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TriciaJ RN

Psych, Corrections, Med-Surg, Ambulatory

Content by TriciaJ

  1. My guts aren't happy with the whole scenario. Doing postoperative assessments with no doctor on site? No. Wants a brand new nurse "with no bad habits"? How about a seasoned nurse with no bad habits? Writing his notes that he signs? And he bills for a doctor visit when no doctor is even in the building? I smell fraud. I would respectfully decline this position. What to do about the current position that you hate? Tough it out or keep searching. Don't jump from the frying pan to the fire.
  2. TriciaJ

    Disrespect & Profanity

    I'm pretty sure the HIPAA statutes (statutes, right?) prohibit anyone being around a nursing unit or protected information without a legitimate reason. That includes hospital employees. So if Clark is going to be on your unit, and you're charge, then you need to know what he is doing there and to whom he reports. Minimum. So definitely play the HIPAA card. Filing your complaint to HR is cartoon form would also be a nice touch. Because some people do need to have a picture drawn for them. By the way, you do know that Clark is somebody's brother-in-law, right? He has to be given employment because he wouldn't last five minutes anywhere else and no one wants him for a couch-surfer. You may very well be wanting him to be fired by the person whose couch he would end up on. Just something to keep in mind.
  3. I would be so livid. I would probably have fired out a poison pen memo about reading signs, knocking first, not unlocking locked doors, 10th graders are not preschoolers, if they need snacks they need to pack their own, yada yada. Do these people take special classes in how to be clueless? Apologetic? She would be mowing my lawn for the next year.
  4. TriciaJ

    Parent harassing me in clinic

    "I can see your point"? Gosh, how wonderfully astute of him. Who are these people?
  5. TriciaJ

    Anybody KETO?

    I'm sure I wouldn't have the mental discipline. I'm just trying to keep my chocolate habit at bay.
  6. As long as you get a written job description. The Downton Abbey crowd have been known to demote butlers to footmen.
  7. TriciaJ

    Happy Ash Wednesday and welcome to Lent

    Good Lord, what's left to give up? Sounds like every day is Lent. Hats off to you.
  8. I'm guessing you're in Britain, due to the terminology you use. What type of facility are you interviewing for? Other than being elderly, what are the issues of this particular clientele? Are they independent, with minimal assistance needed? Major mobility and self-care issues? Dementia? If we had more information, we might be able to offer more help.
  9. TriciaJ

    What’s changed since 2004?

    I'm not really sure if it matters what has changed since 2004. The fact is you have only 1 year of experience and 16 years away. I think even if everything was exactly the same as it was in 2004 you'd still be in the same boat. I think I would consult with someone from the Board to find out which refresher courses are recognized and what you can expect from them. Will you have to retake NCLEX? You might also want to try to get informational interviews with nurse recruiters to see what kind of new grad/returning RN internships are available. Good luck!
  10. TriciaJ

    Is this Med error/bad ?

    Yes, it's a med error and probably requires an incident report. What do you mean by "very bad"? Was the doctor furious? Did you injure the patient? Doesn't sound like the patient suffered any ill effects. Take a breath. You said "The doctor was fine with it." Take another breath. The reason you do an incident report is 1. If something comes of it later, Risk Management is already on board. 2. There might have been contributing factors beyond your control that need to be identified. 3. You are a conscientious nurse who holds herself accountable. (Completing an incident report will help establish that and your reputation may come in very handy down the road.) You will make errors. How you handle those errors after the fact will determine what kind of nurse you are.
  11. TriciaJ

    Current Struggles as a New Grad

    This will certainly get better with time. Just keep in mind that no one is trying to put you on the spot (I hope). They just want the info. You'll get better at anticipating.
  12. TriciaJ

    Disrespect & Profanity

    Count me in. I've put up with a lot of Clarks and they're like a cancer in the workplace. Other employees start wondering what is the point of being conscientious when there's no consequence for not. Then you see an entire unit start to unravel. The people who don't want to allow their standards to slip start taking their standards elsewhere. The Clark-to-human ratio goes up. I probably don't need to tell you these things, Davey because I know you're an old pro. But be careful not to show any emotion in the meeting and don't let them see how much Clark's behaviours personally disgust you. Tell them you are increasingly concerned about patient safety and well-being and explain how Clark jeopardizes that. Explain how the less self-directed of the staff are beginning to take their cue from Clark, with the subsequent erosion of the professional culture. See if you can slide in something about decreased patient satisfaction with possible reflection of Press-Ganey results. I personally think you can make this happen and I'm rooting for you. I'm not saying I hope Clark loses his job; only you know if it's come to that. Maybe a nice come-to-Jesus remedial work plan will shore things up.
  13. TriciaJ

    Online medical terminology certificate

    Does the school not provide a list of whose credits/courses they will accept?
  14. TriciaJ

    New grad nurse, can’t stop thinking about work

    First of all it's normal when you start a high stress job (or any job that particularly stresses you). This should abate with a bit more time. Come up with a game plan to catch yourself at it and redirect your brain, at least during your waking hours. Your brain has just gotten itself stuck in a loop. Before you go to sleep at night, tell yourself "Tonight I'm going to dream about (sandy beaches, brew pubs, cute puppies, cute guys, etc etc)". Not sure if it'll work but hope this helps. If you start having dreams that it's near the end of your shift and there's one patient you haven't even looked in on yet - don't know what to do about those. In my experience those dreams go away gradually after you retire. Good luck.
  15. I didn't even notice that. I got stuck on "bachelorette" degree.
  16. TriciaJ

    Terrible experience with nursing staff

    I clarified this before. Single payer will eliminate all the niceties that people take for granted. Not saying that single payer is superior or inferior in terms of actual quality of medical care. I have lived and worked with single payer before moving to the States. I have experienced the pros and cons of both systems. People who tend to be entitled or demanding will have a bit of an adjustment, to say the least. It is rather interesting to me that the one statement I made (based on personal experience) seems to spur such righteous indignation.
  17. TriciaJ

    Parent harassing me in clinic

    I think it's really crucial that you do not allow yourself to be intimidated by this woman. The fact that admin are jumping up to intercept her and you're considering parking your car elsewhere speaks to how unhinged she must be appearing. I do believe you (and the school) need to file a police report. I also think an order of protection and being banned from the school might be in order. I strongly suggest you file a report with the BON. Her lack of behavioural control certainly calls into question her ability to practice nursing safely in any setting. Worrying that she may maliciously report you is even more reason to get there first. CPS absolutely needs to know about this. Her behaviour is a vital piece of information when assessing her fitness as a parent. Your withholding this out of fear makes you complicit. Good luck.
  18. TriciaJ

    Do you consider an infiltrated IV a medical emergency

    "Non-nurse manager". Pretty much says it.
  19. TriciaJ

    Chocolate Therapy

    The dog had spent the previous night sleeping with her head to my feet (if you get my drift). I did not enjoy the mercy of noseblindness then so it would have been very imprudent to drive with the windows rolled up. It was enough of a challenge maintaining the speed limit.
  20. TriciaJ

    Chocolate Therapy

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

    Agency question

    Each hospital has its own policies. Like Davey said, best to check with HR to find out.
  22. 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.
  23. TriciaJ

    Chocolate Therapy

    The car ride to the vet was barely survivable with all the windows rolled down.
  24. 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.
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