TriciaJ RN

Psych, Corrections, Med-Surg, Ambulatory

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All Content by TriciaJ

  1. One thing that's obvious: you already have insight and are receptive to feedback. That gives you lots of potential. You could be absolutely right about everything you mentioned. The Golden Boy...
  2. TriciaJ

    When the Hospital Fires the Bullet

    And the reason these things all worked so well was because there was appropriate leadership. Someone had to have the right programs in place, hire the right staff members and provide the right...
  3. TriciaJ

    When the Hospital Fires the Bullet

    But it happened in a hospital. Where a patient was brought for care and ended up being shot. And the news story, while lengthy, contained a paucity of helpful information. The media loves to...
  4. TriciaJ

    Given bad report all the time.

    When you find a serious mistake, are you required to complete an incident report? It doesn't matter who programmed the pump; you found it to be in error and the patient missed several hours of...
  5. TriciaJ

    When the Hospital Fires the Bullet

    This is a multi-faceted problem. There are some who will try to distill it down to whether there should be firearms in hospitals. This is not only simplistic; it misses the point entirely. A...
  6. Thanks for the update. I've been out of med-surg more than 5 years; incredible how much has changed. It's the reason I seldom weigh in on med-surg stuff: too likely my info is
  7. Speaking of balloon inflation: make sure it is inflated to the capacity printed on the foley. In fact, test it before insertion. Balloons inflate asymmetrically before they are full; a...
  8. TriciaJ

    Union Grievance! I need help

    Your union rep can only enforce the contract, not rescue you from any mistakes. I used to get calls from people who had shot themselves in the foot and then wanted the union to save them. I felt bad...
  9. TriciaJ

    Another reason unions suck!

    Not necessarily. Some unions are better than others. Just like employers. Some employers are so decent no one needs a union. That is rarely the case, however, among hospitals. It's really all...
  10. TriciaJ

    Another reason unions suck!

    The union does not mandate keeping bad employees on the job. They just make sure the disciplinary process is correctly followed; this protects you from inappropriate dismissal. Many managers can't...
  11. TriciaJ

    Another reason unions suck!

    You can sit down with your manager all you want. But if you've had some managers like the ones I've had, good luck. All BS and doublespeak. Unions do NOT create rules. They negotiate a contract...
  12. TriciaJ

    That's MY JOB!

    Yes, I'm wondering what they're equipped to provide for the $4000/month. What are their real costs and just how much profit do they rake
  13. I had a patient admitted to the floor with a kidney stone with orders for Dilaudid IV Q1h. Doesn't matter what dose; it wears off in 15 mins and then he had to writhe in pain for another 45 mins....
  14. TriciaJ

    so confused. don't know what to do

    First of all, stop comparing yourself to your friends. That's just mental debris that interferes with clear thinking and problem-solving. Why don't you start with a list of what you want your life...
  15. TriciaJ

    Hostile work environment - Violent Doctor

    Many nurses here in the States are not union. I know; hard to believe. That's why you'll read many posts on this site from nurses who are putting up with crap out of fear for their jobs. Another thing...
  16. TriciaJ

    Sabotaging in nursing

    Yes, people often have malicious intentions. You stuck it out at Revolving Door General and put up with a lot of crap. The best plan would have been to just go quietly through the door when you had...
  17. TriciaJ

    Hostile work environment - Violent Doctor

    Absolutely no need to be afraid. Plan for how to stick up for yourself if you ever become his target. He gets verbally aggressive just look at him calmly and tell him that's not ok. If he puts his...
  18. TriciaJ

    Ridiculous NCLEX Wait Times

    I took it in Canada and the US. BOTH times involved months waiting to take the test. And then weeks to get the results. And yes, 2 full days of paper and pencil because you had to do the WHOLE...
  19. Has OP left the building? Thought he/she wanted opinions, suggestions, etc. Which we can't provide without a bit of clarification. Unless this is yet another person wanting sympathy for his/her...
  20. TriciaJ

    Patient bedside phone help

    "He can't pick up his phone right now. Can I tell him who called?" Most people understand that a hospital patient might be away from his bed or in the middle of something. If they get nosy or...
  21. I'm thinking a nice job selling shoes someplace. As long as the customers don't all come in at
  22. I think it would be easier to help you if I had a clearer understanding of what happened. Did you get terminated from a job? What incident led up to the termination and what were you told? What was...
  23. TriciaJ

    Bullying or Not? Rant!

    If this is a good job then it's a good job with a few flaws. You are not going to change her behaviour with clever responses, trying to be friends or confronting her. It's not your place to judge...
  24. TriciaJ

    Am I violating HIPAA

    Short answer to your (hypothetical?) question:
  25. TriciaJ

    Unhappy Speech Pathologist

    Also, do not underestimate the marvelousness of working day shift, with weekends and holidays off. Might not be a deal-breaker for you, but always something to keep in