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Wise Woman RN

Wise Woman RN

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Wise Woman RN's Latest Activity

  1. Wise Woman RN

    Remembering the Nurse-Patient Relationship

    That nail has been hit squarely on the head... Well-written, indeed.
  2. Wise Woman RN

    Surveyor: The First Week

    Good for you.. I am sending lots of well-wishes and good thoughts to you... And, they are lucky to have you.. Hugs..
  3. Wise Woman RN

    Transplant Thanksgiving

    Geez...
  4. Wow... just, Wow.. Very well written.. and very true, and very needed..
  5. Wise Woman RN

    Rehabilitation Nursing: A Specialty In Its Own Right

    Same thing happened to me. We were a closed unit, no floats, we did a good job with the patients. It does seem like other nurses look down on us, they don't realize that we have to use every bit as much of our nursing expertise as they do, and perhaps more. I am a CRRN, have been for 15 years, and in an irf, you can get patients that slide down that slippery slope to being critical fast. I loved my job, though. The actual rehab nursing part, working with patients and families to achieve their goal of going home. It bothers me that some of the nurses in the other parts of the hospital don't seem to realize that rehab nurses are really excellent nurses, and we actually do care for the biophysical and psychosocial aspects of the patients.. Our unit got a new manager, and I am the first one that was fired. I'm 61,have been working in rehab for all 20 years of my career. We had started getting floats in, they didn't wan't to be there, so they would pass meds, and daily assessments, but no teaching, no answering lights, really, no giving the other nurses a hand.. then they would go to the manager and say how mean we were.. so, I am getting unemployment, and I am going to download the form from EEOC and file an age discrimination suit. Lacking a joyful feeling is not a good reason to fire someone. And now I have no insurance. Cobra is so expensive, I will probably have to go live in a discarded washing machine box. Or, with all of our experience, you could come over and we could start our own business.. what do you think??? The too much experience thing, it gets in the way when someone wants the nurse to ignore policy. the old bags know better,they don't go quietly into that good night.. Hey, you could probably go get my old job.. there's an opening now.. LOL nightime rambling. but it's all true.
  6. Wise Woman RN

    Rehabilitation Nursing: A Specialty In Its Own Right

    The same thing is happening to the rehab unit I worked at for many years. The nurses and aides who float in don't want to be there, don't do the required charting, don't have the specialized knowledge. I was fired two weeks ago, and now, at my great age, I have no insurance, and am not quite able to get social security, and who will hire me?? I have been certified since 95, keep up with my CEUs, but I think the only place I will be able to work will be one of the stores that has "greeters." Sad and scary. Good luck to you in your search..
  7. Wise Woman RN

    The 'De-Skilling' Of Nursing

    It's not just that nurses are being let go, but that now, with the task-based nursing aides, the hospital can load more patients on less nurses. The responsibility is still there for the nurse, but the time needed to ensure that tasks are done safely and properly is not. The PTB don't know, or don't care that many of the tasks still require the knowledge and expertise of the nurse to assess underlying causes and implications of the tasks, such as evaluating wound healing, response of the patient to medication changes, disease process, family support, etc. People are dying for lack of nurse assessment and intervention. The CNA's do not have, and are not trained to have, critical thinking skills. They do a task. There is no care for the intangible needs that patients and their families have. We are all warm bodies, there to fulfill the needs of the "staffing grid," without taking into account patient needs and acuity. As far as being "less needed," we are less needed by the corporations and hospitals, but we are far more needed by the patient in the bed, who are now being cared for by staff who do not have the wherewithal to detect serious complications until it is far too late.
  8. Wise Woman RN

    Patient falls: What works to prevent them?

    Having enough staff helps, too.
  9. Wise Woman RN

    how did they pass theyre boards??

    "finally another cna lol! well he is really nervus all the time and he was already on oxygen and i turned it all th way up and he STILL couldnt breath." Not always the best move. Some people with respiratory issues shouldn't be given that much O2. But you learn those things in nursing school. You are acting WAY beyond your scope.
  10. Wise Woman RN

    question

    Just don't renew. She is an RN now, and will be held to those standards. I just let my LPN license lapse after I became an RN.
  11. Wise Woman RN

    IV pump falls onto patient's head and seriously injures him

    Yes, now the nurses are responsible for all equipment placement and unsafe room planning, and moving furniture, as well. I'm sure it was the nurses who decided to have the IV pumps installed on the wall, as it would make it so much more convenient to transfer patient, or send to XRAY, etc.
  12. Wise Woman RN

    kardex

    Do they have time to do that?
  13. Wise Woman RN

    Chicago salary requirements RN returning to profession?

    I worked in an Alzheimer's assisted living. Starting pay was about 22 bucks. Same as LPN, experience and certification didn't enter in to pay rate. I am in northwest suburbs as well.. Quit because I didn't want to lose my license. Census was going up, staff was not. Good luck in your endeavors.
  14. Wise Woman RN

    Is there a slower paced floor to work at in the hospital?

    Again, no backlash here.. I work in acute rehab, and have for close to 20 years. I feel that if you have never worked in a rehab unit in a hospital, that saying it's slower paced and more relaxed reinforces the thought that it's easy. Yes, our patients are "medically stable," or at least they are supposed to be on admission per medicare regs, but in truth, many times they are not. Also, with the new regs, ortho patients are more often referred to subacute units. The patients that we admit have many medical comorbities, and can fall into the "unstable" group within minutes or hours. But because of the general view of rehab being less intense and "more relaxed," the powers that be staff us with less than the staff we need to accomplish what we need to accomplish. We have no unit secretary. There is a central unit coordinator that we can fax orders to, and they enter them, but we still need to go back to check, so it isn't a time saving thing for us. We have paper charting, so, lacking a secretary, nurses are printing the forms for the chart, then putting the chart together, prior to doing the admission, which, on a good day with a super efficient nurse, takes 2.5 hours. Discharges are similar. After printing out all the discharge forms, filling them out, going over them and the med sheets with the patient, we copy them. The chart gets one copy, the patient gets one copy, and one copy goes to the nurse that does follow up calls. We fax the discharge info to the home health care or subacute facilities. Our patients are up and dressed every morning, and eat at the dining table in the middle of the unit. Many require 1:1 assistance. Many require two people to transfer to and from bed and wheelchair. We have nurse's aides, but they cannot be expected to perform all of the transfers, answer all of the callbells, dress all of the patients, etc. etc. Team work is essential here. Consistently, if we need more help because of the medical and functional acuity of our patients, we are told, "sorry, the medical units need the staff." I think that the general idea is that our job is easier because the patients are all in therapy, so we can sit around and play on the computer. Not so. The patients are all scheduled at different times, so at no time is the unit empty of patients. We don't use bedpans. Every patient is assisted to the bathroom for elimination, every time, even if it's the LOL who has to go every twenty minutes and needs 2 people to assist with clothes and hygiene, or the patient that has to be transferred with a lift and assist of 2. Time is the thing that we need to assist the patients in achieving increased functional ability, but, because the thought is that rehab is easy, time is what we are not allowed to have. Rehab is not task-driven. Most of our patients have, in effect, lost their lives, and their families have lost the mother, father, or other family member that they knew and loved, and need to learn how to adapt to the devastating effect of the loss of function that has occurred. That is what is the driving force of a rehab nurse, the education and support given to patient and family members. It's not getting the vital signs, passing the meds, doing the dressing change, changing the catheter, or flushing the ports, although we do those things, it's providing opportunities for practicing skills learned in therapy, for families to learn how to care for the tubes and lines after discharge, how to care for a family member who might not be the same cognitively that they were, and to give hope to patients and families after the loss of life as they knew it. I'm not saying that the nurses in the other units don't provide the knowledge and support that we do. I'm just saying that when they are in the general hospital, the patients are in the bed. I don't know of any area of hospital nursing that is "easy," and we nurses in all areas have to acknowledge the expertise of our peers in their respective specialties, and how hard we all work.
  15. Wise Woman RN

    New Initiative Announced To Cut Medical/Hospital Errors

    One more form to fill out to demonstrate compliance. 5 more minutes of documentation on each one of your eight patients. Less time to actually be a patient advocate, because there is to be no overtime. Get the paperwork done and get out on time. And make sure you keep those patient satisfaction scores up there, too. Makes me tired of it all...
  16. Wise Woman RN

    Where do they still practice old-style nursing?

    In places where patient acuity is less intense, the staffing is also cut.. and there still will not be time enough to really talk to your patients, let alone get the meds out on time, call the docs, document all the crap, answer the phone, etc, etc.
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