spaniel

It’s your beautiful intention that counts. Precision of the exact words not so much.

Old bat former ICU/CCU. Surgical ICU, Neuro ICU, psych nurse here:::: Now much of this depends on how large a city you live in. What about a site that does ophthalmology surgery. Of course you’d only find that in a big city most likely. Yes, you’d be pigeon holing yourself a bit. Again you’d want a hospital that does a real orientation for this speciality. Boston (MAss EYE and Ear) for example. Wills Eye (Philadelphia). Post op floors for the few that still exist only if you have preceptors available.

This is exceptional information. Please send it pronto to leaders in the field,both medical and governmental.

I do not agree with the ADD or Adhd "route" necessarily. If you are a bit older, new learning make take some time. With that said, there is an added bonus of accumulated wisdom with older folks (i.e. am referring to myself as I refer to someone 'older'). There is way too much multi-tasking out there in my opinion anyway,taking the nurse away from what is crucial. Would you consider a field such as hospice,where the demand is for compassion rather than speed, rote performance (that should be done by a secretary anyway).? I work as a consultant and frankly the horizontal violence and low level conceptualization of much management is worse than I've ever seen it. With rare exception, LTC is a losing battle these days.

Yes, a very desperate situation. Let us also put a lot of pressure on the bigger medical corporations to increase donations-stat. The big sports conglomerates also... From my understanding, the need for even basic comfort meds, i.e. pain meds for crush injuries in the street is severe. God bless all involved in whatever capacity.

I am so very very pleased for you. Nontheless, what a heartache you had to endure. Even though LTC places are certainly not all the same, I do not believe it is a place for newer grads to work, for many reasons. Again, as I posted before I hope you try to go for a hospital with a very decent orientation and preceptorship. I really am saddened by stories,especially of new nurses, who have tried so very hard to get through school and are then slammed by a broken system. Again, congrats to you.

Oh yea, the QA board sure sounds effective... now we have nursing staff facing a "parole board". An administrator at one of the local nursing homes was a no show for many days, did not even provide a phone contact for when the DOH came to audit...and this person gets a severance pay. My answer to the DON who wanted a positive way to motivate people. Try self scheduling if possible-it helps a bit.

Yes, try your local MRDD group homes. Or better yet-maybe a day program where there would be a few other nurses. I've worked in this field in the past and if this is truly your interest, you would be a Godsend.

Indeed that is bullying, abuse, whatever you want to call it. Can you imagine, being offered Compazine, then being asked to work-ridiculous. Leave the job.

I hope others join in here. BLEB is on the main drag. It is fairly near Yankee Stadium.While the neighborhood used to be atrocious, I believe it is truly on the upswing. This is a perfectly reasonable question, and i would not hesitate asking the recruiter for tips. Then speak with some folks, if you can, in the area-i.e. lunch room.Now,I would be more concerned with safety if the hospital were on one of the side streets. It is not.

It has been thirty years since I've graduated (RN). I am ever so grateful that I had the opportunity to have a supportive management and orientation for my first job. This was at a mjaor medical center in NYC. With that said, they ran us ragged too, but at least there was support. Yes, a mistake was a mistake, but we dealt with it in a positive way.Had everyone been fired for a mistake (or lack of working equipment), there would have been no one left to care for patients. With that said, try to find the very very best place to work . Don't try to find the "first job" that will "take" you. As a new nurse you want the best in mentorship. Do you still have a good relationship with anyone ( a former professor) at your nursing school? They may be able to help you through this time. I hate, hate seeing this type of thing happening to decent folk. But frankly, I would stay away from LTC. Get yourself into a teaching hospital with decent mentorship and leadership.

Oh my! That surely is a case of psychobabble from the administrator. When the Titanic did not have enough lifeboats, that was not a "external locus of control" problem of those who were frustrated trying to rescue people. I would ask- has the administorator of DON followed up on the issues of inadequate supplies?

I work as a consultant to nursing homes, and have been licensed,oh, for about 30 years. I am seeing a horrific trend in which DONs are physically escorted out of the building. A typical scenario is this-staffing is cut, the DON (understandably) gets a bit heated about serious cuts-and is escorted out of the building! Mind you-this seems to be the latest "strategy" for admins/CEOs. I am astounded that nursing has gotten to this point. Certainly I can understand anyone being "escorted" if they lose physical control, but that is not what I'm referring to... Does anyone have an idea what help the ANA (or any legitimate professional entity) could do to discourage this type of draconian management style? I know of several nursing homes that continue to have "acting" DONs as no one in their right mind would risk their reputation at these"said" homes. Can you imagine the humiliation of it all-While this has never happened to me, it is giving me serious thought about changing my career out of the long term care setting.

Rats.. the forum was updating so I lost my reply. I've read many of the posts on borderline/alternative methods,etc. This really has been thought provoking. I also believe relationships heal. I also believe that DBT is a very strong,workable method. If I recall,it may have been Miranda (and others) reminding us that BPD is indeed a spectrum in terms of expression and severity. One area of "alternative' treatment I believe can lie in the therapeutic work with animals. Please do not think I'm advocating this for those whose impulse control is severe. I do think there is a major issue in attachment and with the bleak inner landscape of many folks with BPD, "feeling" an attachment is not easy. Frankly I believe this is one of the fundamental problems. I'm not naive enough to think that funding would be easy to obtain. But there are a few tx centers that work extensively with animals. .. but not your run of the mill state hospital or inpt/or outpt. center. In fact, there are a few prison projects that hook up the offender with a particular dog. This person is "charge' person in terms of the dogs physical care. Again, I'm giving away my age here... but some "old" psych state hospitals in Pa. had farms. Laregely, these were shut down in around 1972. Oftimes, the critters became the "raison d'etre" for long term pts. I'm not suggesting this in lieu of a more comprehensive tx-but I do believe their is true value in the human-animal bond. I've seen it again and again with BPDs who've yet to establish mutual human relationships.

Are you kidding? This is an excellent idea. You might want to also consider teaching: 1) Strategies for the patient with dementia,etc. 2) Smoking cessation. I wish there were more nursing entrepreneurs in this area. Otherwise other specialists who are not nurses tend to "take on" these roles.