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pooh

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  1. pooh

    can ANYBODY relate?!

    I wrote before but could never find any response to my letter and I can't believe NOBODY had any opinions/experience with my, uh, experiences. I'm an LPN for 23 years (read=not too young) and was diagnosed a year ago with ADHD. My first reaction to this idea was, "Oh hooey, so what?", then, when a psychologist friend and an attorney friend, both add-ers, insisted, I was tested and labeled, er, diagnosed. I began to read everything I could and light-bulbs started going on all over the place. I was put on Ritalin, 10 mg bid. It put me to sleep until I got used to it. Bad experience with the perscribing Dr. Blah, blah. Finally, I ended up taking 46 mg of the stuff, qd, prn (I got a new Doc) and, WOW, what a difference! Example: In nursing school, '79, I FAILED every #%$^$ clinical I did, (including emypying a bedpan!)at least once but ranked in the 93% of the nation on the state boards. A few months ago, on the Ritalin, I got the highest rating of all the nurses (I was later told) when the Pharaceutical company came in unexpectedly one day and followed us for a med-pass. Basically, everything I did was either very good or very,very lousy. Nothing in-between... I could take written tests just fine, but competencies, forget it. I could move faster than the speed of sound, and some of my co-workers thought I was frantic, nervous, or just plain nuts. Or, all of the above. I, normally, was like somebody on speed, no drugs involved. Tired, stressed, and overwhelmed with too much to do, as one often is on a med/surg floor, I would, occasionally, late in the shift, pick up my pen to chart something and write BACKWARDS without even realizing it until my pen hit the desk on the left-hand side of the chart. Perfect handwriting. I still can write backwards almost as well as I can write forwards. But on the Ritalin, I don't do that kinda stuff, anymore. 10 years ago, I decided to got for my ADN. I made it, somehow, through 2/3 of the ADN program and blew it when it came to Care Plans. I didn't have a clue as to how to handle piles of paper. They all looked alike. I made it through chemistry, anatomy, & physiology, and could NOT figure out the paper part of Care Plans! I'm still no WhizKid at piles of papers but, on the Ritalin, I've learned how to get through it without making a huge mess. And I want to be an RN. I want to do what I'm doing now, working in Long Term Care, pm shift, only, being an RN there. Does anybody out there know what I'm talking about? All the stupid mistakes on one hand, and, on the other, pulling off some things that, by all rights, I should have failed, and somehow, knowing there's a competent person inside of me that can still do whatever I need/want to do. I was not stupid but I sure could make a mess out of things and nobody, including me, could ever quite figure out why. I can take the Regents route and, with 6 classes and the test-out, be ready for the RN boards. But I'm afraid of something, & I can't put my finger on just quite what. Anybody out there that can relate, or give an opinion?
  2. pooh

    adha

    I'm a 48 y.o. nurse that was discovered to be ADHA about 10 months ago. Looking back on it, I can see how that state impacted my life - some negative and some positive. I've been taking Ritalin, which does seem to allow me to focus better chronologicaly and sequencialy. However, during a recent performance review, I was told that I seem to be easily frustrated and have a hard time multi-tasking. Since this is the first performance review I've ever had in my many years as a nurse (in no other job did admin, apparently, have time!), I explained that I likely appear more frustrated, stressed, whatever, that I really am and explained why. I should also add that all nurses are being performance-reviewed at this time, not just I. However, I would like to hear from other ADD nurses (or non-ADD, for that matter) and hear what their experiences are. Does anybody else out their understand the frustrations of this brain-glitch?
  3. pooh

    resident abuse

    I need info asap! I work in Minnesota, long-term care. A couple of days ago a resident told me an aide had slapped her. I was livid. This resident is a severly dysphasic stroke pt who can move only her arms and head, both to a limited degree. Her mind, however, is clear. Although her speech is very garbled she can and does enunciate some words clearly and I could CLEARLY hear, "Aide, nasty, and mean" being spoken. The gist of it was that an aide (the resident also clearly spoke the aide's name) had "slapped my hands" during a care-giving session. This particular aide is not one of my favorites. She's bossy and disrespectful to staff and residents alike. She's in instigator of dissent, always negative and bitchy. In short, a KnowItAll. On the plus side, she's a hard worker and very reliable but I've often wondered, if she's as tactless and harsh with the residents in front of the staff, what's she like when no one is around. Now I know. I did not seek out the confidence from the resident, she freely volunteered, although if I'd suspected the aide was being physically abusive I would have started asking questions. As it was, I didn't need to. I wrote a letter to the DON and quoted verbatim what I'd been told. The DON pulled the aide off that wing but she's still working here (as of last Friday) and I'm on again today, hoping like hell she won't be there. I understand that she put in her notice recently and hope she follows through. What I'm wondering is, what are the legal repercussions of this? Is the DON (who went to the resident and verified what I'd been told) obligated to fire her? I'd sure appreciate any info anyone has with an experience like this. I'm fairly new to this facility and the this scenario. Feedback would sure be appreciated...
  4. Hi all, I'm taking the Regents (old name)now Excelsior route to get my ADN. Has anybody out there done this. I'm wondering how hard is the final hospital-based competency? What all do you have to do in terms of competencies? I'll be taking mine in Madison, WI. Any, all info will be greatly appreciated. Thanks, Pooh
  5. pooh

    Here is an idea for you

    Chile; WE are well paid compared to other professionals? WHAT other professions are you referring to? I'm an LPN in Minnesota and make just under $30G/year - 10 years experience. I'm working on my RN and can expect another $6G/year entry level and MN is one of the higher paying places that I've scouted out on the net. It's also a $#%^ expensive place to live, relatively. I don't get paid one penny extra for the fact that I've completed 2/3 of my RN degree and all that science, anat and phys has come in darn handy sometimes... Sound like a lot? Go through a quarter of nursing school or a quarter of college to qualify - no guarantees you'll you'll make it. Pay for that yourself. No guarantees. I realize that while you're lifting pts that are kicking and fighting you, the nurse's job, walking cooley down the hall with a hand full of pills or a BP cuff may look easy by comparison, but she/he didn't get there by by simply filling out an application and taking a 6 week course. In truth, you have no idea of the responsibility that goes along with the title of 'Nurse'. I've never met one that thought they were paid commensurately with their responsibilites. Of course NA's are important and I admire those that are good at their job and want to stay there. A good aide on the shift is worth her weight in gold but, but. They aren't nurses. Walk a mile....get there first.
  6. pooh

    aide from hell

    I've returned to nursing after an 8 year absence and don't know how to handle this one. I'm an LPN in a long term care facility and one of the aides on my wing is a real thorn in my (and everybody eles's side)with, I feel, the potential for disaster. She appears to be about 16 or 17 years old and it's her first NA job. She's defiant, uncooperative, will NOT take direction and interrupts instructions to explain precisely why she did what she should not have done, never admitting that she may be wrong, or just plain inexperienced. Case in point: An severly dysphasic woman with a gastric tube, unable to assist herself at all but apparently able to understand what's being said, done around her, was left by this aide wearing a pt gown, a bed sheet to her waist, that's all, with the window open (northern zone, 45 degrees, windy, wind blowing directly in the window) and even I noticed the room was darn chilly. The aide entered the room as I was covering the cold, uncomfortable resident and I took her aside to explain how vulnerable the elderly are, etc, and she flatly interrupted me, told me she wasn't gone long, that she didn't need to listen to me and could speak whenever she wanted. She's right, of course, but not in the position she's working... This is typical, but not the only incident that other nurses, aides, and I have had with her. I've tried to approach her from the position that this job is an on-going learning experience and I'm trying to give her information, not criticizms, but it's not working for me or anybody else. My concern is that if she is this insolent and rude to the staff, what's she like to the residents, considering that her job does required the muscles of an elephant and the patience of a saint? Of course, she's often alone with very fragile and vulberable people. My inclination, after having discussed her work with a couple of other nurses who've worked with her, is to go directly to the DON and have a frank discussion of my concerns. Of course, we're all overworked and understaffed as are ALL nurses but she's like having one more BIG problem person to look after and, to some degree, I am responsible for her actions. I don't want to come across as a drill sargeant, esp. since I'm trying to wade through all kinds of new and only vaguely familiar rules, meds and equipment myself but something has got to give and I just don't think she's got the maturity to deal with this very important job, and the compassion and responibility that go along with it. Anybody out there......and suggestions?
  7. Sam, Paget, in addition to Erickson, is someone who had theories abt child dev. He and E are similar but have significant differences, if you're gonna dig into that realm. Also, just for curiosity's sake, compare Freud to the others. We've come a long way, baby.... pooh
  8. pooh

    virual education

    Carmen; Sure, I'll tell you what I can. Rue is a company the works in conjuction with Excelsior's virtual education program by supplying the materials (texts, study guides, tapes, CDRoms, etc) necessary for Excelsior's ADN program. Rue compiles everything you need to complete a course and sends it to your door. You complete the study guides and when you've got it down, go take a computerized test. There are cooperating test centers all over the place here. You have to be an LPN, CMT, etc, and have that basic clinical stuff under your belt already as there's no way to test on an on-going basis in a virtual university. When you've completed all the required courses, you go to a cooperating hospital for one final round of clinical competencies and then you're eligible for the Boards. How many classes you have to take varies. If you've had some college, it's probably acceptable but you'll have to submit a transcript. I'd recommend that you call Rue and they'll give you all the details: 800-759-5947. I hope it works out! pooh
  9. pooh

    virual education

    I've been an LPN since "79 and now, after completing about 2/3 of the ADN program, I'm going to finish via Regents/Excelsior (I'm going through RUE. I've gotten my first set of books (Fundamentals) and am plugging away. Has anybody out there done this, too? So far Rue has been terrific but I have yet to take my first test. Any feedback I can get would be greatly appreciated!! pooh ------------------ peg1
  10. pooh

    are they going to judge me...........need advice

    Micknmel; I don't know what ocr is but I do know what panic disorder is so I'll address that. I wouldn't tell anyone about either until you have started the program and gone through a few situations so that you can assess just how much, when, and how the conditions are going to affect you specifically. You may not need to say anything. If you do (nursing instructors aren't alway the most compassionate or knowledgeable creatures in the world), go armed with as much info as you can get: articles you clipped, a statement from your doctor, documentation that this is a viable disability, etc. Be prepared to be assertive about your needs. But do become a nurse if that's your dream. Nursing is just made up of a lot of people with all the quirks, conditions, disabilities, weaknesses and strengths as the rest of the population. You'd probably bring to a psych job a lot of compassion and knowledge that a person isn't going to get in school. Go for it & don't look back!