1Tulip

1Tulip

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  1. I have been trying to search out information on a topic and am coming up dry. So, I'm turning to my on-line nursing community. Maybe I'm the only one that's had this experience. OR it's something that is negative in nature and not reported. Here's...
  2. Disruptive families in acute care settings

    Thanks. I will ask our hospital librarian to get me copies. These articles may point me to some other references as well. I found one article about disruptive patients in a chronic dialysis unit. It's a start. I am very fortunate to be on our (v...
  3. Disruptive families in acute care settings

    It was very good to hear from a psych person. My thought as a med-surg nurse is that the cause of the disruptive behavior is not my concern. The pathology predates the operation/admission, I can't change it, and the bottom line is that the patient...
  4. Disruptive families in acute care settings

    Vis. calling the police. I could have. I wasn't hurt. (I have really bad knees. If I hadn't fallen just the way I did, I'd have been injured, and would have crawled to the phone and called 911.) But my 1st choice has always been safety. My saf...
  5. Disruptive families in acute care settings

    Yes, I think this is a case similar in many respects to what I am talking about. The "advocate" is placing herself as the one-in-charge. I-care-more-and-I-know-what-is-best. But she did respond to your efforts. Apparently she didn't like being cu...
  6. Disruptive families in acute care settings

    That is a superb idea. Does the "crisis nurse" only see pts. in the ER? Does he/she go to the units? Work just 9-5 M-F? How available are they? Here is a caveat. A family member is not under our care. He/she can refuse to talk to the "psych n...
  7. Disruptive families in acute care settings

    The conundrum I've felt is that neither my base nature, nor my professional know-how has been adaptive in these types of situations. What I have always done (necessary but insufficient) was to kick the issue upstairs, first to the Charge, then to th...
  8. Disruptive families in acute care settings

    Yes, I think this is some pathology that predates the hospitalization. Maybe it's BPD. In one case, (the 45 yr. old) we had a stat psych consult. He dx'd the daughter (pt) as BPD. So it was the mother who was being played and the nurses were just...
  9. Disruptive families in acute care settings

    OP here... checking in: I appreciate all the comments. I can see that this is not limited to my experience alone, so I am feeling better about it all. Let me make a stipulation here, however. This behavior appears to come from some element that...
  10. What if I want to quit the union?

    I'm having second thoughts and would like to resign from the union. I live in a right to work state. Does anyone know how to go about this? Thanks
  11. What if I want to quit the union?

    I hate to make all my friends and associates feel that I'm screening their calls. You are, of course, correct... I can do the answering machine thing. Just don't like it. Word to the wise... IF you feel you MUST sign a union card, make up a fake ...
  12. What if I want to quit the union?

    OK... I sent the letter off certified mail return receipt requested. I also sent a copy to the regional director of the National Labor Relations Board. I feel like a weight has been lifted off my shoulders. Anyone know how I can get them to quit...
  13. What if I want to quit the union?

    I decided I had to get out of the union the day I faced the fact that I could not in good conscience engage in a work action. I can't work hard with my patients on Monday and look them in the eye and say... "oh, but... by the way... I won't be here ...
  14. I work on a neuro floor. It is a GREAT learning environment for nursing students. Now, I know clinical education has changed since I was a student (Dr. Kildare taught us materia medica and I graduated with Cherry Ames...) but still, I don't think t...
  15. Have any of you all heard all the hoopla in Reno about the new "branding" attempts by Washoe Medical Center???? Short review of events: Over a year ago, the suits in the penthouse offices decided that a name like "Washoe Medical Center" sounded too m...
  16. Why is it that it only takes one patient (and usually not the sickest one on your list) to absolutely eat you alive? Lady was 4 days post-op, had been on PCA Morphine, was confused, combative, disoriented. They took the PCA away, started PO opiate...
  17. 50 out of 100 Nursing students failed program

    "It's kind of sickening, especially when you've got a "shortage" and some really good folks who want to be nurses, but aren't willing to put up with some of the BS of NS." I disagree. Certainly wanting to be a nurse is a NECESSARY criteria for succes...
  18. 50 out of 100 Nursing students failed program

    It's kind of sickening, especially when you've got a "shortage" and some really good folks who want to be nurses, but aren't willing to put up with some of the BS of NS. Certainly wanting to be a nurse is a NECESSARY criteria for success. But it oug...
  19. 50 out of 100 Nursing students failed program

    I graduated in... well, many years ago, and half of the students that began with us didn't finish. Historically and generally... about a third to a half of the people who start Nsg school won't graduate. I was told years ago that Nursing is one of...
  20. Why no union! Without Nurses the hospital can't run!

    What about merit? I think it's a dangerous nursing setting whenever a nurse is a nurse is a nurse. If you stretch yourself and pass that certification exam, if you are a mentor, if you serve on practice committees and go to bat for patients and pee...
  21. Not impressed with clinical group and instructor

    exACTly! There was SO much to learn. The room needed their attention, (after they left, I ran in to suction him and there were no catheters...) the patient could have used the interaction (and couldn't they have learned a lot about cognitive defici...
  22. Why no union! Without Nurses the hospital can't run!

    As responders here have eloquently shown, it's a real toss-up when it comes to unions. I worked in a state that was part of the old steel-belt, crumbling manufacturing sector. The union that seduced the nurses in our hospital worked relentlessly to...
  23. Not impressed with clinical group and instructor

    They were on the unit the whole semester, but only (I think) two... at the most three days per week. Since I work 3 12's, and since we didn't always share patients, I probably only worked with them twice. To their credit, I did see them there the n...
  24. I am a member of American Assn of Neuroscience Nursing, also Academy of Med-Surg Nurses. I think these organizations serve a different function than the State Nurses Assn's and ANA. The ANA and many of its State affiliates have made a grave error in...
  25. Yes, I am a member of my state professional organization. In our state, the leadership roles are accessable to anyone (meaning bedside nurses), not just academics, directors of nursing, state board members, etc. We employ a cracker-jack lobbyist wh...