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  1. It really doesn't matter if he is putting on makeup or lipgloss or perfume. And if you're going to get on his case about toning down perfume, you'll have to make sure you get on all the other kids too, as ALL jr. high kids wear WAY too much perfume and cologne. :) As to sexual behaviors: these days ALL sexual behavior is risky, whether it be heterosexual or homosexual. So I don't think it's appropriate to single him out to 'preach' about the risks of a 'homosexual' lifestyle. The kid is attention seeking. However, it's not worth making a big deal over. If he's a frequent flier in the nurse's office, then the issue needs to be addressed. I'm willing to bet his peers are less than supportive of his oddness, and he's having issues with the other kids. Maybe he sees you as a safe person and your office as a safe place. The school counselor should also be aware of him, if that person is not already. I think you are bothered by a boy acting like a girl. That's ok, but you need to make sure that feeling doesn't interfere with your care of this kid or any other kid like him. For the record, I've seen girls who pretend to be boys, as well as boys trying to look like girls. Some of these kids will 'grow' out of their particular way of creating shock value in the adults around them, but a lot of them will not and will struggle for the rest of their lives with their sexual identities. There is a high suicide rate among gay/transgendered kids.
  2. tencat

    81 year old nurse still working strong!

    I'm sorry that someone has to work at 81. It's just sad. I know it's going to become more and more common as many poised to retire now have no savings and those who will retire later will not have Social Security available. It's still a pity.
  3. tencat

    Morphine and end of life

    I have held medications when patients have had respirations of 6-8 per minute. I had one recently who was snowed on dilaudid q 3 hours ATC and we backed off, gave a long acting med (methadone), and she woke up :) So there are times when it is appropriate to hold meds. The hospice nurse should have been able to tell you WHY the morphine was ordered ATC and should NOT have given you the "He's dying anyway" answer. It's a fine line we walk in hospice: comfort vs. 'safety' of the patient. The challenge lies in striking a balance, and always the patient's comfort is the top priority. In response to ronpanzer: There are other reasons to give morphine besides for pain control. Just wanted to point that out.
  4. tencat

    Any nurses who used to be teachers?

    I was a high school teacher for 12 years before I went back to school for nursing, and I'm not sorry I did. Nurses face some similar issues to educators: No respect, huge workloads, 'customer' service vs. doing what's right. However, I've found in nursing (and I know not every nurse feels this way) that I'm not responsible for what my patients choose to do or not do. In education teachers are responsible for EVERYTHING, whether or not they have control over it (such as attendance in the classroom, kids beating each other up on the way from or to school WAY off school grounds, etc.). The only thing I REALLY miss is a decent amount of time off to be with my family on vacations. Of course, now with two kids we can't afford it anyway :) so I guess it all evens out in the end. It is hard to be older and start out brand-spanking new to a field after having established one's self in another field, but in some cases my age has helped earn me respect as many folks think because I'm 'older' I have been nursing for a while . That can backfire, too though when you don't know something and get a blank stare on your face. Then you get the whole "Wow, what an idiot! Did she get her degree out of a Cracker Jack box????" look.
  5. tencat

    Why are patients...?

    Why does everyone have to die at 2:00 AM????
  6. tencat

    And you thought a thong beneath whites was bad...

    "Tramp Stamp"....heh heh heh.....thanks for the new term! :)
  7. tencat

    Am I the only one?!!

    Instead of taking it out on the coworkers who are sick, blame management for not planning ahead and having enough folks available just in case someone has to be out. There are some of our coworkers who abuse the system, I know. But so many times those that staff don't even plan for known absences, much less emergent absences.
  8. So many misconceptions from medical people who SHOULD know better...so take the time to learn, those of you who feel that we must keep people alive at all costs and we are killing them if we withdraw nutrition and hydration. If someone is dying and their bodies are showing signs of not using food, the LAST thing they need is to be filled up with fluid and artificial nutrition so that they can choke on the fluid filling their lungs and wallow in their own diarrhea. If your patient is as thin as a match stick, has fluids and nutrition, and is constantly having stomach pain and diarrhea (I just had one like that) the KINDEST and most HUMANE thing to do is to discontinue fluids and feedings. The physiology of dying is such that dehydration and lack of intake actually cause a natural cascade of endorphins in the brain that help ease the dying process. It is horrible to watch someone die when we fail to withdraw what only causes more pain and misery. After a certain point it becomes torture. Terri Schiavo is obviously a different case. It would have been good if she had made her wishes widely known. But what quality of life did she have? She had no higher brain function and was alive in the strict minimal definition of the word. But how many of us would want to be alive like that? I sure as heck wouldn't. But if someone wanted to be, then it should be done.
  9. tencat

    Nurses who steal narcotics....

    I agree that once someone crosses the line and steals drugs from patients, it's time for him/her to rethink careers. I have issues with letting these nurses come back into the 'fold' because there is a HIGH probability that they will do it again.....and again....yes they have an illness. However, that illness makes nursing a job they should probably avoid. Not because they are subhuman or lacking morales, but because they will be around drugs daily and that's too much temptation.
  10. tencat

    Second career nurses: Do you like nursing better?

    I was a high school teacher for 12 years before I went to nursing school and have been a nurse for 5 years. I love what I do, and I'm not sorry I switched careers. I miss all the vacation time teachers have, and I miss the retirement I could have had :) but the day-to-day....NOT A BIT. I have tough days and get grumpy or cry at times, but on the whole I am enjoying my new career and can see myself in my current job for years to come. I just wish I had more than 2 paid weeks a year off and a decent shot at retiring before I'm 100.....
  11. tencat

    blank signed scripts

    Our office used to do that, and I was never comfortable with it. There are many things that can go wrong. The powers that be decided that maybe it wasn't such a good idea after all and scrapped it. It can be a pain to try to get meds for someone in a rural area or in a place where there are not 24-hour pharmacies. Our company has now contracted with a courier service, which has helped.
  12. tencat

    What grosses YOU out?

    Vomit. Sympathetic vomiter here, and it's REALLY hard to hold back! I'll do poop any day over vomit :)
  13. tencat

    Just for a laugh

    Made me chuckle! I'm sorry, but I just don't see how this is offensive. Someone somewhere will ALWAYS find something to be offended by......we can't stop getting older, so we might as well laugh about it. I know the current generation of increasingly elderly folks has a lot of individuals that could benefit from lightening up about getting older....just saying......
  14. tencat

    Administration okays family's mental abuse of staff

    EVERYONE IS ENTITLED (Yes, I said entitled) TO BE RESPECTED AND TREATED DECENTLY WHEN THEY ARE DOING A JOB. Period. There should be no discussion of IF it should be done. And people who hold your particular view of those they manage wonder why on earth turnover is so high and no one wants to work in their facility.....'customers' do NOT have the right to do whatever they want to do to whomever they feel like doing it to, no matter how much 'money' they bring in. Yes, the reality is that those in power don't care anything at all about those who work for them, but that doesn't make it ok or right. They will also find that the care in their facility will become substandard as they continue to belittle the importance of their staff and lose more of them. I don't think it says 'be abused daily and smile while it's happening' in anyone's contract, so NO I don't have to bend over and take it. I can refuse a patient or make a stink about it. Yes, I can also lose my job, but I'd rather walk. There are other places I can work that are better. At least we both agree that leaving is an option.
  15. tencat

    Does anyone else feel this way?

    I think the fact that the OP was honest and forthright says a lot. At least she is honest about how she feels and willing to own it. It is what it is. If her attitude impairs her ability to give her patients good care, then it is a problem. I think if she were not honest with herself about her prejudices (and we ALL HAVE THEM) she would be more likely to give sub-par care. As so many have said, professionalism is the difference: Recognize that you may feel that way, but don't let that stop you from giving the 3-pack a day smoker with lung cancer the best care possible.