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Content by applewhitern

  1. applewhitern

    Are We Letting Our Patients Suffer?

    @Mudpinesredneck: What are talking about, the paxil comment and heart exploding? Please explain what you meant. I've been on 40mg paxil for YEARS and now you have me worried. Does Paxil affect the heart??
  2. applewhitern

    Are We Letting Our Patients Suffer?

    I had a horrible dental abcess, but the dentist refused to give me any kind of narcotic. Told me to take ibuprophen or acetaminophen! It was the worse pain I've ever felt. I had to keep chipped ice in my mouth to deaden the pain some. To me, 30 Norco tabs sounds heavenly.
  3. applewhitern

    Investigating Cannabinoid Hyperemesis Syndrome

    I've had several patients diagnosed with this syndrome.
  4. applewhitern

    Do Nurses Earn Big Money? You Decide.

    I haven't had a pay raise in 4 years. As everything else gets higher and higher, my income gets smaller and smaller. My health insurance premiums have doubled, and pays much less. My deductibles have risen dramatically.
  5. applewhitern

    Is this real? Vein light

    "Vein finders" aren't new; they have been around for a number of years now. Personally, I don't find them all that helpful. I guess I have had enough experience starting IV's that I usually don't have any trouble with them.
  6. applewhitern

    PR in Nursing Has Taken the Front Seat in Patient Care

    My facility's management is terrible. They are all "ladder-climbers" with little bedside experience. Even our education department people haven't touched a real, live patient in decades. Many of the policies are out-dated, because they don't know anything new. Thank goodness I am a seasoned nurse, because there wouldn't be anyone to ask if I had a problem. I remember the days when the DON had bedside skills, wore whites, and pitched in to help. Today, they wear street clothes (expensive suits) and high heels. I remember when a supervisor/coordinator, etc., was the "go to person" who had vast nursing knowledge. Today, all they have are "people skills," they can talk a good line, but have very poor nursing skills, if any. Of course this is everywhere; just my experience.
  7. applewhitern

    Nursing Degrees: The Associate Degree in Nursing (ADN)

    Oh, Commuter, I didn't mean YOU specifically! I was merely commenting about what "most" BSN's seem to think! I honestly wasn't referring to anything you wrote at all; I enjoy your articles and would never criticize intentionally. I was watching Dave Ramsey last night, talking about the enormous amount of debt college students are amassing these days, and I just get upset when I hear stuff about ADN's having to spend more money to go back to school, just to take a few extra classes. All the "theory" in the world doesn't help the nurse who has no clinical skills, which is what I see daily at my job; BSN's who cannot even start a simple IV.
  8. applewhitern

    Nursing Degrees: The Associate Degree in Nursing (ADN)

    I got my first nursing degree in 1989. I went to a private 4-year university and obtained the ADN. The classes WERE THE EXACT SAME AS THE BSN classes. The only difference was the ADN was faster-paced, more intense, and you could get out quicker and start working. It was designed this way because there was a severe shortage of RN's during that time. Most of us already had a prior degree, thus already had the required pre-reqs. I do not understand why people think you can only get the ADN thru a "community or technical" college, because that is simply not true. As a matter of fact, you had to have a much higher ACT score and GPA to even get into the ADN program I went to! Some nurses went into the BSN because their scores weren't high enough to be accepted into the ADN program! The ADN in my area was designed to get RN's into the workforce faster. It was much, much harder and more intense than my BSN program. In my ADN program, you had to make a minimum of 84 on everything; one 83 and you automatically failed the program and were out. In my fluffy BSN program, a 70 was all you needed to pass everything.
  9. applewhitern

    Yikes I'm Getting Old!

    It really bothers me when I hear talk about increasing the age to qualify for Medicare. After all, "we are living longer today!" My father died at age 43; my son died at age 29; my mother died at 70. I know lots of older people; I don't know lots of older people who can still work in their 70's or beyond. Those are a rarity.
  10. applewhitern

    The Disrespect Of Nurses

    Management at my facility does nothing to protect the nurse. All that matters is the "patient satisfaction scores." They don't want police involved because it looks bad "in the community." If a patient or family is abusive to you, they will send YOU home to avoid further interaction with them. If the "customer" gets mad or upset, apparently YOU did something to set them off. I don't know how or why the general public has become so abusive toward nurses (both verbally and physically) but I have noticed a definite trend the past few years. Unfortunately, at my facility (hospital) management will not back you up.
  11. applewhitern

    Shift Work Disorder

    I no longer am willing to work nights, because with 12 hr back-to-back nights, you have no life. I wok 3-11 now, and really like it. The most annoying thing to me is people who assume you are lazy because you are still in bed at 10 a.m. If I get home at midnight or after, I can't just fall asleep the minute I get home; I have to unwind, etc. So if I get to sleep at 2 or 3 a.m., I will still be in bed at 10 a.m. People who have never worked shift-work just don't have a clue!
  12. applewhitern

    So You Want To Move To Texas?

    I spent a lot of time in Texas over the years, and absolutely loved it. When we would go out to eat, one portion of food could feed 4 people. We could order one serving of cheesecake, and feed the whole table! And the steaks~oh, the steaks! Whenever we go to a restuarant here, I think of Texas! Our food is so crappy here compared to what we ate there. It is true, everything is bigger and better in Texas.
  13. applewhitern

    The Immeasurable Fortitude of Mothers

    I lost my son 2 1/2 years ago, after an 8 year battle with cancer. You could quickly tell the good nurses from the bad ones. Unfortunately, the ones I remember most are the bad ones. The ones who would never answer his call light, or be rude to me when I would try to ask a question. Please, all of you, try to realize the parents are hurting just as much, if not more, than the patient is. It is very hard to watch your child be sick, and the nurses ignore their needs. One nurse was told to remove "every other staple" five days after a liver resection. She removed them ALL, then put about 200 steri-strips around him. Another nurse did not even realize he was on a dilaudid drip in recovery; she was from another country than the US and could barely understand English. He had a colectomy, and the nurses did not reposition him all night long, the first day of the surgery. Most of the time, he was never assisted with ambulation. I had to work myself to keep paying the medical bills, but would end up having to do a lot of the nursing stuff they were supposed to do. Once he was confused after another abdominal surgery, and pulled out his N/G tube. Instead of helping him, the nurses screamed at him, then put on wrist restraints, but they never re-inserted the N/G tube! I took them off, of course, and sat up with him all night that night after I had worked 3 twelves. Another time, I called and called for help, because he was confused and trying to get into the bathtub. Nobody came. He got in the tub and fell. He was 6 feet, 2 inches, and I am five foot three. I could go on and on, and usually I do not try to bash other nurses, but I guess this touched a nerve and I needed to vent. I really just wanted to say that not every patient is a drug-seeker, or just a PIA~ some really need your help. And so do the parents.
  14. applewhitern

    Physical Violence Against Nurses

    I have been assaulted three times in my career. The first time required a tetanus shot and antibiotics. I lost a huge wad of hair during the second one. This last one is what I really don't understand. I was assaulted, then I was put on suspension without pay, because I "must have done something to cause it." They didn't even talk to the patient, just assumed that I must have let it "escalate to that point." I had tried to get help with the situation, but was ignored, then all the blame was put on me, because I must have made the patient mad. I didn't even hit the patient back or anything. All I did was yell for help! This was a HUGE guy, and I had been verbally assaulted by him the entire shift, then towards the end of my shift, he hit me! But, alas, apparently it was all MY fault, as I got all the blame! (The first two were by confused patients, but this last one was by an entirely alert and oriented patient.) It is all about those darn patient satisfaction scores. I was told he might say bad things about us in the community, so they needed to keep him happy. Never mind little ole me.
  15. applewhitern

    A Sleep Deprived Nurse's Musings on Motherhood

    Happy Mother's Day to all. My daughter is 34 and can't have children, so she adopted a newborn 3 months ago. (Given directly to her in the delivery room.) I get so tickled at her, bonding with this little baby! She is deeply in love with the little one. I am so sad I couldn't be with her on this, her first Mother's Day!
  16. applewhitern

    Step away from the old nurse!

    And yet a lot of people think we should raise the retirement age, due to the shortages in social security and medicare.
  17. applewhitern

    The Ramblings of a Nurse

    I agree that there is no reason why nurses should not be compensated well for the work they do. It seems that everything falls on the nurses; everything is blamed on the nurses. Other departments in the hospital environment make as much or more than nurses. I was shocked to find that an assistant physical therapist with 2 years education make more than most RN's with a BSN. It seems that every other department gets to take lunch breaks, etc., but not nurses! After 22 years in the field, ICU, I think that if we did not portray ourselves as these wonderful angels of mercy, willing to be degraded by doctors, administration, patients, etc., that we would be seen as the educated professionals we are. I remember when I first worked as a nurse, years ago, that we got a lot more respect from other departments, such as resp. therapy, than we do now. It used to be that the RN was right under the doctor. Not any more! As long as we put ourselves out there to be used and abused, we will be. I am not a burned-out nurse; I now only work part-time in a non-stressful job. But after seeing nursing for what it really is all these years, I think it is time for nurses to demand more respect, pay and prestige than we get. A friend of mine once said, "well, we're all nurses." She was not a nurse, but just assumed all it took was caring for people. No idea of the amount of education and sacrifices we make.
  18. applewhitern

    Nurse Campy Fancy Pants!

    Thank goodness we don't have to wear those caps anymore!! As for earrings, all it took was one confused patient to rip one out of my ear, so I never wear jewelry of any kind, except a watch, to work. I also don't wear clogs; I like tennis shoes that tie, so I can run to a code. I agree with the poster who said patients can't tell housekeeping from nurses; I find that if you are a male nurse or a male respiratory therapist, the patient automatically assumes you are a doctor. I have known some male therapists that would wear white coats, and never correct the patient who called them doctor! I have also found that some patients think the female doctors are nurses. I don't wear looney-tune scrubs; I want to look professional.
  19. applewhitern

    Help! Should I file for Unemployment???

    Please have your thyroid checked. I used to get anxious and have panic attacks that started after 15 years of ICU nursing. It turned out I had Grave's disease; I was a nervous wreck. I couldn't understand why I would get so nervous at work. Now after treatment, I am fine and never have panic-attacks or anxiety anymore.