Karmat

I find it funny that you think you get a free pass because you are a Black male. Just as I said before your comments say a lot about who you think you are and what you think. With regard to the test that I have taken, The NCLEX was just the beginning. I choose not to flaunt where I have obtained my education. Like I have said before I have never had an issue with my patients and pain medication. I have never had to give Narcan because I have over-medicated a patient. I will continue to provide my patients with the care that they deserve and the care that they need. I have had no complaints from management or my patients about the way that I go about my job.

With regard to the comments regarding Black Americans catching Ebola, why wouldn't they catch a cold like everyone else, why did it have to be Ebola? With regard to BLM it was a movement started because of the many responses by police departments all over the country that resulted in Black Americans being killed by overly aggressive officers and a lack of accountability and consequences.

I took the same nursing classes and NCLEX that you did and understand the issue of pain as you do only I don't need to flaunt my education from top-rated schools so chill on the superior attitude. As I said before when you discount what your patient is telling you, you do them a disservice with regard to managing their pain. If you choose to practice that way then have at it and suffer the consequences when you don't manage it correctly. Luckily, I have never had to use Narcan on a patient due to the pain medication that I have given. I talk to the patient and work in conjunction with the patient to make sure that they are comfortable as they recover from various surgeries they may have had. I don't discount what they are telling me and assume that I know what they are feeling because I have been that patient on that operating table, that patient who had gas leak into a shoulder, and that patient trying to recover from surgery.

Unfortunately, I live in the real world and have experienced the kind of racism experienced by the doctor. What I experienced was validated by staff in certain situations. It's odd that you would mention BLM but you do you. For me, pain is what the patient says it is and for me to think otherwise would be a disservice to my patients and their recovery. Again, I find it interesting that you reference Black America catching Ebola and that speaks volumes about how you think. You can argue all you want with a patient about what their pain is but in the end if you don't treat their pain to their satisfaction they will go to your supervisor, the house supervisor, or the Director of Nursing. If enough of these instances take place you will have to explain your thought process and the patient will get the pain medication to cover their pain as they indicated if within reason.

Adequate pain management is a human right and moral imperative for all patients, but especially for the older adults considering the prevalence and evidence showing significant under-assessment

But we can if we have friends and classmates who are privy to comments that make it racial bias. If it wasn't racial bias then why include race when discussing a person's pain.

When I went through nursing school my instructors repeatedly said that "pain is what the patient says it is". Who are we to decide for a patient that the pain that they are feeling is not what they are feeling? If I'm in pain and I tell you my pain is at 9 then my pain is at 9. You can't look at me and tell me my pain is not a 9 it's a 5. What other reasonable factors need to be addressed in order for my pain to be addressed in a timely manner? You are not in the patient's body and you are not clairvoyant. When a VIP shows up at the hospital and says that his pain is a 9 do you think anybody disputes what his pain is? Why should it be any different for anybody else?

In a couple of instances, I have had inside information from the staff who were classmates. "Pain is what the patient says it is"

I have experienced this again and again as a patient with a chronic disease process that involves pain at varying times. I have had to advocate for myself to doctors and PAs who assume because I am a person of color that I must be drug-seeking. It's demeaning, frustrating, angering, and tiring to have to go through this again, again, and again.

Sorry Seco: Didn't mean to offend, but wrote this after working multiple days and on the spur of the moment. I realized the mistakes after I hit the submit button. Maybe my usage the phrase "takedowns" was a little clumsy, but in an emergency when a psych patient on a 5250 is running down the hallway chasing a charge nurse, I have had occasion to grab them before they physically assault the charge nurse and call the appropriate doctor to get an order for restraints and medication while waiting for security and the deputies to show for assistance. I came to nursing after graduating from U.C. Berkeley and a 20 year career in Insurance. I have taken your advice and am now working in Corrections. I will apply next year to an NP Psych program maybe in the Northern California area. Thanks for your help.

Seeking advice as a young in experience nurse. I am a nurse just about to finish my second year on a Med/Surg unit at a county facility and working towards my BSN which I will finish in a year. I enjoy the patient interaction and think I have been pretty successful in my first two years. On a nightly basis I have at least one psych patient in my run and often times I have multiple psych patients in my run. With these patients come a wide variety of psychiatric issues in addition to their medical issues. I have been involved in take downs, the application of medication on emergency basis, the application of restraints in certain situations, reorienting patients, and talking patients down when agitated and in crisis. I really enjoyed my psych rotation while in school and originally was to be hired as a psych nurse, but the position was eliminated. I come from a family where everyone is in the medical field, mostly in behavioral health. Can you offer me any suggestions which could help me reach my goal?

18 out of 80

I'm in with 85 points. My understanding is that there are always a few spots that become available for various reasons.

Arrrrrrrrrrrrgh! Monday?

I met with Jacks over the summer just to make sure of my point total because I wanted no surprises regarding admissions to the program. I had taken the TEAS V almost a year ago and scored in mid 90s for National and Program Percentiles. Adjusted score was 83.3%. This gave me 85 total points. Now I am just waiting to hear from RCC and the waiting is killing me. I wish I had taken some classes this semester maybe some more Chem or Math.