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Stepdown . Telemetry
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kaylee. has 7 years experience and specializes in Stepdown . Telemetry.

kaylee.'s Latest Activity

  1. kaylee.

    12 years a Slave (called nursing)

    OK perhaps the OP’s title was a questionable one, as I don’t find it appropriate to equate pretty much anything to slavery. However, despite the title, the main content of the post was not using nursing is like slavery as a thesis. It's not comparable obviously to slavery, rather the plight of many nurses struggling with the conditions of inpatient nursing today is uniquely troubling. I related to the OPs struggles.
  2. kaylee.

    Burnout, the Literature, and Understanding

    OMG thank you for saying exactly what I was about to try to articulate! Much research in the nursing literature exists that studies the CAUSES of burnout: management, work environment, etc. So if we have empiric research on the causes why would the solution be for US to cope with it! That is the problem with the whole mindfulness BS. There is actually (somewhere on the inter web) a solid critique of the “mindfulness movement” in the general workforce that it was created by business interests to get workers to decide its their problem and never to question the system that puts them in awful situations. Another great point you made was the fact that the OP’s researcher cited was from 30 years ago. Things are dramatically different now. Actually 30 years ago was a turning point: for 200 years up until 1970, basically the start of this capitalist system) real wages rose every single year across the country. People from 1770 to 1970 were realizing the American dream. Then in 1970, real wages flattened, and ever since Americans became overworked and in severe debt and profits boomed at the top. So my point is, that no, something discussing working conditions 30 years ago is not going to be the same conditions of today. Not even close. Thanks again for the great summary of the ACTUAL problem.
  3. WOW! Did you not critically read the paper? Or did you just take WSJ’s word for it! from the PNAS: although we find no overall evidence of anti-Black or anti-Hispanic disparities in fatal shootings, when focusing on different subtypes of shootings (e.g., unarmed shootings or “suicide by cop”), data are too uncertain to draw firm conclusions. ...whether a particular officer shows bias in any individual case is a different question than whether officers in general show bias. Claims of national bias in FOIS requires examining fatal force in aggregate, and not just in one incident or racial group. ....continued work on this issue will require more information about the officers, civilians, and circumstances surrounding these events. We encourage federal agencies to enforce policies that require recording information about the civilians and officers in FOIS to better understand the relationship between civilian race and police use of force. The authors clearly state that despite their findings, one cannot therefore conclude the absence of disparity. I love your claim that is hard data that somehow concludes that it is fact. you either don’t know how or you choose not to critically decipher scientific information for your own ideological agenda.
  4. kaylee.

    Documentation of Assessments

    Yes I do a more thorough assessment of the body system(s) r/t why they are in. For the other systems I chart by exception. What I have noticed is that SOME nurses will chart on all the things released into the flowsheet, whether relevant or not. (eg: sensory assessment using a feather haha). I am not sure if it’s laziness (rather than decipher the needed boxes they just chart everything) or they seriously are assessing these random obscure things. I think it’s the former. Point of my rambling: save yourself energy and skip the BS. To all the over charters out there, stop charting on assessments u didn't do!
  5. I am bewildered that some preceptors are so controlling. It's not my job to nitpick basic nursing skills. (unless u are doing it wrong or something). That would make me want to blow my brains out too as an orientee ! Now what I find extremely annoying when I am preceptor is when a nurse has to follow up everything I say reminding me they already know that. Its as if my tid bits are in some way insinuating they are dumb or don’t know, and “not knowing” is a flaw. With these people I literally have to become so careful not to “teach” anything slightly skill related because they will have to point out they already know that. Then there are the ones that become so insecure that they talk up their knowledge of things they may be shaky in. For example when I am trying to talk about rhythms nurses can become so defensive in this area if I try to pass on my years of rhythm interpretation to them, then they will sit down and have trouble finding the p wave. Its OK! U never worked on tele. Stop acting offended and embrace not knowing because learning is fun and is a journey (esp with heart rhythms!). I am in no way saying the OP is like this, but I usually see this in the newish nurses who are still a little insecure with their level. Most nurses that are really experienced (5 years or so) no longer give AF if someone is “teaching” something they already know. This insecurity is something we have all gone through and is u just grow out of. Its always good to self reflect on underlying insecurities and be mindful of how they may come out during orientation, as they impede growth and make it tough on the preceptor too.
  6. kaylee.

    Advice for Graduate School

    Congratulations! That is exciting! I dont know the specifics on either program but have been through the process of researching schools, as I am in an MSN program now. What are you looking for and what are some aspects of these programs that you have to choose from? also is it an NP program?
  7. kaylee.

    Terminated the third week into my orientation

    I apologize if I came off harsh. Of course there is no way for people online to truly “know” you. I just suggested maybe it was something for you to think about, not that it was factually “you”. Look, I went thru a similar thing 7 years ago as a new grad, I was let go 2 weeks into a job in a small infusion center. So I can say from my experience that in order to move forward, it’s important to think inwardly and understand the interpersonal aspect of a job gone wrong. I hope you are thinking about about the factors at play. Because those early job relationships undoubtedly influence their decision to keep or let go new grads. If it was truly just the absence thing, great, I guess all you need is a new alarm to wake up. But its just a part of life to try to improve ourselves and how we function in the world.
  8. kaylee.

    What would you do?

    Since you have a bachelors, the entry MSN or an accelerated BSN. These are your entry points.
  9. kaylee.

    Terminated the third week into my orientation

    No, cutting the badge in the face of the employee you just let go is DEFINITELY not normal. It is not the way one fires a genuinely remorseful employee for sleeping thru an alarm. It's just not. Honestly it may have been more than just the absence. I have noticed patterns in how you interact with people that would be problematic in the workplace. You have argued with EVERY dissenting opinion. Even your thank you’s seem to lack genuine humility; frequently you would thank someone then proceed to invalidate the person u just thanked. I hope you try to do some introspection and think about how you interact with people.
  10. kaylee.

    CNA - priorities need checking? Or is it the field?

    This sounds great in theory, but is not realistic in the insane hospital setting that the OP describes (btw OP, we may be coworkers). If this works on your floor, I am jealous. But for now I can only speak about floors like the OPs. Sick patients and distressed families are anything but lockstep. When they need the restroom that doent wait. When they are climbing out of bed doesnt wait. Priorities are shifting constantly. We most often are not the ones setting rigid to do lists. Because our desire to get things done doesnt get to take precedent over helpless people who spend alot of the day suffering. Sometimes we cant always do everything they need. Which means, every single day, at least one person is left to suffer when they shouldn’t. When patients cant speak, the moisture they are sitting in welting their skin is still agonizing. They just can say it. So this whole no interruptions no questions asked (besides life or death) doesnt seem right to me. Thats why this job is so dang hard.
  11. kaylee.

    EKG interpretation help

    When one lead looks very hard to interpret, or just weird, always look at another lead for clues. The top lead has little notches that are bizarre, but if u look below, they are in fact qrs complexes. We are likely looking at lead placement that is off. That usually Is the cause of really tiny QRS complexes. This is a weird strip but looks like sinus with ventricular bigeminy?
  12. kaylee.

    Need help with a question

    Agree with OP and PP: suspect stroke, meaning call RR...in the meantime, get a blood sugar. Although not directly r/t stroke, would stop the dilt drip, the appropriate action in the face of low BP ~ until alternative rate control measures can be implemented.
  13. kaylee.

    Race Issues in Nursing

    Just curious why you began the post saying that this African American person makes a comment whenever a caucasian person asks a question, as if its this black person out to get the white peolple? Why insinuate race is involved when its more likely that because the majority of the class is caucasian, a student question is coming from a caucasian?
  14. kaylee.

    Is this rude or is it just me?

    I find it annoying a little annoying when a cna says “patient is waiting for meds”. I appreciate when they gather a little more info by a simple polite inquiry: “i believe she is in the next room giving meds and should be out in a few min. Is there something specific u are waiting for? I can run a message to her.” Then the general meds inquiry can wait but if its like a pain med or something then the cna can let me know that while im in the room just so i know to get that right after. most reasonable patients would be like, “oh ok, sounds good”.
  15. kaylee.

    Where do I go from here?

    Really? That is a hands off position that mainly helps hospitals by creating ehr protocols so they can certify themselves, protect themselves and bill. Little ranty sorry.
  16. kaylee.

    Putting in orders without an order.

    If a patient appears to aspirate on his diet, i will place npo and get a speech evaL. Sometimes throw in a routine lab if i know the doc will end up doing it at 10. But only with the docs i know and know me. Surgeons, no. I dont put meds in. Except like when they only had tylenol suppository ordered because they were previously npo. I will reorder po. The other one i do routinely is if they get back from procedures i will resume their previous diet. Excluding GI related ones....i use my judgment...

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