cstatic

I feel healthcare should be a right. If we value health and quality of life then we must provide healthcare when needed just as we (as a society) attempt to provide an abuse free living environment or opportunity for education. Now having said that, our healthcare system is fundamentally doomed to fail. The whole concept of insurance is that you pay a fee for coverage should "something" happen, the fee is not even close to the amount you will cost should you have "something" happen, and the insurer makes money by amassing enough fees to cover the times "something" happens and still make a profit. It is betting on favorable odds. This works with autos because while accidents happen, they don't happen often, to everyone. It works with home insurance because most people go a lifetime without having a home burn down or get sucked away in a tornado. It cannot work with healthcare because there is no "if" something happens, it is when. All humans, at some point, either by accident, illness, or age, will need healthcare. There is no way for an insurance based model to work and make a profit without routinely denying coverage. Instead of being a business, healthcare should be a social service. It should be subsidized by taxes and have tiered co-pays with higher co-pays for those who use emergency room care for non critical issues and those who skip preventative care check ups. (and smokers.) I realize nothing is owed to any person simply because we exist, but we choose as a society what issues we place importance on and how we grow. So far it seems we place the most importance upon the short term results, entertainment, and personal financial impact.

Could you say something along the lines of "For the privacy and safety of other patients guests must return to the waiting area when they are not in-room with their family member" It's right .... and give directions.... :-) Would that be allowed?

In Texas the sonogram is performed the day of the procedure and is silent and without viewing the screen unless the women wants to. It verifies gestation age as well as placement of fetus (ectopic etc) and if there is more than one. Many times a woman has not been to a doctor prior to the procedure so these things have to be determined before termination of the pregnancy. Sonogram and pain meds are part of the fee, it is a package deal.

Saccharomyces boulardii maybe? Its cheap too. Saccharomyces boulardii Protease Inhibits the Effects of Clostridium difficile Toxins A and B in Human Colonic Mucosa

A boy I grew up with and cherished had parents who had the same negative attitude about psych drugs some of these posts do. Went off to college and tried to kill himself. While in 24 hour watch he succeeded by swallowing the pillowcase he had removed from his pillow. There is a huge difference between being stressed out and unhappy, and being depressed. One can be addressed with therapy and altering of job, school, relationships etc.... The other is chemical and no amount of therapy alone is going to fix that. As for being a temporary solution while working towards living off meds, for some people, especially those who were abused or traumatized long term as children, too much stress long term or too intense causes a drop in brain chemicals that does not bounce back like other peoples, many have been predisposed to depression and even though they may wean off meds and stay stable for quite some time.... too much intense or chronic stress usually causes a relapse. Consider this, someone high on ecstasy who has a brain flooded with serotonin is unable to make rational normal choices because they have a skewed perspective that everything in the world is wonderful and people really are good and nothing bad could happen and they are so happy and euphoric life is SOOO WONDERFUL! it feels so great just to exist! Well depression is the opposite of that. When someone is deficit in serotonin they don't feel happiness, or hope, and are unable to function like other people. In long term depression things like suicide and despair become totally normal, rational, and logical. I do think AD's are over prescribed for people who are temporarily depressed due to life situations or events, but for those chemically depressed it is literally a life saver! Really though, if someone is living life unhappy and in shades of gray why so much animosity towards them for making a choice to change it? Why so much righteous judgement about someone else's choice to try medication instead of what you feel they should try first?

My only thought is I find it interesting you say you don't want her near your patients ... but not you don't want her near ANY patients. The only difference between 'your' patients and 'any' patients is that one group impacts you while both groups might have safety concerns from her care.

I think people sometimes have not been taught the difference between dressing up, dressing sexy, and dressing professionally.

What does understanding the connection between professionalism and appearance have to do with patient care or compassion, empathy, or understanding? A patient is not showing me through words, actions, and yes, appearance, how they are the best qualified for a job. The two are totally unrelated. I know in my heart that these things do not matter in relation to a persons worth or value as a whole, but in the capacity of employee, co worker, or nurse who is taking care of ill people, I want someone who can understand the connection. If a person comes in with pink hair and ripped jeans, I would be concerend that they either weren't very mature or that they would not be a responsible addition to the workplace. NOT because she has pink hair and ripped jeans, but because she chose to wear them to an interview. That would make me think either she didn't really want the job or that she didn't think about the way that could be percieved. It is all well and good to say you shouldn't be judged by such things but THE REALITY IS that we are. So knowing that, if you choose to dress in such a way for a job interview, what does that say about your judgement and decision making skills? Also, no one ever said the clothes had to be expensive, just appropriate. Years ago my ex had his first interview at Dell and we were like twenty years old. He had no nice clothes and we were very poor with two kids. He bought an ill fitting suit at goodwill, and it looked a bit stupid to be honest, it was obvious looking back that he was poor, but he still got the job and there is no way in hell he would have been hired looking like he had just rolled out of bed after nightclubbing the eve before. The bad suit did not get him the job, but a sloppy presentation that did not show he took the interview seriously very well might have cost it.

I thought the list was hysterical, and read similar things a decade ago. Some people are either not experienced enough in a work environment, or are not smart enough, to understand these things and have to be told. Usually when you have to be told even if you follow the directions you probably still don't understand why, or you would have already been doing them. Whats funny is I am a pro tattoo, piercing, cleavage, sexy, skin and cleavage kind of girl, but would NEVER show up for a work or parent related function in such a way. I even grew my hair out from its punk cut and went from platinum and blue to brunette just for nursing school.

I would just like to point out that in all the professions mentioned when the emergency presented is outside of the normal risks and has a high likelyhood of death they ask for volunteers. I.E. the meltdown in Japan, they asked for workers who were willing to go back in. I understand that in my choice of nursing as a profession there are daily risks but the situation of a highly contagious disease that causes death running rampant in large numbers is not one of them (or if it is I haven't been taught that yet!). To be effective in such a situation a person has to be more emotionally invested that it is the "right" thing to do, however that is right for them, and IMO has nothing to do with degree of professionalism or intelligence. I am saddened so many have posted with such negative attitudes towards others of differing viewpoints. Yes if I were sick and likely going to die I would want someone to care for me, but if I were also very contagious I would only want people who knew and accepted the risk willingly. I do have children and likely would not expose myself to such a pandemic if it were that contagious and fatal despite PPE, but once my kids are grown and out of the house I would feel that it is part of my duty as a human being since out of the available humans I would be (as a nurse) in much better capacity to help than the average person off the street. I would also never join the military since I have children, but that doesn't change the respect I have for those that have. It is just a personal choice and I respect that, whether it is the same choice I would make or not.

Now you have me curious, please let us know what the answers were when you get them! Just my opinion but I would totally go with monitor for relief of spasms and not teaching as my FIRST intervention related to the medication. I am first year and have not had pharm, but as our instructors keep telling us nclex is often about order and critical thinking. I am curious though, how do you contact the patients minister without violating hippa? Is this assuming we are getting the patients okay and participation is that what "plan to" is about? That questioning in my head made me wonder of the hospital minister was the right one instead of her own.? Responses? I am not by any means an expert so for me the discussion of these questions helps me learn and understand.~ CS

Nursing is a high stress, labor intensive job, and will not ever make a person "rich" so if you don't really want to be a nurse, then perhaps you should trust your gut and re assess what types of careers will fulfill you as well as pay bills. Having said that, why not at least wait until clinicals so you give yourself the chance to see if you really don't like it. School and paperwork are not the full picture... missing the patient interactions right? I don't think it is 'WRONG" to choose nursing just for job security, but I do think since it is such a demanding job that if that is ones only incentive, it sets up for failure and dissatisfaction long term.

My tip for nursing school, make sure you have a plan B for drop off/picking up the kids and someone willing to watch them since the schedule can change daily! Plan meals based on budget and TIME. No fancy dinners that take an hour to prep and then clean up. Put both kids in the shower with you and do them at the same time as you. As for the boyfriend, I have three children and while everything may work out great..... if it doesn't and you two part ways how will you take care of yourself and your two children if you Don't follow through with school? If he is a great guy who is just insecure, then tell him that you are going to make it, and you would much rather view him as the man you love who helped make it happen by being such a support, than the guy who made it more difficult and tried to drag you down... If he is really kind of a jerk though, then just remind yourself that financial independence, even a few years away=freedom, while a lifetime of minimum wage and dependence on a man is soul crushing.

I cannot comment on the job since I am a student, but I will say that if it makes you feel negative in someway after (guilty, shameful, dishonest) then of course it would be better to simply tell the patient that while you might not share the same faith you are more than happy to sit with them while they lead/pray both for emotional support and because you know prayer has been shown time and time again to benefit those in need. Sometimes a person is having doubts and needs/wants another persons affirmation that praying could help (hope) some people believe that the more people who pray together the stronger the outcome. If it doesn't bother you to do so though, I would think participating would only be a positive thing.

I just wanted to say try and keep your outlook positive! Many people look for 3-6 months to find a job in almost any field, with or without experience! It is not unusual! Keep looking! ~CS