nursemike ASN, RN

Rodeo Nursing (Neuro)

Member

All Content by nursemike

  1. So, what's the point, exactly? Is it that a caring, motivated nurse who wants to make a decent living is no better than one that doesn't care and only shows up for the paycheck? I think we need to...
  2. nursemike

    Chart Audits -- I Couldn't Make This Up!

    Our order sets automatically include paging for mental status changes (which I would most likely do, even for an off-service patient) but since it doesn't specify what kind of changes, I've often been...
  3. I agree that taking a little time to smooth things out with HR, and even doing an exit interview, if they want one, would possibly benefit you down the road. But don't sweat the AWOL. MPs will not...
  4. nursemike

    ADN versus BSN

    It depends mostly on your situation. If you need to go to work as a nurse ASAP, an ADN might be your quickest route. That was my situation, but I was 46 when I started nursing school. I'd recommend...
  5. nursemike

    I am in Nursing because.....

    Me, too. Well, that, and I'm hoping to marry a
  6. I think your OP did an adequate job of expressing your frustration with future nurses who feel they are entitled to a job and of offering some sound advice as to how to go about getting one. I don't...
  7. I'd be tempted to tell your next interviewer, "Someone, somewhere, is going to give me a chance, and in 2 or 3 or 4 years, I'll have experience, and when nurse recruiters are once again begging GN's...
  8. nursemike

    The Wonderful World of Change

    Thank you for taking the trouble to learn our language. One of my coworkers speaks Canadian, and it's really annoying. I keep wanting to tell her, this here ain't Canadia! Best of luck with your...
  9. I was working as an orderly when I started nursing school, so it was more about career advancement than career change. I was able to apply for my job before starting my last semester, and my interview...
  10. Hadn't thought of that. Good point. Doesn't seem quite fair, in a way, but it would get pretty old, being used as a stepping stone. And I suppose a new BSN could always put in some time in, say,...
  11. Really? I don't believe I've heard of such a thing. Do you know the reason why? I've questioned, and still do, whether a BSN was really much of an advantage in direct patient care, bedside nursing,...
  12. nursemike

    Consistency across the nursing spectrum

    I've argued against this position on numerous other threads, but after further consideration, I've changed my mind. Ideally, we probably should have just one entry route. Unfortunately, Diploma...
  13. nursemike

    unbelievable... in today's world

    We don't usually use sterile gloves for sticks, and the clean gloves aren't particularly cleaner than washed hands. But try to tell your patients that! I've sometimes done some tough sticks without...
  14. nursemike

    male pts who pull out foleys?

    I had a male pt get out of bed, cross the room, and fall, leaving his foley behind hanging from the bed. Doc said to put the largest one I could get in to keep the urethra patent. Central supply...
  15. nursemike

    The goody two-shoes hero act

    You're absolutely right, and even aside from the effect on you, these people need to learn the difference between de-escalation and feeding into a delusion. I'd be tempted to forgive the other aide...
  16. This is not meant as a flame to the quoted post, but I wonder if it might be a reflection of one of nursing's problems. It seems to me we have something of an identity crisis. On the one hand, I...
  17. nursemike

    Drug seekers: where's the compassion?

    As I posted earlier, I can certainly understand the frustration, but I think it's a dangerous road to start deciding which of our patients is worthy of compassion. Consider the OP's patient, who may...
  18. nursemike

    Drug seekers: where's the compassion?

    I had a run of drug seekers awhile back--every night I had one, usually a different one, who was on the call button all night for pain meds. It was frustrating. Last night I had one with chronic,...
  19. nursemike

    Am I going to regret being a nurse?

    Okay, so that'll be one knee replacement...and can I interest you in an appendectomy while you're here? Retail experience would probably be helpful to a prospective nurse--presumably, you've learned...
  20. I understand the rationale for a BSN entry level. I don't agree, but it has some valid points. May I suggest, though, that the matter has been discussed at great length, and can still be, on the ASN...
  21. Yes, but I think we'd be a lot better off if it was all about excellence. And, honestly, I think we hurt ourselves with all the concern about status as professionals. The whole concept is outdated....
  22. I think the perception that pharmacists and physical therapists get respect is mostly based on the fact that we aren't pharmacists or physical therapists. Grass is greener kinda thing. In their...
  23. I'm afraid a certain amount of discouragement is inevitable. It's a hard transition to make, and if you don't doubt yourself, you probably aren't thinking hard enough. Still, hiring a nurse is a...
  24. Honestly, I think that would be losing one of the potential strengths of nursing. I really feel the inherent diversity of people with different backgrounds entering by different routes is something...