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amoLucia specializes in LTC.

amoLucia specializes in Long Term Care (LTC)

amoLucia's Latest Activity

  1. amoLucia

    New grad......did I make a mistake?

    JKL33 - as per usual, you give good advice. hhern - sadly, LTC cannot provide, nor AFFORD, the prolonged, structured orientation time to give new nurses, most esp NEWBIE nurses need. It's just the nature of the beast. Even hosps are hard-pressed to be the post-SON educator that is soooo sorely needed for the margiinally prepared newbie. Really, it's NOT THEIR JOB to be SON, part 2. So SNFs/NHs do what they can and just hope that the new hire/newbie will fit in/function as well as poss and eventually progress & improve. In NO way is this ideal, for the rudely awakened and thoroughly stressed-out employee, but most imp, pt safety is at risk. Advice given to OP is for prioritizing, slowing down and following good technique as taught in school. Not much else can be done. If OP can friend-up with an experienced shift co-worker, or one before/after shift, support and a resource becomes avail. Maybe a transfer to a less acute unit might help, if admin approves. Or a shift change. But given the current C19 times, the status of SON education/preparation and the nature of the industry, OP can only try to stick it out, or resign and look for another job. But even then, hard times are awaiting! Good luck to OP.
  2. amoLucia

    ENP Network

    Joan - file a complaint with Better Business Bureau and see if you can file other complaints elsewhere. Might there be interstate fraud involved? That'd be BIG federal trouble.
  3. amoLucia

    Hitting a wall

    My guess - people were just trying to be helpful and to know that you were on top of everything. Give them the benefit of the doubt, afterall, they were interested in the pt's welfare, just as you. You could just appreciatively nod & acknowledge their intentions by saying, "thank you for watching out for my pt and me. But I just spoke with Dr X and he knows about the fluctuations and what we're doing. TY".
  4. amoLucia

    What are two opposing health beliefs?

    Any ideas on your part re health beliefs?
  5. amoLucia

    VIP Patient Demanding His Drugs

    Just thinking - who's paying for those procedures? Insurance? Are they clinically indicated? Could this be a case of FRAUD? I've a cousin who performed investigative forensic insurance fraudulent billing cases. He prob would have loved this one! Being investigated for billing fraud would carry more impact than being reported to a Board of Med for the doc. He'd somehow justify the need and the BOM would just nod.
  6. amoLucia

    No Scott Toilet Paper?

    Received 2 free single rolls of generic toilet paper in a complimentary 'grab bag' from my Meals-On-Wheels provider. Appreciated but unexpected, to say the least.
  7. Kooky - I usually find myself agreeing with much of your postings. You DO have a passion at times, but sometimes you seem to go just a weeeeee bit over the top. I'm retired, so I have no audience with which to provide this info, so my comment was just an open suggestion that others, who SHOULD KNOW, be so provided with the info. Not all nurses have the ability or inclination to take action. Wish it weren't so.
  8. amoLucia

    Is malpractice insurance worth it?

    Couldn't agree more!
  9. amoLucia

    I can't get a job!!

    OP - I'm surprised that you didn't find LTC/NH conducive to developing that close nurse/pt bond. I had no problem with autonomy, advocacy, critical thinking, skills performance, time management, family dynamics, prof interface, etc. Even when on my fav 11-7 shift. Now the difference may be attributed to the fact that I was older with YEARS of LTC experience. Honestly, I doubt much of that will be achieved for you on a day shift, unless you're talking a specialty practice. Just reading along here on AN, you just may find things more brutal & unsatisfying for what you seek. Many day-shifter respondents remark about the unending pace and running, running, running ... unsupportive admin/mgt, petty coworker relationships, etc. As for your safety, EVERY job will pose risk a for you, and your little one & Dad. Just going to a grocery store has its risks! Nothing is totally safe. Respondents on this post have offered some excellent suggestions & sincere advice. Hope you find something that you will like.
  10. Right - like who does the job when you're not there to be doing it???
  11. amoLucia

    Multiple vaccine errors.

    OP - breathe! Just to say, stop beating yourself up so badly. Obviously, you are deeply concerned re the med errors. And rightly so. Those 3 errors in 1 year are signally something very disturbingly wrong. I don't think you're the 'most inept, useless nurse ...' . But you do have a problem. It seems you're OVERWHELMED in your job. It's sounds like a tough job for anyone, but ... the buck stops with you as YOU are the one making the mistakes. Sorry to say this, but I feel you're at that CRITICAL POINT where you need to immed talk with your employer re your work environment (AS YOU DESCRIBE IT). Unless things are to drastically change (which I doubt will), then you should SERIOUSLY consider resigning and finding other employment. You are correct that another error may likely occur again, and with possibly more serious outcomes. But give yourself some credit - you did successfully complete your LPN program (all nsg programs are hard), and you successfully NCLEXed for your license. Importantly, you demonstrate the foresight to see the seriousness of this situation for your pts, foremost. And you've analyzed some root cause contributing factors. If you were to continue in your job as it currently exists, I see you becoming increasingly frazzled, more self-negative, and MOST SERIOUSLY, have increasing difficulty to practice safely. And that's your goal - to practice safely. Take care for your pts and yourself. Good luck. And BTW, while your family and friends are trying to be supportive of you in their own ways, you are correctly recognizing the full seriousness of this dilemma to respond in a safe, responsible & conscientious manner.
  12. amoLucia

    Is malpractice insurance worth it?

  13. August 6th, 1945 and then Aug 9th, mark the 75th anniversary of the WW2 Japanese bombings of Hiroshima and then Nagasaki. Shortly thereafter, WW2 ended on August 14th/15th with Japan surrendering. There still survive some survivors of the bombings. There would only be a very few elderly military veterans still remaining. A 'thank you for your service' to all remaining vets and our active service people, as well.
  14. Hmmm! Seems like a classic case of 'not my job' versus 'other duties as assigned'. Be careful how you proceed, for if you 'doth protest too much', you may find yourself out of a job. Usually, a care attendant can box things up, but if there is volumes & volumes, more help may be needed. And I'd be very cautious about items of value - careful re theft or breakage. My guess is they want the room as fast as poss for a new resident admission.
  15. amoLucia

    Anyone Using 'Doctor' Title at Work?

    Mr.Sta - funny!
  16. amoLucia

    Is malpractice insurance worth it?

    Yes, that one. In reality, I doubt that that poster is a HC person. I asked, but no response.

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