TriciaJ RN

Psych, Corrections, Med-Surg, Ambulatory

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All Content by TriciaJ

  1. TriciaJ

    New manager needs help

    Know what kinds of things you want your staff to report to you and what kinds of things you don't want to be bothered with. If someone in good faith suspects drug diversion or impairment, of course...
  2. At the clinic where I work, a doctor once prescribed a particular dose of metformin for a patient. An astute pharmacist gave us a call to tell us it was cheaper to combine 2 smaller doses to make up...
  3. TriciaJ

    Nurse and patient

    I'm so sorry your providers are being crappy to you. That you have to be wracked with anxiety when a little reassurance would go a long way. As far as expecting you to know everything because you...
  4. I think when doing med reconciliation I would just ask the patient: "Oh, does this work better than taking the 2 generics separately?" The patient will then ask questions and you can provide...
  5. TriciaJ

    Dating a former patient

    That is true. I do have a close personal friend with a history of severe mental illness. But I was never her nurse; and she is not close friends with anyone who was. It is hard to change the...
  6. TriciaJ

    Dating a former patient

    Not saying the people with history of mental illness can't make good and stable partners, or that there's any "us" vs "them". There usually are, however, rules about engaging in relationships with...
  7. TriciaJ

    Dating a former patient

    You're right. The broken arm patient is a different story. When I worked med-surg, a few of my coworkers had married former patients. When I worked psych, it was a big, fat NO. Not because of the...
  8. This is what's going through my mind: I take the new job without telling my new employer about the situation. My previous employer reports me to the BON and they start an investigation. The...
  9. TriciaJ

    Don't "rescue" shifts

    Amen to everything that was already said. When you hired on, you agreed to a certain schedule. You work more or fewer shifts when it is mutually beneficial and mutually agreed upon. You do not need...
  10. TriciaJ

    let go from orientation

    I'm sorry your first position didn't pan out, but it's not the end of the world. I still think schools are leaving new nurses poorly equipped for the real world. By all means, talk to HR at your...
  11. TriciaJ

    Leaving first job, did you have a pay increase?

    Each hospital system or other employer has its own compensation package or union contract. You have to look at the whole picture: pay + benefits - cost of living - commute time, etc. You may get a...
  12. TriciaJ

    CNA Policy and Protocol Questions

    You described a CNA who sounds like she has an attitude problem, but hard for us to know since we don't know her. When you engage with her about workload issues, you are at risk of looking like a...
  13. TriciaJ

    Calling off :-(

    It is not unprofessional to be assertive. It doesn't matter how hard it is to replace RNs or whether one can be dragged in off the street. All a sick or injured nurse has to do is call out, as soon...
  14. TriciaJ

    Calling off :-(

    Do you have a union? State labour laws? It seems like a BS policy that's in violation of
  15. TriciaJ

    Silent Treatment

    During your orientation, don't expect anything from her than work-related essential communication. She might warm up eventually. If she can't even talk to you when it is pertinent and work-related,...
  16. You're getting warmer. Most of us love the work, it's just that there's too damn much of it. Hardly any time to come up for air, let alone eat lunch or take a pee. Managers who act like they left...
  17. TriciaJ

    Is 28 too old to become a travel nurse?

    It's also the reason to get out and see the rest of the world. It's easy to get roped in to the culture you were raised with. How many of your high school classmates felt pressure to marry right...
  18. TriciaJ

    Is 28 too old to become a travel nurse?

    Staying in one place won't make it any likelier for your life partner to find you. Follow your path and see who joins you on it. You have lots of childbearing time ahead of
  19. TriciaJ

    Contacted multiple times for same empty shift

  20. TriciaJ

    Contacted multiple times for same empty shift

    I've had to make the calls too. Keep a list of the people called and the response. Hand it to the next person who has to make the calls. To keep getting called about the same shift you've already...
  21. TriciaJ

    Contacted multiple times for same empty shift

    "Because it's my day OFF, which means it's the day I DON'T come
  22. TriciaJ

    Discouraged nurse

    A bad culture can thrive in any workplace. When uncivil behaviours are tolerated, the civil people move on and those who thrive on drama and snark stay and make life hell for newcomers. This is...
  23. TriciaJ

    Has anyone overmedicated a pt?

    This. On the specialty surgery floor I worked, we mostly had PCAs and did frequent vitals when the patient was immediately postop. Occasionally I was floated to ortho, where for some reason, they...
  24. TriciaJ

    "I Narcanned Your Honor Student"

    I used to have a bumper sticker that said "My child was inmate of the month at county jail." I got a lot of positive reaction to
  25. TriciaJ

    Repealing ACA

    It works well in Canada, but we only have 1/10th of the US population. We also went from self-pay to single payer; we didn't have the challenge of upending a whole lucrative industry. I can see many...