put personalities before principles. If the personality is taken from the mix, the principle becomes less clouded and more black and white. We'll see what transcends.
  11. Davey Do

    Annual Dog & Pony Show

    I sincerely want to thank each and every one of you for your posts. I value your opinions. RNNPICU post made me stop and consider. I thought about it, from time to time, all day long. And I told myself, "Yes- that would be the very best way to handle it- it's clear, direct, and respectful". But it's not what I'm going to do. If I were dealing with individuals who this golden piece of prose would make any impression upon, I would send it, nearly word for word. But it will be read as Gary Larson's dog understands:"Blah blah blah blah blah, Ginger!" I sense they would read it and say to themselves, "Yeah. Right. 'Handle ourselves as professionals'... Yawn!" I'm dealing with coworkers and management who have to be instructed on appropriate behavior. I'm talking Basic Courtesies 101 here. Emerson said, "There is guidance for each of us and by lowly listening, we shall hear the right word". I lowly listen through my art. And my art said this: Clark is trying to tell me how to do my job? No way. He, and management, need to be punched in the face. My report through the chain of command will be direct, objective reporting with no sugar coating. Moves I make in any process I play like a game of chess, thinking several ahead. I am prepared for just about any retort, and if I get a surprise kick, I know how to aikido that kick. Once gain, I truly appreciate all of your input, as it has allowed me to visualize other perspectives submitted by my virtual compatriots with whom I respect and feel a certain kindredship. Thank you.
  12. Davey Do

    Annual Dog & Pony Show

    Yes. It's once again time for the ever-dreaded mandatory all-day dog & pony show inservice that I would prefer second only to marathon tag-team gum surgery. Four hours involve a boring four hour presentation by a droll self-important hypocritical short man syndrome certified CPI administrator ask-kisser. He reads from the booklet we all have a copy of things like "only an LIP or RN can terminate a restraint", yet does not follow the guidelines. For the whole story, you may want to read this thread: Thank you. Just putting together this thread has helped me to feel better.
  13. Davey Do

    Difficulty with scheduling

    Yeah, I remember that also. The member said that it would cost the facility more in legal fees than it was worth to pursue. The hospital where I worked as an LPN paid for my tuition when I went through the RN program. The contract stated that I had to work there for two years after getting my RN. I quit after six months due to unfair working conditions and won the case for state unemployment benefits. The hospital's lawyers sent me a letter stating I was required to pay back the tuition. I wrote back saying the contract had been breached due to the unfair working conditions. I heard nothing else from them. Based on the information above, it would seem, Christina B, that you have good grounds on which to leave without repercussion. Good luck to you!
  14. Davey Do

    "(Nursing Ads) We'd Like to See"

    You asked for it, guest1135272, and you got it! Since I don't insert tubes into rectums any more, I used my medical wife Belinda's cartoon character.
  15. Davey Do

    Do you have trust in your doctors?

    When I first started at Wrongway Regional Medical Center (WRMC) back in '03 the psych division utilized the patients' PCP for any areas of medical concern. They were difficult to reach and to get to intervene. Then, sometime later, WRMC hired a couple of medical Docs as hospitalists, and the situation improved somewhat. Some years ago, a chief MD was contracted to oversee a group of NPs for the entire hospital for routine medical assessments and to be on call 24/7. THAT improved things significantly! We now have immediate access to medical professionals that are, generally speaking, great with which to work. One of the NPs, Bob, who regularly works MN weekends, is extraordinary. Bob will work with us, take suggestions, and explain the rationale for his decisions. The others are very good, also. Just last night, I was working on the men's psych unit when a patient, with no prior complaints of discomfort, began to experience a little GI distress. I gave him some Mylanta, then some Vistaril, when the patient began experiencing some nausea. The patient then had an emesis, so I did a complete assessment on him checking VS, bowels sounds, rebound tenderness. He had had a splenectomy/cholecystectomy circa '02 but wasn't sure if an incidental appy was done at the time. I contacted Janie, the NP on call, and got an order for Zofran, an abdominal series, CBC, CMP, amylase, and lipase. VS were good, his abdomen was somewhat distended but the abdominal series was unremarkable. The enzymes were okay, but the WBC was a whopping 30.1! His WBC, three days prior, had been 10.7! Eventually, the patient was transferred to ER where plans were to transport him to a St. Louis facility with a diagnosis of "acute abdomen". To make a short answer long, I trust the NPs I work with who answer to the Doctor. And I apologize for the long post, but I really wanted to sing the praises of the NPs. As has been said, and I quote, "Once I start, I get too lazy to stop".
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