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TJMICHAEL

TJMICHAEL

LPN, Addiction recovery/ Inpatient detox
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  1. TJMICHAEL

    Nursing with mental illness

    Hi qweez, I am a nurse living with & working with with bipolar! Woo-hoo! Welcome to the club :) You can most definitely succeed, especially if you can juggle school & work while managing. I work in KY & in my state, it is a matter of voluntary disclosure. I personally choose not to disclose. I've never lived in another state, so I cannot imagine having to disclose this information. Mental illness is not so uncommon in nursing - I was surprised at how many of my coworkers have shared their diagnoses with me. I work in mental health/addictions, so my employer highly emphasizes self-care as a daily part of our work life. Legally, I don't know how that works in a state where you are obligated to disclose. I would say, if your diagnosis interferes with your work life from time to time, i.e. needing to take leave, etc., that's when I would consider how to approach disclosing that. Otherwise, in my situation, that's something I don't disclose, as they do not have the right to my PHI.
  2. Seeking constructive feedback on this situation. I have 5 years experience as a trach/vent nurse in home health, right out of nursing school. This will be my first experience working in a facility. I just completed my first day orienting on the floor at an addiction recovery residential/detox unit. Several things stood out to me over my first 12 hours of orientation: 1) This nurse works FAST - mostly because she is pre-pulling meds & copy/pasting her charting. (how will I ever keep up? Does everyone do this???) 2) This nurse has horrific bedside manner - Telling her patients and ME that she is the one with the medication & if she doesn't like a patient - she's going to let them suffer through withdrawal longer, & if she likes a patient, she will try to get them onto the meds sooner. Also, openly ridiculing patients about the validity of their pain & questioning a patient's claim that she had been sexually assaulted in the days prior to entering the facility for treatment. 3) This nurse is prefacing almost everything she does with "this is how I do things, but you didn't see this because JCAHO..." How am I supposed to learn how to correctly do things (I have no floor experience) if the nurse orienting me only shows me how not to do things & doesn't have time to show me according to the policy/procedures. (BTW...the week prior to my orientation, JCAHO was on site.) First, I'd like to ask if this type of situation is common, as I have never worked on a unit in a facility. Second, I want to be careful as to what action I take & who I approach if/when it is warranted. While there is certainly unethical behavior occurring, I am not certain what the appropriate action is/would be on my part. It's been suggested I contact the DON. I "feel" like I need to take action, but I want to make sure if/when I raise concerns, I bring only specific examples & have done my diligence. Thank you for your input. This "new" nurse is trying to adjust to a whole new ball game.
  3. TJMICHAEL

    What have other nurses done that have freaked you out?

    OMG! This is SO sad, & exactly why I want to work in the NICU. There will be one less spot for someone so careless & stupid to be handling these precious babies. I, myself had both of my children in the NICU - one for 112 days, the other for just about 2 wks, & had to deal with nurses who clearly should not have been nurses. My daughter was eating well & less than a week from going home & a nurse came in on the weekend & sedated her because she was "crying so much" when I was just down the hall, resting, & my phone number was taped to her bed in case she needed to be fed or held or anything. Instead, she sedated my child for hours while I slept, tube fed her in her sleep so she could do something else instead of feed my child who had FINALLY succeeded at bottle feeding, & caused her to have to stay another TWO WEEKS. I can't believe anyone would be so stupid. Anyway, that nurse has to live with the fact that she cost that precious baby its life. Hope she learned her lesson & found a desk job somewhere AWAY from any patients.
  4. TJMICHAEL

    What have other nurses done that have freaked you out?

    OMG...this is SO sad. I, myself, had both my children in the NICU due to prematurity. One was there for 112 days, the other for only about 2 weeks. This is exactly why I want to work in the NICU. Can't believe anyone would be so stupid.
  5. TJMICHAEL

    Powerpoint Overkill

    Is anyone else having this experience? Sitting in class, night after night (or day after day), listening to an instructor read, word for word, from a power point? Not that these instructors aren't qualified to teach up & coming Nurses, most of them have Master's Degrees, but it's very frustrating. I feel like I am expected to bring so much to the table, on top of a certain level of respect for the experience they have & the letters behind their names, but they are not. They can borrow a power point from another instructor, have an admin run copies for them, show up, click & read. And get paid a lot for it. Don't get me wrong, I'm not knocking them for getting paid well. And it's an important job, no doubt! But how about some of them deflate their egos a bit. How about some of them be a little more down to earth & tell us about the life lessons you have learned over the course of your career. How about NOT be condescending & prove that "nurses eat their young" isn't true ALL of the time. How about put a little more personal effort & responsibility into building up potential excellent nurses who come through your classroom instead of getting caught up in the red ink of "APA FORMAT." or making snarky, humiliating comments when you call on a student & he/she doesn't answer your question fast enough because unbeknownst to you he/she was up till 3am with a sick child, went to work at 6am, & is now sitting in your class room listening to your monotone power point presentation at 9pm. I don't mean to make a broad generalization to all nursing instructors - thus far in my program, I have met many more excellent instructors who have helped shape my thinking & push me to learn & grow. I am just commenting on some of those who are obviously very proud of their education & the fact that they are teachers, & seem bored, egotistical, & WAY overpaid. Anyone out there feel me? I am trying to stay motivated, trudge through this journey & learn as much as I can, but these sorts of instructors SUCK the motivation right out of me. Wish I could just send them an anonymous letter in their suggestion box, but there isn't one. There really isn't much satisfaction in writing it all in their reviews at the end of the semester because that doesn't help ME at all. Ugh...
  6. TJMICHAEL

    What have other nurses done that have freaked you out?

    I am a student, still early in my nursing education. At my clinical site, my patient was found having a hypoglycemic episode. Diaphoretic, lethargic, very thirsty. She was soaking wet from head to toe. I notified her nurse, who was not concerned. Thankfully my clinical instructor & I checked her blood glucose because she was barely above 30, & going downhill quickly right before our eyes. We gave her orange juice, & when her nurse came to the room, she had insulin with her. It really freaked me out as I watched her inject insulin into my patient whose blood glucose was already so low! I am still not clear on why this was done, but my patient is still alive & kicking, so I'm sure there is logic to this that I am just too new to the game to have caught on to.
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