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FashionablyL8

FashionablyL8 CNA

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FashionablyL8 has 15 years experience as a CNA.

FashionablyL8's Latest Activity

  1. FashionablyL8

    Preceptor Made Me Feel Like I Should Leave Nursing

    I don't have any really original input- I think you've gotten a lot of great advice already. I just want to say that I'm sorry that you're going through this. That type of treatment is exactly what I fear when I think of my first nursing job (haven't taken the NCLEX yet). I have seen posts from people who seem very entitled and overly sensitive, but you do NOT seem to be like that at all. You sound humble and willing to learn- IMO your preceptor has an attitude problem. She may be smart and competent, but it seems like she's unable to give you any credit, possibly because putting you down makes her feel superior. Group mentality can be a toxic thing and it sounds like the general consensus in that unit is that new nurses are a nuisance and need to be kept in their place, rather than treated as an asset to be welcomed and taught. My only advice is that you try to remember that the behavior of these people is not due to anything being wrong with you- it may simply be impossible to gain their approval. There's nothing wrong with cutting your losses and moving on. That is not the only NICU in the world and I think you will achieve your dream of being a NICU nurse- this just may not be the place for it. Best of luck whatever you decide to do.
  2. FashionablyL8

    How Should I Respond to a Bad Clinical Eval?

    You've received great advice on how to handle this. It's really too bad that you didn't receive any feedback from the instructor before this evaluation. Perhaps she does have the wrong student. Do you remember how she acted toward you; does anything in particular stand out? If she was that unhappy with you in the 4 days of clinical, IMO she should have been direct and addressed it then. That eval sounds pretty harsh to come out of nowhere. As a senior, I would think you would already have been made aware of major issues with your attitude/behavior in clinical. I know I would have been really shocked and upset to get an evaluation like that after doing well throughout school. Whether the instructor has some valid points that you can learn from, or this a mistake/inaccurate perception on her part, I think it will be good to find out what this is all about. Hopefully you'll get some clarification if nothing else.
  3. FashionablyL8

    Massachusetts ATT- wait time?

    It really varies- my classmate got hers in under 2 weeks but mine took about 5 weeks! It's definitely not an instant thing like I assumed it would be. Good luck!
  4. FashionablyL8

    Social Skills Should Be a Bigger Focus in Nursing School

    There is definitely no shortage of difficult people in the world and of course, nurses/nursing students are among them. I'm an older "new grad" and I must agree that I saw some entitled, overly sensitive attitudes at school- mainly among the young but a few students my age too. The "everyone gets a trophy" is nice but kids need to learn that respect is earned and the world owes them nothing. I agree that the way we were raised in the 70's prepared us better for "real life". Of course on the other side, true bullying was ignored- "Just fit in!" was the general sentiment from where I come from- and I won't even get started on the general ignorance and intolerance to mental health issues, sexuality and diversity. But when it comes to the "me first, I'm so special and nobody understands"- I do think we see more snowflakes these days. Parents who are afraid to be "reported" for normal discipline and jobs and schools that fear being sued allow some people to get away with unacceptable behavior. I would love to think that all nurses are kind, considerate, emotionally healthy people but that's not reality. I agree that it's important that some social skills be addressed in nursing school but also that there's no way that it will "fix" people who have naturally difficult or unkind personalities or those who may be decent people but have such ingrained habits and outlooks due to their upbringing that you can't see the decency. I think that ESPECIALLY in nursing, an attitude of respect, tolerance, kindness and patience should be prerequisites. Nobody is like that all the time but we should usually be able to hold it together at work without upsetting and alienating coworkers and patients. Then again, there are coworkers and patients who seem to make it their life's goal to be upset and alienated. Sometimes you just can't win. However, having fact, manners and knowing when not to "go there" is a big part of being a good nurse, IMO. I'm rambling here but just want to add- I think it is SO important to respect those who have gone before us. When I work with a nurse who has experience and wisdom to share, I don't expect to be coddled and coaxed. When one spends all their time thinking about how that are being treated- "that nurse's tone was harsh"- "she didn't thank me for emptying that bedpan"- etc etc- one doesn't leave room to notice what is important- what can be LEARNED from that nurse! I'm not talking about nurses who are outright mean, just ones that are stern and no-no sense. There's nothing wrong with that and new nurses should be able to learn from all types of people.
  5. Any psych hx? Particularly psych meds? What is her diet? Any substance use? Results of CBC and metabolic panel would be interesting to see. I love these case studies! New grad LPN and I have a lot to learn 🙂. Oh yeah- maybe going overboard but MRI or CT of brain?
  6. FashionablyL8

    Looking for thoughts/opinions of experienced nurses

    ThinkingLikeaNurse, thanks for your response. That's a good trick with palpating the BP- I'll have to try that. The med was definitely clozapine- clonidine would have been scarier since that is actually used as an antihypertensive. Good point about the possible SE of QT prolongation. Anything really could have been happening since the resident was not sent out. Since then she has had other hypotensive episodes (not as extreme), but apparently the MAP cert staff have just recorded the BP and gone about their day. Apparently the resident has survived... but still, there must be a reason for this. That's the problem with staff without a medical education being in charge of monitoring the health status of a fragile population like this. I know I was one of those staff until I graduated nursing school, but it always concerned me and I always made sure to be as aware as possible of signs of emergent situations and to ask for advice from a nurse if needed. Ah well. I'm glad I posted about the experience, because I feel much more prepared and confident now. I have also made sure to bring my own equipment so I can assess residents without depending on others. Thanks again for your reply 🙂.
  7. Great advice given. Remember that people who talk about everyone else will also talk about you when you walk away. Anything you say, even if you are just trying to blend in with others, can be repeated and used to stir up drama. You're always safer not saying anything if you're unsure of what to say. Also, especially if you are looking to move up in your company, remember that those in charge notice who participates in gossip and unprofessional behaviors, and you'll stand out in a good way by refusing to go along with that. I've had a manager mention in a review that she observed me walking away from situations like that, and that really gained me respect and trust.
  8. FashionablyL8

    Medications Mixing and Nasogastric Feeding Tubes

    I agree with the above posters- real world, I've never seen anyone give each med separately. I sure haven't- I would like to finish my med pass by the end of my shift! We always have several Gtubes at our place so I've given a lot of meds through them and never had a problem. As previous posters said, it all goes to the same place as PO meds eventually, just takes a little shortcut. Of course there are certain meds that don't mix well together, but generally they are fine. I never mix anything with formula, it's already thick enough. Also using really warm- not burning hot- water helps dissolve the meds and prevent clogging. I remember in nursing school how we should never ever use Coca-cola to unclog a Gtube. Of course I just sat there looking innocent but I was thinking that it may not be ideal, but it beats sending a resident to the ER in the middle of the night during COVID season 😁.
  9. FashionablyL8

    Looking for thoughts/opinions of experienced nurses

    Thank you, Eeks! I'm so grateful that this resident turned out OK although I still wonder what happened. I've always found that my gut reactions served me well before, in life and work, but I tend to question myself with medical things that I'm not very experienced with. I think the bottom line is that I'm better off getting help for someone in my care if my instincts tell me something is wrong, rather than second guessing myself, saying nothing and the resident having a bad outcome. I'd rather be embarrassed about making a big deal of something that turned out to be nothing, than feeling responsible for someone else's suffering or demise because I was too insecure to speak up. I've learned a lot from your answers to this post- thank you all!
  10. FashionablyL8

    Massachusetts ATT- wait time?

    Hi everyone, I'm waiting for my ATT- Authorization to Test- in MA and concerned because my classmate already got hers and she applied after me. Just hoping for replies from ppl in MA on how long you all had to wait for yours. On the NCLEX site it says that 5 out of 6 steps are completed on my application, but the guy on the phone for the application site says that they haven't heard from the MA BON. I just don't want to keep waiting if they are missing something. Can't wait to take the NCLEX and be a real nurse!! Thanks for any replies 🙂.
  11. FashionablyL8

    ATI PROCTORED EXAM RETAKE

    Not sure if you'll check back since it's been a few days, but my class had to do the ATI retake no matter what we scored. It had similar questions as far as general subject (fundies is a very broad subject though!) but it will NOT have exactly the same questions as the first exam. Review the print-out of your weak areas, and you probably have to do some remediation so try to learn that info. Good luck!
  12. FashionablyL8

    Waiting times for ATT in MA

    Hi everyone, Congrats to recent grads! I'm anxiously waiting for my ATT. It's been 3 weeks this Friday since I applied and a classmate that applied nearly a week after me just received hers. The NCLEX site says it can take up to 4 weeks. I just went over my application and realized that I didn't put my mother's maiden name on my background check form- not sure if that would make a difference? I corrected it. On my candidate dashboard, it shows that all the steps are completed except for my scores. So it seems that my background check is complete, I guess. I'm just wondering if I did something wrong and can't wait to schedule the NCLEX and become a real nurse already! Anyone else waiting or have had classmates get their ATT first but end up receiving theirs with no issue? Thanks!
  13. FashionablyL8

    Looking for thoughts/opinions of experienced nurses

    C.Love, thank you for your good luck wishes 🙂. Although I love many things about my job, I would really benefit from having more experienced nurses to work alongside. I also don't want to inadvertently make any mistakes that could affect my license. FolksBtrippin (one of my favorite user names!), the nurse/nurses are usually off duty after hours but available for phone calls. I'm not sure if they are truly on call, as in coming to assess residents. In light of what you said, it makes sense that the clozapine be held. That's what I said to the supervisor- that even though there were no written parameters, I'm sure that the HCP writes the order with the expectation that the person administering the meds will have the critical thing skills to hold the med in unusual circumstances. In the future, I plan to be more proactive about sending residents to the ER. I would rather do that and find that they didn't really have to go than discover later that they could have been helped had I sent them out.
  14. FashionablyL8

    Looking for thoughts/opinions of experienced nurses

    Thank you so much, Davey, I really appreciate that! In this world of fragile egos, it can be difficult to find people willing to tell it like it is, so I really value the honest advice I get here. It annoys me when I watch new nurses get good constructive criticism here and do the online version of flouncing off with their panties in a bunch. I also wonder how they're gonna react when they get their first patient/resident who curses them up and down and insults everything about them 😁.
  15. FashionablyL8

    Looking for thoughts/opinions of experienced nurses

    I agree, Davey. I think that one of the issues with not having a nurse in the facility all the time to make these judgement calls is that residents get sent to the ER when they shouldn't be and NOT sent when they should. Not putting down my supervisor at all, but sometimes lack of knowledge gives us false confidence. Maybe she had some intuitive way of knowing that the resident was not going to decompensate further, but I don't see how, especially without any hands-on assessment. I feel like nursing school has given me lots of knowledge but also made me realize that there is plenty that I don't know and have no business trying to handle on my own. We learned about neuroleptic malignant syndrome in connection with certain meds in school but I've never seen it. Her T was 97.7 temporal (sorry I forgot to mention that, I didn't give a very good report in my post!). I remember a high temp as being a classic presentation but don't know about any variations- I'll research it because I should really know more about it since I give a lot of psych meds. Too bad I don't have you all on speed dial when I'm at work!
  16. FashionablyL8

    Looking for thoughts/opinions of experienced nurses

    Thank you all for your responses! I agree the situation was rather bizarre- I actually thought as I was writing it that it seemed like a troll post. To answer a few questions, the resident is a full code. Her physical health is usually stable, baseline LOC is confused, often agitated (she has dementia, schizophrenia and tardive dyskinesia). Her RR was 14, shallow with no increased effort, lung sounds clear. I just applied the ice pack for a couple seconds to see if I could get her to respond, as this resident is often somnolent (but can normally be wakened). The med was definitely clozapine. We give it often at my place for schizophrenia. I've seen parameters to hold it for systolic BP <90 and to check BP 15 after admin to assess for hypotension. That's why I wanted to the BP to be in range for a while before giving it. The resident did begin moving and was able to sip water with assistance after both hypotensive episodes so she was able to swallow meds then (meds are crushed and liquid given in applesauce). Your replies have helped me work through what I did right, and mistakes I made. I think the supervisor was task focused and maybe didn't understand how serious the situation could be. I should have stayed focused on the actual problem- the condition of the resident- instead of letting myself get into a discussion on whether or not meds should be given, because that really pwasn't the issue. Automated readings aren't as reliable as manual, but as JKL pointed out, the resident's LOC correlated with the BP readings. There was definitely something going on. It was also crazy not to have a manual BP cuff and pulse ox- I'll be certain to ALWAYS bring my own equipment from now on. I wish I had thought of that at the time! For the future, I'll remember that advice. That prevents me from possibly causing harm by following out an order from someone else, without having to get into a power struggle. Thanks again, everyone.