Jump to content

Orion81RN

Registered User

Content by Orion81RN

  1. Orion81RN

    Should I divorce my husband

    Wow, I must have been really mad when I wrote that post. Lol
  2. Orion81RN

    How to make a PDN job appealing?

    First, I want to tell you that I'm still going to answer your question from my perspective on the parent doing the care while the nurse is there. I haven't forgotten. But I want to type it out in a document, copy and then paste it here so I don't lose it. But as to your question here, what we are talking about is a scenario such as this: Say the nurse is scheduled to work Tuesday 7am to 5pm. Your child happens to have a doctor's appointment that Tuesday at 10am. I'd be irritated if I were told to not come to work that Tuesday, missing 10 hours of pay. The way it should typically work is I would come to my shift at 7am. We would all go together in one vehicle to the appointment. If there are any new orders, I'd get the prescriber to write it down on our facility's order sheet, making it an official order that we nurses can legally carry out. Then we'd go back to your home, or wherever you want to go...and I'd continue my shift til 5 pm. I say go wherever, bc let's say you want to stop at a restaurant, or maybe go bowling like I've done with my patient and their family... We aren't expecting you to intentionally schedule an appointment during hours we are scheduled to work. But, if it happens to fall on a day we ARE scheduled, then we absolutely go. This is very common. If an appointment is scheduled for a day where a nurse is not scheduled, then we simply expect to be told the child had an appointment. Give us any pertinent info regarding the appointment, AND keep in mind that if there are new orders that we cannot follow them unless we speak to the nurse or doctor, or have the order in writing. I hope that clarifies things.
  3. Orion81RN

    "Not sure what unit you will be hired into..."

    Delete this comment all you want. But this is BS. This is not a case of misinterpreting tone. I understand some censorship, but this is bull. Nobody but OP threw out insulting remarks, yet we are being told to stick to one specific question regarding a bait and switch. Well, when your post includes way more than that, then a response is well deserved. I respect you, Trauma, but again....this is bull. Nobody got out of line but OP.
  4. Orion81RN

    "Not sure what unit you will be hired into..."

    Is anybody FORCING your friend to move for this uncertain job? No? Was she told BEFORE accepting the position and moving that it may not be in the advertised unit? Yes. She did not move, start a position, and then have a bait and switch. Her time was wasted by having an interview. Period. Geeze, get over it.
  5. Orion81RN

    "Not sure what unit you will be hired into..."

    Literally NOBODY is disagreeing that it's bogus to do what she is doing. So are you done with your temper tantrums? When more than a few people find your wording offensive, I'd say it's time to do a self check and ask if maybe it SHOULD be worded differently. You threw out a personal jab, telling posters to learn some "reading comprehension." I was willing to give you the benefit of the doubt that it was perhaps just poorly worded. But your further posts have left no room for doubt that yes, you look down on med-surg nurses.
  6. Orion81RN

    Bullied psych nurse commits suicide

    I was, in fact, bullied in nursing school. I mean, another student literally said to the student next to her that she wanted to kick my ***. Along with other choice words I've since blocked out. Not an isolated incident, either. The scenario that apparently warranted this comment? It was first day in peds clinical. Our clinical group was waiting in the lobby for our instructor to arrive. She was about 20 minutes late at that point. My classmates started growing concerned for her. I had had her as a clinical instructor before, however. So I knew this was typical of her. I knew it even before my clinical with her as other students had gossiped of her tardiness and even not showing up at all once. So, I said, in an attempt to ease worry, "I'm sure she's ok. She's notorious for being late." Now, I really liked this instructor. She had been my favorite so far. In my mind I was stating a fact to ease worry. I can now see how this could have been interpreted as me bashing on the instructor. Even so, that does Not warrant what was then said about wanting to beat me up. That's just one example. It was actually quite brutal. I very clearly remember sitting in my mental health class one day, tears welled up in my eyes, avoiding eye contact with the teacher, contemplating suicide. This was right after being called into a different teacher's office having had "a talking to" regarding what "other students" were saying about me. Mind you nothing specific was stated. No specific action I did. No specific statement I made. I boil it down to a handful of "mean girls" gossiping to the teachers about me bc I was a quiet student who probably came off to them as stuck up. Please, I was the most unsure of myself student. I wrote a paper on lateral violence, it being obviously a very passionate, personal topic of mine due to my experiences. The only comment on the paper from same teacher...."Ironic." That hit me right in my gut. To be accused, in such an unprofessional manner at that, of being a student who bullies others. Do I have a propensity for depression? Yes. Was the bullying what absolutely sent me over the edge? Absolutely. So I don't take bullying lightly. While it is ultimately the responsibility of the individual who takes their life, I DO believe *some* responsibility lies on other's shoulders who bully. I had an equally severe case of bullying at my very first nursing job. This time, I completely understand the hate aimed at me. Once again I opened my mouth saying something not meant to have been rude in the slightest. But, looking back, it absolutely, positively came out condescending, no question. The punishment/backlash was far too severe for the crime, though. At night during shift change, the nurse's would come on the unit, go in the dining room and bicker about not wanting to be the one to get report from me. The nursing assistants blatantly told me to do things myself after that when attempting to delegate. When I needed assistance from another nurse, I was told a few times "You're an RN, you can figure it out yourself." The crime? Oh boy, ok. This is what I said. Background: SNF in the process of hiring only RNs. Was told during interview that they were phasing out LPNs. One night at shift change, an LPN I really admired stated he was just about to finish his RN and start an MSN program. I congratulated him and said that was really cool. Then I proceeded to put my foot in my mouth by saying "One thing I wasn't quite prepared for was the extra responsibility of being one of the only RNs in the building." What I meant? We typically had 2 RNs for 200 residents. All IVs fell on us, of course. So in addition to my 30+ residents, I usually had 2-3 patients on other floors to start IVs and run fluids/ABTs. It was quite the handful to juggle. Just as I would get back on my unit and get back to my med pass, one patient's IV was done, and another pt needed one started. So THAT'S what I meant. But of course nobody could have known that is ALL I meant. Very stupid thing for me to say. Very. But man the bullying after drove me out. I tried going to management. I was told "You're their superior. You have the authority to write them up " I thought, "yeah, that's going to go over well considering what got me into this. It never let up. One day I couldn't bear to go in. Had a panic attack and called and quit right before my shift. Bullying is no joke.
  7. Orion81RN

    "Not sure what unit you will be hired into..."

    The very reason med/surg/tele repulses me is the staffing. I'm not stepping foot onto a med-surg unit with ratios of > 5. It has nothing to do with the type of nursing. I'd love med-surg. The ratios...forget it. I'm simply not doing it. (Not that I have choice since I don't have my BSN, but still. It's principle lol.) When I get my BSN, if nothing has changed, I'm not applying to understaffed units. I'll stick with outpatient, private duty, home health... It's a shame bc I think I'd be a great acute care nurse.
  8. Orion81RN

    "Not sure what unit you will be hired into..."

    HA! Ok, you've really got me laughing now. That may be so at your hospital, but here in Chicagoland they absolutely hire ICU nurses with no experience. It's new grad residency programs, but they still hire them. Also on the flip side, many DO require a few years acute care experience in med-surg. They look for variety. Sometimes there are say, 2 openings. One with say a 5 year requirement in ICU, and one just a new grad.
  9. Orion81RN

    "Not sure what unit you will be hired into..."

    Well, when you call it a garbage position...
  10. Orion81RN

    "Not sure what unit you will be hired into..."

    Same! I was totally with OP throughout the entire post til that last part. I'm not even a med surg nurse, and I found it offensive. There are plenty of ICU nurses who could not handle med-surg. I really hope it was just the way it was worded and not intended to look down on any other specialty.
  11. Orion81RN

    How to make a PDN job appealing?

    Darnit. This happens all the time on this site. I typed out a very detailed response, and it disappeared. Lol. Anyway, I'll respond in a bit. My patient is needing me now . Spent my entire lunch on that reply too. But I have pretty strong feelings on this topic, so I'll be back! PS. Don't feel bad for posting lots of questions. This must be quite overwhelming, and I'm sure I speak for us all when I say we're happy to answer your questions.
  12. Orion81RN

    How do I transfer non ambulatory pt from WC

    I think those of us who have worked private duty for some time have come to have a 6th sense about families. My spidey senses are screaming heck no to this mom. I've read through your posts, and you seem to be reasonable. This mother does not. She was presented with the reality that a nurse needs to use a hoyer, and she disregarded the nurse's safety concerns with "wear a back brace." I don't think it's fair to say that nurses haven't come at the situation with empathy. And you bet when they don't return the empathy when it comes to my back, I'm going to nope right on out of there and take my empathy with me to another family who values what I'm contributing to that family.
  13. Orion81RN

    How to make a PDN job appealing?

    I think I know the post you are speaking of regarding being alone in the home with males. I want to say I doubt most female nurses would have a problem with this to the extent of not taking a case. That post was a particular situation where the original poster and one other poster understandably had issues with it due to a past assault. I, and many of my coworkers, have done it with no issues. As far as other kids, the issue is when the parent of the patient expects or asks the nurse to babysit/keep an eye on another child in the home. I don't know the age laws off the top of my head, but as long as a child is old enough to be in the home unsupervised, a d as long as the parents, the child, the nurse, the agency, all understand that the nurse is not responsible in any way shape or form for the other child in the house, it should be no problem. (As long as it's legal for the child to be alone, bc for all intents and purposes, the child is in fact under no supervision since the nurse is not responsible for said child.)
  14. Orion81RN

    How to make a PDN job appealing?

    I've found that those types of families are very demanding with the agency. Unfortunately, if you have one very demanding family, and another family that doesn't push hard for nursing, the agency will staff the demanding family first. I myself have absolutely wanted other cases, yet they've lied saying they didn't have anything just to try to keep me where I am. How I found this out was both my mom (a nurse) and I were signed on to the same company, and they would notify her about some jobs and not notify me and vice versa. I can't tell you how many conversations that went along the lines of, "Oh, realllly. They told me they didn't have anything. Hmmm very interesting." Basically, they cater to the jerks.
  15. Orion81RN

    How to make a PDN job appealing?

    This! I can't tell you how many times I had a parent take their kid to a Dr appointment, get new orders, and not tell us. I'm not your babysitter. I'm your child's nurse. Don't you think it's important the agency and I know this info? That drove me nuts.
  16. Orion81RN

    Mini Rant

    Adding to that, while life is not fair, that doesn't mean we should accept status quo. OP IS right. She IS more qualified for an inpatient peds position than a new grad RN. It IS ridiculous that whatever system a hospital uses, that it only includes her RN experience. She did do the exact same thing as RNs in home care. There's nothing wrong with venting about a system that is set up poorly.
  17. Orion81RN

    Mini Rant

    This is not an application, resume, nor job interview. I viewed the post as simply venting about the struggles thousands face. Perhaps you viewed it differently. Perhaps you viewed it as "Poor me. Why don't they hire me, not them?" Maybe we just viewed the post differently. I just don't find it helpful to reply with "life is not fair."
  18. Orion81RN

    How do I transfer non ambulatory pt from WC

    You're welcome. And don't let them make you feel guilty for refusing to lift a pt by yourself. They may say "well, all the other nurses do it no problem." If your agency doesn't back you up on this, it's a crappy unsafe agency. Hopefully they agree and hopefully you can help make the change to get a hoyer in the home. If not though just know you are doing the right thing by not lifting the pt yourself. No matter how many others might do it. Have you checked out the private duty forum on here? It's great! I'm sure you can find a lot of threads on this very topic.
  19. Orion81RN

    Vaccination for clinical

    mature! I realize I'm being just as immature here, but good grief. Anti vaxxers bring out the worst in me. Healthcare "professionals" at that. Smh
  20. Orion81RN

    Mini Rant

    What exactly is your point? Because it sounds like it is just to judge someone's reasonable choices. There are thousands of people who cannot simply start straight away in a BSN program. This person is just venting on how frustrating it can be. Sheesh. I for one couldn't go to a BSN program to start with. I was academically dismissed from my University in an entirely different field years before deciding on nursing. I had to obtain an associate's degree in order for the University to accept me back in. Yes, it was mistskes I made that lead to that. But sometimes mistakes you made when you were only 20 years old still haunt you years later. I take responsibility, but yes, I'll vent sometimes. Not that OP made mistakes like me, but she certainly had her reasons that suited her life best for taking the ladder approach. You sound judgemental.
  21. Orion81RN

    How do I transfer non ambulatory pt from WC

    Yeah, no. In fact my company has a policy that we do not lift over a specific weight (I forget at the moment, but it isn't much. I'm wanting to say 25 pounds.) One case I was on, the kid was about 70 pounds and another nurse lifted his dead weight to and from the chair and bed. Heck no. He had a hoyer. I used it. 2 other cases the parents did the transfers. They transferred to the shower for example, and I showered them. The parents transferred pt back. They were reasonable knowing it should not be expected of us nurses to do so. I would absolutely not take that case if this is an expectation. The statement alone that "nobody has gotten hurt" speaks volumes to me on that parent, and would be all I need to know to not take the case.
  22. Orion81RN

    Manager Retaliatiin

    That explains it. You got verbal during your card game, didn't you?
  23. I've tried for years to pay my loan. They wouldn't accept what I stated I could pay monthly. They insisted I paid $400 a month. That simply is not doable for me. Had they accepted my offer on what I could pay monthly, my loans would be paid off by now. It's not much. It's 9k left. But it's from 15 years ago. Those aholes should have just accepted my offer. After 7 years of nursing, I have only just now in the last 2 years found a job I can do full time. I have interstial cystitis and tried numerous times to work full-time. With my bladder, that wasn't happening. I can now do it in private duty. Just barely. My point is just that everyone has their story and reasons for debt not being paid off yet.
  24. Orion81RN

    Forced 24 hr shift

    Sorry for the long post ahead of time. I work 12 hour shifts with a vent patient who's family has refused to learn to care for him. That requires a nurse to be with him 24/7. I've been on the case 9 months, and while it has not yet happened to me, it has happened to others. A call off with no backup. Three times in the last month alone a night shift nurse has been forced to stay for 24 hours. I don't really understand the laws with private duty nursing. How is this ok? How is it lawful at that? He's a ventilator patient with no trained caregiver at home, so a nurse cannot get even one break in that 24 hours. I'm scared to death of it happening on my shift. It almost did a few days ago. I was notified in the morning that they didn't have a night nurse after me. I said I was already sleep deprived (hadn't slept since the night before) so to please please please do what they can bc I CANNOT stay. They got someone in. Side note* I get that call offs happen. I've stayed a few hours past my shift. But I found it interesting that the schedule for that night read "open." So to me it seems it wasn't a call off, but that they hadn't been able to schedule someone to begin with. I found it interesting that a week ago our quality assurance manager told me that she took care of this patient once. For that to have happened, the only way I can imagine it was if a nurse refused to stay and they got her, the QA manager to come in. So it sounds to me if a nurse puts his/her foot down, then they would get someone here. What should I do if I'm ever put in this position and absolutely cannot stay? The sassy part of me wants to say "do what you need to do. Get a manager in here or something, or I'm calling 911 and reporting off to them so I can legally leave." The realistic part of me wants to keep my job. My severe anxiety issues are keeping me from doing orientation for any other case. I have anxiety with "newness." I don't particularly like this case. I think I'll tell some horror stories in another thread about this case. Such as the wife accusing nurses of taking her kid's benzos and drinking her alcohol.
  25. Orion81RN

    Forced 24 hr shift

    Yeah. Luckily I think it's only happened 5 times in the 9 months I've been there. So about 5 shifts in about 500 shifts.
×