Kipahni

residual and x-ray to verify tube placement

For a lie to work it takes an agreement between two people, the one who speaks it and the one who believes it. A great author and speaker Pamela Meyer wrote a book called Liespotting. The goal is not to play a game of "tattle tale" or "gotcha!" it is to set healthy boundaries that foster truth telling. That in your circle honesty is what is valued. If a person like your classmate feels they can not be part of that trust, you can choose not to associate with them. (I personally feel sorry for people like him for he probably doesn't have anyone in his life to teach or show him his mistakes and that he is bringing about his own alienation) If it is a matter of being disruptive in class you can go to your teacher. If the teacher doesn't do anything about it I would approach the classmate alone and say " Hey I notice you always have a lot of input, that is great but I am really just here to listen to lecture and out of respect for time and our other classmates could you keep your sharing till after class?"

TU RN- I like how you described the difference between ICU and Med/Surg. I had a hard time relaying to my students and co-workers the difference. Both have different types of stresses. One is not harder then the other, so I would say it just depends on what kind of relationship do you want with your patient.

I use to love nursing. And at times I still do. I love NURSING tasks. Education, Skills, Assessing, ect. However most nursing jobs are in corporate like atmospheres, and this can cause high stress and irritability. I love the teamwork and my co-workers. I love my flexibility in schedule and I love my days off. For now in my career this is enough. I get paid well, live frugally and play hard. Nursing has taken me all over the world and my best friends are from my nursing school days. In the end though you need to see what your own heart wishes.

Just making an observation but I was wondering that when you call a Doctor do you not make recommendations for care? I only ask this because after assessing/working with a pt and you notice something don't you call the doctor and say " Hey I noticed this, would you like me to order this....ect?" In effect isn't this what your CNA's are doing with you?" I notice pt is doing this, you might want to do this?" or " So and so is hurting, they need a pain pill" If it is not an appropriate intervention at the time all you have to say to your CNA is something like "Thanks, I will go and check on them and see what we can come up with for a plan of action." or you could go into technical aspect of pharmacological meds and interactions and why that might not be a good idea. I guess my point is I am not above anyone recommending any kind of intervention about a pt be it CNA, Respiratory, or even family. If it is not feasible or not safe it is a teaching moment. If it is part of their orders and the pt warrants it after I asses the situation, I'll do it or call for an order, no big deal. Now if this is an attitude issue as in the CNA is saying it disrespectfully then that is a conversation you need to have privately with them and expectations you have for working together. You teach people how to treat you.

Actually all schools regardless of the program have to meet their clinical hours as stated by their state board of nursing. Which is usually around 1,000hrs. Now the QUALITY of their clinical sites do vary based on availability and curriculum. It is also up to the individual to do their research into any program and find what matches ones career aspirations. In that respect I do agree with you that it is up to the individual to make the most of their clinical experience.

Not sure what kind of tips you are looking for but here are a couple I have picked up over the years 1. cut the fingers off of the glove to use around fore arm IV's and tape down for people to shower. Or use the glove over hand Iv's. 2. always pull the drain/foley cath into an open gloved palm then fold the glove over the tip and viola contained dripping 3. When taking off a isolation gown ball up in as small a wad as possible then while holding the gown in one hand remove the glove and fold down over the gown and then transfer the wad to the other hand and remove the other glove in the same fashion, this contains the gown in a smaller wad and doesn't take up so much room in the trash bin 4. cut the bottom of a styrofoam cup to act like a funnel to fill your ice packs with 5. poor mans heating pad; wet wash rag nuked at 2 minutes place in a ziplock bag then in a pillow case or two. 6. Brown cow to start someones bowels ; equal parts prune juice, coffee, and 30 mls milk of mag 7. always take a second person with you when putting in a folley

Having worked as adjunct for both ADN and BSN, I can say neither is "better" than the other. Both had to offer a set amount of clinical hours so that their students could meet the requirement for the state board. Both had to have rigorous tests and application standards. Both had many of the same pre req's. What I did notice was the individual students. Some were quicker then others but that was not specific to the program, it was specific to the individual. But that being said this is where a lot of education is headed to: I am leary as this is the aacn who is promoting this so of coorifice there is financial gain to be had here. American Association of Colleges of Nursing | The Impact of Education on Nursing Practice I will also say that in my area one of the questions a new hire will be asked is " Do you plan on continuing on to get your bachelors?" As this is the push of Magnet status. I personally wish Magnat status was more like this Magnet status: What it is, what it is not, and what it could be

I have never talked to my computer or to myself out loud but this post made me say out loud "OOOOOOOOOOOOOOOOOOOOOOO!" like some Maury/Jerry Springer show response to a lie detector test. Wow. Just wow. And I am one of the stupid ones to answer the where do you see yourself in 5 years question honestly " Hopefully not dead (cancer warrior) Making more money than I make now and expanding my resume to include "global domination" in it.

I have been a clinical instructor as adjunct to three Nursing Facilities. 2 BSN programs one ADN. All three of them require a rubric to base the grades on. This includes turning in all required assignments on time to professional look and arriving on time to a the ability to go from 2 pt to 4 pts by the end of the semester. There is a mid-term evaluation so that all of the students know whether they are getting a satisfactory or a unsatisfactory. I am required to document when a student is showing a deficiency, if they have been counseled or corrected and to address all questionable behavior and help modify their performance prior the semester ending as it helps if our student pass and not fail. In fact it is extremely hard to fail a student from clinical that has a good GPA, for fear of litigation 31% Fail Out of Nursing Program at SCCC â€" March 7, 2011 | The Catskill Chronicle Anyway, if you were failed for legit reasons there should have been documented proof. As with all things in nursing, if it wasn't charted it wasn't done.

Could not agree more. I told one of my fellow coworkers last week as she started to complain about her pt load "Are you just frustrated and want to vent to me so that I am here just to listen? Or are you asking for help and bringing solutions to this issue? If it is venting I can give you 5 minutes then you will need to talk to the manager or someone else who may have time to listen. If it is for help I am here, tell me what you need" I have stopped counting how many pt so-and-so has in comparison with me. It is my own responsibility to speak up or ask for help if the 7th patient is too much ect....

I know when I look at nursing I wish it to look more like " Call the midwife" on PBS and less like C-SPAN with a little more crazies and drugs. But that is beside the point. To the couple of posters who have pointed out that they get abused at work from co-workers and patients I have this to share You teach people how to treat you. Meaning you are your own hero, advocate, change agent. If you do not like the way that you are being talked to, speak up. If you are physically being hurt, remove yourself and call security. If you are being dis respected state something like " This is unacceptable, I respect you as a person but I will not allow you to speak to me in this manner. Please refrain from ______. or change your tone when addressing me, I understand you are frustrated but that does not give you the right to ______. Now lets address the issue. I am your ally. It does no good to attack the one who is here to help you..... ect" Now if the patient is delusional or dementia sometimes it is best just to say something reassuring or nothing at all and get a sitter or restraints. Enough said about that Second Point I have been a Nurse for 8 years so I have not seen what nursing was like "back in the day" But I have worked in a Hospital setting where it was how I imagined what it was like to work as a nurse at that time (15-20 pt on a med surg floor. not very acute but we had to re sharpen needles and sterilize them for re-use. oxygen was one tank on the first floor. if you were coding someone you had to carry them on a gurney down two flights of stairs) My point is I despise the argument that nursing is "harder" now. Can we all just stop comparing our memberes and put them back in our pants and agree that nursing is rough no matter what the era? Each time brings there own challenge as well as each specialty. What is tough to one person maybe a breeze to another- this does not negate the others suffering nor make them disillusioned. Back to the original poster. Be the change you want to see in the world. It may benefit you to go prn at another hospital as this will lend you to a different perspective. The community hospital values vary from the large cooperate or the doctor owned one. Volunteer at a free clinic. I keep my sanity by staying objective, using my curiosity and creativity to find solutions to our nursing dilemmas. Yes it is sad that you feel you do not have the time to sit with the pt but if that is something important to you then maybe you should find a place where you can do that or when you get more experience you will learn how to become more efficient so that you can make time to do that. Or realize that you are human and that it is a 24 hour run business and it is ok if all the tasks were not done (so that you could sit with that patient) and the next shift has to pick up some slack.(as long as you let them know what needs to be done and a grateful thank you or a "I owe you one!" goes a long way) And the revolving door thing with patients, that is just a human psycho/social/soul issue that is bigger then you. You are only in control of what can be done for the pt on your shift. Perhaps you will feel less "empty" at work if you seek to feed your soul outside of work with people you love- and deserve your love. Also with things you like to do. Instead of searching for work to be a source of nourishment. I wish you the best on this Nursing Journey.

10 Professions That Attract the Most Sociopaths - PolicyMic I have often read that sociopaths are attracted to become surgeons. they really can be horrible sometimes. Not all of them but a lot of them can.

I have taken care of a patient that was getting leech therapy q 30 min. on the face. He said it tickled. I was trying hard not to turn green.

It is tough being float staff. It is the job of the charge to act as a resource. Especially if they do not have an area. That being said I do not think it is so bad if you have to give meds late. If a pt needs a PRN then you can ask for help. . Also be kind with yourself- Nursing is a 24 hour care, if there are orders that were not completed on your floor make sure you just report that to the floor that is taking them.