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cinlou BSN, MSN, RN

Emergency and Critical Care
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cinlou has 43 years experience as a BSN, MSN, RN and specializes in Emergency and Critical Care.

I have been a nurse for 37+ years. I was an LPN for 10 years before returning to school for my ADN when LPN's were being phased out of the ICU's. I have worked in many different specialty areas, mostly Emergency and Critical Care.

cinlou's Latest Activity

  1. cinlou

    MNA and Nurses Respond to the Killing of George Floyd by Police

    I know how intimidating it can be to be the new person/rookie. As nurses we watch over other nurses, aides, techs, medical students, residents and Dr's. to be sure our patient's are receiving the best care, and yes I have had to stop a resident and told them to call their attending or I would. It is important to support, but also call out when assistance is needed. When I heard the girl on the cell phone telling them to check his pulse and look at him and tell the other officer to intervene, and she was ignored, and at the same time I am seeing Floyd on the ground all of a sudden stop moving, and as a nurse I am looking at this thinking what are you guys doing do you not see, I wanted to reach through the TV. I don't know what I would have done if I was there. I would like to think I would intervene, but one never knows unless placed in that situation.
  2. cinlou

    Racial Refusals In Nursing

    I look at this no different than the elderly lady who didn't want me to take care of her because I was fat, she thought I would be lazy. I took care of her anyway. Or the patient who didn't want any male nurses. we said we would accommodate as best we could but could not be guaranteed. Any special requests are looked at and taken into account, with honesty to patient for providing them the best we can.
  3. cinlou

    What would you do?

    Hunter, I have worked with many awesome second career nurses. I hear you want to give back. Have you thought about starting out doing some EMT to be sure this is the field you want to go towards. I teach nursing students and some find out in their first semester that this is not the place for them and others unfortunately take longer. Shadowing, or joining your local EMT's, shorter course to be able to start working in the high adrenaline field of health care.
  4. cinlou

    Feeling Bored

    try joining a float pool. Never stop, keep trying new things, don't let yourself go stagnant, be active in shared governance, do as much as you feel comfortable doing without it becoming too much. I found floating was awesome, the staff was excited to see you there to help, you usually had a fair assignment, you did not have to get caught up in the politics, and when you were done you left for the day knowing you did the best you cold do that day, and the next day you had something new and exciting.
  5. cinlou

    Disrespect & Profanity

    I'm old too. I always told my son that if he was being cussed at the best comeback from him would be coherent intelligent words, it makes the person stop and wonder what you just said. The English language and the semantics within have changed so much I'm sometimes not even sure what I can or cannot say even if what I want to say from my educational upbringing and following the true meaning of a word is neutral, but now means something different in the urban dictionary. As someone who also talks with my hands I guess I need to make sure I am not making any motions or gestures that would be offensive. The use of the F-bomb really gets my goat. I hear my nursing students say it and they think they can say it to the faculty/professors. I'm like "excuse me?" (with my look). I hear nurses, patients, young children etc. saying these words like they are the most important words, and the only ones within the English language available to use. See told you I was old 🙂
  6. When I was in Nursing school about 1978, there was no question about who to take care of. We were taught to keep our beliefs etc to ourselves it was not up to us as nurses to judge anyone, we were there to provide the care required. If there was an issue we were totally against then we were told nursing may not be the place for us or find a position that would keep us from being in contact with that situation. If patients don't want me to care for them for what ever reason, they have the right to request someone else, and this may or may not be able to be done, so it would be addressed accordingly. Many people are coming into nursing for many different reasons, and they need to try to do some quality self reflection before they do.
  7. cinlou

    NEW RN "But old LPN"

    I had too, been an LPN for about 10 years when I went back for my ADN. I had spent those years in mostly critical care before they removed LPN's from ICU. When I received my RN I was also considered a new grad. Even at that I still made more money, and once I proved myself and and my skills, I gradually increased my salary and options. Don't give in. I know how it feels, I had felt a bit humiliated and I felt like they were getting an experienced nurse for new grad pay. But I kept that hidden and did the best quality care I could, and eventually was given back too.
  8. cinlou

    Can't Smell-Can I be a Nurse?

    I have had peers with same issue, one had and then lost it, and she said she did not miss it except when she ate. She did not feel it impaired her ability to be a good nurse, because she learned how to compensate for the loss. Some nurses can smell ketones on the breath, some can not for example, it doesn't mean you wouldn't recognize the other aspects of say DKA.
  9. cinlou

    Why so many negative nurses in the field?

    I have worked on floors and in units with bad moral. If I couldn't influence change I left for my own sanity. Behavior roles down from the top. trying to run healthcare using business models does not help. Why are we not using nursing theory? I once wrote to studer and asked what nursing theory they were using, the woman I spoke with had no Idea as to what I was talking about, and yet studer supposedly took his model from healthcare. So much change and transitions need to take place.
  10. cinlou

    Why so many negative nurses in the field?

    Op, I hear what you are saying. When I started nursing almost 40 years ago we were taught to not say anything keep it to ourselves. Do not judge others etc. We gradually gained credibility as nurses. I think some nurses come into the field for different reasons, maybe more financial than caregiving. And that is ok we all need to live. The newer generations were taught to speak up about everything, so they are more vocal. I have worked with some who enjoyed escalating patients because they like to take them down and restrain them. I shaved an elderly client in the ER and was told I shouldn't do that because they would expect it. So, yes, times have changed, and we do not need to be negative just to belong, do what is right even if you stand alone. There are so many opportunities as a nurse not at the bedside, maybe bedside is not where you need to be, try something different for awhile. Try to teach new nurses and protect them from the negativity. Teach encouragement, organization techniques, delegation, caring and commitment, understanding and ethics. Let us help change this negative face of nursing, if there are more positive people others will either join or leave.
  11. cinlou

    When our older nurses die :(

    I am so blessed to have crossed over from the early days of white crisp uniform dresses, hose, caps etc. when what we did was the beginning of what much has become EBP, when Doctors use to do more and then nurses took over. When much of what we did was early clinical research, when we had to know how to care for many patients on every kind of monitor there was in one unit. When we iced saline for cardiac outputs and had to know all the formulas --to the monitor doing everything for us. When vents were on the medical floors, along with the other 15-30 patients we cared for, when team nursing was truly a team, and we provided patient centered care, oh did we do that back then too, they may have called it something different. So often I hear that our patients were not as sick, well actually they were they just stayed longer, so we did not get them back in the ER with constipation, because they pooped before they left. I had some great mentors, army nurses that could do it all tough but compassionate. I think my students like my stories, and learn from them, and I learn a great deal from my students and the new nurses I have worked with over the years. I am very glad that we have more men entering nursing, the diversity helps us provide care for all, and provides insite. Remember that gender does have a different culture and men look at things different than women, that is ok, but all need to recognise when we say things that are interpreted diffent by others. I see this also with more travelers and people moving around, we all have been brought up differently and we all hear and see things maybe a bit different. Respect is the key. The loss of a loved mentor, is a loss for us all. When I first read the topic, I thought it would be more about the knowledge we are loosing from those that came before us, and in away it is. Thank you all for your posts.
  12. Maybe she is beating herself up so much that she is feeling too embarassed to review the tests. My faculty always review the tests with the students after they take them so they can see what and why they got a question wrong
  13. Wish I could remember the department name, but I would hope every campus has something similar. BTW, she made Dean's List every quarter after that. Disability services, can work with accomodations. You two may also try some relaxation techniques together before studying, and then have her do them before she starts testing.
  14. cinlou

    Ugghhh, another new nurse...

    I was not the sort of person to feel and act superior just because I'd already had so many chances to get the experience under my belt while still in school. I was kind; I know what it's like to feel new, and dumb even though actually quite smart., even though for me, it might have been under different circumstances. NOBODY likes to feel that way! So, I'd demonstrate for them by doing it for them, and with the next patient, talk them through it as they did it for themselves. I never could figure out why RN education didn't include a good, healthy dose of the actual practice. If simply playing the piano requires a lot of lessons and experience, why on earth would a good nursing school with a good reputation not include something so necessary in their curriculum? I agree, I started out as an LPN as well, and I loved helping out the new students, it didn't matter to me if they were RN's, I even taught them how to be charge nurses even though I couldn't be one. Early on we could be charge on night shift though
  15. cinlou

    Ugghhh, another new nurse...

    I was precepting a new nurse in an ICU. She was going to insert a foley into an elderly patient, and she comes running out of the room with her hands flailing in the air, screeming, I asked her what was the matter and she told me he didn't have a penis. I kind of giggled under my breath and went in the room and pushed on his pubis and his penis popped out she gasped, and screemed again and ran out of the room, we had a good teaching moment, but this is my favorite and it happened way back in the early 80's. I will never forget. But now that I am a teacher, I remember this and I teach my students that this happens and what to do.
  16. I was over 50 when I received my MSN Ed. I was an ER/specialty nurse and I knew physically I would not be able to continue. I needed to look for options as retirement would be far away. I planned to sit on the beach and do on line teaching. That didn't quite turn out, but a door opened for a Director for a Practical Nurse Program, I am coming up on the end of two years now. Academia is definitely a change and it was like moving to a new country and learning a new language, but having influence in how nurses graduate and what skills they graduate with is very rewarding. Open up your options you are young and have a great deal to offer young nurses, go for it. We teach our students that healthcare is lifelong learning, never stop learning.