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missladyrn

missladyrn

Content by missladyrn

  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. As a pregnant nurse, the 12 hour shift is taking its toll on my body. My doctor looked at me with a straight face and said "can't you just put your feet up for 30 minutes every 3 hours or so?" Um, you have been to the hospital before right? I barely have time to pee never mind having a leisurely sit with my feet up every few hours. Kind of makes me wonder what they THINK we do at work. Just got a good laugh out of that, though you all might enjoy it as well!
  14. 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.
  15. 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!
  16. 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!
  17. missladyrn

    Blackout curtains

    Tin foil! Works like a charm!
  18. missladyrn

    Edematous after 3 shifts???

    Do you wear support hose? My feet used to swell, the hose helped. Now that Im pregnant I swell all over, including my hands. I'd see your doctor, but work on less salt and more fluid if you are getting dehydrated.
  19. missladyrn

    Is it safe?

    Is it safe for a pregnant nurse to care for a patient on chemo? Twice in the last month I have been pulled to another floor and BOTH times I have been given a patient who had chemo THAT day and not been told about it. Both instances I have asked the charge nurse if it is safe for me to care for someone who SHOULD be on chemo precautions and both times I have gotten a shrug and "I think so". Does anyone know for sure? I am pretty stressed out and really getting sick of getting thrown into these situations on other floors where I feel incompetent. Can someone please clear this up for me? One pf the patient had chemo put into his bladder to dwell (according to the patient) and I was afraid of his urine. I did double flush and double glove to be sure. The other one had chemo infusion and was vomiting all night long. I just want to be safe in practice and it is clear at my job that I am the ONLY one who cares if I am safe.
  20. Ok, I am guessing it was the attitude that got the low ball offer, not the degree. Sometimes when you walk in off the street with a sense of unearned entitlement, your offer may reflect that. Hiring managers take note of that. Your truly, MissladyRN- ADN, BSN and currently working on an MSN. But I know where I came from and I know where I am going. I also know who helped me get there and who helps me each and every shift. The letters after your name don't make you a better nurse we have all seen examples of that.
  21. missladyrn

    nocs on a med/surg floor

    Welcome to nights! Here is my run down 1845- bedside report and chart check review (look for new orders written on days that may not have been addressed or faxed to pharm yet) 1915-2300 assessments, evening meds, pain assessment. I usually ask all of my questions and review their med schedule all night so they know to be expecting me in all night long. I also ask them if they want to be woken up when pain meds are due or if they want to call when they are ready. Some patients will sleep too long and wake up in horrible pain (deep sleepers) others will wake up with the first twinge. I normally recommend waking them up the first night or two after surgery, after that it is up to them. If there is anything they need or are concerned about, I want to know NOW so i can call the md before the wee hours. 2300-00 round to check for five 5 p's. Take away any food or drink for anyone npo for surgery in am. at 11pm I offer snacks to these people so they can rest without their tummy growling. 0000-200- my floor has a lot of drain removals at this time, extensive dressing changes, full chart reviews to ensure all orders were put in correctly and carried out 200-400- second round of drain removals on my floor (some docs order removal at 2, some order removal at 4) and dressing changes 400-600 morning rush, 5 p's and morning medications. I also use this time to ambulate patients who need to walk. 600- end of shift, make sure all iv fluids are full or changed and in date, make sure everyone is ok for pain med to last shift change, clean up room if necessary etc, dc foleys if ordered. But the best laid plans don't usually work out. You need a "loose" plan like this as a general guide, but you will get admissions, have emergencies, have blood transfusions etc that will keep your schedule on edge all night. Make a list of all your "must do's" and your "want to dos". Get the must dos done first and after you get into a good routine ( a few months or so after orientation) you will find yourself getting most of your want to dos done as well. In the beginning getting all your must dos done is trying. On my floor dressing changes are not timed but it makes sense to do them when taking out a drain. But If I cant get to it I cant get to it.
  22. missladyrn

    Behavioral health/ psych

    Anyone have any recent experience working in psych in Ga? Specifically Summit Ridge or Laurel wood? Any other places to consider?
  23. For those of you who have worked as a floor nurse while pregnant, was just hoping to hear your experience. How long did you work? Right up until you were 9 months or did you leave sooner? What type of floor were you on? Anyone work nights while pregnant? Just looking to hear from one of you who have done this before! How long did you take off after the baby came?
  24. I have come to a real conclusion. I just don't like nursing. I kept telling myself that I just need to get through the first year, find a better job, get more experience. But here it is. I have 3 years of experience and have tried a few different areas and I still don't like it. In my entire life, I have never had a single job I did not enjoy until I became a nurse. I enjoyed waiting tables, working in a coffee shop, scooping ice cream, being a cashier at a supermarket. I have always enjoyed going to work, being productive, and doing my job. Nursing is terrible. The stress and workload is unmanageable. I dread going to work and count the minutes until I can leave. Now that I have a baby on the way, I know I need to get out. But alas, this revelation is to going to help me pay my bills so I am stuck for now. I need an exit strategy.
  25. missladyrn

    Unreasonable offer

    I don't blame you one bit. They put you on the spot and tried to railroad you. Shouldn't your 2 years count r something? If they value you, they will try to work out a compromise. If not, you will have solved their issue of who to let go. Fair? Heck no.
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