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my response will not answer you question. but i would like to hire more LPN'. I HAVE ALWAYS THOUGHT THAT LPN,S are very good with client contact.

well i guess that is what i thought you meant, oratleast i was afraid that was what you meant. i have worked with both male and female physicians and i have to agree that the majority of physician's that expect/ demand respect through eith coersion or exploitation tend to me male as a majority. i have worked with many male physicians who are willing to discuss issues about the health care trade or discuss patrient issues with the nursing staff, but at leastwhileonthejobinsistonbeing call doc. on theother handiwork with a female physician atthe present time who insist on having me call her by her first name. i am a little guarded about doing this expecially aroujd the male physicians. as i think they would get the impression that i do not show the amount of respect they would expect. anyway i likemy job and do not feel like i have to give up my principles. somainly i focus on my work and try to avoid title and names, orget too personal. Crumbwannabe]Appealing comes in many forms. I shared an intrest in philosophy with a cardiologist and we had many great talks during E/P studies. I also memorize jokes well, and have had working relationships enhanced with docs swapping shaggy dog stories. But these examples did nil to advance my career, nor did I expect them to. On the other hand, I have had a couple of situations where I could not figure why I was somehow excluded from segments of male nurses/male docs even though we shared interests, only to have it explained by my co-workers that my gender preferences weren't compatible. And these were not rumor as I came to learn. A guy I worked with had a doc come over to his house for steaks and football while his wife was on vacation, and in the course of the evening had the doc walk in on him in the bathroom asking if he could 'hold it for him'. The doc even presented him with a tube of KY. When my friend asked the doc to leave, guess who became the outsider? Another occasion, working with a doc one day, he made the comment out of the blue, that 'so-and -so' was a very good, very capable nurse, but she didn't afford him the 'respect' he felt he deserved, so he made sure she was driven from the department. I can't remember exactly how he said it, but it could be translated that she didn't treat him like the god he thinks he is. I think this was a warning to me, in a veiled way, that I was falling short on my worship, as I didn't particularly defer to him. So if you think I am speaking of only females charming their way into the favor of the right people, I'm not. Too many docs crave the (percieved) power and ego stroking, and with exceptions, don't get this from the male nurse. Curiously, however, I do not see this behavior on the part of female docs toward male nurses. Sad state of affairs. Too many Tanya Hardings....

would you please explain to everyone you interpretation of what "those isolated incidents of 'appealing' to physicians thereby advancing our status" means? i recently started working for a male physician and for the first time i felt like i was put in a position were i was ignored so i supported a female co-worker who was able to "appeal" to the physician before any further discussion took place. is that part of what you mean?

hello my family has a strong interest in australia ever since my son went to school in perth and met a wonderful woman from darwin. she had difficulty relocating to the us, but my son would like to move to brisbane. she hasfamily there too. since i am over 45 yoa i do not see an interest in your country having me relocate there too. what type of nursing you are involved in with work?

i presently work in a setting that is also going through changes with clients interested in smoking censation that might be of interest. i work for a psychiatrist. she was discussing a referral made by a generalist. she treats the same client for substance abuse, but due to a decrease in funding, i.e., insurance payments and medicaid payments, she feels the generalist should treat the patient for smoking censation. the generalist wants her to treat the client because of her expertise in addictions. i tend to agree with her on only one point. i feel that a generalist could track the clients resiratory system better than a psychiartist. however, i feel the psychiatris could help the client with anger and irritability issues better than the generalist. what i have also found is that a combination of treatments and a patch such as nicoderm works better for most people that gradually reducing the number of cigarettes alone. recently a hypnotist treated some locals, and they reported having good and bad days, but overall had decreased the number of cigarettes they had smoked. i do not feel that hypnotism works for everyone and i do not know the long term results.

i too have worked in long term care. i feel like I have maintained many skills, but i think i know what you mean. i would not feel comfortable working icu, ed, etc. i have cared for many residents that have been returned from the ed without aqny care being provided, but whom i felt needed closer supervisiohn than my staff ratio provided. what section of the hospital did you transfer to work?

Does anyone have any information or interest in the American Assembly for Men in nursing? the organization started around 1977. i attended a nursing program in new orleans. the first male nurse i met finished his nursing program in 1977. so i am assuming that someone reading this site has been a member of aamn.

well i need advise too. i personally have not had a relationship with a client/patient, but i am learning more and more about a coworkker who has a relationship with an ex-client at a different facility. her friend recently lost his job. she is trying to do the best for the relationship, i think. she works part time with me, but recently a full time position came open at the facility she met her live-in. she told me she wrote a letter to the director, because he will have the final decision about weather or not she is able return to work at the location she was fired from due to having a relationship with someone who was receiving treatment at the facility at the time their relationship started. she has not worked there for a year. i had been taught not to be involved with patient for at least a year from caring for them. now the part time position has gone even further to state that employees must never have a relationship with clients. the older i get the more i feel that this policy is an infringement onmy rights, to associate with others. however i have certainly complied. any way any feed back would be appreciated.

thanks i liked your reply, but there are devices available, i.e., alarms that can go off if a confused patient gets up, also wander guards that are a type of bracelet the wandering (alz/dementia) patient wears and when they get within a few feet of an exit, the exit locks. of course the alarm is expensive and can be overridden - it get me upset when i go into a facility and i find that the administrator has not been on the floor in a very long time. once they are on the unit they can immediately spot the types of problems that exit and at least address the most immediate issues.

i have an interview in a long term alcohol and drug treatment unit next friday. they are also starting a detoxification unit and have also had a limited number of court committed clients. i have been working part time for the past 10 years on just a detoxification unit. my full time position has been working as an inspector in assisted living facilities. i feel like the alcohol and drug trastment facility should want me to work as a lead nurse with the experience i have, but i have not applied for a job in over ten years. any suggestions would be appreciated.

i think the work environment i work in could be improved if the administrator would come on the unit and go into the patient's rooms and see was is done for each patient, talk to the patients ( if possible) and their family ( if available), and make sure all supplies, equipment needed is working and available. an talk to staff and accept their recommendations.

i agree with you for the most part. i work with the elderly who are often bedridden, non-verbal, and failing to thrive. i respect family wishes when they don't wish for their family member to go through any more procedures, tests, etc. but a good point has been made when their condition may be caused by the care itself.

if your friend is going to be stationed at fort bragg in april and he'll be looking to do some moonlighting he might look at Cape Fear Valley Health System. http://www.fayettevillenc.net/health.htm - he will also be in one of themore poulated parts of the state so he might want to tour the area and make another choice. but i think this is a good place to start.

still curious about how long you have woked at south jersey regional medical center. it sounds like you work on a speciality unit. saleries in north carolina cannot compare otherwise, even though life style is similar.

this is very good advise. i was also wondering if you have heard of aroma therapy. our division recently had an inservice on aroma therapy. i recently heard that aroma therapy may help control MRSA. unfortunately i heard this remark after the inservice. after the holidays i hope to find out more about aroma therapy and MRSA.

there is a great link listing contacts for australia and new zealand. i also learned that the cost of boards varies from area to area and that new south wales may be the cheapest. approx. 45- australian currrency. but you may already be that far ahead of me already.

i really like to hear from other nurses about their work. hope your thesis is going well.

a good administrator would make rounds everyday and at least review what i call "hot files", i.e., the patients that had their physicians called during the day to find out why the physician was called. i would also recommend that a quality assurance program be put in place to address issues of concern and put a process in place and not just put out "fires". finally trining should be provided to staff to address any issues staff may have to address their concerns

curious to know if you work with many other nurses. in the states i am afraid my peers would not appreciate my spending much time on the computer. i think is is great especailly on a pleasant night.

i am not sure what you mean by the sticky but if you mean did i read your coffee attachment - yes i did a good message for life.i hope i did not miss some other attachment. it must be getting pretty late your time. i do appreciate your comments about the special accommodation hostel. that is exactly what i wanted to learn about. thanks for telling me the proper terminology.

talaxandra thanks for the information. reght now my son is in Sidney for the new year celebrations after spending a couple of weeks in Darwin and the surrounding area. he has led me to believe that australia does not want me as a ciotizen because i am over 45. do you know anyone that has migrated to Melbourne? i was also wanting to know if there are any ( what we call in the united states - " Assisted Living" facilities? FACILITIES that provide 24 hour supervision for individuals that only need assistance with basic activities of daily living, i.e., eating, ambualtion, etc.

i have taken care of a child that had an allergic reaction to a sulfa drug and i now work in long term care the treatments are similar see below and comfort measure. close window Source: http://www.medicinenet.com Bullous Pemphigoid What is bullous pemphigoid? How is it diagnosed? How is bullous pemphigoid treated? What is bullous pemphigoid? Bullous pemphigoid is a disease characterized by tense blistering eruptions of the skin. The condition is caused by antibodies and inflammation abnormally accumulating in a certain layer of the skin called the "basement membrane." A majority of cases occur in persons 80 years of age or older. How is it diagnosed? Bullous pemphigoid is diagnosed based on the results of a skin biopsy, which can detect the abnormal antibodies deposited in the basement membrane layer of skin. Bullous pemphigoid-like condition can sometimes be associated with other illnesses, including systemic lupus erythematosus (SLE or lupus) and cancer. How is bullous pemphigoid treated? Bullous pemphigoid can be chronic and mild without affecting the general health of affected individuals. Treatment of bullous pemphigoid can resolve with topical cortisone creams, but sometimes requires high doses of cortisone ("steroids") taken internally. Severe bullous pemphigoid can also require immune suppression drugs, such as azathoprine (Imuran). Other treatments that have been used for severe disease include intravenous immunoglobulin infusions, typically given monthly. Recent research has indicated that large quantities of high-potency topical corticosteroids applied to the entire body surface were safer and more effective in controlling extensive bullous pemphigoid than oral corticosteroids. It was felt by the researchers that topical corticosteroids should now be the treatment of choice for bullous pemphigoid, particularly when the disease is not extensive. For further information, please read the Systemic Lupus Erythematosus, and prednisone articles. For further information on the internet about bullous pemphigoid, please visit the following site: Bullous Pemphigoid (http://tray.dermatology.uiowa.edu/BP001D.htm) Last Editorial Review: 3/29/2002 © 1996-2004 MedicineNet, Inc. All rights reserved. Copyright and Legal Disclaimer. Information on this web site is provided for informational purposes only and is not a substitute for professional medical advice. You should not use the information on this web site for diagnosing or treating a medical or health condition. You should carefully read all product packaging. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider. Statements and information regarding dietary supplements have not been evaluated or approved by the Food and Drug Administration. Please consult your healthcare provider before beginning any course of supplementation or treatment.

i know you do not need any competition,but i would love to move to darwin or perth. however i think i would have a hard time immigrating from the usa. i would imagine that it is easier for someone from the uk to move to australia. but if you have any tips you would be willing to share i woudl appreciate it.

i only know what i have read. but i do hope that you have soneone who you care share your thoughts and feelings with and spend some time with and not have to worry about a lot of things by yourself. perhaps after nine months you have learned how to deal with this terible diagnosis better than i may realize. if there is anything i can do for you please let me know. i have attached the following information on dysautonomia so that others may better understand what you are going through. NINDS Dysautonomia Information Page http://www.ninds.nih.gov/disorders/dysautonomia/dysautonomia.htm