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missladyrn

missladyrn

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  1. missladyrn

    How would you handle this?

    Seems like an absurd policy. Nothing happens in under 15 minutes in a hospital. What kind of delay is the patient causing? They need to give you a 30 minute heads up or an estimated time if they plan to require a 15 minute turn around. Most procedures in my hospital (which is large) take more than 15 minutes to even GET to never mind get ready, in the chair or stretcher, and taken down. If you know a patient has to go at some point, all paperwork and prep work should be done. We also do not have a transporter, so most of the time patients are taken down by a tech or aide, so if the tech or aid is with another patient, that causes a delay. I think your policy is unrealistic. But I guess it depends on your facility size, do you have a transporter, what is causing the delay. You need to tell the patient they need to go now. Only delay I can see on their part would be if they were using the restroom or need pain medication. You will need to manage the patients expectations too. In the morning tell them, you have this procedure and when they call you will need to leave immediately. So they know.
  2. missladyrn

    No appreciation for NOC

    We always get ignored.
  3. missladyrn

    calling into work sick and feeling very guilty

    Meh, don't feel guilty. You would have been useless at work today and everyone around you would have had to pick up your slack. Don't martyr yourself. It is a job. They would replace you in a second if it suited them and they would feel zero guilt. Have you gone in on a day off to cover for a coworker? If your coworker had the symptoms you have, would you expect them to come to work? Stay home, get better, and go back to work when your feeling better.
  4. missladyrn

    Mandatory Meeting With CNO

    Do you work on my floor? We lost more than 70% of our staff yet they still do not seem to be getting the message. Those of us who are left won't be around long. Working short is not working out. I LOVE your idea of asking them to come work on the floor for 2 weeks. It will never happen, but I LOVE THIS IDEA.
  5. missladyrn

    How do you talk to patients with weight issues?

    I talk to them the same way I talk to every other patient. Why would their weight come into that? First I address the reason they are in the hospital and why I am caring for them. If they need support or education related to their weight I am happy to talk with them. I believe in positive education and encouragement. You are never going to shame someone into doing what you think they should do, they need to do it and want to do it themselves. As far as being in a psych hospital, well, psych issues and depression can cause weight gain or weight loss. Being overweight can lead to depression and depression can lead to weight gain. It is a chicken or the egg conundrum. Until you walk a mile in someones shoes, we need to refrain from judging and try to help in a positive way. As someone who has lost a great deal of weight on weight watchers, I know how hard it is when people start lecturing you on your weight when you are already feeling bad about it.
  6. missladyrn

    How hard to pay off 50k debt on a nurses salary?

    There are way too many other factors for any of us to answer that question. You need to sit down and make a budget. Your rent, groceries, gas, bill, and other life expenses. 600 a month is a lot.
  7. missladyrn

    Pain Dilemma Customer Service?

    Where I work we get a lot of "pain clinic" patients. The ones who know how to work the system and are frequent flyers, they know what to say to be admitted, but they don't get to stay forever. They often know their pain medication schedule and will ask to write it down. I don't do it for them, they can do it themselves if they like. I tell them they can not have anything else until x o clock. And they need to call me for it, it is not scheduled. I do plan ahead for it though knowing they will call. On my unit, you are not allowed to be discharged if you are still taking iv pain medication so the dr dc's it the night before discharge. After iv pain meds we need to monitor the patient until it wears off. I think it is a liability thing. That night is usually awful for these types of patients since they scream and yell and are used to getting what they want. But once a Dr on my floor decides they are getting dc'd, it is only oral pain medication until the next day. I usually end up having to call the MD just for them to say no. These types of patients are the ones on droves of pain medications at home.
  8. missladyrn

    I was fired as a CNA for severe misconduct

    Call a lawyer. You need legal advise.
  9. missladyrn

    Most shocking thing you've seen a physician do?

    Saw a doc pop off a necrotic toe and toss it in the REGULAR garbage then ask the nurse (ME) to bandage the foot.Patient had no idea what the doctor had done. I was like oh no he didn't! But he did. The toe just sat there in the trash staring at me.
  10. missladyrn

    Unethical hiring practices

    Honestly, they did you a favor. This is not an organization you want to work for or put any meaningful time into. You are just a warm body to them. A lot of hospitals feel this way. Be thankful they cut you loose early instead of after putting in time and loyalty. Let this be a lesson to all of those that say a new grad "owes" an employer a year. They cut you loose when they feel the need. Sounds to me like they knew what they were doing when they hired you. Cutting loose 50% of the new grads hired into the program seems more of a financial plan rather than something personal toward you. It is also pretty darn crappy for them to offer you another position that really IS NOT AN OFFER since there are no other positions. If you were only there a month I don't think you can collect unemployment, another reason why it is easier to let newbies go. Pick yourself up, dust yourself off, and start looking for something else. You will find another job, and it can't be worse than this one. Network with your classmates, keep in touch with your other "let go-ees" for support, and move on. Try to at least enjoy the summer off and enjoy all those summer holidays us nurses never get to see! You will find something else, just cast a wide net. You obviously have a good resume and interview well if you were chosen for this program. And now you have a month of experience that will help you wherever you do land.
  11. missladyrn

    Do you like being a nurse?

    Nope! If I could go back a few years and start over I would choose something else in a second. I loved being a nurses aid. I loved getting to know the patients and I am no stranger to hard work. I LOATHE being a nurse. Everything is dumped onto the nurse. The blame, the responsibility, the liability, the doctors mistakes, the short staffing. You spend most of your shift trying to chart to CYA and CYA of the hospital and have little time to see the patients. Just chuck meds at them and run. God forbid they ask you a question or want to chat, aint nobody got time for that! It is very physically and emotionally draining. I no longer work out, my sleep patterns are a mess. I am sore a lot. I do get to meet some wonderful people, and I also work with some wonderful people. But that is not enough to overcome the mountain of shortcomings. If I do not get out of bedside nursing in the next year or two, I am leaving the field entirely. It just is not worth the toll on my health, physically and emotionally.
  12. missladyrn

    Nights and weekends as neede

    I did it for 6 months. I had 3 car accidents including rear ending a cruiser. The police officer gave me a field sobriety test. Then I quit. Some people had been doing it for years, I could not handle it I turned into a zombie.
  13. missladyrn

    Do doctors have any idea what we nurses do? lol

    Seriously, for a minute I thought he was joking. Then when I realized he wasn't I almost laughed myself off the table.
  14. missladyrn

    Midlife Career Change to Nursing - Advice, please

    I am guessing you are not a nurse yet. My advice, save yourself too! Change programs before its too late and you become (cue evil music) ONE OF US!
  15. missladyrn

    Midlife Career Change to Nursing - Advice, please

    Run as far as you can in the other direction! I am not being cynical, I am being truthful. Healthcare is going in the wrong direction and nursing morale is currently circling the drain. They just keep dumping more work, more liability, and more responsibility on the nursing staff while the pay and differentials are going DOWN. The benefits are the worst I have ever had in my life in ANY job. I worked part time at a coffee shop during nursing school and had better health insurance than I do now. And with all the aches and pains from lifting, bending, pulling, and catching confused people as they fall- you need a good health plan. I am so tired of dealing with combative confused and high patients. It is taking a toll on me. I wish I could rewind a few years and save myself, but I cannot so instead I will try to save you!
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