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TriciaJ RN

Retired
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Content by TriciaJ

  1. TriciaJ

    Failed Capstone clincial....

    This defense is not going to help you. The whole point of a capstone clinical is to demonstrate readiness to assume a professional role. Saying "...as a student I was just doing what my superior told me..." shows that you are not yet ready to assume professional responsibility for your actions. If the appeals committee hears you say this, they will conclude that you are not ready to move out of a student role.
  2. TriciaJ

    Anyone have experience working a strike?

    What are the grievances fueling the strike? How do the union members feel about you crossing their picket line? Will you be undermining their efforts to achieve safe staffing or some other important concession? It is likely not legal for them to prevent you from getting in. The working conditions will probably be what you'd expect to have driven nurses to strike in the first place. You will be perpetuating those working conditions. Is this really something you want to do?
  3. TriciaJ

    Interesting case of the spilled pills

    Of course the inmate would lose if it actually went to court. But if you have a management that settles every lawsuit, no matter how frivolous, it's worth filling out the paperwork for a few grand.
  4. TriciaJ

    Is it wrong to ask

    Nothing drives me crazier than the GD surveys everywhere you go. Buy a pizza - fill out a survey. Cash a cheque at the bank - survey. Nails done - survey. If I get sick and need to be hospitalized, for the love of anything, please leave me alone with that. Besides, Press-Ganey got there first. How about a nice tip jar at the nursing station? That should take care of the monetary reward part of things. Otherwise, patients will send a damned card when and if they feel like it.
  5. Casual conversations between nurses and patients? What exactly does that mean?
  6. TriciaJ

    Being a target by a coworker.

    There is a recent thread on this site about giving people enough rope to hang themselves. That might be your best bet in this case. Fabricated is easy. It means she has nothing and the onus is on her to show that she has something. I laugh at fabricated. I would approach your manager after every incident report and request "feedback". That would show a proactive approach to learning from your errors. It will also make the day charge start looking bad if she's writing a lot of nonsense. Do not discuss with her or your "friend" what to do about the problem person. Just deal with each situation as it comes up - calmly, factually and non-defensively. Do not "talk to" the perpetrator. That never works with underhanded people. HR is usually worse than useless. Don't poke sticks in that cage. I would talk to the union, just to give them a heads up. (Unless the charge nurse is very active in the union; then she will have more credibility with them.) Do keep a notebook at home. Record every interaction you have with this person and with anyone else as a result of her actions. Meanwhile, let her keep writing her stupid incident reports. She is creating a paper trail with her name on it. This is her rope. When Risk Management and whoever else starts smelling a vendetta then she will be on the hot seat. You can check your contract if there's any language about "hostile work environment" and decide if you want to use your notebook and pursue anything at any point.
  7. TriciaJ

    Working on weekends!

    OP said "...it wasn't in my contract..." Otherwise, in this country I would not assume there is a union.
  8. TriciaJ

    Pyxis Problems

    1. Elvis impersonator 2. Guy with his scrub top backwards 3. Someone taking out vecuronium 4. Wormy apple 5. Davey ('nuff said). Can't find the other 3 - wait - is one of them a manager actually looking after patients?
  9. 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. You say you overrode the system to give the patient his Flonase, not realizing it was not the proper time for administration. While the error itself is minor, it is important to acknowledge that you had no good rationale for overriding the system and you did not adhere to the 5 rights. (There have been recent lengthy threads about this very situation.) When placing the Foley, you said you needed frequent intervention to keep from breaking sterility. Have you shown better proficiency since then? If so, 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. Let the appeals committee know that you were very anxious placing a Foley for the first time and missed this and feel horrible that you forgot to treat the patient with basic 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.
  10. TriciaJ

    Pyxis Problems

    My last workplace (ambulatory care) had a different brand machine. It wasn't anal; it was downright passive aggressive. It would pretend it never saw your fingerprint before. The process to actually get one of its precious meds out of it was quite elaborate. If the multiple steps weren't completed just so, you had to start over. Sometimes it would decide it needed to reboot itself, but only if the clinic was especially busy that day. We learned never to keep epi or other emergency meds in it. That machine would not have lasted a week on a med-surg floor. Someone would have taken a baseball bat to it. Probably me.
  11. No, I'm with you. I'm not a fan of "articles" that boil down to pontificating to the choir. And the material is Nursing 101.
  12. And your willingness to provide 24/7 crisis intervention and the occasional place to crash would make you stellar.
  13. Of course. It just wouldn't be an epiphany without a readmission. (Because the epiphany wasn't just about not coming back; it probably involved cold turkeying off all psych meds.)
  14. TriciaJ

    To look professional

    This really did make my day.
  15. TriciaJ

    transitioning from acute setting to ambulatory

    It's still very busy and hectic, but most patients arrive on their own two feet and leave the same way. There'll be a lot of variety and don't mothball your critical thinking skills just yet. The schedule will put you back in sync with the rest of the world. You won't have to wonder if it's your turn to have Christmas off this year.
  16. TriciaJ

    Advice for potential RN

    I think it's perfectly realistic. I started out in psych and so have a lot of other new grads. It didn't stop me from going on to other areas when I wanted. In fact it gave me a strong basis for dealing with behaviour no matter where I worked. Some nurses spend their entire career in psych and are perfectly happy doing so.
  17. TriciaJ

    WWYD?

    Since I spent K-12 in schools that didn't even have a nurse and we all lived I can't for the life of me think why you would cancel your vacation. For one day! Calling in sick probably would not be believable. Is there a chance you could level with admin and tell them you won't be there? Since the vacation is nearly free you could offer to give up a day's pay. Is there something onerous you could offer to do in exchange? Like chaperone the next outing?
  18. TriciaJ

    To look professional

    He could have just clicked a regular pen and pretended it was a penlight. Would have yielded the same information and looked just as professional. "You have been declared officially expired. Is there anything else I can do? I have time."
  19. TriciaJ

    S & M Nurses

    Back to S&M nurses: I think both feel powerless in their lives. The "S" category likes to feel a certain power over others. The "M" category is increasingly glorified in the current victim culture because she's a much more noble and worthwhile person than ALL the people who OPPRESS her. If you take her side against all her oppressors you are demonstrating your compassion to the world.
  20. TriciaJ

    S & M Nurses

    No, but you'll get there.
  21. TriciaJ

    S & M Nurses

    There is (or was) and Marks and Spencer at West Edmonton Mall. Once when in the area, I was given the assignment by a Liverpudlian coworker to procure for him some Melton Mowbray Pork Pies. He has long since moved back to England, so I imagine he can get them whenever he wants.
  22. TriciaJ

    Weird Interview!?

    I can't "like" this enough. And I totally agree with the seminar theory. Probably the same company that came up with scripting. Now it's "How to Get Buy-In By Being Too Cool For Words".
  23. TriciaJ

    Charting and learning

    I'm glad you're enjoying your job and sorry they threw a new grad into the deep end without an orientation. Make yourself an orientation check list. Start listing all the things you aren't sure of, when and whom you asked for help. Mark down every time the DON promises to extend your orientation or provide training. Hopefully you will gradually feel comfortable with more things. If you get in trouble meanwhile for something you didn't know how to do, you have a paper trail of trying to get help. Another suggestion since you are a new grad working corrections: get a copy of the book Games Criminals Play and How You Can Benefit From Knowing Them. It'll help you be more savvy and astute with all the behaviours you're going to encounter. Good luck.
  24. TriciaJ

    Give 'Em Enough Rope

    I once had a really toxic and incompetent manager who used to nitpick the solid workers. People who had performance issues got a free pass. It was mostly a divide-and-conquer mentality; she liked to keep everyone pitted against each other. She needed to keep a few workhorses around to actually get some work done but she didn't want them feeling too powerful. I think the slackers made her feel competent.
  25. TriciaJ

    Free teaching labor

    When I was a student we did out clinicals with an instructor. We were told facilities actually staffed based on student presence (they down-staffed). After becoming a nurse, I was paid to precept orientees but not students. During one psych position, the students were paired with a nurse for the entire term, the instructor maintained a strong presence and the students were mostly well-prepared for their clinical. The ones who weren't were dealt with by the instructor. When I worked on a med-surg floor at a different hospital, it was customary for the students to be dropped off a paired with a nurse on a daily basis only. Some instructors maintained a presence, provided support and sought feedback from the nurses. Other instructors were never seen and sought no feedback. Those are the situations we resented; we were just providing free babysitting.
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