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Horseshoe BSN, RN

Content by Horseshoe

  1. Horseshoe

    Critical Care Eliticism?

    Yes, that's what they think. Meh. But they're still "nice people."
  2. Horseshoe

    "My Nurse"

    I'm only speaking for myself, but there is only so much outrage I can generate on any given day. There is so much going on in the world, in our country, and in my own personal sphere that seems so much more worthy of my angst, I just can't get worked up over stuff like this. If they don't intend to imply ownership, I'm not upset about it, and if they do mean something demeaning, it says more about them than me, so I'm still not going to view it as my problem.
  3. Horseshoe

    Terrible experience with nursing staff

    It's been stated more than once that in that country, as in many countries apparently, it is the family who takes on the majority of "care" such as helping someone to the bathroom and "holding the patient's hand" (and I would submit that due to the typical nurse to patient ratio, most US nurses don't have the time that would allow for the kind of emotional support the OP was craving). Even here in the good ole US, "hand holding" is usually the job of the family members. That is exactly why we usually allow one or two family members to come into the pre-op holding areas in US hospitals and surgery centers. I don't know how much world traveling you have done, but many countries are quite disdainful of what a litigious society the US has become. Additionally, the OP states she fell, but what substantial injuries did she sustain? Just falling, even in the US, isn't as lucrative as you might believe if there are no permanent or serious injuries. Suffering a black eye and a bruised cheekbone is not an outcome I'd want for my patient, but that doesn't make them serious or permanent injuries. There is a kind of naivete here about how easy it is to recover enough damages to make going through a lawsuit worth it in terms of the tremendous amount of stress and time involved. And finally, you don't think it's at all odd that the OP's boyfriend was right there in the room with her when she fell and it took yelling over "10-15 times" at the top of her lungs for the BOYFRIEND to hear her and come to her aid? Something is off about that, I don't care if it was 3 in the morning. Thinking that US standards (whether they be cultural or professional or legal) can or should be universally applied is ethnocentric and not just a little arrogant.
  4. I often see this question regarding heart rates, but what about H & H? Have you ever gotten lab results on someone who seems normal and then you get a call about a 5 or 6 hemoglobin? What was your first intervention?
  5. Horseshoe

    Patients wants a back rub

    There was no “banging around,” lol. I view this as a relic not as a sexist one, but because I’m betting 99% of nurses simply don’t have time for that given today’s nurse/patient ratios. BTW, we had several male nurses on our unit that had similar practices. This kind of back pain was common in this environment, so it wasn’t seen as that much of an odd departure from nursing as it surely would in most units. Nowadays post cath lab units may not require patients to lay flat and straight for so long as we required back in those days.
  6. Horseshoe

    What to do about DNP and flu shot?

    A "history of cancer" is not a contraindication to the flu shot. "Could put someone out of remission"-also not any kind of standard assertion. There has to be more to that story, or the MD is very much an outlier. My Dad has a history of cancer and has been in remission for 25 years. He has been getting the flu shot (highly recommended by his oncologist) yearly ever since he went through treatment. Again, likely to be more to that story.
  7. Horseshoe

    What to do about DNP and flu shot?

    Wherever did you get that idea?
  8. Horseshoe

    What to do about DNP and flu shot?

    Are we actually seeing an increase in autism, or are we simply recognizing it where we didn't before? 50 years ago, someone might be labeled "an odd duck," "insensitive to the feelings of others," "retarded," "nerdy." "Idiot savant" was a term accepted by most. Now they might instead be diagnosed as being on the spectrum due to greater understanding of autism, rather than the possibility that more and more people are suddenly "becoming autistic." Ongoing research is slowly opening the gates to understanding the causes and potential interventions for autism. https://www.autismspeaks.org/press-release/worlds-largest-autism-genome-database-shines-new-light-many-autisms
  9. Horseshoe

    I can’t stop crying over a bad death

    You had nothing to do with her dying. You did not have the ability to stay with her. Try not to fill guilty. Lessons to take forward: You can never promise any patient that they "are going to be okay." This just isn't something we can take to the bank. "You have nothing to be afraid of." "Don't be scared." Clearly she had something to be afraid of-you know that in retrospect. We can't judge what occasions are worthy of fear. Many times when patients are needy or grumpy or downright hostile, it's because they are AFRAID-afraid of dying, afraid of losing their autonomy, afraid of their lack of ability to control their destiny, afraid of pain. Or they have figured out that they are very close to dying- i.e., that "sense of impending doom." I've seen this before in patients that knew that were about to die. A colleague told me that their patient said "Coleen!" She said "yes?" "I'm going down!" And proceeded to go into cardiac arrest, which they were not able to reverse. I think telling her "we're going to take very good care of you" is absolutely appropriate if you can make good on that promise. "We're here for you." When I've been 1-on-1, I have said "Hey, I'm going to watch you like a hawk. " These kinds of statements tell them that we aren't going to neglect them, forget about them, ignore them, etc. But we don't promise them that there could be no negative outcome, because we honestly don't know that to be the case. In your patient's case, she was holding a rosary, so it was a reasonable assumption that she believes in God. Absent any direct knowledge of a patient's religious beliefs, I would not tell any patient that God is with them. This could actually not be comforting if they do not believe in a deity. I don't think anything you did warrants believing you are a bad nurse! The fact that you feel the way you do is evidence that you have not in fact lost your compassion.
  10. Horseshoe

    What to do about DNP and flu shot?

    Yes, well , research shows that you are more likely to get GBS after having the flu than after getting the flu vaccine. So...wouldn’t you be better off going with the better odds?
  11. Horseshoe

    What to do about DNP and flu shot?

    Worth repeating.
  12. Horseshoe

    TikTok Nurses Drama

    And there is nothing wrong with saying abstinence is the only 100% way to prevent pregnancy and STDs. It's the thinking that preaching abstinence is the only information one needs to provide to teens and tweens in order to prevent pregnancy and STDs that is the problem.
  13. Horseshoe

    TikTok Nurses Drama

    Meaning it doesn't stop people from having sex. Nothing stops people from having sex. All abstinence-only education does is leave the sexual beings unprepared for STDs and pregnancy. Doesn't matter who her "target audience" is-they are all human beings. Human beings have a sex drive that doesn't respond to shame or finger wagging or moral pronouncements. And before you say "well I was a virgin when I married," I'm not talking about any particular individual. I'm talking human race terms. No matter the culture, no matter the religion, telling people they "shouldn't" do something and just leaving it at that just doesn't work on a global scale.
  14. Horseshoe

    Witchcraft resurgence

    I think you know perfectly well that billions of people on this planet who believe in some type of religion or deity are neither clinically insane nor psychopaths. I don't know if you are trolling or are sincere, but you are old enough to start questioning everything you were told growing up and start calling out your father on his BS. Many people raised in a religious household do start questioning it. Many end up rejecting their parents' religious views and come to form their own opinions, sometimes rejecting religion altogether, sometimes embracing a different denomination or entirely different religion, or after much thought or contemplation, coming back to the fold. But the point is that they use their maturing minds to question the "party line"-i.e., their parents' values and beliefs, in order to come into adulthood as an independent thinker. Sounds like it's time for you to do the same. Not that you need to become religious, but you need to learn to understand that intelligent, reasonable, and "sane" people can have belief systems that are completely different from yours, not test-able by science, that you can just agree to disagree on. Things like medical treatments can be tested (though don't discount the placebo effect), so take your scientific mind into nursing or the medical field, but do understand that being disdainful of people for philosophical or religious differences (or even their rejection of scientific facts) will not only make you a less effective caregiver, but also a crappy human being. Stop the cycle of arrogance that you apparently have going on in your household and think for yourself. You don't have to respect the religious beliefs themselves, but disparaging the people who hold them is just bad behavior and has no place in nursing/medicine.
  15. Horseshoe

    New Ohio law would let families put cameras in nursing home rooms

    I am ambivalent. I get that loved ones want cameras to guard against neglect and abuse...as a patient, I would be horrified to have my privacy violated during sensitive moments. Not an easy solution...
  16. Horseshoe

    Doctors offended by TV show about nurses

    I got your sarcasm. It seemed pretty clear.
  17. Horseshoe

    Why is BSN required for CRNA?

    You obviously didn't read through the rest of the thread.
  18. Horseshoe

    Why is BSN required for CRNA?

    I thought the same thing. And I laughed when I read it. Glad to get the clarification.
  19. Horseshoe

    My wife the nurse takes offense to my jokes :-(

    I think we have our answer re: SDN or something similar.
  20. Horseshoe

    My wife the nurse takes offense to my jokes :-(

    It's especially bad in many law schools. My D is a new attorney. She used to go to class extremely stressed out. You may have been assigned several hundred pages of case law to read in a matter of a day or two. If your name comes to the professor (some just use the seating chart, others draw names from a hat or bowl), you are asked to stand up at your seat, and you proceed to get grilled about the reading. The more answers you get right, the more questions you get asked in an attempt to find your weak spot. Any evidence that you didn't do all the reading or didn't remember key points would get you dismissed disdainfully from class by the professor (think Elle Woods on the first day of law school in Legally Blonde-that actually happens) and you get "memo-ed," meaning you had a huge paper to write by the next class about the subject you didn't know well enough; in addition, you still had to prepare for the possibility of getting called on again over new reading (and if you got memo-ed, you can pretty much count on getting grilled again). She describes law school as 3 years of Hell.
  21. Horseshoe

    Why is BSN required for CRNA?

    I went to a brick and mortar well regarded state university for my BSN. I would not rank my experience with that of an engineering or physics major, but it was not "laughably easy." It was a pretty rigorous program. While it appears that some of the online RN to BSN programs are simply degree mills, do not assume that every BSN degree holder got their education online, doing "discussion forums and quizzes."
  22. Are you going to be a good physician or just another jerk? The good physicians I know are not disdainful of others' educations, are not arrogant, are respectful of what everyone on the team brings to the table and understands that patients are social beings, so pays attention to the social aspects of care. You said in more than one post that you found nursing school to be too attentive to the "social" aspects, which is incredibly "boring" to you. That is a huge red flag to me in someone who is interested in pursuing medicine. We don't need more physicians who view patients as a body and nothing else, and we don't need physicians who have a God complex either. Please don't be that guy.
  23. Horseshoe

    Juggling 2 under 2 and college

    You may have to leave before the kids get up, and by the time you get home, they are getting ready for bed. Zero quality time during working days. Hubby might be annoyed that he has to cook dinner on work days. If you don't get home until 7:30 or 8:00 or later (depending on commute), he either makes dinner, heats up a pre-cooked dinner, or gets take out. That doesn't always go over very well. The school calls you at work at 10:00 to say Susie has a fever and to come get her. You cannot leave work; hubby has to do it, and maybe his boss isn't so understanding even if hubby is. You have to explain to the kiddos yet again that Mommy won't be home Christmas morning because she is low on the totem pole and no one would take her shift. You just worked your 10th Thanksgiving in a row. You just spent the 2nd night in row at the hospital because there is a blizzard and hospitals don't take kindly to people not showing up for work and forcing their co-workers to work 48 hours straight. That's just a few off the top of my head. Add more if you work the night shift.
  24. Horseshoe

    Called by Law Office regarding patient fall

    He says he still works there "on call," which sounds like PRN. Apparently he also has already called his insurance carrier. OP, what did the NSO representative advise you to do with regard to the requested interview?
  25. Horseshoe

    How soon did you move out after graduating (BSN)?

    Live at home for as long as it takes to save enough money to put down a deposit on an apartment (usually first and last months' rent) and have at least SIX months' full living expenses saved and accessible. Continue to help your mother around the house and contribute some $$ to your food/lodging. Once you have your savings in the bank, get the heck out of Dodge. Your mom probably won't like it, but that's really too bad. Every parent has to face the fact that their birds will leave the nest eventually.

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