wolf9653

Hi, I have mental health, dual dx, rehab and detox experience. We have a very challenging, and sometimes dangerous setting. There have been cases of stalking and assaults of nurses. Our patients can be amongst the most manipulative. One speck of personal information passed amongst the patients can be added to until too much as is known. Like I had one ask if the jeep was my car. He was fishing in the dark, trying to find out which car is mine. Some of them are or are affiliated with gang members. Bottom line, give no personal information whatsoever. Most likely your facility prohibits this type of conduct. And it is important to have firm boundaries. If I coincidently saw a patient in an outside setting, I would keep it short and professional. If I believed they had too much to drink I would discuss with the bartender, the responsibility here is with the server. He/she should call a cab. I doubt the facility would release the information under HIPPA laws. I cannot comment on a social worker or peer support person. If I were attending a support group, I would also minimize my contact with the person, respect their anonymity, and hope they respected mine.

All classes taught in nursing school are an introduction level, not an expert level. Including general practice. So, its safe to say to them 'nursing, like medicine, has become, by need for intensive study and knowledge, a field of specialty. If, for example, you go to a pediatric cardiologist about your neurological issue, the pediatric cardiologist won't even see you. Also, I think you misunderstand what nurses do.' Also, if you feel like you would like to be knowledgeable in another area, there's nothing to stop you from reading. Bear in mind, I think proficiency is obtained by a combination of both knowledge and experience.

know restraint policies, and involuntary med policies, oft the state, criteria and when to use. what interventions should be tried. Under what circumstances/ Know how to redirect, reality orient, how to deal with hallucinating and aggressive patients, how to de escalate.

Sometimes, sometimes not. But some self reflection usually doesn't hurt.

true the older brain is different than a younger one. science actually points the the older brain being more effective, in that younger brains can 'learn ' information, but older ones 'crystalize' it, which makes it more applyable instead of regergitatable.

Because physicians bring in the money. money talks.

Myself, and I may be chicken little, would be cautious about a lawsuit. anyone can google these days. and if one's name were associated with a lawsuit, I'd expect a potential employer to shy away from them. so basically, unless I expect a payout equal to the wages I'd loose by never finding work again, I wouldn't file.

from your resume they shouldn't be able to tell your age since you are a recent grad they could just as well assume you are 19yr old. Age is funny. I've had a few dons tell me they don't like millennials since they have a (perceived) inferior work ethic.

I would document that I was advised by the MD that he administered x mm of x drug im x site.

Other way around. a nurses stethoscope is like a doctors b/p cuff

I have a few reasons. sometimes I need the extra pockets. Sometimes the environment is such that I choose not to show the tattoos on my arms.

Personally, I think if he is handsome, well kept, with nice musculature, charming, funny, confident, empathetic, financially secure, He's going to be attractive even if he wore a potato sack.

Amazing what an education can do to a guy.

If I were called a "murse," at best I'd walk away. Catch me with that on a bad day, and my diplomacy will go out the window. My license says "Nurse" on it

I could be twisted, but I considor the 3 month probationary period a 2 way street. They can say it isn't working out and so can you. I'd think the dialysis co would accept that being you had 1.5 yr with them before, I don't think they'd think you were a flip flop. but that's just me.

The only thing that makes one less of a nurse is a weight loss. Which depending on the individual may actually be desirable. Beyond that. The position a nurse takes matters less than the person the nurse takes. If one is lacking in compassion, caring commitment and desire to do their job well, they are less of a nurse.

Maybe they are aware that nurses often have to follow nontraditional career paths these days. It's not like it was in their parent's generation.

following policy, I'd occasionally answer the internal lines with (made up names to protect the guilty) "Joan harry bismark medical hospital, division of american greedy corperation, Harry walton harding building, thirteenth floor, charles joan mackmacky wing, C3 surgical ward, MS Mary klein woolworth, registered nurse, wound care specialist speaking. How can I help you?"

BTW he's a 'grifter'. He's just looking for free rent, and thinks that if he convinces you he's your B/F he can stay longer. I don't think he was actually romantically interested. I bet at each of these old addresses there's a story waiting. And he beat them all out of money and rent. And I agree the likes of his kind are unlikely to be professional nurses.

Teared up is probably OK. this is a pretty standard question in a nurse interview. Might want to spend a little time thinking about how to best answer it. maybe 'This is an emotional topic for me, and I will share the story with you if you want"

You can call the BON and ask them. or send them an e-mail. asking if an unfounded complaint reviewed by the board is considered an investigation that must be listed on a job app if asked? would it come up during a federal security background check?

Lay off the poor folk that are working a menial job. They don't want to do this. How about acting like a nurse with some compassion and putting yourself in their shoes. You could say ' hi allie (or whatever their name is) this is joe. How are you today? and I'm glad you asked that question.." It never hurts to brighten someone else's day. And you'll never know it, but it might be just enough to break the cycle of somebody's bad day. And depending on what they have to do next, it could affect their outcome of whatever that might be.

Without knowing what happened, I don't know if it was a fireable offence. Fireable offences are usually something that puts them at liability, or great damage was done. an example might be if the patient said she was going to kill somebody, and then assaulted the DON the next morning. It's also possible it was a witch hunt. If it was, your friend the administrator might have been giving you nonverbal cues that they felt it was unjust. Many places don't want to give anything more than NRS (name rank serial number) when a prospective employer calls. Dates worked and that's about it. They aren't being paid for this and have better ways to spend their time, unless they thought you were deliberately killing patients. Sometimes it can be a plus in an interview if you disclose the termination very carefully, not in too much detail. If you admit you erred, and have learned the error of your ways, you may be making yourself 'human' (very important in an interview), showing that you are humble, teachable, and responsible. More than any letter of reference can. just MHO.

giving the humalog, according to the sliding scale at HS to bring a high BG value into a more acceptable range is pretty common practice. In these cases it isn't being used to cover a meal. Usually meal coverage is standing, and with a sliding scale on top of that to cover a high BG. It's not a bad idea to do a follow up BG an hour or so after giving the humalog if you feel a need. If in doubt, you should call the MD before holding it. generally, whenever you hold a med the MD should be notified. The lantus is generally irrelevant to this.

I'm sure they'd prefer an experienced candidate. Can't blame them for trying.