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mermer_rn BSN

IBCLC, Postpartum, Med-Surg Tele
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mermer_rn has 6 years experience as a BSN and specializes in IBCLC, Postpartum, Med-Surg Tele.

mermer_rn's Latest Activity

  1. mermer_rn

    IV spa/infusion center

    agreed. Assumptions and reprove...critical and skeptical is different.
  2. mermer_rn

    IV spa/infusion center

    Have any of you worked in an Infusion center/ IV nutrition/ IV spa type setting. I am thinking about trying it part time one shift a week. I have a background in massage therapy, so working in an environment that has that feel and alternative, elective treatments doesn't ruffle my feathers as long as they are safe. I love starting IVs and have plenty of experience, I like the laid back environment and the pay is great. My biggest concern is I would be working mostly independently, the Nurse practitioner is the owner and overseas everything, but is not always readily available and I'm not sure about the liability aspect. I'm not really even sure where to begin looking into this...there is not a contract for me to sign or anything to really read over, which has me wondering...would I be putting myself and my license potentially at risk? Thoughts, experiences, resources? TIA!
  3. mermer_rn

    When Nurses Dream...and Have Nightmares!

    I think we all have similar dreams...my old recurring dream is finding out that I had a class that I completely forgot about and had not been attending and it's almost the end of semester and I have to figure out how to pass it but I'm wandering around and cannot find the classroom. Now that I'm a nurse I have a recurring dream where I'm passing medications and doing my assessment on my first of 6 patients and I'm going so slow...can't open the packages, can't find all the medications, the patient needs all kinds of care and attention, my phone is constantly ringing, alarms and beeps are going off and I keep looking at the clock..830...then 1200...then 1800 and I'm panicking but I CANNOT move any faster. I know there are a million things yet to do and a million more new orders...I usually wake up heart racing.
  4. mermer_rn

    Paying for your own certifications

    I am OPT at a hospital (I was full time for a year) and I had asked for ACLS as well as MedSurg certification classes. They would not approve either for me, stating that these are only for charge nurses and since I am not full time, I will not be a charge nurse. I work weekends, and am often the charge nurse because there is no one else who has enough experience. I was told I could appeal and request again on the grounds that I do often serve as charge and have been a full time RN with them. I honestly am thinking of just paying for them myself to avoid the hassle. Many of friends pay for their certs themselves, but most are contract nurses and one of them has told me my employer owes it to me. Anyone else just pay for the certs they want? I definitely don't see myself at this hospital in the long run, but am not in a position to search for another job quite yet.
  5. mermer_rn

    Complaints of Complaining

    I sat down and did some research, as I should have to begin with, and you are correct. It is written in their contract that you sign upon employment, that you are not to discuss salaries, but it's not enforceable. However, I live in an "at will" state, so an employee could be fired for another reason with no legal repercussions unless the employee did very careful documentation and hired a lawyer. I think I better get my resume spruced up and my certifications up to date and get the heck out of here before I'm terminated or worse, have my license on the line. Thank you
  6. mermer_rn

    Complaints of Complaining

    My facility has now implemented a "no complaining policy" and have hung up signs that say "no complaining zone" and the like. They furloughed a ton of staff and took away the yearly extra shift bonuses that the nurses worked their butts off to earn and are now offering large sign on bonuses to new recruits as well as hazard pay, but only for new employees and many other morale crushers. Discussing salary is now a fireable offense. I will admit there has been grumbling and complaining, but now when we try to say ANYTHING, such as legitimate concerns and safety issues, acuity levels and inappropriate placement we are met with the "no complaining policy" and threatened with a performance write up. The ones who don't ever "complain" just seem to keep getting more and more work shoveled onto them and I feel like we are being trained to shut up and work, when we shouldn't be. Any one else facing ridiculous "policies" like this? It's making me want to run away fast, but trying to find another job in all this mess seems daunting.
  7. mermer_rn

    COVID and return to work anxiety

    I worked full time up until April 1st and then was furloughed to due lower census, but mostly because the hospital was losing a lot of income from cancelling non-emergent procedures. I have been off work for almost 3 weeks and will be returning in 4 days. While I was still working I regularly floated to the floor dedicated to COVID PUI as well as confirmed cases. The rules were changing daily, we were not allowed to wear even surgical masks unless aerosolizing treatments were taking place, even then they would tell us to "try to not go in the room for about 2 hours". N95s are completely under the control of the house supervisor who's only response seems to be no. I am not an ICU nurse and only ICU and critical care nurses get issued N95, though I spend 12 hours exposed to the same patients. I have talked to a few other nurses and it seems not much has changed, and I am having extreme anxiety about returning. I'm not sure how to handle this proactively....I go back and forth between wanting to be a part of the frontline and wanting to run like hell. Am I the only one? How do we protect ourselves???
  8. We have been having an influx of younger (25-45 years old) coming into the ER and being admitted as abs because they are flu positive, febrile, reports of rigors at home and surprise, surprise a slightly elevated lactic acid with chest x-ray ordered (I work in a small inner city hospital on weekends only, so it's very often if a pt is stable the chest x-ray will wait till the AM). Now if someone is seriously ill from the flu, I get it, but these patients are exposing the staff as well as potentially the actually, seriously ill, immunocompromised person down the hall and that really bothers me. It also seems these are often the neediest, most demanding, unrealistic patients who are convinced they are included in the numbers of high risk for flu fatality and due to the powers that be, many of the physicians go along with it. One particular patient was quite demanding, unhappy we had given him tusselon pearls, Tylenol and Tamiflu instead of his request of Promethazine-codeine cough syrup, mucinex, "something for sleep" morphine for his headache and a "high dose of vitamin C, maybe in the IV?". I love working with the particular physician who was assigned to this patient (this physician is on the cusp of retirement and is not only a wealth of knowledge but also a treasure trove of honest no BS interactions with patients). The physician came to update the patient saying his x-ray looked fine, labs were great and they could go home. The patient was indignant and said he didn't feel comfortable going home because his wife was out of town and he didn't have anyone around if "something went south". He then went on to complain that we weren't giving him anything he couldn't get from Walgreens and in fact he could get more. He had a headache, horrible cough, couldn't sleep, body aches, and so on. "Yes sir, that's called the flu, which you tested positive for, it is a miserable illness but one I suspect you'll recover from quite well without our assistance" The patient just looked at him blankly. I'll have the nurse print your paper work, oh and Mrs. Mermer....make sure you put plenty of couch therapy and all the Walgreens runs he desires in the special instructions and I'll include a note for your employer if you need, happy netflixing. I could hardly keep my composure.
  9. mermer_rn

    Current Struggles as a New Grad

    Just know that everything you are experiencing is so common and so normal. Forget-fullness and not being able to latch onto details I find is common for new grad or transitioning RN because you are overwhelmed and essentially almost always in flight or fight....so it's difficult to learn and remember in that type of situation and you are also in the stage of nursing I call task fixation. You have so many tasks, demands, interruptions, changes in the course of your day and prioritization that your mind is swirling and you simply move from one task to another forgetting to prioritize appropriately and are often finding yourself sidetracked and doing the work someone else should/could be doing. I think the thing that finally made things click and made me feel much more calm and capable was the advice of a lovely doctor "remove yourself from as much as you can and know that this is not your illness to manage alone and that I have seen patients survive things I didn't know the human body could endure." Meaning....if it's not your job ie: lab calling to ask if the doctor meant to order these two labs...well that's an excellent question for the doctor here is his number, pharmacy tech calling to ask if the patient in room 101 is paying cash or credit care...well that's a great question to ask the patient, here is their room extension and so on. Also realizing that you are working in a team and you yourself are not the one that is ill, so it's not your job to take responsibility for the illness, merely the job of assisting the patient to get well and educating them on how to take the responsibility of managing it...TALK TO ALL THE CARE PROVIDERS...ask lots of questions even if people get impatient or make you feel stupid, ask for another set of eyes, or learn phrases like "I really feel like I need another set of eyes in here" and you'll start to learn all the things you are wanting to learn, assessment, labs, etc. I always made it a point as much as possible to follow the doctors into my patients rooms and to ask the more senior nurses advice, opinions, help. And take notes, lots of notes, like when you notice a change in a patient, write down the time and your assessment, because you might not have the time to chart it at the exact moment. Make use of your printer...I print a lot of the patient summary so I always have it to look at if needed. Also no one can remember everything, take a breath and say, "you know I'm not positive on that, let me badge into the computer and I can let you know". And lastly...just know that you are doing your absolute best to take care of this other human and that if something goes wrong, it's not your fault, there are lots of other hands and eyes involved and you do your job and you let them do theirs. You've got this and soon you'll lift your head up and be able to look around with more clarity and even start to wonder why you were running around so overwhelmed and stressed.
  10. mermer_rn

    What’s changed since 2004?

    patients are sicker and nurse to patient ratios are worse, you are also now expected to do the many tasks that a secretary would have done (unless you are lucky enough to work somewhere with one), Nurse Assistants are a dying breed as well....they do not make enough money nor have enough raise an earning potential to want to stay in the job long so I have found (personal opinion) that the ones remaining do the bare minimum because there is no consequences for not and no reward for going above and beyond, Care coordination is another big thing due to readmission dings so you will work with them a lot as well as be expected to do a lot of the work of coordination because they staff them very critically, RRTs...but those have changed as well as they are nurses from higher level units that are pulled away from their patients to help handle responses, so I have found the burden of a rapid response is slowly being put back onto the primary nurse, lots of protocols and reflex orders, EMR, pixus for basically ALL medications, Telesitters in replacement of a physical sitter, portable communication devices and trackers....where I work the DON opted to spend the unit budget on a tracking system that tracks our every movement such as bedside charting, time in each room, hourly rounding, med pass times, and much , much more. Monitoring devices and pumps are now often hooked up to hospital wifi and notify you on your portable communication device of things such as fluid administration completion warnings, air in the line, occlusion, change in rhythm, a lead has come off, patient no longer on the monitor in an attempt to do away with all the beeping and alarms....it's extremely annoying at times and I think leads to what I have deemed as "notification fatigue" I feel the workload has only increased as well as all the interruptions.
  11. mermer_rn

    Terrible experience with nursing staff

    I will say that I lived in another country for five years that was some what underdeveloped and had universal type healthcare and had my baby there. It's a very different idea of healthcare as well as the influence from the culture itself...it seems its common in places like these that the family is expected to provide much of the care following the instructions of the nurse or doctors as well as supply much of the medication and supplies. When I had my baby I picked up a list of all the supplies and had to go buy everything including the sterile gloves, drinking water, food, bandages, etc. I did often feel I was treated a bit coldly because I was American, but I learned how to speak the language and how they expected me to act and I acted accordingly and was always treated much better than other Americans who would be demanding, angry, upset. It's just very different and you absolutely cannot expect what you get in America...there is no patient satisfaction scores and you are expected to cooperate and agree with the course of care the doctors dictate. Hospitals in countries like these are places you only go if you absolutely have to and you get out as soon as possible because the expectation is you have a large family to help care for you. Having to have a lot pain medication and help is kind of a shameful thing...it looks bad on you as well as your family, it would be considered embarrassing. Sorry for your experience...I don't think anyone was acting maliciously, I just think you have to understand the culture you are in
  12. mermer_rn

    Nursing and loneliness

    I'm pretty introverted, which I'm sure is another factor adding to loneliness at this time...but I know I need people in my tribe, so I'm going to make an effort to put myself out there more. I need to think of a way to have a get together.
  13. mermer_rn

    Nursing and loneliness

    Very true...I guess I didn't think about all the factors I have at this time in my life. I need to put myself out there a bit more I think.
  14. mermer_rn

    Trading scripts for Meth

    https://kfor.com/news/local/nurse-practitioner-charged-after-allegedly-trading-xanax-for-meth/ A Nurse Practitioner in Tulsa Oklahoma was arrested for trading a prescription for xanex for Meth to an under cover officer. She was the owner and sole practitioner of a clinic and enough reports had been filed that a sting was arranged. I just don't understand how this transpires...I know addiction can affect anyone, but for some reason I am a bit obsessed with this one and just can't wrap my head around it.
  15. mermer_rn

    Nursing and loneliness

    I haven't seen a topic specifically addressing the loneliness that being a nurse can bring. I am a military spouse and therefore move around more frequently than the average person may. I have always found friends in my coworkers or neighbors, with the exception so far of this last move. The unit is a bit toxic, with a handful of nurses who have worked their for YEARS and are friends, but don't seem to have get togethers (at least not any I'm told about) and a handful of newer nurses who do their job and get the heck out of their and are just waiting to get another job somewhere else. I work weekends only, due to childcare issues, and my husband works during the week and is off weekends. So, as of now, my only "social" interaction is at work and at home with a toddler...I'm so tired after working my long shifts and taking care of daily things that I don't make much time to go out and find those who are not nurses don't understand. This feels extremely lonely and I'm not sure if it's my schedule, my job in general, the culture of this new state, all of it, or something else. Anyone else feel that being a nurse makes them vulnerable to loneliness?
  16. mermer_rn

    Is my career over already???

    Thank you all so much, update....you never know how things might work out. I had pretty much given up but attended a BLS course because I had already paid for it in advance. The woman who instructed the class was impressed with how I helped a nursing student (she was really nervous and we chatted quite a bit about nursing and that she shouldn't be discouraged or intimidated, etc). The instructor and I chit chatted during break really hit it off. The instructor was surprised I was having trouble finding a job and turned out to be a manager of a unit not currently hiring, but told me to list her as a reference and wrote me a really nice letter of rec. I got hired on a med surg unit (not super exciting) and began floating to postpartum....now I'm a flex employee for both med surg and postpartum as PRN IBCLC. Bottom line....always do your best, and be kind you never know who is watching.