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med-surg/ tele
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*Posh* has 6 years experience and specializes in med-surg/ tele.

*Posh*'s Latest Activity

  1. that's something i learned in the first 6 months of getting my lvn... not a very cool thing to say.
  2. *Posh*

    Overstimulated and man problems but I am a good nurse

    I had the same man problems a few years ago. I finally sat him down one day (when things were neutral) and just told him to let me unwind an hour or so when I get home. I told him that I've spent 12+ hours caring for people and I need that time to care for myself and no one else. He stopped taking it personally after that. So these days, since he gets home before I do, he has dinner ready when I get home. I can take a hot bath and drink a glass of wine and the evenings are great. It takes communication! Oh, and I flat refuse to work more than 3-12's a week. You get burned out like that and your personal life suffers for it. Good luck, girl! It'll work out for you...
  3. *Posh*

    Suicidal man at nurses' station

    I have no disdain toward psych patients. I did not say anything within earshot of this patient. I said he was a potential danger because he's suicidal and could have a weapon. I understand that there are nurses that have a certain attitude toward psych patients - there are also nurses that have a very defensive attitude who fail to clarify the tone of a post before being insulting to the OP. I'm not trained in handling psych patients; I'm also a petite 5'2, I have kids and I recently found out I'm pregnant. My husband was upset because I even said anything. The reason I posted this was to seek opinions on what I should do (if anything) as follow-up with my manager. Thanks to all who have responded appropriately and for everyone's support.
  4. *Posh*

    North 14 - The room where the patient died.

    The opposite of "loud":lol2:
  5. *Posh*

    Suicidal man at nurses' station

    I agree... Oh, and I forgot to add, the patient had a dripping colostomy bag, too (he was only in his 30-40's poor thing). But it did drip poop on the brand new $300 apiece "family chairs" admin just bought two weeks ago!
  6. *Posh*

    Suicidal man at nurses' station

    LOL! Well, I would have said more but the last time I had an issue with him was when he had guaranteed a VIP pt that she would have her bath at 9am sharp every morning. Of course, all hell was breaking loose and my aide wasn't able to get to her until 10. The patient called this dumba$$ to her room and complained. Of course, he called me in there to "explain myself". I basically told him (nicely) that nothing can be guaranteed at a certain time on a floor like this and if he decided to tell a patient something ike that again, he needed to be prepared to do it himself. I really was professional about the whole situation, but I don't think he liked me standing up for myself and the poor aide that he was picking on.... ugh, makes me angry again just thinking about it!
  7. *Posh*

    Suicidal man at nurses' station

    This happened last week at work... About 1500, I walk around the corner into the nurses' station and see all the nurses, the CNO and the asst. admin standing there. I asked what is going on and one of the nurses point to a man sitting in front of the station with a hospital gown and jeans on. She says that a few minutes earlier, he had walked up to the station and told the secretary that he was going to kill himself. He had walked out of the hospital across the street, came in the front doors (pass security:uhoh3:) and up to the third floor where we are. So she calls admin people and they were trying to figure out what to do. The CNO is on the phone with the house doc and the asst. admin is talking to the US with his back to the patient. I immediately went to the asst admin and asked him why this man isn't isolated away from us. He gets a "look" and asks me why. I tell him "Are you serious? This guy just walked in and said he's about to kill himself. He could very possibly have a weapon of some sort, he obviously has psych issues and this makes him a potential danger to us, our patients and visitors". He rolls his eyes and told me (very condescendingly) that the situation is under control, that I don't have anything to worry about. At that very moment, the house doc strolls off the elevator, sees the guy and says that the patient needed to be isolated before anything else was done. So he's taken to a vacant room and that's that. But before the asst admin gets on the elevator, he comes back up to the station and tells us all that we never had anything to worry about, blah blah blah. When he walked off, he made eye contact with me and gave me one of those "you stupid idiot looks" (which I returned). I haven't seen this POS since it happened, but I have a feeling he has it in for me now. He's only been here about 6 months, he's kind of youngish and still seems kind of insecure in his roll. I'm not the type to look for trouble, but I speak up for myself and my co-workers when nobody else will. Any advice? Thanks, guys...
  8. *Posh*

    Thoughts on improving caring

    I work with a nurse that "cares" and her patients love her. She gets the gold stars from management and generally just kisses their a$$. She doesn't "get" the "nursing" part of it though. She does just enough to get through the day, has no initiative and it sucks to follow her the next day because you're stuck cleaning up what she didn't do... Is this what they want or do they want somebody who will get the job done right? I hate this crap... Can you tell I just had a no lunch, no pee, two code, q2 dilaudid/morphine IVP kind of day? Good luck, OP...
  9. This is how I feel about it. She arrived early, said her goodbyes and wanted to go ahead and terminate support. It reminds me though, that when it comes down to it, that you can't trust just anyone. Like somebody else said - CYA!
  10. This RN is one of those people that you look forward to your shift when you know she is working. Great nurse, friendly and doesn't mind helping out if you need it. A supervisor let it slip this nurse couldn't be the only RN on the floor. Of course, rumors started about narc diversion and the like. I reasoned that she wouldn't even be on the floor if this was the case, but people like to believe the worst. I decided to look it up on my state's BON site. This nurse was working on the floor of a local hospital a year ago. One of her patients was on a vent and the family had decided to turn it off. The physician wrote an order that stated "remove life support after the patient's daughter arives at 1:00". The daughter arrived earlier than planned, said her goodbyes and after discussion with the rest of the family, told the nurse they were ready. The nurse found the RT and told her to go ahead and remove life support. The RT refused, stating that the order said 1:00 and she was waiting until then. The record didn't say how early it was, but I'm guessing it must have been a few hours since it did say the family did not want to wait until one. The nurse wrote an order that stated "ok to terminate life support now". When asked why she would write this, she said that this particular doc was one that she knew well, and every time she called to ask him for something he would say something along the lines of "whatever you want or whatever you want to do". So she felt comfortable writing the order. They went ahead and terminated life support and the patient died a few minutes later. The record did not say who reported her to the board. It stated that initially, the BON wanted to suspend her license for two years, but settled on probation for two years. The stipulations include a minimum amount of hours to work every month, her employer has to send a letter to the BON every three months stating how she is performing, she can have only one job at a time and cannot work home health, clinic etc - has to be hospital. Another RN has to be her direct supervisor, but doesn't have to be on the same floor as she as long as the RN is in the building (which isn't what my supervisor said). The remedial education is significant and she has to pay for all of it. She went to the hearing without an attorney. Maybe the reprimand wouldn't be this harsh if she would have had one? After finding out about this, I will never do this again and I will discourage my fellow nurses from it. The only times I've ever written orders like this are for things like air mattresses, and recently, for tele when my patient was on a drip and no monitor for three days (yeah, another story all together:madface:). I can confidently say I will never do this again. It scares the you-know-what out of me to even think about it. Just wanted to share....
  11. *Posh*

    Taking good body mechanics too far?

    No way would I do it. I've had a back injury that took several trips to the OR and changing jobs for a year to recover from. Letting patients pull on you is a big no-no. Being "confident that you won't blow your back out" doesn't happen after you've actually had an injury...
  12. *Posh*

    Sorry, helping is just not an option.

    You shouldn't be doing this. The RN that admitted the patient is responsible for this. If the company cannot provide the services the physician ordered then the patient needs to be discharged. It's unethical for the company and unfair to the patient to continue a relationship that does not provide the services required.
  13. *Posh*

    How to get faster at med pass

    If the group of nurses I work with and I have "talkers", we have each other or the unit secretary call our spectra link after a few minutes. We say "I'm sorry, but another patient needs me now" and exit! Works every time!
  14. *Posh*

    First Shift -- is this exhaustion normal?

    I've noticed that I feel much better now that I'm on a good vitamin and no cokes. I take protein bars or fruit to work and eat it when I have a minute. A full 30 minute lunch is out of the question most of the time on our transplant floor. Stash a bottled water somewhere and take a swig when you can... It makes a difference!
  15. *Posh*

    Supervisor upset because I have another job!

    This is very unprofessional of her and in my opinion, immature. We all have to look out for ourselves and that's what you are doing - and it's perfectly fine. If it were me, I would file a grievance against her with my facility. You need this reference (for now) and her reason for not giving you one in the future is not valid. It seems like she's trying to bully you. It p's me off to read about crap like this... Hope it works out for you. Oh, and congrats on the new gig! :)
  16. My mother (parents are both nurses) gave me great advice when in I graduated. She told me to not be afraid to try any specialty that I had the opportunity to. I took that advice and ran with it. I've done just about everything and surprisingly found my niche. I have quiet a few jobs on my resume and they were all worth it. Just don't get stuck in something that you don't love and stay there...