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spotangel MSN, RN

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  1. spotangel

    Your most bonehead moment in nursing. Or 2. Or 3.

    The ER was very busy with an unusual amount of pediatric patients, a few of them wailing infants. As I focused on getting a line into an old lady with spider veins, she whispered "Nurse Annie, check your scrubs". I look down to see 2 big wet patches. I had started to leak with the "let down effect" listening to all those infants crying! I felt like diary queen, smelt of milk and was mortified! Luckily I kept extra scrubs in my locker----!
  2. Annie! Your break is over! They are sending up a patient from the ER to this bed!
  3. spotangel

    An Ode to Hospice Nursing

    Beautiful post! Thank you for your article. Being there for a family when they are at their most vulnerable and the emotions are on their sleeves is hard and will take a toll on you. You have to replenish every day! God Bless! Keep writing!
  4. spotangel

    Any nurses that love nursing and love their job??

    30 years this month and absolutely love being a nurse! Read the articles I have written for the why part. I am very humbled to be part of a pt’s life and be a person they trust. Many a time my venting after a hard day sounds like bitc—ing and mourning! I don’t hate my job, I just need to vent! If you work with a good team you are all set and even better if you have a great boss!All luck! It is a hard but satisfying profession . As a Christian. I always say. “Here I am lord! Let me do your will. Let me be your comfort and strength to anyone in need!” He puts me to good use every day and I go in wondering who He will send to me each day, patient, staff or colleagues! This is my ministry of caring , not just a job!
  5. Sounds like my clinic. No med Tecs but 4 PCTs, around 25 LPNs and 3 RNs . Around 30 providers including family medicine, ObGyn, Psycologist, psychiatrists, podiatrist , cardiologist, Dermatology NP, nutritionist, social workers, Health educators etc. We offer many services!
  6. It is frustrating on most days but you touch many lives and after a while we are part of their family----! I would rather a new grad that I could train but that will happen only i f you have input into the hiring process!
  7. spotangel

    Nurse in Germany Convicted of Killing Patients

    Report him to the BON and let them know about the camera. I happened to walk in during rounds as a nursing supervisor into a room in a pediatric long term care facility and heard crying behind a curtain. I peeked and saw the a new LPN on her last day of orientation, roughly handling a peds kids with Cerebral Palsy. I had her relieved of her duties and wait downstairs in the lobby while I called my boss the Chief Nursing Office at 8pm. We send her home suspended and she was let go the next day. I never regretted speaking up and thanked God, I walked into that situation. I am not one to make you lose your job but abuse should not be tolerated. Period.
  8. Thank you Kooky Korky! Will definitely tighten up as I know you all have good intentions.I honestly do not give my number to every patient, just 1 in 3000! Lol! Did not mean to exhaust you with details of a clinic day but you are right. It is understaffed as even the management that runs the place do not get what the nurses do! Most people have this "all they do is vital signs attitude "and I am guilty of that too before I started working in a clinic.I guess, when you don't work in a place, you don't realize the details whether it be inpatient or outpatient.
  9. Wow! That's a lot you are doing super nurse! Thank you for helping your patients in spite of all the work they throw your way! I have to stand my ground and ask them to put patients on my schedule if they want me to see them that day. I am not afraid to say no. I say it nicely though! When I am scheduled to attend interviews for new staff and they put pts on my schedule, I skip the interview as I can only be at one place at one time.It is a tough job but I am glad I can make a difference. Don't underestimate the good you can do where ever you are. It does sound like a lot for one LPN. We don't have access all the time and sometimes I send pts to the ED or Urgent care the same day. If they can wait for one more day safely, I put them on the next available slot. Sometimes I speak to the doctor and overbook them if it is urgent but does not warrant an ED visit or is unstable for Urgent care like an asthma exacerbation.
  10. So true.It is like a PE! If you are not looking, you may miss the boat! You hit the ground running and most days are fast paced. You also have to know what to do and how to stabilize a patient while waiting for 911. I once had a patient on Coumadin with a non healing foot ulcer and a tendency to bleed. He went to the bathroom and turned his wheelchair hitting his foot against something and bleed like crazy. Luckily he pulled the emergency cord and we went in to a blood bath and called 911! Between the doc and I, we tied a tourniquet, lifted his leg up and put an IV in, all in the bathroom. I walked out of the bathroom feeling like I was in a murder scene! Lol! Later he came back and thanked us as they transfused him with 2 units in the ED! I joked with him that I was a blood relative at this point!
  11. Thank you! I love my job! You are spot on especially about the extra work(lol)! More than anything else, the phone number inspired trust and decreased anxiety. I remember, as the evening nurse manager , a patient in the ED, call me once as he was threatening to leave AMA and was desperately ill. I talked him into staying, spoke to his nurse and expedited his admission to the ICU----turns out he needed a CABG , got one and walked out of the hospital a week later--alive.Once you gain a patient's trust, they will walk with you and you can walk them off the cliff edge to safety! Like I said, I rarely got calls! Sometimes you have to walk your own path away from the conventional method of caring for patients to the road less traveled.
  12. Thanks . I respect your opinion.The funny thing is they rarely call! It’s a security blanket for my patients. The patients are very respectful of our time and privacy. I hear your concerns and normally give my work number to the patients not private cell. She is desperately ill and beginning to go downhill and is a mother to 5 kids,the youngest being 6. She has had a few close calls recently and I am her point person. She has yet to call me!
  13. Wuzzie ! You are worth your weight in gold. In the clinic you always have to be on high alert not knowing what will come through your door!
  14. Thank you! It is not easy being a clinic nurse. However, it is very rewarding. I wish administration would understand how much work is involved and stop piling on more work and responsibilities that I have not mentioned in the article like being the champion to a chronic disease, being in committees, covering your partner's on their day off and seeing their patients (as well as your own). That is just the tip of the iceberg---
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