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TriciaJ RN

Psych, Corrections, Med-Surg, Ambulatory

Content by TriciaJ

  1. When a behaviour makes no sense, despite much instruction, it makes me wonder if everyone is barking up the wrong tree. The clue is that she frequently uses the call light and states she wants to be "prepared". I think it's a control issue and a need for frequent interaction. Is the lady ambulatory? Would it be appropriate to take her for frequent walks? This will provide staff interaction and skin recuperation time. Replace the "teaching" sessions with something more positive. I really don't think the issue is her fear of incontinence. Good luck.
  2. TriciaJ

    Davey Do Toon Caption Contest | Nurses Week

    Just one shot and you're set for life!
  3. TriciaJ

    Received Letter In Mail About Hospital Lawsuit At Old Job

    Sounds to me like the hospital attorney is trying to scoop up as much info as possible to have ammo to counter the suit. If you feel comfortable, you can contact the attorney to say you have no recollection of the person and your charting will have to stand on its own. Meanwhile, I would certainly contact my professional liability provider.
  4. TriciaJ

    MMJ Card

    The other thing I thought of is this: If you know the BON doesn't allow MJ use, you join a profession that is dependent on BON licensure, then all along you're carrying a license under false pretenses. It's a less than honest way to enter a profession and has spectacular backfire potential. Check out the Nurses in Recovery section of this forum. Many are very candid about what they've been through and they do provide a wealth of first hand information.
  5. TriciaJ

    I need help. Do I need a new job?

    I'm glad you found a new job. Hopefully this one challenges you a bit nursing-wise, but is easier coworker-wise. I'm really glad you didn't just bag nursing altogether. Best wishes in your new gig!
  6. TriciaJ

    Kicked out of Nursing program

    In your original post you said "I'm writing this on behalf of a student I spoke to." You didn't say anything about this person being a particular friend of yours. You made it sound like a very casual encounter. Yet, you start a thread on this person's behalf and get quite incensed when you don't receive the desired answers. This person does actually exist, right? What exactly is it you're looking for? Confirmation that your "friend" was treated horribly unfairly? We don't know the whole story, so none of us has anything useful to tell your "friend". We do have students on this forum. Why don't you encourage your "friend" to start a thread herself? We could ask her questions about her situation and with better information we might have something useful to offer her. The whole go-between strategy isn't doing much for either one of you.
  7. I'd never heard of this story until I stumbled on your post. Have you finished reading all the way through? I checked out the Amazon "look inside" feature just to get an idea. It does seem a rather compelling story. Wish I could engage in discussion with you, but first I have to read the book.
  8. TriciaJ

    Nurses That Never Worked In A Hospital...

    I've certainly had some magical jobs. And not just in hospitals.
  9. TriciaJ

    Hernia Repair Patient Dignity

    I wondered when that one would be trotted out. It's a favourite of people who flunked out of nursing school and can't understand why. Some of us gamely take the bait (like we did here) and try to provide a little insight. The harder we work the more nefarious we become.
  10. TriciaJ

    Hernia Repair Patient Dignity

    This is why several of us have advised you to be very specific about your complaint. If you came across to her like you did here, she is likely to write you off as a kook with an axe to grind. That's why you got the standard blow-off response. You were the one who put "checked" in quotation marks. That implied that they had some other agenda than just postop care. So is it your assertion that they were being lascivious, or just less than sensitive? You need to be very clear about this if you want to be taken seriously.
  11. TriciaJ

    Nurses That Never Worked In A Hospital...

    Do you remember where that perception of glamour came from, Davey? Was it television or did your instructors convey it? I ask because I'm not aware of having any such perception in my younger days but it seems to be quite the thing now. There's some sort of a nursing hierarchy thing going on. The most shocking example was on this site a couple years back. Rembember the new grad who was dismissed from her hospital orientation and proceeded to apply for 30 different nursing positions in that same hospital, some of them highly specialized? She eventually took our advice to give her LTC opportunity a shot, but she did voice a belief that she was slumming it. I really do hope she was able to let go of silly notions and get some career traction.
  12. TriciaJ

    Which patients are you most scared to take care of?

    Well, they can install all the hardware and gadgetry they want. The question is, who is available to respond if someone indicates a need for help? I'm very skeptical about recommendations for stuff but not personnel.
  13. TriciaJ

    Hernia Repair Patient Dignity

    A colonoscopy doesn't involve a shave prep or postop checks. It doesn't even involve that many nurses. This is an apples and oranges comparison.
  14. TriciaJ

    Nurses That Never Worked In A Hospital...

    I've had hospital jobs and non-hospital jobs. None of my patients knew where else I had worked unless I told them. The marvelous thing about nursing is that we're needed in all kinds of places. Nursing experience is nursing experience. What's so magical about hospitals?
  15. TriciaJ

    Hernia Repair Patient Dignity

    OK so be very clear about this when you have your meeting. He had several diifferent people check on him to where he started to feel uncomfortable. No one took the time to explain what they were doing and why. I really hope this results in positive change. However I suspect a lot of busy nurses will be thrown under the bus while the status quo is maintained. Good luck.
  16. TriciaJ

    Hernia Repair Patient Dignity

    That is true. The people in charge do need to hear it from you because it falls on deaf ears coming from us. If you receive a Press-Ganey survey you might want to tell them that your husband had a succession of caregivers. Due to the intimate nature of his procedure it would have been helpful to have one nurse consistently. Also that they seemed rushed and he didn't feel able to ask questions. Maybe the powers-that-be will abandon the assembly line policies. Patients and nurses would both be happier but I'm not holding my breath.
  17. TriciaJ

    Hernia Repair Patient Dignity

    Actually you don't know what was done because you weren't there. The drugs used in surgery affect memory and can take a few days to clear the system. Patients often need to have the same information repeated. That's where families come in but not during a pandemic. You're keeping yourself worked up over your husband's account of things. Why don't you suspend judgement until you've spoken to someone else who was there?
  18. TriciaJ

    Hernia Repair Patient Dignity

    It might be a really good idea to make an appointment with the nurse manager of the unit your husband was on. S/he can explain the appropriate nursing procedures for your husband's care. If you had been able to be at his bedside, the nurses would have been able to explain at the time what they were doing. You would have been able to ask questions. Your husband was clearly anxious and uncomfortable and may have misperceived things. I am a female nurse who worked on a urology floor. I can't imagine any of my colleagues not wanting to help every patient feel safe, comfortable and respected. I was fortunate not to have to deal with covid restrictions and answering families' questions was an important part of my job. I hope you can speak with someone who can help put your mind at rest. That doesn't seem to be us.
  19. TriciaJ

    Which patients are you most scared to take care of?

    If you're allowed to four-point them and you have enough competent personnel it's usually not too bad. If you don't have adequate resources then, yes, it is quite the balancing act.
  20. TriciaJ

    Which patients are you most scared to take care of?

    I did a lot of detoxing before CIWA and didn't find it too difficult. As soon as the vitals start trending upward you get some Librium down the hatch (or inject it). The problem with CIWA is that there is no provision for vital sign changes. You have to wait for more advanced signs and then give Ativan. I found CIWA to be woefully inadequate.
  21. TriciaJ

    Kicked out of Nursing program

    Nope. No one made any negative comment. Just that there is more to the story. Your friend is either skipping some details, or she doesn't know them herself so she needs to talk with someone in her school. No one here judged her. Here's what I've told many people: don't work harder on someone's behalf than they're willing to work for themselves. Your coming on here and asking for advice on your friend's behalf shows that you are a really good friend, but you may need better boundaries. This is a lesson I learned the hard way. I have spent many sleepless nights fretting over someone's situation that I was powerless to help with. In practically every case it turned out the person made decisions I would not have in those circumstances. In the end, everyone has to live their life and fix their own errors and omissions. So my original advice stands: be there to support your friend while she navigates her own way through this. That's it.
  22. TriciaJ

    Kicked out of Nursing program

    And that's pretty much what I said, too. You want to be supportive but there may be more to the story (there often is). If that triggers the old "nurses eat their young" routine I think I get the picture.
  23. TriciaJ

    Do nurses hate nursing?

    On this very forum within the past two weeks I have seen threads/posts about the high cost of nursing education and the high cost of "training" freshly graduated nurses. It seems to me that nurses are spending piles of money to be poorly educated and hospitals are claiming to spend piles of money on "training". Hospitals are using this claim to justify having new grads sign usurious contracts for the privilege of being hired by the hospital. I smell two nefarious rackets. On top of that, nurses are constantly being required to to more with less, policies and procedures change weekly and nurses are blamed for outcomes not remotely in their control. Is it any wonder seasoned nurses are yelling at students to run and save themselves? I spent years trying to get my coworkers to take more interest and be more active in our union. It's going to take a very concerted group effort to turn things around. We have to start reminding ourselves and each other that hospitals run just fine for hours on end with no CEO in the building. They do not run even 1 minute without a nurse. They need us more than we need them and we need to start being aware of that.
  24. TriciaJ

    Left patients chart at another patient’s home

    How is it you are allowed to carry charts from one job to another? That in itself is a HIPAA violation waiting to happen. I would go back there and retrieve the chart NOW if you haven't already done so. Tell them you mislaid some paperwork and pray they haven't seen it. If there's any chance they looked at it, I don't know what to tell you. The ethical thing would be to come clean with your employer and the patient whose privacy was breached.
  25. TriciaJ

    Kicked out of Nursing program

    Unless you were there for the described events, I would be very careful taking anyone's word for why they didn't complete nursing school. I've personally heard numerous stories about the one trivial thing that got in the way of graduating and becoming a nurse. It's understandable that you want to help your friend. Her best bet now is to speak to someone in her school who can clarify for her exactly where she failed to meet requirements, and what, if any, remediation would get her reinstated. Otherwise, just keep on being a supportive friend. If she is to become a nurse, she's going to have to be a big girl and forge ahead.