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TriciaJ RN

Psych, Corrections, Med-Surg, Ambulatory

Content by TriciaJ

  1. TriciaJ

    Chocolate Therapy

    I was more likely to pass out and run the car off the road.
  2. TriciaJ

    Agency question

    Each hospital has its own policies. Like Davey said, best to check with HR to find out.
  3. TriciaJ

    Canadian considering bsn in the USA.

    1. What are the comparative costs of the degree on both sides of the line? Will you have higher tuition for being a non-resident? Are you saying it takes a year longer to get into school in Canada? 2. I would check with USCIS about the requirements for a student visa and subsequently a work permit. 3. It may be much cheaper to get your degree in Canada, take the NCLEX in the US and get a work permit. 4. What on earth does OTC stand for in this context? 5. Is it that difficult for US-educated nurses to become licensed in Canada? Is it province-specific? I guess I would start by mapping out (as precisely as I could) the costs and time frames for the different pathways to your goals. Don't forget to factor in test fees, licensing fees, immigration status fees as well as general cost of living for the time that you would be in school. What are the requirements at the respective schools? Long list of prereqs? Good luck, whatever you end up doing.
  4. TriciaJ

    Chocolate Therapy

    The car ride to the vet was barely survivable with all the windows rolled down.
  5. TriciaJ

    Chocolate Therapy

    That GI system cost me $1000 one time. A wad of grass got stuck. The farts were gag-a-maggot putrid. We got sent to the doggy gastroenterologist for an overnight and the grass was manually removed in the morning. And I wrote the big cheque.
  6. TriciaJ

    When Nurses Say the Wrong Thing

    Yes, I was a bit slow on the uptake.
  7. TriciaJ

    Why do you visit allnurses.com?

    I've been around long enough to have an opinion on everything and here I don't have to care if anyone wants to hear it. I do like the opportunity to help newbies navigate the world of nursing. I think it's harder than it used to be and I try to offer something helpful if I can. I also like connecting with other seasoned nurses and appreciate their no-nonsense outlook and wry sense of humour.
  8. TriciaJ

    Chocolate Therapy

    Why does this remind me of the beagle I used to have? Walks with her were always an adventure in not-so-fine dining.
  9. TriciaJ

    When Nurses Say the Wrong Thing

    Me (providing peri care on a young postop gyne patient): "Oh, they gave you a really good shave prep!" Patient: "No, I did that myself." Me: "Oh, you wanted to save them the trouble?" Patient: "No." Me: (Silent as I finally catch on and shut up.)
  10. TriciaJ

    Chocolate Therapy

    This thread reminds me of a sweet coworker I had while working psych. Quite often we'd arrive at work to be confronted with the pain-in-the-butt edict du jour. I would predictably get rather salty about it. Jim would then run out to the vending machine and bring me back some chocolate. But he never brought me any Feces Pieces. That would have really made my day!
  11. TriciaJ

    What would you do?

    I would start soonish with an ADN. I know a lot of people attend nursing school later in life and do well, but I think generally it's a bit easier when you're younger. More energy, better retention, generally speaking. This will give you more time to pursue advanced degrees, CRNA, etc if you decide to follow through with that. It will also give you more time to recoup your losses if you end up hating every minute of it and pack it in. Another thing - if you carry on until 40 with regular daytime hours and workweek days, it'll be that much harder to adjust to working shifts, weekends and holidays. Better to find out sooner if you're going to love or hate it. If you end up deciding nursing is not what it's cracked up to be, I have no doubt you will find ways to provide value and gain fulfullment. All the best to you.
  12. TriciaJ

    HR wants meeting or report me to BON

    I'm sorry this happened to you. Nothing like false accusations from someone hoping to make a chilling example of you. It sounds to me like you've handled it admirably up to this point. You consulted with an attorney, you secured new employment, you attended their stupid meeting, you didn't admit to anything you didn't do. It is going to be nerve-wracking to wait for the BON shoe to drop. But the onus is on your employer to show that a documentation error is actually diversion. Meanwhile, generate a good reputation with your new employer. The longer it takes to hear from the Board the better your reputation will be when you do meet with them. This, too, shall pass. Sending you best wishes and positive energy.
  13. TriciaJ

    Terrible experience with nursing staff

    Yes. Single payer healthcare will not pay for all the extra niceties the American health consumer is used to. It will be a very rude awakening for some people. Here's my real life experience: my domestic partner has had many surgeries in the US, in different hospitals. The family waiting rooms were all nice, freshly painted with new-appearing furniture and natural light. He always had a private room and television was included. Despite tight ratios, his nurses always responded promptly and the ancillary staff were attentive too. My dad in Canada suffered severe burns in a farming accident. He did get a private room only because he was on isolation. The TV had to be paid for separately for him to watch it. The nurses were attentive (and always willing to update me on the phone) but were of course busy. When my dad asked the diet aide to open containers for him because of his burned hands, he was told "Ask them." When he became septic, I rushed home and stayed with my mom in the ICU waiting room. It was dismal. It was on the 2nd floor and looked like a basement because there were no windows. The furniture was beat up. Old, institutional linoleum. The staff were kind and updated us frequently. I don't doubt my dad received great care. But his overall hospital experience was very different from my boyfriend's. My brother waited a year for shoulder surgery. My other brother, who also has shoulder problems, was not even put on the waiting list. He was told "It's not bad enough yet." The care in Canada is good if you have an emergency. It's also good for non-emergencies, when your name comes up on the list. I don't believe anyone in my family has been asked to complete a Press-Ganey survey.
  14. TriciaJ

    Nursing - Not Sure...

    I'm really glad you were able to talk to your instructor and your mom. It sounds like that's really taken a load off your shoulders. Wishing you all the best going forward.
  15. TriciaJ

    Terrible experience with nursing staff

    I suddenly remember a letter shown to me by a mutual friend of a coworker who had moved from Canada to the Dominican Republic. She had married a Dominican and wrote an interesting account of having a baby in the Dominican Republic. The conditions would have been appalling in Canada, but since she chose to move there, marry a local and have a baby she approached the situation like a big adventure. The mutual friend and I agreed that neither of us felt the need for any such adventure, but we admired our friend for taking it on. We would probably have admired her less had she complained about the hospital conditions after having chosen voluntarily to more there.
  16. Well, there's that. I was lucky to have been taught phonics in primary school. I know a lot of people didn't get that and it has to have made things harder. But dang - doesn't higher education have a rudimentary language proficiency requirement?
  17. Amen to that. We all make occasional typos, but nothing is more cringe-worthy than seeing someone with alphabet soup after their name demonstrate the writing skills of a third-grader.
  18. TriciaJ

    Nursing and loneliness

    Yes. I do believe that. For the first 10 years of my career I worked rotating shifts with variable days off. Even if you manage to make friends with some of you coworkers, good luck being off at the same time. And forget making non-nurse friends. Working regular shifts helped somewhat, but the every-other-weekend policies still kiboshed a lot of social interaction. Since you have a little one - is there a play group or anything you take your child to on a regular basis? The repetitive contact with a fairly consistent group of people should eventually pave the way for some friendship, although working weekends may preclude attending many events. I guess the best I can offer you is affirmation that no, it's not you. Your circumstances definitely will create loneliness. Good luck.
  19. TriciaJ

    Staff drama

    I'm starting to get the feeling that OP just works in a crappy place. Managers refuse to manage and the staff sound incredibly immature. Nice place to be stuck in the middle of, for no extra pay! OP, all the advice in the world isn't going to help you in a place with weak, lazy management and whiny, lazy coworkers. Can you toughen up as needed and still live with yourself, or is it time to look for the exits? Good luck, whatever you end up doing.
  20. Nurses need to be prepared to nurse, first and foremost. There was a time when nursing was an entry-level job. Young girls came in off the farm, were put to work scrubbing hospital floors, then worked their way up. Somewhere along the way it was decided that a little formal education would come in handy. Hospitals developed schools of nursing. Then someone decided that you couldn't be a true professional without a university degree. That wasn't a bad idea either. Then advanced degrees got added. No problem there. Except our education is taking us farther and farther from the actual bedside. If this forum is anything to go by, so many people study nursing for the express purpose of doing anything but nursing. Even the nurses who choose to be at the bedside are dragged away by the multiple peripheral demands. Who is providing the actual hands-on care while we're tied up with computers and other paraphernalia? CNAs, that's who. People with very limited education are providing the bulk of nursing care. I guess it all comes back to staffing. If facilities were appropriately staffed, then patients would be receiving their care from the people who have been extensively educated to provide that care. This is not a slam on CNAs or ancillary staff. It's just that we've come full circle by educating ourselves away from our patients.
  21. TriciaJ

    Terrible experience with nursing staff

    The statements that jumped out at me were from the original post: "It hurt my feelings so much." "I felt like the nurses hated me." 1. Most healthy adults have taught themselves not to personalize some else's behaviour to that extent. 2. If that's the way they do things in another country, that's the way they do things. Clearly the pits if you're a patient there, but definitely one of the many things to consider when moving to a foreign country. 3. After she fell and hollered 10-15 times, her boyfriend finally woke up and responded. I'd be mad at him for being so slow to wake up and respond. 4. I'm all for sympathizing when someone has a bad experience, but the whole post screamed professional victim. Maybe it was just a reflection of the recent postop status and poor pain control, but I couldn't help feeling my sympathy drying up. The nasty comments to responders who didn't jump on the bandwagon didn't help. 5. Some people thrive on the adventure of living in foreign countries and don't mind some less-than-stellar experiences. The OP should really consider if this is for her, or she should just come home.
  22. TriciaJ

    Nursing - Not Sure...

    If your guts are really telling you this isn't for you then of course the most sensible thing would be to decide where to go next. The fact that your parents are so stuck on the idea of you being a nurse is really a difficult burden to carry. I think if I was in your shoes at this point I would try to tough out the semester and try to complete your current classes. I would also spend time talking to academic advisors, vocational counselors, whoever is available who can help you map out a new plan. I probably wouldn't mention this part to your parents for now. By the end of the semester you may have passed it and renewed your enthusiasm for nursing. You may have failed Adult Health and have to address that in some way. Or you may have developed a new plan and know what your next steps need to be. In that case, you can then have that dreaded discussion with your parents and present them with the updated plan. It won't be easy, but you're a grownup and you have to live with your choices, not them. If your current situation is so unpleasant that it's making you ill, then just walk away from it and don't look back. Best wishes.
  23. TriciaJ

    New grad Nurse quits nursing

    Not all goals are meant to be fulfilled, or kept when they are. Circumstances change; new information comes to light or we just shed previous ways of thinking. Decision-making is so much easier when we don't hang on to goals and expectations that no longer serve their purpose. I always moved where life took me, even when I wondered if I had rocks in my head. The biggest regrets I have are the times when I overrode my gut instinct.
  24. You're still a student. Forget what you see "many nurses" doing. Not all nurses are good role models and not all work places are good places to work. While you're in school, make a point of learning everything the "correct" way. You will adapt your practice to the real world once you get out in it. You have to graduate first. If your instructor catches an error that you didn't report, your school can scupper your career before you get started. If you develop a reputation for conducting yourself with integrity, it won't guarantee a smooth ride through life. But it will give you a certain amount of Teflon for a much smoother ride. Getting caught at something you haven't owned up to is a lot harder to fix after the fact. But you do you.
  25. TriciaJ

    Rapid response

    When my MIL was dying of lung cancer, she had supplemental oxygen available to her even though she was on hospice. I never saw her short of breath, but often she requested and used the oxygen. I mentioned this to the hospice nurse and he was unconcerned about the use of oxygen without SOB. I believed it was there to provide subjective comfort and seemed to supplement the morphine and lorazepam she was receiving.

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