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Any tips, tricks, advice?
As above, "Hang in there"! I used to train Er Nurses and always told them to look stuff up, ask the patient , ask the doctor, and gain self confidence. It is easier to ask what do you do if such and such happens and then go do that. If it was wrong advice you are the one screwed, if it is right then it was easier than looking something up and getting to know the reason for what you did. Take a minute, do it right the first time and move on. You have great sense to ask here for advice. Take into account all you get and apply to your practice. Look up what you don't know and carry on converstion with patients and sometimes they are a great help. remember the basics, in time your confidence will assist you and you will apply knowledge learned. Ask doctors or Pa, etc, on a specific case or the one youand they are working on. I aslo have a theory:.....Theory. that is when you get a new(er) person to train the next new person and unless you have time and knowledge to build a good foundation your newre people will stay above the average line, however, when you have a newer nurse training another new nurse and she/he is below the average line still that new person will be even lower on the line. In a short time they will train another new person and thay will falll lower on the line. Way too much seen where I worked at! Glad to be gone. miss SOME of the people and don't miss others or so many people dying( God Bless all of them). Sorry to rant but step back get your confidence jacket on and go in with anything to make the patient havea good outcome.
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Nurse on chronic pain medications, are they discriminated against?
I would like some feedback or experiences or just comments on a nurse, ER specialty, for 15 years, and got burned out and wanted to slow down. I applied for a clinic and when asked to give drug test offered to also include my medications. I have nothing to hide. When my results came back the medical director, of Occ Med., form their home state called and notified me that they are concerned about judgements and decision making due to medications. He wanted my family doctor to provide a list of all meds and a letter of my competency. I started to feel disciminated against but could understand their side. I had been on these meds for several years and workd in a Trauma Center of 300+ patients a years. Never had complaints or issues but was just getting burned out. (the hospital did nothing to help with burnout). My doctor understood the issue and gave a good letter of confidence. Recieved a call from Occ Med Doc this week and said that they felt my decision making process would be impaired. I could appeal and have a pain doctor evaluate me but ultimately they get final say. So I amd waititng to get scheduled for eval by pain doctor but feeling more frustrated and know that most doctors, esp. OccMed under treat, and if he says again after this next eval about my decision making process I feel like saying maybe you are right, I did apply to you clinic! I know I am avoiding surgery and thise complications but with accredidations and experience just feel disriminated against. Maybe this is just to vent. Anybody else have a comment?
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June 2013 Caption Contest: Win $100!
Stupid people ahead.