Lauragfa2000

This is by far the clearest and most easily read rebuttals I have read to date. Thank you for sharing this.

My new hero! Yes, yes, and yes. I hope I covered everything ?

It sounds like a nightmare. I work with peds on vents and I have 1 per shift. Keep in mind my patients are only released when they are stable. 10 unstable is something I would not be able to do, even under the best of conditions. Unimaginable. The alarms alone would be enough to push me over the edge. In my case the alarm is usually nothing more than repositioning. There is of course the occasional plug and frequent, or not, suctioning but that's really about it. I'm not making light of it it's just I realize my day doesn't even begin to compare to what is going on in hospitals all over the world.

Wuzzie, I am a new nurse of 6 years. I can't thank you enough for your insights and applications. Without fail I think to myself "I wish I would have said that". Thank you for sharing.

myglobin, without knowing the the case history, I can state with 100% confidence this is spot on! Not casting blame on anyone because people are really all the same. Any activity discovered that reduced stress is beneficial, until it's not...

Well, where to start. I'm going to focus on a few of your words. All of the above statements are way out of line. Have you ever heard the saying the only stupid question is the one you didn't ask? You will find, if you graduate, that asking for help is essential in this line of work. Not just in the beginning. I agree there are aspects to this particular case that are lacking. I hope you're prepared for the same subjective criticism as you get closer to your graduation date. As for the no shame, there is NO shame in asking. There is, however, shame in continuing in a situation you know needs corrected without asking. PDN nursing is a challenge for a lot of reasons that I won't get into here. I've only been a nurse for six years and the last three were PDN. I was privileged to work in office practice/clinical research and SNF. There is so much I need to learn and believe me when I say mine is the first hand up when I need help in any given situation.

I have a very similar patient. She's 2.5 yrs old. Doesn't really talk yet. I learned a little sign language from ST. Please, thank you, more, book. From there we incorporated a few more signs that have meaning to us. Now she's saying a few words. She's also strictly tube fed. It takes time. I started with her when she was 16 months and she couldn't even hold her head up, let alone sit up. She was 18 months when she learned to crawl. That in itself took weeks of working with her. Once she started walking all she wanted to do was go!!! Feeding isn't that bad. I refused to put her in the crib or jumper. I put her favorite toys in front of her and we would just play. She loves to be read to. Believe me when I say that wasn't always the case!! It's really just developing a communication style that works. She was also on a vent 24/7. As luck would have it I was able to wean her off and within a year she was decannulated. Another thing I worked into her schedule was taking her outside for long walks with moms approval. That gets her relaxed/tired enough to sit for the 2hr feeds and being outside, weather permitting, helped with her sensory deprivation. The benefits of sunshine are also a plus?. It really sounds like she may be bored and has an excess of unused energy. I would start with the physical and work your way to the developmental aspects of her care. Not every day is easy and there are days I leave exhausted. She also has a tablet that she can work better than I can. I limit it to an hr total on my 12 hr shift. My biggest recommendation would be to establish a schedule of activities outside of the crib and tablet. It won't happen overnight but it will come together with some effort. Best of luck to you and I absolutely feel your frustration!

Thank you for sharing this. I've read for a little while now the importance of my own liability insurance. I casually looked into it. I too work PDN and your story really got my attention. 92.00 annually can't be beat. So, thanks to you I'm now covered.

The only problem with that is the internet. Nothing is ever completely removed. People pay 10's of thousands of dollars for nothing. It's always going to be seen by those doing an online search. It will read expunged, however, the citation will still be fully visible.

Thank you. In a few, very concise, words you put to rest what others have tried to. Fortunately the OP was seemingly very honest with her recall of the situation. Having graduated less than 10 years ago I can still hear those words of warning prior to beginning clinical rotation. I have witnessed classmates being denied entry to said clinical site due to background check red flags as well as two students being asked to leave after errors made on the floor. At that point it was party over. In the above noted situations there were no second chances offered.

Sadly the article omitted that part...I was planning on moving there at the end of the summer. Nothing definite, just kicking it around

I recently read where Indiana and Kentucky would be part of the compact nursing states as of 7/1/19 if that helps.

I took my NCLEX PN yesterday. My computer shut down after 85 questions. At first I thought it was a power surge, it was raining really hard, but the next thing I saw was the mandatory Pearson Vue survey! I almost got sick. I really wanted MORE questions!!!!!! I had no math, "hot spots", drag and drop, or audio responses that required you to identify lung/heart/bowel sounds. My test was strictly multiple choice, delegating, which patient to see first, and SATA (select all that apply). I had no less than 25!!!. My son googled "85 PN questions on NCLEX" and located allnurses.com. He called me and took me through the steps not telling me why (he knows me better than anyone). I logged in Pearson Vue and followed his instructions. When I entered my info and was about to hit the last "next" I screamed when I saw the, what I didn't know to be the "good prompt". From his end he stopped me and read verbatim what I was seeing. He then told me that means I passed. I still have 24 more hours to pay the 7.95 to actually see the quick results. I'll update when I know for sure.