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Delicate Flower

Delicate Flower

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  1. Delicate Flower

    Why can't hospitals do better?

    Yes, money matters, but it's a complex issue. Do you think more money should be spent on enhancing the food and creating more warmth in the care environment (better furnishings, decor, etc)? Do you think that money should be spent on these areas at the expense of other needs, such as equipment, supplies, and staffing? The problem is that resources are limited, so there is going to be a give and take on where the money goes. Health care is so darn expensive as it is, for a number of reasons. How does this fit into cost containment?That being said, I have worked in facilities that are pouring money into the hotel-esque features: room service, improved accomodations for family members, bigger rooms, plush waiting rooms, breathtaking lobbies, etc. There is an environment in healthcare where patients can choose where they go for their care, to some extent. And many patients are choosing based on the accomodations as much as they are the actual healthcare they receiver (as many are better judges as to the quality of a grilled cheese sandwich vs. the quality of surgical care they receive). Sometimes I look at my patients, whether they are poor, rich, educated, uneducated, whatever, and I look at the technologically advanced, interdisciplinary medical, surgical, and nursing care they are getting, how each and every person who comes in contact with them in the facility is there to help them in some way, and I think: wow, do they even know how lucky they are? Some are very grateful, but some seem to take it for granted. Yes, I understand you want to go home, but you know we saved your life, right?
  2. Delicate Flower

    Harried doctors hail the rise of the medical scribe

    I was thinking that pay sounded pretty darn high for a job requiring about 100 hours of training. That's not much higher than starting RN pay. In fact, some RNs start lower I love the working for free part! That would be an amazing opportunity for learning for someone who was interested in the field. You get a window into the provider's assessment and decision making process.
  3. Delicate Flower

    October 2014 Caption Contest: Win $100!

    Go get yourself cleaned up immediately! That color is NOT part of the approved dress code.
  4. Delicate Flower

    October 2014 Caption Contest: Win $100!

    Help! Call a Code Green!
  5. Delicate Flower

    October 2014 Caption Contest: Win $100!

    The doctor wanted agressive pulmonary toilet. Too aggressive you think?
  6. Delicate Flower

    October 2014 Caption Contest: Win $100!

    Which wipes do we use for facial decontamination again? The purple top or the brown?
  7. Delicate Flower

    condom catheters

    Yeah, weighing diapers is pretty much a NICU/peds thing. I've never seen it done in adults.
  8. Delicate Flower

    You did not just do that?!

    What is babbling?
  9. Delicate Flower

    New Grad - Need Some Advice

    I feel for you. I have been in a similar situation where I got called by the manager (at home, on my day off), to discuss some horrid behavior of mine that allegedly happened the week prior. I had NO idea what she was talking about, and spent half a week crying about it. Turns out, I was wrongly accused- the person who was at fault for said horrid behavior was a person sharing my (not very common) first name. The manager was set straight, but I never received an apology (big surprise). The worst part of your situation, even though it is different from mine, is that the accusation is SO FAR from the actual truth. From the sounds of it (and I believe you- it's not hard to tell your character from your thoughtful and well written post) you are doing a very fine job for such a new nurse. My though is, why do your co-workers, and especially your manager, even expect you to be helping your coworkers. As a brand new grad with less than a year on the job, you are SUPPOSED to be still figuring out things for yourself. You are meant to be asking questions. Your coworkers should be helping you! If you are helping your fellow nurses by giving meds for them and answering their call lights, that is awesome. It shows you have your time management figured out pretty darn good already - something that isn't easy so early in your career. Bravo! So yes, it sounds terribly unfair. Unfortunately, the world of nursing (like the rest of the world) is full of unfair BS. Unfortunately there is not much you can do about the unfairness aspect. What you can do, is keep doing what you are doing, but be alot more obvious about it! Don't be so quiet about everything you do; advertise it a little bit. You are smart enough to know how to do that without being obnoxious. No matter where you work, there will be people who don't like you. It has nothing to do with you, and everything to do with them. Nothing you can do about it. Just do your job, take care of the patients, be a team player. Don't let the BS get you down:)
  10. Delicate Flower

    A question of ethics

    I agree with all of the PP. Most hospitals I have worked in have had a process in place for patients who want to give a compliment or special recognition to an employee who provides great care and/or service. There are feedback cards and surverys which the patient may fill out. Many patients also choose to write a letter to the unit manager and hospital big wigs in which they can thank and recognize individual employees. If he would put it in writing, you could potentially get a copy of this feedback and put it in your "portfolio" along with references, positive evaluations, and so forth. Just black out the patient's name to protect his privacy :)
  11. Delicate Flower

    PTSD as a result of nursing clinicals?

    I don't know whether your symptoms could be called PTSD, but they are defininitely under the anxiety/panic attack umbrella and are severe enough to get in the way of your work and life. I would make an appointment with your MD ASAP. There is no need for you to deal with these debilitating symptoms. Medications can help. I had a clinical instructor who brought me to tears on many occasions. I wasn't like many of my classmates who had worked as aides or techs before going back for RN. I had never even set foot on the inpatient hospital world and I had no idea what to expect. In those beginning clinicals I struggled to answer the question: what does a nurse do, exactly? What is the big picture? I had a vague idea, but I didn't really know. I made the mistake of asking this instructor to help me clarify the issue. After a brief pre-conference, he gave us our assignment and released us to the floor, telling us to be back in 8 hours. Before leaving the room, I asked him something to the effect of: can I just review something with you? What are the things I need to focus on accomplishing during these 8 hours with my patients? What are my goals and objectives? Instead of answering me, he gave me a stern look and told me to follow him, then led me to an empty patient room. He shut the door, and then let me have it. He said "There are 12 other students in this rotation. Every single one of them, besides you, knew exactly what they were supposed to do and went out to the floor to do it. Why is it that you have no idea what you are supposed to be doing?" I cried like a baby. When it came right down to it, I was over-complicating things (I have that tendency). I knew essentially what I was supposed to do. I just made the mistake of thinking my instructor was there to guide me and help me build confidence. I explained to him that I was just a little foggy on what exactly a nurse's day looks like. How does she organize her tasks? How does she manager her time? In those days, we were forbidden from "bothering" the patient's assigned nurse. We were not to ask them any questions or otherwise take up their time. It wasn't like the students I see now who basically get to shadow the assigned nurse. My "punishment" was that I had to come back on my own time and "shadow" a nurse during her shift at the hospital where we were having clinicals. I had to take a day off work to do this. The nurse used me as a free "aide" and was sending me off to do CNA type tasks and I really didn't even get a better understanding of what the RN shift was like. But overall, it helped me get over myself a little bit and come to realize that I was making things a lot harder than I needed to.
  12. Delicate Flower

    Should high absenteeism be cause to be fired?

    I think it's interesting that peope seem to know when someone is calling in for "BS reasons." How do you know? Do they tell you? Yes, there are some who do advertise their bad intentions to call of for a stupid reason, so then it is obvious. But in most cases, I think you have to give people the benefit of the doubt. I don't think anyone should be penalized for staying off sick, when they are actually sick. I do not want you and your germs around me at work. Likewise, I do not want to be coughing all over my immunocompromised patients and slogging through 12 hour shifts feeling like the worst kind of crap when I am sick and should be home in my bed. For me, it actually wouldn't matter whether I had paid sick leave or not. What matters is the policy: If I am going to be punished for calling off, then I will come to work sick. Yes I wear a mask and wash my hands, but I will drag my butt to work and get through it somehow if the alternative is going to affect my status at my job. I think that is a sad state of affairs for us to be in, in the healthcare industry. I think you should be able to call off when you are sick, period. Paid time until you don't have any left, then unpaid, but not getting in trouble or penalized for getting yourself healthy and keeping your germs out of the hospital. If there is a fear of people abusing the system or faking it, require a doctor's note. If there is a fear of people using their doctor/NP friends for bogus notes, then make people go to employee health.
  13. Delicate Flower

    Would you like your job more if you were paid more?

    I do think pay affects my attitude. I am willing to deal with more BS if I know I am being well compensated. That being said, $3-$5 an hour is not enough to tip the scales for me, unless it were part of an ongoing path to higher compensation (climbing the ladder).
  14. Delicate Flower

    Girl brain dead part deux

    So you can criticize the relavence of my post, then put your opionion out there likes it's fact, and declare the topic closed. Perfect. I disagree with you. Moving on.
  15. Delicate Flower

    Girl brain dead part deux

    Ugh. Kids who drink water are not better than kids who drink soda. Kids who go outside and play and are active are not better than kids who sit inside and watch TV. Kids who are healthy are not better than kids who are sick. Kids who eat fresh fruits every day are not better than kids who eat sundaes every day. Are their lifestyle healthier? Almost surely. Are they healthier? Maybe, maybe not. There is a strong tendency for people to associate healthy behaviors with being "good," having good morals, or being a worthy individual. Health, and healthy behaviors, is none of those things, and a "healthy lifestyle" doesn't come with any guarantees, just like an unhealthy lifestyle doesn't come with any, either positive or negative. What about kids? That's trickier, because they depend on their parents to teach them and guide their behaviors. They don't get the same freedom of choice that adults get. But the thing is, kids are individuals just like adults. Some like music, some prefer sports. Some like art class, some like science. Some kids are athletic, some are not. Some kids are scholars, some are not. Is a parent whose child excels in school better than one whose child struggles? Does the star athlete's mom do a better job than the class wimp's? I feel like its kinda the same thing with kids who eat fruit and kids who eat ice cream. Since you are a parent, you know there's only so much you can teach and encourage your kids, and the rest is up to them. You don't want a miserable kid with no self expression who lives only to do what they are told. You don't want a kid who lays around eating junk for every meal because you let them do whatever they want. To summarize: *We don't know how often Jahi got her ice cream treats. No, we don't know she ate them "too often" because she was fat. *We cannot summarily conclude that Jahi's lifestyle was "unhealthy" because she 1) was fat, or 2) had sleep apnea *We cannot make any conclusions about the healthiness of Jahi's lifestyle based upon a maybe rumor/maybe fact that Jahi's family fed her hamburger after her surgery. How can you possibly make a sweeping generalization about someone's lifestyle based on one single event? To me, if that's true, the only thing it proves is that whoever fed it to her either didn't understand the post-op orders, or didn't really think anything bad would happen if they bent the rules a little.
  16. Delicate Flower

    Girl brain dead part deux

    Many thin kids eat ice cream sudaes. Would you feel the same disdain for a thin child's parents who allow their children to go to the ice cream shop for a special treat? Yes, Jahi was fat and had sleep apnea. Her tonsil, turbinate, etc. etc. surgery was for sleep apnea, I believe. So thin kids might have that particular problem less often than fat ones, but do thin kids have surgery? Tonsillectomies? Myringotomy tubes? Do their surgeries have risks and complications? What about a super athletic pre teen who "eats right." They would have a greater risk of, I don't know, fracturing a femur playing softball compared to an inactive kid's risk. Then they could get a fat embolus. That could be fatal. I am NOT saying parents should feed their toddlers energy drinks and candy bars by the bushel full and everyone should be fat. I'm just saying fat kids and their parents deserve a little understanding. Especially if you do not have children, please do not jump on the idea that you are, or would be, the perfect parent. Furthermore, there are plenty of inactive preteens who don't "eat right" who are not fat. Are they healthy? My point is, you don't know by looking at them. And the hamburger thing? Has that even been shown to be actual fact and not just a rumor? Even if it were true, the only thing that proves to me is that whoever gave it to her was seriously lacking in intelligence, common sense or both. I don't see how it has anything to do with what kind of lifestyle Jahi led.