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jnemartin

jnemartin BSN, RN

Registered User

Posts by jnemartin

  1. You may just have to say it yourself. It isn't too scary, I promise! It is fairly basic stuff if you break it down to the simple definitions of vaginal, oral, and anal sex. And then also say that for some people sex also includes all touching of sexual body parts including the breasts.

    And I'm never shy to say the three reasons why folks have sex: (1) deepen a romantic relationship with a partner (2) to have a baby and (3) because it feels good! All of these reasons are fine and completely normal :).

    (For reference here's another fun video:

    )

    I'm really trying to avoid saying it myself lol. But I will if I must.

  2. I have a kid I call my "frequent vomiter." This kid throws up at everything. Usually a one and done, hopping around smiling when its done. Mom is a nurse and at kid's last 504 meeting (not related to vomiting) she was like "I don't know how he just seems to vomit on command. I was hoping he'd grow out of it!" She loves that I get it. He's gone to doctor and nothing ever found, suspected anxiety related. At least one a month I also get the gym teacher calling him to report they have a vomiting kids they are sending my way from gym and 9/10 it has been my frequent vomiter.

    My sub, who is a friend of mine, however, is not used to him and his puking on command. I forgot to leave her a written note, which I usually, do and of course she sees him when I am out. And calls home to send him home and get a follow-up due to frequent GI symptoms report. I talked to mom the next day I was back and apologized; thankfully mom was like "it's okay, you know his patterns, she was new and he is convincing."

    Vomit happens. Just let it happen and deal with clean up after.

    I just had a convincing student go straight from my office to the principal's office, where she flopped on the coach and immediately fell asleep (or "asleep." who knows). I got called down to re-assess. No fever, HA only symptom. She has 22 visits this year, almost all during same class... this period. SO ANNOYING. The principal doesn't "know her patterns" haha

  3. Go here:

    AMAZE - Age appropriate info on puberty for tweens and their parents

    I just got introduced to this site by another educator and I'm kinda in love with it!

    Thank you! I just watched all the videos you sent. I have seen that one series before and I like the #3 video on STI and contraceptives, but none of the videos actually say what sex *is*. I feel the rest of the info could be confusing without the basic explanation.

  4. Thank you all for your great suggestions! I am finally almost done pulling everything together (must finish before winter break so I don't have to think about it!).

    One quick question: does anyone have a good video that explains exactly what sex is?

    I am worried that I'm putting the cart before the horse by introducing condoms, when some 8th graders might really not quite understand what sex is (the past couple years there was no program for the middle schoolers, so they are all at different levels of understanding/experience). Event the condom/STI video I found only states that STIs can be contracted through "sexual contact between vagina/penis, mouth...etc..." but doesn't exactly say what that contact is.

    I remember when I was young having "sex ed" that glossed over what exactly sex *is* and left me really confused, so I don't want to do that to these kids!

  5. I agree with so much of what others have said. I also have a similar work history to you; I worked bedside (but for much shorter time- only 1 year!), and disliked the work, didn't feel fulfilled, felt stressed and wanted something that challenged me in a way other than just how fast I could pass meds.

    1. I love the shorter days, being on the same schedule as my husband, having all weekends/holidays and summers off. I like working independently in my office (no aide), and basically being the manager of my "department," and I like having my own office and being able to set it up and run it to my standards. I like the combination of running an office (ordering, communicating with attendance and teachers), clinical care (actual pt visits), and education/program development (developing a new sex ed program, helping to update policies manual, helping teach health classes occasionally). My bosses (two principals and a superintendent) are totally supportive and allow me to basically run my office and programs as I see fit. I like the emphasis on education rather than just medications, and the time to do it. I feel really fulfilled with my work.

    I dislike the "stigma" of school nursing, or the fear that other healthcare professionals will see me as "less" of a nurse than, say, a critical care nurse or even a hospice nurse. I dislike the pay cut, but it's NOT as much as you might originally calculate because of all the time off and the opportunity to p/u work during breaks and summer. I get annoyed with the teachers or the front desk for sending me students for no reason, or making tiny issues into an emergency. I dislike hunting parents down for immunization records - this is literally my only real stress with SNing... that parents are SO bad about turning health records in, and it is a big part of our job to ensure they do. I worry that when I have kids, it will be hard/expensive to keep this job and pay for daycare.

    2. Typical day is about 15-20 student visits (in a middle-high school with about 400 students), including about 5 scheduled meds/treatments, and a few "frequent flyers" with mystery symptoms; a lot of anxiety presenting physically and a lot of lingering colds that feel like the end of the world to the students... so basically a lot of education! The rest of my time is emailing, calling parents, making sure meds are complete and everything is UTD, preparing field trip backpacks, monthly AED and fire alarm checks, working on developing my upcoming programs, coordinating with other departments to set up hearing screenings or cross-departmental education (eg I guest teach an anatomy class each semester, give a presentation on drugs, give a PTO presentation on anxiety). I work get in around 7:40, open the office at 7:55 (school starts at 8am), and close up/go home around 3:30-3:45. I don't take a "lunch" but I am alone in my office so I just eat when I want and take breaks as needed. I even have a weight in here so I can do some exercises in my down time - haha! When it's super quiet, I watch educational youtubes or read MedScape articles.

    3. I would have really benefited from a one-day orientation that gave the basics of the SN responsibilities, best practices, and common interventions. I basically had to figure it all out on my own. Not horrible, but certainly challenging and could have been a smoother transition.

    4. If you can afford it, I would take the SN job.

  6. She was walking around the ER and realized one person was missing so SHE went out to the crash site and searched for the woman.

    To second this, my favorite is when TV shows have doctors ambulating, toileting or placing IVs for patients, fluffing pillows or giving discharge instructions then walking the patient out, instructing laboring women on breathing. It's funny... but it's also adds to the confusion and frustration pts have when they only see a MD once per day for 5 minutes, or when your OBGYN shows up at the last minute JUST in time to pull the baby out. SMH

  7. An ectopic pregnancy is not viable, therefore terminating the pregnancy would not be prematurely ending a life. In fact, it is best practice to terminate the pregnancy at fist sign of an ectopic pregnancy because if the cell cluster becomes too big it can rupture a Fallopian tube, or if placed outside of the tube can cause other visceral damage and results in internal bleeding. This puts the mother's life at great risk.

    From the American Family Physician website: "A ruptured ectopic pregnancy is a true medical emergency. It is the leading cause of maternal mortality in the first trimester and accounts for 10 to 15 percent of all maternal deaths." Ectopic Pregnancy - - American Family Physician

    To be honest, I find the proposition of this question rather shocking. It seems that the OP is asking if a mother diagnosed with an ectopic pregnancy should "continue" with the pregnancy due to Christian morals. This would without any doubt result in death of the fetus and a very high probability of serious complications including death for the mother. This is not a case of a pregnancy terminated because the mother did not wish to have the baby.

  8. No Netflix here either - but I do have Pandora on all day - just loud enough for me to hear while sitting my desk. I have tried to listen to podcasts but what I listen to would not be appropriate - haha. I just discovered the podcast 'My favorite Murderer" - so good but those gals drop the F-bomb about every 30 seconds - not good for school listening :)

    i LOOOOOOVE podcasts. but all my favorites are really not appropriate for school - ha! way too much swearing. :)

  9. I've seen this happen so many times in my LTC/SNF facility. I'm sorry they are pulling you around. I would cut my losses and quietly start looking for a management position at another place. Specify in the interview you are looking to transfer your floor and charge experiences into an admin or leadership role and don't want to do exclusively bedside anymore. I've noticed that there is a lot of overlap in roles (like our DON and ADON do quite a bit of patient care), but what you're describing is that they are purposefully passing you up for other new hires -probably because you are a great nurse and they can't afford to lose you!

    best of luck :)

  10. I remember once I was so poor I had to eat a butterfinger for lunch because it was the highest calories for the cheapest price. I scrounged up nickles and pennies from my car to get it and waited a half hour in line. Someone yelled, "look! this girl waited half hour in line for a butterfinger!" then I was late for class. After work I got my student aid check but also some parking ticket or something in the mail. I had no gas and about 2 dollars and my rent was overdue by 2 weeks. So I started driving to the only open bank but the bridge was closed and the other bridges were too far, I would run out of gas. So I backtracked and went to a gas station and paid 2 dollars for gas. But it was too late, the bank was closed. I had a full day the next day- I was working as a CNA on a heavy assisted living floor part time for 11 dollars an hour- no benefits. (Nursing home acuity, assisted living staff level!!!) and full time school, no financial supports besides myself. I practically sold my soul for those nasty expensive Sallie Mae loans so I could get extra leftover from that. Rent was a couple weeks overdue and bills were months overdue. I went home and cried myself to sleep, I had like 8 or 9 months of school left, and I was like 24. I got hired at the nursing home (a facility that was part of the same company) for 26 dollars an hour and almost fainted in relief when he told me my salary. that sucked. it really sucked. I wouldn't have posted something like this at the time but I sorta understand the dramatic mentality where you feel like you just want to vent and everything is earth shatteringly hard all the time. -Survival mode!!! TraumaRN is right though, we all posted stuff we hoped we didn't- they should have an option to easily delete stuff.

    I remember when I was in college (before nursing I had a previous career and degree), I had a similar experience with buying fish sticks from a gas station. It was the cheapest thing that was the closest to "food." I had eaten fish sticks like twice in my childhood, it's not like I found them appealing. It was literally a math equation of how many calories I could get for the least amt of money.

    Then, when I was older, in my 20s, I was working as a social worker and was making SO LITTLE money that I would literally go stand in the same food bank lines that I would direct my clients to. It was after a year of living in real poverty (as in, no electricity in the house, biking to work to save on gas money, and cannot afford groceries) that I decided to make a career change to nursing.

    While I was in nursing school, I got a job as a waitress and the first time I went grocery shopping after getting that job, I cried. I was crying in the car about being able to afford groceries.

    I get it. It's so rough out there, even for many working people.

    But to the OP, it will GET BETTER! You are almost there. (And there is no shame in going to a food bank and getting a random part-time temp job to get you over the hump).

  11. At least at my other job, when it's slow I'm allowed to watch netflix.... Here, that feels too scandalous...

    This is my first SN job and at the beginning of the school year I was worried if listening to the radio was inappropriate (like pandora or NPR), and now I've loosened up. I haven't full on watched Netflix, but I do put on YouTube shows to watch/listen to while I'm filing or doing vax reports. :)

  12. as an addendum to my previous post, ASK your nursing school friends for job leads! You don't have to tell them the whole story if you think that will hurt your chances of getting the job for a short period of time... but SOMEONE has a way to get your foot in the door. (MOST nursing jobs are obtained through networking and personal connections, at least in my experience and observations)

  13. OP, I understand your stress. Right after I graduated I thought I found my dream job but it ended up not working out almost immediately. I was worried that working somewhere 2 weeks would "ruin" my chances elsewhere, and that all the good jobs were snapped up by other new grad nurses while I was wasting my time with what was essentially a scam job (There are lots of jobs out there that just want your license on file, trust your gut!).

    In any case, a friend of mine was working at a Skilled Nursing Facility (SNF), used to be called a "nursing home" in the old days. She told me they were hiring for on-call nurses, so I stopped by. They hired me on the spot. Many SNFs have high turnover because the work is very hard, the patient ratio is high, and the patients can be really demanding. So it is not uncommon for you to walk in with your resume and walk out with a job. IT WILL NOT BE YOUR DREAM JOB (probably), but it will get you through. SNFs also tend to pay more than hospitals because the work is less desirable. On top of that, on-call nurses often make more, because their work is considered to be at a premium (i.e. you are coming in when no one else will). For example, my first hospital job paid about $27/hour, with no differentials. My on-call SNF job started at $35/hr and pays more for nights, weekends, etc.

    If you can find an on-call job at a SNF, this could solve all your problems. SNFs pay well, and especially over the holidays you will be needed for lots of shifts. And you can even keep the on-call job (sometimes called PRN jobs) after you start your new grad program, just for extra $$. That's what I did, and it's worked out great!

  14. I worked in social services for many years. My favorite jobs were working with homeless people looking for housing and jobs as part of shelter wrap-around services and working as an international volunteer in very impoverished areas around the world as part of a UN program. I dreamed of one day returning to India and starting an NGO that focused on women and child health. As I continued in social work, I saw that my clients' health was a major impediment to their success in other areas. When discussing my career with my aunt, who is a nurse, she encouraged me to get a fast-track BSN. I was already considering changing fields simply because social workers are paid so little, and getting an MSW would not really help that issue. Plus, public and community health was a major interest of mine.

    So I did the fast-track program, but it ended up taking me 4 years because I had to do ALL the science pre-reqs. I started working immediately after I got my license as a PRN nurse at a SNF, and shortly after that was hired FT on med-surg tele at a local hospital. I learned SO much as a bedside nurse, but it wasn't fulfilling in the way I had hoped nursing would be. On a whim, I applied over this summer to a school nurse job and was hired immediately.

    I've found school nursing to be challenging in an enjoyable way (unlike the stressful challenges of floor nursing); I get to tackle interesting health issues relevant to a very particular community. I'm learning totally different skills and growing as a leader and clinician, and interdisciplinary team member. My principals are pretty hands-off and are allowing me to develop campaigns and programs for the school. It's truly been such a blessing in my life to fall into this job that parallels my personal interests and strengths, and mirrors those social work jobs I loved so much.

    As an aside: I still work PRN at the SNF because the money is good, they are so flexible with my schedule, and it's nice to care for the same group of people over a long period of time as is the case in LTC. It is a reminder, though, that working bedside once in a while is fine, but it's really not my calling.

  15. December is always the worst for me - we go on Thanksgiving break come back and count down begins for Xmas break in 3 weeks - I don't want to do anything during the 3 weeks between Thanksgiving and Xmas break.

    Jan & Feb are also usually pretty slow for me - not in a student illness kind of way but with all the administrative stuff we are required to do - I have all of my administrative stuff done by December so Jan & Feb can have long, boring days at times. It will ramp back up with me at end of March when I start getting stuff ready for the next school year, kinder registration etc.

    I'm in a similar situation - Spring semester I will be teaching sex ed for middle schoolers (only a few days over the course of the semester) and doing hearing screenings. Both of these pretty major tasks are basically ready to go, it's just a matter of doing it. So I'm anticipating that next semester will be slower than the craziness of fall immunization season. I also don't have any super complex students, just the typical asthma and a few DM1.

  16. you did the right thing in asking to be switched to a different preceptor. You are also doing the exact right thing in not engaging in gossip about why you switched. Just ignore the old preceptor's gossip. Hospitals are notorious for this type of gossip and back-stabbing. But just know that all the other staff knows the reputation of gossipy nurse. They do not yet know you very well. So make a good impression, do your job well, befriend your new preceptor and impress him/her. The drama and gossip will dissipate as you make your own name for yourself.

  17. I have a "professional portfolio" binder where I store CEU, certifications (even from long ago), letters of reference, offer letters, and other employment-related info. I also have/had a professional development file where I do keep some documents like you've described - pamphlets or booklets from conferences etc.

    I recently cleaned out this PD file and trashed everything except one document that I was named as an author... and I moved that to my professional portfolio binder.

    All I could think while I was going through the papers was, "What was I thinking!?" because it was all junk that I could have easily googled if I ever wanted to refresh my memory - haha! The info can be sourced online, or you can scan it in and save it to your hard-drive if it's really a document you think you'll come back to.

  18. I've got a pile of paperwork wanting to be sorted away that somehow keeps growing each week. I also was sick the last 2 weeks which slowed me down. This month seems to be filled with lots of activities, before school breakfasts, concerts, recitals, etc. LOTS of distractions!

    Honestly, I am SO GLAD I am not the only one with a procrastination pile. Haha! I was just reading this article about how to manage the stress of a school year and one tip was to assign tasks to a day - like Fridays are file random paperwork days. I am going to try that!

    Here's the article I read: How to End the 24/7 Teacher Stress Cycle | Teach 4 the Heart

    I also do #1, which is have a routine for the first things you do when arriving to work, and the final things you do before leaving. That's helpful, too :)

  19. That first year is terrible but it calms down and then one day you realize you are fine, getting your breaks, charting all done, etc. After the first 30 or 40 times I came home and said, "What a day!" I realized that what I was experiencing was baseline and not worth commenting on to my spouse.

    This happened to me, too! My first 6 months or so of hospital bedside nursing were so stressful and unfulfilling. I would come home and vent/unload for an hour or longer every night! I NEVER took a proper lunch and my work phone would ring off the hook. After a few months I realized these "crazy" days were normal. So I made coming home a safe place. I took my shoes off outside, and hid my bag in the closet, changed my clothes immediately and enjoyed my evenings cooking and talking about anything except work (well, 99% except work!). I created a little routine that helped me separate my work life from my home life. That helped a lot.

    And, as many people have discussed here, it was like one day it all fell into place for me. I was having more "good" days than bad (all still crazy busy, but just less stressful or dramatic). After about 8 months I was able to effectively manage the flow of the floor, had formed good relationships with doctors and support staff, and generally felt like I was doing a good job. But I still didn't like the work. So after I had about 11 months' experience, I applied for a couple jobs. It was a TOTALLY different experience than when I was a new grad. Every job I applied to called me for an interview. I accepted 3 interviews and was offered all 3 jobs. I took a school nurse job because I'm interested in community health and didn't want to work bedside anymore (maybe never again!).

    It's been a great change for me. A new challenge is on the horizon for you, OP. With each shift you will become a better nurse. Eventually every shift will not feel like a hot mess (some still will). And after a year, you can look for something that suits you better. I would encourage you, OP, not to ditch nursing yet. This job just might not be right for you. There are SO MANY other avenues you can pursue after you have just a bit more experience.

    Best of luck! Feel free to PM me if you have any questions!

  20. Anyone else feeling December Doldrums? I am totally unmotivated and can only think about what I plan to do over winter break! I have a few projects to wrap up, and work can *always* be found, but I front loaded my year and now I feel like I'm just waiting for winter break - haha!

    It also got me wondering if there is any research out there about the stresses of the school cycle.

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