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Acute Rehab, Progressive Care
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microtutor has 3 years experience and specializes in Acute Rehab, Progressive Care.

microtutor's Latest Activity

  1. microtutor

    I took the plunge...it feels weird

    Congratulations! I have benefited greatly from all your posts, and I wish you joy and awesomeness in your next job, wherever it may be!
  2. microtutor

    Have you ever witnessed this situation?

    Nope, this has never happened to me. And I do use a chain pharmacy. However, there are areas - one labelled "Drop Off" and one labelled "Consultation" where you can lean into a sort-of carel, with walls on either side of you. If you speak in a low voice and the Pharmacist/Techs also do, people over in the waiting area can't hear unless they have super-ears (some people just have those). So, it can't be perfectly private, but it isn't as bad as someone broadcasting your health information to the entire room. They could try a little harder to be discrete, especially when there are such stiff fines involved. This happening to you in a small town is actually worse in a way - they don't have to counsel hundreds of people a day - they could probably take the time to explain things to you in private, or at least make an attempt. The next time you get your scripts filled, you should make sure to tell the pharmacist to his face that you know what HIPPA is, and that you think his "demonstrations" might be in violation.
  3. microtutor

    Leaving a job while in orientation

    You sound like a really nice person, but maybe not the most assertive? Does your former DON know that you did NOT actually make a med error? Things like that matter, as far as your reputation and future are concerned. Seems like you are in a situation now where you need to move on, rather than try to go back as other posters have said. However, when you land your new position make sure lines of communication are wide open between you and your new preceptor(s). It seems like you failed to receive important feedback on your last job performance until it was too late. Good luck!
  4. microtutor

    Our Death-Defying, Death-Denying Society

    Um...because we live in a civilized society, where we choose not to allow the most vulnerable - poor children, the elderly, the intellectually challenged and the mentally ill for example - to drop dead because they can't always earn a living on their own?
  5. microtutor

    Our Death-Defying, Death-Denying Society

    I agree, RubyVee. Commuter, I think you are splitting hairs on this one. When I spoke of gatekeeping in the context of my post, I was speaking of financial gatekeeping - putting an arbitrary limit on treatments on the basis of finances because we "can't afford" to keep people alive - yet we can somehow afford to spend billions on war and bailouts just fine.
  6. microtutor

    Our Death-Defying, Death-Denying Society

    Are people acting as if it is something new, or are they just saying they disagree with it? I agree with Asystole RN and the others who say this is not right. I don't care who "gatekeeps" healthcare. It should not be gatekept. When we endorse gatekeeping of healthcare - whether it is "because it is what we do", or based on financial concerns, or based on our conception of someone else's quality of life? We are denying individuals and families the right to make their own decisions on treatment. Doctors consult with patients. They give the facts as best they see them. Patients then decide - aggressive treatment, or not? risky surgery or palliative care? A few more months as "me" or a few more years possibly with no memory? Full code, or DNR? Patients and their doctors and families make these decisions every day, and that's the way it should be, in my view. If people are making healthcare decisions based on money, whether as patients or as gatekeepers, we need to do something to fix our fiscal problems as a society so this doesn't happen anymore. A lot of people want to say we "can't do that", but I believe we can. The choices our policy makers have made to allow our nation to go unprotected, to ship hundreds of millions of jobs overseas, and to cut vital social programs to the bone while spending close to 4 quadrillion dollars propping up foreign wars and a monetarist system that has been on its way to demise since 1971 are just that - choices. If people are not adequately educated about their end of life options while they are still young enough to think things through and make some informed decisions, the health care community - particularly doctors - needs to make some changes so people have the information they need. Also, not sure what all the arguing back and forth about "brain dead" patients is about? Patients who are brain dead are dead. Some become organ donors, all are declared dead after a rigorous workup confirms they are indeed truly brain dead and a certain interval has passed, no? I believe the controversy is more around those who are classified as "chronically vegetative".
  7. microtutor

    Top 10 tips for nursing school

    Other people covered a lot of them - here are a few I have learned in my last year: 1. Adopt an attitude of gratitude. Things that frustrate you will happen - instructors may make mistakes, yell at you, or give confusing directions or explanations. When you are under a lot of stress, it is easy to see these things as "the last straw" - but try not to. Don't ***** and moan about your instructors - to other instructors, the director, or other students. It is unprofessional and immature. Walk away from this when it starts or try to turn the conversation in a better direction. Instructors are not perfect, but often enough they are instructors for a reason. They have years of experience you lack, and years of teaching experience. Many of them have given their lives to educating generations of nurses. If they get something wrong (maybe) - they deserve our respect and tact when we question and communicate with or about them. 2. Get at least 6 hours of sleep before clinicals. Sometimes you have to stay up very late, or pull allnighters, but the day before patient care isn't the time. 3. If you choose to mainline caffeine, it may stop working for you at some point. Use only what you need when you need it. 4. Be friendly and helpful in the best of spirits, but don't count on making friends. The reality is, you may not. But you will learn how to care for patients, how to stand up for what you believe is right, and what you are made of as a human being. Sometimes you'll have fun, sometimes you'll cry. Every day you will know what you are learning and doing is very important.
  8. microtutor

    Still overwhelmed...

    FWIW, I have chosen a local school with a hybrid rather than a purely online program. The cost is more than a pure online program but less than the big universities in my area per credit hour. (It is both NLN and CCNE accredited.) My rationale is related a few factors: First, to my experience with online coursework. Its PURE self-teaching and self-motivation. I can do that, but I definitely do better with some face time and real classroom interaction. To me, the extra $$ per credit is worth that. Second, to which schools' programs are considered for post BSN residencies in my area. I want to have a shot at a post-graduate residency. The head of the program said the program doesn't require additional clinical hours, but it is designed so that you can work and go to school at the same time - so I assume I will have a better experience if I find some sort of job to continue gaining clinical experience while participating in the RN to BSN. Good luck to us both, right? :)