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TriciaJ RN


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  1. TriciaJ

    Interesting case of the spilled pills

    Mistake #1: Not having a formulary Mistake #2: Fishing pills out of the sharps box. I have my doubts as to whether the inmate was as distressed as you or I would be. This is the demographic known to ingest drugs that have been transported in other peoples' rectums. I do think it was worth a lawsuit: professionals need to conduct themselves accordingly and that message needs to be clear. As to what the inmate will do with his windfall? He might start a college fund for his kids. But I have my doubts on that. Unless he has a very long sentence ahead of him, chances are good the taxpayers will fund his substance abuse problem. And the resulting necessary treatment.
  2. TriciaJ

    Interesting case of the spilled pills

    You're right about everything. At the jail where I worked, the county settled everything. And inmates have 24 hrs a day to think up things. A case like this would certainly have been worth a few bucks. With no ill effects. That inmate won the lottery.
  3. TriciaJ

    Where Do Nurses Look for Jobs

    Maybe the ad itself is a problem. Does it portray the workplace as a place where people would want to work? Does it fall back on trite buzzwords like "team player" "client-focused" and "rewarding"? If you're using using the main sites, then find someone to critique the ad.
  4. TriciaJ

    Fibromyalgia, Anxiety, Depression - Help!

    Rotating shifts? Where are you? They're still ubiquitous in Canada, fairly rare in the US. I think a regular shift (even nights) would stand to improve things. Any way you could get off rotating? A note from your doctor, a different position, a different employer?
  5. I'm so sorry for what you're dealing with. Why kind of relationship do you have with your current manager? Is there any way you could have the above conversation with her? She must already have some understanding about the dilemma you're in. Let her know that you don't like leaving her hanging but you don't know when you'll have a handle on your health problem. She might offer to give you an indefinite leave of absence or she might reassure you that you could resign on good terms and stand a good chance of rehire. Or she might be completely unreasonable and then at least you'd know what you were dealing with. I always think a face-to-face conversation is best for clarifying things; then you'll have an idea how to proceed from there. Wishing you improved health soon.
  6. This website is open to the public and is an excellent place to start researching nursing as a possible career. It just seems to not be the best of planning to undertake the rigours of schooling for a career that might not be doable. Now the OP is trying to find a way to salvage her career and it might not be easy. Yes, lots of people don't want to work bedside. But a significant number of us find that it takes a few years at the bedside to be able to get out of it. And the away-from-bedside jobs aren't necessarily a piece of cake, either. Unfortunately, nursing requires a LOT more than being understanding of people's pain. Because the people in the beds can't be expected to be understanding of your pain. There are occasional posts that pop up on this site: "I'm a new nurse but I don't want to work nights." "I'm a new nurse but I can't stand for long periods." "I'm a new nurse but I need every Sunday off because church is important to me." "I'm a new nurse and I think it's unfair that I have to work Christmas." For those of us who have spent our adult lives on our feet, during the night, on weekends, holidays, etc - we can only shake our heads. Anyone whose dre-e-e-am it is to be a nurse - find out what's required before deciding if it's for you. It's not classified information.
  7. TriciaJ

    Interesting case of the spilled pills

    Actually this whole story made me laugh and not because it was remotely funny. It's just... so Corrections. And just when I thought I'd seen the nth degree of multi-layer stupidity... Correctional facilities should have a state-approved formulary. Being a criminal should not guarantee access to meds the law-abiding population can't get its hands on. As previous posters have said, if the pills needed to be counted - even if the inmate brought his own in - they should have been blister-packed. Those nurses do not need remedial courses in pharmacology; they need a course on professional assertiveness. The pharmacist needs to get a nice job selling shoes somewhere.
  8. TriciaJ

    Interesting case of the spilled pills

    And not only a free ride. When that inmate found out what had happened, you know his first thought was "SCORE!" and off he went to call his ambulance-chaser.
  9. TriciaJ

    Any way you could stay over and work a few hours

    Wait, the wage is low because of the contract? Who negotiated the contract? Either you have a crooked union who negotiates back room deals with management, a really inept employee bargaining team, or management who blames the union for their own dishonesty and ineptitude.
  10. TriciaJ

    Written Up

    I suspect "write-up" just means incident report. Incident reports are supposed to be completed for near-misses as well and their main purpose is to uncover systems errors. Since many of us agree that the order was ambiguous, I think an incident report is in order to review the order itself. Doctors don't follow their own orders; they don't always realize how something is going to be implemented. Same with hospital pharmacies; while heading off one problem they don't always realize they're creating a different problem. The incident report calls attention to what might be a multi-faceted problem. If many such reports are being written based on the actions of the OP it may highlight an education gap that needs to be addressed.
  11. TriciaJ

    New Nurse Tips for Struggling Nurse

    This might seem rather stone-age, but is everyone using a work-sheet? When people complain of feeling disorganized I wonder if they're putting a worksheet to good use. (I once precepted a grad who kept her worksheet in her pocket and wrote notes to herself on her hand. Very bad idea. We covered worksheet 101 that day.) If you can't get hold of preprinted ones, or they don't work for you, then design your own. What information do you need and how should it be arranged for you to stay on top of things? With a slot for each patient, it should include dx, postop day, med times, IVF and rate, any additional hardware like PEGs or Foleys, diet, activity, abnormal labs...anything you would need your eyeballs to land on in a hurry. Refer to it often; it'll give you a snapshot of what you need to be focusing on for the next half hour and for the next half of your shift. Update it frequently throughout your shift. It will help you stay on track and not feel as much like your brain is all over the place. It will also serve as a cue card to help you give a complete and concise report. Of course, this advice might be hopelessly outdated, but I would not have survived corrections, med-surg or LTC without it. For HIPAA purposes, keep your folded worksheet in your pocket during your shift and put it in the shredder box on your way out the door.
  12. TriciaJ

    Working on weekends!

    If your unit is operating outside the contract, you have grounds to file a grievance. There will of course be repercussions for doing this, so you have to decide if this is a hill you want to die on. But "hospital policy" and "unit policy" do not supercede a collectively-bargained, ratified, legally-binding contract. Your manager will try to make you believe they do, but they don't.
  13. TriciaJ

    Failed Capstone clincial....

    I'm really sorry you're having to go through this, after believing that you were on track. To play devil's advocate, I'm wondering if your preceptor thought each error was an isolated situation at the time, but as the time drew nearer she had a rethink. Your GPA, honour society status, etc really has no bearing on your clinical skills. Mention in your appeal that you are a lot more competent in maintaining sterility. If your preceptor has reasons to still believe you haven't grasped the principles of sterile technique, that could be a concern. No matter how non-cognitively intact you believe your patient to be, always give them the benefit of the doubt. That means you explain everything as you do it, as a matter of respect. It probably wouldn't hurt to mention that you were graded well each week(do you have copies of those weekly evaluations?)and felt confident that you were learning from your mistakes and that you are now dumbfounded at being told you are not ready to graduate. Good luck.
  14. TriciaJ

    Is it possible for me to be a good nurse?

    I think your anxiety and self-doubt have become a self-perpetuating cycle. You expect to do badly, then you do badly, then you doubt yourself.... Anxiety is not a completely bad thing in a student, new grad or experienced nurse. Actually, one of the biggest red flags in a new grad is over-confidence and the belief that one has it all together. Those are the ones who are dangerous. Is it possible to go to the skills lab on your own time to practice things? Pick one thing you have trouble with, and do it over and over until it starts to feel easier. You might just need a bit more time to gain mastery and confidence. Try to find ways to give yourself that time. When you graduate, try to find a job with a really good orientation or internship. For NCLEX, use Mosby's Comprehensive Nursing Review or whatever the current gold standard study guide is. Here's my trick for those multiple choice exams: Read the question but not the answers. Does anything immediately pop into your head? Then look to see if it is one of the answers. If it is, mark that one and MOVE ON. Other than making sure you answered every question, do not go back and review your test. Do not start second-guessing yourself and changing answers. I'm rooting for you. Hang in there.
  15. TriciaJ

    Weird Interview!?

    That's a possibility. It might have been helpful to tell the interviewee "I'm not being weird; I have a back issue." That would have put an end to the matter and Daisy could have completed the interview without wondering what to make of it.