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mustangsheba

mustangsheba

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mustangsheba's Latest Activity

  1. mustangsheba

    Why hosp cannot pay nurses more, according to one CEO...

    What a bunch of horse hockey! One of the reasons nurses don't get paid what they deserve is because of bureaucracy. Hospital budgets are top heavy and spend inordinate amounts of money complying with rules and regs and providing excessive life styles for CEO's. And what about the thousands that were spent on that weekend for management? How stupid does he think we are?
  2. Mia: When I first started nursing - a little less than 100 years ago - I had to start on nights to get the job I wanted. It was hard for me because I can't sleep during the day. I told them up front that I wanted to go to days ASAP, and was able to do so in about three months. During that time, I had no other life, but it was worth it. I don't recall feeling tired at work as long as I was busy. Six weeks with a preceptor sounds pretty good to me as I've never had more than three; that doesn't mean it's a good thing. At any time, when and if you feel overwhelmed, you can call your supervisor. You're not expected to know everything when you're through with orientation - or ever for that matter. Go for it if you are pretty confident that the people with whom you will be working are supportive. And always remember it's not a lifetime commitment. Good luck!
  3. mustangsheba

    Seeing red

    "Finish what you are doing, do it well, and then move on." That's the criteria I was taught. The time it would have taken to finish your patient (assuming the other patient is receiving intermediate medical intervention) would have made a world of difference to pt. No. 1 and very little to pt. No. 2. I can't imagine defending in a legal case letting him wait until morning to finish his procedure. I am lucky. The charge nurses I have worked with would be on the phone to the HO's till they figure it out. Bottom line: It is not okay to wait until morning because it's inconvenient to call in staff.
  4. mustangsheba

    The ethics of refusing care

    Ethics is not only a professional thing, it is also personal. (For that reason, I do not administer chemotherapy and I do not work ICU.) These are just my personal biases. I refuse to administer care that merely prolongs suffering. I'm usually asked what I can do when I report to a new facility, and I just tell them that I don't do those two things but I can do anything else. Most managers respect our individual principles and try to accommodate us in staffing if a particular case is inconsistent with our value systems. I admit, I have gone head to head with physicians when they are ignoring or misleading family. I encourage you to be up front with your managers with what you find unhealthy for you in giving care. This is not abandonment. This is good self care. There is always someone else who has a different comfort level who can step in, someone for whom you can take over in a different situation.
  5. mustangsheba

    Registry Nurse Horror Stories !

    I have worked in this area long enough to have weeded out the places to which I won't return. I just tried again an area that I vowed I wouldn't go to, you know, thinking the first time was a fluke. Nope! It was still sucky. Most places treat me very well and are very appreciative of having an extra pair of hands. The drawback is that when census falls, agency is the first to be cancelled. Even though I may make more per hour, I certainly don't make more per month.
  6. mustangsheba

    surgery fear PLEASE ANSWER ME

    Analucia: What a beautiful handle. As everyone else has advised, talk to your anesthesiologist. Don't be brave. When I was in pre-op, I told the nurse I needed something for anxiety, that I was scared and nervous, and, by the way, so was the lady next to me (who denied her anxiety stoically, all the while clasping her hands and shaking like an aspen leaf.) He gave us both the IV medication I was hoping for. It instantly (I mean in the blink of an eye!), removed that scarey feeling. When I awoke, they told me they had had some trouble controlling my pain while coming out of anesthesia. However, I have no recollection of that - not then, not now. I always experience nausea when coming out of anesthesia. There are many medications that are effective - phenergan, vistaril, inapsine, zofran. I expect to be nauseated, therefore I am. Don't do what I do, do what I say. Expect and envision coming through with flying colors. It is normal to feel afraid going in. Trust that you will be in good hands and discomfort will be minimal. And above all, voice your concerns. I send you peace and love.
  7. mustangsheba

    ?? A "National Nursing License" (RN)

    I have advocated for a long time having an interstate license. Protocols are different in every hospital in the same state. Laws state "according to hospital protocol." The point being that we have to check protocols no matter where we are. As an agency nurse, I frequently check with my charge nurse before doing more than basic nursing care. It's interesting to me that sometimes they need to check their own protocols. Changes always bring new problems, however, I think that having a U.S. nursing license would solve more problems than it would create. (Now I will read the article and return should I change my mind.) By the way, I obtained my CEU's through correspondence for Nevada renewal. I could look up the information if anyone is interested. Addendum: In Oregon, if you keep your license current, you don't have to retake the NCLEX.
  8. mustangsheba

    need advice desperately!!!

    To be succinct, the first thing I would ask is "if I'm doing such a terrible job, why keep me here for another six months?"
  9. mustangsheba

    new nurse with anxiety attack

    Good advice here. The wonderful thing about nursing is that there is always something new to learn no matter how long you've been doing it. I've been a nurse almost 20 years and I'm sure at least once a shift I have to say "I don't know--" I agree wholeheartedly, the scarey ones are those nurses - new or old - who think they know it all. Be meticulous in administering medications. Almost everything else has a little flex, but meds are pretty concrete. I am confident you will do well.
  10. mustangsheba

    To everyone here....

    Michelle: I want to say, too, how much I was touched by our National Anthem being played at the changing of the guard at the palace. I love this board. It's great seeing nurses from all over our planet who come here to seek advice and support. Peace and Love to everyone, if I haven't said that before.
  11. mustangsheba

    I'm asking for your input...

    I had breast ca 12 years ago. First, if you have a lump that doesn't belong there, remove it. Enhance your nutrition. When working with patients, honor their individuality and respect their wishes. Explore their beliefs and values. Be direct in a gentle way. Talk to them about pain management. Listen as you have never listened before. When you look at them, look into their soul with compassion. Be an aggressive patient advocate. I would be happy to answer any questions.
  12. mustangsheba

    student needs help

    I'm game!
  13. Personally, I love having new nurses around. They have learned some new things I might not have been exposed to. I enjoy helping them develop their skills. The one thing I have noticed with the young ones is that they tend to think us older nurses don't know anything because we have trouble with the computers. I have heard other experienced nurses complain about this as well.
  14. mustangsheba

    Ethical dilemma !

    Lord, spare me from the knee-jerk "must have a bath and be pulled up in bed" Ratchits! First, I would call the doctor and describe the pain behavior in detail. All he can do is say no. What is this guys BP and pulse? Even while actively dying, these can be elevated because of pain. When I call a doc about pain, I have an arsenal of arguments. It helps that we have a state law mandating patients be kept comfortable. Also, I would document every hour what his pain behaviors are. Narcotics don't kill you when you're in pain. Pain relief will allow death to occur in a timely manner. I feel for you!
  15. mustangsheba

    uk nurse needs your help

    Michelle: I have found in some places I've worked (not all!) that socializing away from work can help bring people together. In the circumstances where it worked, we discovered each other's individual gifts and idiosyncrasies, which made it possible to utilize them or joke about them when we got stressed at work. Where it didn't work was where we had no common ground except for the fact we were nurses. Food is usually a great equalizer. I'm an agency nurse. The first time I go to a new facility I take cookies!
  16. mustangsheba

    lantus dosing

    I just came across Lantus last week and was lucky enough to hit on the evening the pharmacist came around to give an inservice BEFORE it became available on the floor. The concept is good and theoretically, it should work well to keep the brittles more even. I was under the impression that most would have to have additional coverage with R and NPH. The intent of Lantus is to even out the highs and lows. The instructions do not say to dc other insulins, just don't mix them. Nightowl. Lantus is given qd at night.