All Content by cyc0sys
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Had my first bad clinical experience - L&D
I never said it had anything to do with being male nurse. I thought it was wasting time when they could've been providing education and teaching. You know, the reason I was there for clinicals at a teaching hospital. Not to mention the fact it's highly unprofessional behavior. That type of thing wouldn't fly if you're transporting a patient or even waiting for a clear scene as a medic. Your head is either in the game or not. If you sole purpose for being somewhere is just to collect a pay check and do the minimum amount of work possible. You're probably too comfortable and in the wrong job.
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Had my first bad clinical experience - L&D
Sorry to hear that. I didn't even get to do L&D because I was a male nurse and the patients had the option to choose if I was allowed on the floor. They elected not to allow me on the floor and I was sent to NICU for that portion of clinicals. I got the cold shoulder treatment from my preceptor and the rest of the staff at the NICU much like you did on L&D. Since no one told me what to do or would even answer my questions. I took the initiative to change, feed, and rotated babies in and out of the Mamaroos. One of the nurses came in to scold me but stopped after she realized that I reviewed that charts, feeding schedules, and was recording the weights as well as the I&Os. I wasn't going to stand around doing nothing while the NICU nurses gossiped and shopped on their phones with NAS babies incessantly crying. The other rotations at this University ran facility were about the same. I got jammed up by one of my preceptors for holding Lovenox for a patient with an epidural on Med/Surg even after I explained the risks. They had to call the Dr. and he supported my decision for holding the medication. It didn't help me make any friends during the rest of the clinical rotation. They watched me and waited for a mistake. I was a medic prior to becoming a nurse. You're going to see and hear a lot of things that will make you question your decision to be a nurse. Some of those thing will because you're working in a female dominated field.(I had to restraint another nurse's altered mental status postop patient because she was scared.) Some will be related to the fact you were a medic. (I had to pull my ADON off a non-responsive breathing patient because she insisted on performing high quality CPR.) Do not let those things deter you. I've worked with some really good nurses, both female and male. I would suggest you consider a specialty such as Cath Lab, OR, or PICU/ICU. Night shift are less drama filled. Best of luck my friend.
- Unvaccinated: Indefensible
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How soon can we expect to see cases go down now that Biden is president?
I guess patient rights to autonomy go out the window in your Totalitarian World view. Pay no attention to the facts. Everyone will eventually get the 'VID'. The majority of people who do get it will survive. The Federal Government isn't working. So your solution is more government, laws, and taxes/fines. Because that worked out so well for the Native Americans. If the government was so concerned about saving lives. Smoking would've been outlawed years ago. As it is one of the primary causes of preventable disease and death. You're obviously not a student of history, government or even an advocate of human rights. So do us all a favor and stop pretending to be.
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New Director of nursing
I worked LTC/Subacute for 4 years. I agree with everything but item #3. Call-outs should be evaluated on a case by case bases. They should also be balanced to the call-in schedule. For example, I picked up shifts to help the company but when I needed off. I had to find my own coverage. So it was better to just call out then try to schedule time off. There aren't unlimited resources for hiring new nurses or aides. Training takes time and money for new employees. If you fire everyone for a no-show you're going to figure this out very quickly. You're also going to figure it out when you front load all of your 'good employees' with extra work b/c you fired 'bad employees' prior to replacing them. A good leader needs to provide purpose, direction, and motivation. State Inspections rarely impact the quality of patient care and never address the problems of nurses or aides such as staffing or supply shortages. Most people are there for the pay check and do not to care about regulatory oversight.
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Pensacola State College LPN Program
I'd consider applying to UWF. PSC has a great deal of turnovers with instructors and problems maintaining curriculum.
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MED ERROR went to corporate
1) There are 2 kinds of nurses. Those who've made med errors and those who are going to make med errors. 2) No one has ever died directly from pain. 3) Corporate and the Law do not care about your feeling or emotions. 4) Never do anything your career can't handle.
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Six people charged in plot to kidnap Michigan governor Gretchen Whitmer
- Riots in Minneapolis
How would white supermacists benefit from burning down white owned businesses, communities, and properties? It seems to me these places are being attacked indecriminately. Why would they attack and threaten police when most police are white? Some of police maybe closet rascists. Doesn't really seem like it would benefit their cause to do these things. It would be better for them to just let things burn. Seems to me like people are starting to realize the govt is no longer in control and cannot protect anyone. Many of these crimes are of opportunity and are just taking advantage of civil unrest. I think the govt is just pushing the narrative of white supremacy as a new boogie man because they want people to believe they're doing something. Just like the BS article on the Umbrella Man being a Hell's Angel who has yet to be charged with a crime. If the HS had anything to do with that vandalism. The guy would've been wearing colors and they would've claimed responsiblity. The HS are more into running drugs, guns, and profit driven criminal enterprise. Then having some patsy go break some windows to blame it on someone else. I'm going to believe the first story of who this guy is until they come up with some credible eye witnesses for his alibi.- Riots in Minneapolis
- Riots in Minneapolis
I stand corrected. However, I still believe it to be a “legally defective” charge as the article below states. The defense will argue the officer was simply restraining Floyd and was unaware of the resulting injury due a 'lack of training' e.g "if you can talk, you can breath". http://www.citypages.com/news/experts-derek-chauvin-will-likely-beat-third-degree-murder-charge/570918851 A similar case in Maryland, resulted in no convictions against 3 off-duty cops who killed a developmentally disabled man because he wouldn't leave the movie theater after the showing was over. https://abcnews.go.com/Health/syndrome-man-movies-ends-morgue/story?id=20046376- Riots in Minneapolis
There has always been a 3 tier 'justice' system in this country: rules for the rich, rules for the poor, and rules for the police. In fact, we've been at war in this country for a long time and you don't even know it. War on Poverty - Increased poverty and the Welfare State War on Crime - Increased incarceration for non-violent offenders War on Drugs - Increased amount of drugs on the street and militarization of the police state War on Education - Increased cost of college and student debt What you're seeing is class war disguised as an impending 'race war' brokered by the financial elite who profit from the system. They need another smoke screen for their soft coup against the peasants to keep them fearful, as they raid the financial coffers of the Treasury Department during COVID-19. Don't let your 'white supremacist' confirmation bias obfuscate the true agenda of dividing the people along lines of color for power and financial gains. One only has to ask, "Who profits from this?" to understand the driving force behind these crisis.- Riots in Minneapolis
- Riots in Minneapolis
The lesson here is simple: A polite society, is an armed society. People who know the system isn't working for them take responsibility for their own personal safety and security. Much like the armed people who stood guard to protect their businesses during the riots. Remember, the police have no duty to protect anyone (Warren vs the District of Columbia ). Chauvin has only been charged with third-degree murder (11-13 years) and second-degree manslaughter (3-5 years). They have to prove he intended to kill Floyd in order for the third-degree murder charge to stick. Doubt that will happen. If it even goes to court, he'll take a plea bargain to manslaughter. The police union lawyers will drag this out until it cools down. Probably won't do more than 5 years, in protected custody away from general population. Under Minnesota Law, he's only required to serve 2/3 of the sentence so it might even be less. The other 3 co-conspirators haven't been charged with anything. Doubt they'll be prosecuted due to the Doctrine of Qualified Immunity (Harlow v. Fitzgerald). You don't get justice in court, only law.- Deciding between medical coding and LPN
Most positions are low paying to start. Working for physicians in private are not inclusive to just coding. They will require you to perform other administrative tasks such as scheduling patients, answering phone, submitting claims, verifying insurances, and billing. The best paying positions require experienced coders who are specialized in Neurosurgery, Cardiology, Hospital, Diagnostic Imaging and the other medical specialties. Some companies offer remote/telework situations. Billing software is becoming more integrated with EMR and Practice Management Software reducing the need for basic coders. Some software companies offer turn-key solutions and handle the back office billing and coding tasks as a portion of their contract. So you may not be directly employed by the health care provider or facility. Many companies are outsourcing abroad. Physicians are also becoming more savvy b/c coding is tied to reimbursement. If the physician is coding claims, he/she really just needs a biller who can verify the codes before submitting the claims. Coding is not going away anytime soon. So there will be a need for coders. But I'd consider looking at other options unless you plan to use it as a stepping stone to higher aspirations. I used to work as a coder and biller before I became an LPN. That experience eventually helped me land a job as Authorizations Nurse in Utilization Management and Review.- Does Trump have Covid?
Of course he's smart. He's worth 2 billion. He's also living rent-free in your brain. So think about that for a minute. However, I'm not really certain what is more dangerous in the emotional rhetoric of your post. Your inference that the constitutional republic hasn't been subverted by a financially elite and illusory two party ruling class. Or your inference that the government exists to protect anyone and the president is responsible for your personal safety. But please, continue to enjoy your bread and circus.- Does Trump have Covid?
I seriously doubt that. He'd be pushing Plaquenil or better yet Esbriet. Most hydroxychloroquine suppliers have actually reduced their prices. If you want to throw shade. I suggest asking some of these congress critters about their investments prior to a public announcement of the virus: https://www.forbes.com/sites/jackkelly/2020/03/20/senators-accused-of-insider-trading-dumping-stocks-after-coronavirus-briefings/#2e2c88964a45 Personally, I'd recommend investing in any company that produces any of the WHO model list of essential medicines.- Nursing as a twenty one year old hispanic male
I completely agree with that sentiment. Whether it's agressive patients or catty coworkers. A bit of testosterone tends to balance the floor. I've worked with female nurses who would rather work with male nurses. It's not always b/c of handsy patients or lifting capabilities either. Most of time they say they just do not want to be in the drama or seek to resolve conflicts in a timely manner w/o excalation. I'd really like to see more men in the profession. But PA or NP is a better stopping point if I could do it over again.- Younger nurse
A 'salty old' Army nurse once told me, "Your perception is your reality". Dave Chappelle took it a step further when he said, "I support anyone's right to be who they want to be. My question is: to what extent do I have to participate in your self-image?". However I think Oscar Wilde summed it up best, “The secret to life is to enjoy the pleasure of being terribly, terribly deceived.”- LTC Residents and Workers Face Tragedy
- LTC Residents and Workers Face Tragedy
- Nursing as a twenty one year old hispanic male
I'm an older male nurse. My wife is Hispanic. Her family shares similar views as your family. Most of them are FOB and work in skilled trades. Her family relies a lot on 'home remedies' and superstitious beliefs (brujas). I sense there is a bit of distrust regarding modern medicine and physicians. My wife is also the first member of her family to earn a BS. They weren't very supportive of that either. Them: "Women belong in the home, raising children.". I've run into similar mentalities in rural America. Them: "You're a man. You're not supposed to be nurse. Why aren't you a doctor? Are you gay? Etc...". I often educate these types of people that men have been nurses since the time of the Crusades in 1096. IMO it's no so much a cultural but a socioeconomic disconnect.- Mandatory overtime in massachusetts nursing home
That's one of those grey areas. Hospitals are regulated by the Joint Commission. LTCs are regulated at the State level. Which is why they are the Wild West of healthcare facilities. Pretty much anything goes. In Massachusetts, LTC workers are exempt from overtime pay and many other DOL regulations at the State level. Don't expect the BON to be any help either. State bureaucrats are there to feign safety regulation, collect taxes and fines. They only exist to protect the companies, not patients or employees. Union offer some recourse. But that's a pay to play game as well. It's your DON/ADON's job to ensure proper coverage and relief. Unfortunately, most don't give a damn about the healthcare staff. Which sounds very much like your situation. Unless this is an isolated incident. If you're going to hand off a task to someone else. Document it in your shift report and in the patient's chart. Unless it's a critical medication or intervention. If you feel you're unsafe to work after 16 hours. Call the DON/ADON. Request relief and document it as unsafe assignment. If your Pt census is low enough, you could give report to a fellow nurse and leave. They might fire you. But it's better than losing your license. They'd have a difficult time reporting you to the BON. Welcome to long term care. It's the toughest job you'll never love.- How do I get into a Emergency Unit as a Newly Grad LVN
Agreed. I'm too fat and old to play that game. Plus, I've survived all of my chopper rides to date. May the Airborne Gods smile upon all your endeavors.- Scope of Practice Florida
Maybe it's a company policy. But it has nothing to do with your scope of practice in FL. Not sure why you didn't learn how to draw blood and start IVs in nursing school. Granted, you have to be certified by a RN for IVs in FL. If you work in a clinic or nursing home. You're probably going to be required to do at least one of those tasks at some point and possibly more. MAs do blood draws and assist the surgeons in our office with procedures, suturing and wound care all the time. If you're under the direct supervision of a physician, you can do anything he/she asks you to do within reason. It doesn't matter whether you hold a license or not. - Riots in Minneapolis