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Ayvah RN

Med Surg, Specialty
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Ayvah has 10 years experience as a RN and specializes in Med Surg, Specialty.


Ayvah's Latest Activity

  1. Ayvah

    Difficulties in Patient Care and Identification

    Additional volunteers to utilize as mentioned earlier in this thread is a great suggestion. Regarding utilizing technology, the two things I can think of are : -improved call bell system. If a patient can type in their request/select one for a non urgent issue like needing another blanket or another box of kleenex, or refill of water(if they aren't NPO), and have that be routed to a volunteer, that would be fantastic. -improved logistics for equipment. The amount of time I've wasted looking for/ordering routine equipment has been incredible. Its maddening when basic things like christmas trees aren't available and I have to go to another floor for one. Additionally this issue extends for equipment that is broken (we always seem to have only 1 working pulse ox on the floor since the others always were broken). I've also had issues with broken pumps, no portable oxygen tanks, etc. This is another area that a volunteer could handle. This also extends to medications not being available as well, so perhaps a volunteer could help the pharmacy department in some way so they could get the meds to us quicker and keep basic ones always stocked.
  2. Ayvah

    Clinic vs. Floor nursing

    I've worked both, and there are pros and cons to both. Inpatient all depends on the floor, the ratios that you will have and support staff available. I LOVE inpatient med surg work but the working conditions were enough to drive me away from inpatient. All the staff I worked with were phenomenal but every day you felt like the patients got bare-boned care despite you working as hard as you could. It sucks seeing patients have needs (like education) that you can't fulfill because you simply don't have time. It can be a very physical job as well, constantly on the move and when trying to move heavy patients with a lack of staff to help, coupled with oftentimes not getting a lunch. One of the first things I noticed when moving to outpatient was that I could go to the bathroom without a cell phone on my hip ringing. You know you make a big difference in inpatient, and the fruits of your efforts are obvious to see. And the experience you gain from inpatient opens up doors and expands your nursing knowledge which will be beneficial for the rest of your career.
  3. Disturbed energy field. We talked in class about how ridiculous it was as we were learning about it.
  4. Ayvah

    Recovery experience translatable to resume?

    I would add your work as a tattoo artist as it does show job stability (if that was not 'under the table' work)
  5. I did, and because of this I was one of the 30% who graduated in my nursing school. It all depends on your teachers and how they test. Go strong right off the bat and you can later decide what pages you can skip based on how your first test goes.
  6. Ayvah

    Staffing ratios

    As opposed to my floor manager saying we needed to alter our new staffing acuity form when it showed we should have less patients per nurse? Thanks but I'll take government laws. The ones listed here or even the ones in California would be amazing to have.
  7. Ayvah

    Is nursing school really "that" bad?

    Totally depends on your school. 1 in 5 qualified applicants got accepted into my nursing program, and of those only 1 in 3 graduated the program (very bad teachers). To be one of those who made it I had to study an incredible amount and felt I did the whole program by myself without much teacher guidance. It does take a lot of commitment.
  8. Get a medical terminology book from the library and complete the book by the end of the year. Having this knowledge will help you out in multiple classes.
  9. No question about it, 100% be with your dad.
  10. Ayvah

    NG tube feeding

    Don't forget, it is always possible that the tube was initially in the right place when the feeding was started and was later dislodged. I had this happen to a patient.
  11. Ayvah

    Frustrated beyond words

    Yes, this sounds much like my school. 400 qualified people applied, 70 were given spots, and 23 ended up graduating. I did it by reading every page, going to every review session/open office sessions, working hard to figure out what was important to the individual teacher, never once letting my guard down(always be early, always do everything as perfectly as possible, and kept my head down and mouth shut), and basically feeling like I was on my own the entire time. I skipped my pinning because I was so angry that they required the teachers to pin you, as I felt they did not deserve to do that. It was a frustrating and stressful few years, that's for sure. Good luck.
  12. Ayvah

    An open letter to the #NursesUnite movement

    Sounds like you've got a great floor! Med surg nurses over here always have 6 patients on days, rarely 7 (during the interview I was told 4-5, rarely 6, hahahaha) and 7-8 on nights. 95% of my experience with charge nurses have been phenomenal. Most CNA/techs I've worked with have been great. I've experienced no nurse-nurse bullying. But everyone is overwhelmed. Lack of breaks is very common. People clocking out and staying late to chart is common (writeups if people stay over too much). When I would ask very experienced nurses how they do it, they tell me they are unable to sleep the night before a shift because of anxiety and they've just mastered how to look calm on the outside. People don't leave because they don't feel they can get the same salary elsewhere and they are the breadwinner of the family, husband laid off, etc. That's why it gets me so angry when certain people automatically say someone has bad time management skills or can't hack nursing without even asking the circumstances. When you have bad ratios its all about just getting through the day hoping there are no emergencies, and feeling patients are getting the bare minimum care. Med surg has been my passion but the ratios destroy the job, especially without good support (availability of an admit nurse is really big, good CNA ratios are also helpful). Getting a ratio law in place would be a huge first step.
  13. Ayvah

    Help nurses in 15 seconds

    I thought this deserved its own thread. There is a petition for nurse-patient ratios. The California model should be implemented everywhere. It is a good start! Please sign, it is super quick! https://petitions.whitehouse.gov/petition/provide-federal-legislation-nurse-patient-ratios
  14. Ayvah

    Disability: genuinely curious

    I had an experience with short term disability I found interesting. I had surgery a few years ago and was on crutches temporarily. My workplace would not let me come back to work while I was on crutches, (instead they opted to pay me short term disability until I was fully off of crutches) even though there was plenty of desk work I could do for them. I guess they were afraid of the liability of me falling or someone else falling on my crutches?
  15. Ayvah

    An open letter to the #NursesUnite movement

    To the person who said clocking in is humiliating, being 'exempt' is not a position you want in floor nursing. That's all the more incentive for management to overburden nurses into unpaid overtime. Ruby, while I agree with a lot of your post, I am sure you aren't oblivious to the fact that there are poorly staffed floors/hospitals which make providing good or even safe care difficult, and that this is a widespread issue in part due to lack of ratio laws. (For some reason it seems Florida always comes up as really bad nurse-patient ratios, like 7-8 day shift med surg patients bad). The vast majority of nurses don't have near the experience you do, so of course you should be handling shifts better than them. Blanket statements that nurses who stay late (the price they pay for wanting to do the best they can for their patients... especially in the conditions I mentioned) just can't make it in nursing is simply not logical. Lack of mandated ratios is absolutely a nursing profession issue.
  16. Ayvah

    Nursing Rant: Am I wrong?

    I've always admired the managers who will step up and help the staff out by taking patients as needed/those that work PRN on the floor. By doing this they can better understand the issues their staff face & advocate for them and their patients. Unfortunately, this is a rarity.