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TeflonNurse's Latest Activity

  1. TeflonNurse

    January 2015 Caption Contest: Win $100!

    "Wow... It's like standing inside a Rorschach inkblot test." *World famous art critic happens to be strolling by* "The colors, the shapes, the intricate fluidity of the medium as it slides down the wall...THIS IS ART! "
  2. TeflonNurse

    How to not make patients nervous as an orientee

    You know I realized this when I was going through orientation (only a few months ago.) In school they make a big stink about "never tell the pt this is your first time doing anything!" This all goes out the window when you walk into the room with your preceptor in tow. When a pt has had 1 nurse every previous shift and then they suddenly have TWO, gee do you think they'll notice? We would just joke about it saying they were so important they get to have two nurses that day. I expected people to give me the scared look once they realized I was new but I think a few things helped so I never really experienced it: lots of orientees on the floor at the same time so pts were used to new nurses asking questions and all that. My preceptor was old school and wore the white cap and I noticed this gave us immediate "street cred":D People were often so fascinated by it they focused on asking her stuff and I was free to concentrate on what I was doing. It really helps to watch your phrasing. Speak with confidence and if you explain what your doing as your doing it people feel you must really be knowledgeable.
  3. TeflonNurse

    Why do you think nurses leave the profession?

    Won't quote the whole thing for space but: I 'Liked' this comment so hard I almost broke my touch screen. What you said.... ALL of it!
  4. TeflonNurse

    My patient dropped her baby!

    maybe he said he just wanted to give the baby a tour of the hallway or get an early start on drivers ed but when he didn't come back within minutes the mom panicked....I mean I don't know that's all I got.
  5. TeflonNurse

    Nursing home as a new grad

    From what I've seen and heard yes its normal and yes it sounds crazy to me to! It seems to be purely based on which piece of paper you came out of school with. Where I worked (unless a rare agency RN came in) the only RNs I saw were in Admin. LPNs dominated the floor positions including Unit manager and the House Supervisor. That was just one of the many reasons I looked at my coworkers and Admin crazy when they kept asking if I planned to stay at that nursing home after graduating I knew Id be given way to much responsibility too soon based on whether I came out with 2 or 3 letters to put behind my name. Now OP that's certainly not to say that you shouldn't go for the position. I'm not one to go on hearsay but Ive heard several stories of "a friend of a friend" who was a new grad going into a higher position at a nsg home and loving it!
  6. TeflonNurse

    Nursing home as a new grad

    I'm sorry but I don't understand what you mean about not being comfortable with giving BP/heart meds without vitals.It appears to be my post that you are quoting and I said that that was one of the few situations where we DID get BP. So we are in agreement :) Also this was years ago when I was still a CNA and this was NIGHTS. I technically shouldn't have been getting those particular BPs anyway . We got them manually and according to our policy the NURSES were supposed to get the VS right before giving those kind of meds but there were always some slick agency nurses or lazy nurses from other floors who would write those in on the VS board and give the med based on what I got hours earlier in the shift. Not good! Even after I and several other CNAs told our House Sup. nothing was done. Going through school they gave me great examples of what NOT to be as a nurse. Forgot to add : the residents didn't often need to tell us when they weren't feeling well. Work with people long enough and you get to know them like family and it's usually the aides (who work with them most intimately each day) who notice the change first.
  7. TeflonNurse

    We're supposed to be perfect everday?

    *Everyday (thanks for messing that up autocorrect) I mean, that's it right? No mistakes, no foul ups, customer knows best, CYA x1000, smile (always smile, even though you feel like crying), *sigh* I promise I'm not always this cynical but these new grad blues are seriously getting to me. Been off orientation for a few weeks now and it seems like every shift my Charge nurse walks up to me with something for me to sign saying we talked about it or mentioning some small (but of course important) box I didn't checkmark in my charting the last shift I worked. I'm developing a Pavlovian response, every time I see a Charge nurse I start sweating. Hear my Unit mgr's voice and my stomach suddenly climbs several inches north of its usual position and threatens to dump everything I ate before I came in. I know I'm incredibly lucky. I work with the most supportive team you've ever seen. Even my manager (who has assured me I'm doing fine) is awesome. I critically think well and have had several nurses tell me after report that they never would have guessed I'm a new grad but I'm human and when I make a mistake I beat myself up so bad. I cry on the way home. Some days I feel so lucky. I can't believe i get to do this and I feel certain that I will eventually get it. But most days I walk around with a knot in my stomach knowing im only one small mistake away from hurting/killing someone and losing the ability to be the only thing Ive ever wanted to be. So how do you deal?
  8. TeflonNurse

    Do I take too long to learn new skills?

    You are not alone in feeling this way. I too have to have hands-on experience to truly 'get' things. Oddly enough it's not the hands-on stuff holding me back and causing problems right now, it's the stupid freaking computer system we use. There are so many little ways you can get written up if you don't enter something just right. So many steps just to do one little thing. Like others said, volunteer for doing procedures and keep doing your checklists. Eventually you probably won't need them anymore and in the meantime you can be sure that you're doing everything per protocol.
  9. TeflonNurse

    Nursing home as a new grad

    As someone who has worked in a nursing home (NEVER AGAIN!!!), I agree with the above poster. During my years as an aide there I worked nights and we only got BPs or temps when they were acutely ill, were taking a BP med, or when they were on comfort care and about to die. I don't recall what dayshift did but they were always more concerned with who's shower day it was when they came in so it was probably a weekly vital sign set up like the previous poster mentioned. Also at night they couldn't have been doing assessments because on two of our floors there was only 1 Certified Med Tech supervising two aides. They wouldn't be allowed to do assessments. In general I'd say if the place was anything like a normal nursing home of course the aides were complaining. What were the nurses saying? I would definitely shadow if you can .
  10. Exactly! The same folks who are in here nonchalantly saying " its easy to be a CNA! All they do is wipe butts and change beds!" are probably the same folks who will accidently spill a puddle of tube feed or leak blood in the bed, cover it up, and leave it for the aide to find and clean. The same type who will spend 10 min searching for the aide on the unit to tell them that the pt in the room they JUST walked out of needs water. These are the same upstanding citizens who love to say that "WE" need to make sure Mrs XYZ eats well today yet when her tray comes they won't even attempt to start feeding Mrs XYZ. No they'll come find the aide who's struggling to feed 5 other pts; all the while Mrs XYZs food is getting cold.
  11. TeflonNurse

    Studer Group "Bedside Shift Report SM"

    You lucky dog! i was so looking forward to working in ICU and having set visiting hours with only 2 visitors allowed at a time. Of course I managed to get hired into an icu that doesn't believe in visiting hours. It actually hasn't been that bad except for 1 or 2 yahoos who insist on making trouble.
  12. Depending on the type of unit you end up working on you may or may not benefit much from previous aide skills. I will say that working in ICU, I use my old CNA skills daily. The nurses and aides always team up to turn, clean, bathe, or move the pts up in bed.
  13. In this job market I'm thinking everybody whether ADN or BSN could use any kind of leg-up they can get. :) Every hospital I've encountered wants CNAs with 1-2 years experience before they'll hire you. Usually that experience comes from LTCs, nursing homes, etc. At my last job as a CNA, only 1 or 2 of the other aids had NEVER worked at a nursing home, and they were older aides. OP: Just try to make yourself as 'valuable' as possible. If you can afford it I think being a CNA is a great way to make yourself more valuable. It also gave me a treasure trove of relevant stories to tell during my interview for my job as a nurse. The interviewer asked several questions about how I handled previous pts. Apparently I impressed her with my 'useless' days as an aide because she called to offer me my dream job the very next day and is now my manager!
  14. TeflonNurse

    Inpatient carbohydrate counting?

    I read the title as 'Impatient Carb Counting' and wondered why they were in such a hurry. To answer your question: At one hospital I worked at the pts ordered food from a menu by phone whenever they wanted (while the kitchen was open. ) The menu listed the carbs in parentheses next to each dish plus the person taking their call plugged the order into the computer in real time. The computer kept track of how many carbs they had left for the day and wouldn't let them order something if it would put them over (but they would often help them make better choices throughout the day so they could fit in that 1 dessert or whatever. ) Not sure how they do it at my current hospital.
  15. TeflonNurse

    Can you live a luxury lifestyle as a nurse?

    So glad to hear (see) you say this! I just graduated from a community college and I don't have any loans. Was so happy and proud to get that 1st paycheck. I worked the entire time I was in Nsg school and although it was difficult at least I never had to worry about money. A lot of people get sucked into paying big bucks to go to the local big universities and you know where they end up? Standing right next to me getting the same orientation, working the same unit, with the same starting pay. Only I don't have the crushing 60k loan debt. OP you can totally have that lifestyle on nursing pay. It's funny, some of the same people who are in here telling you it's impossible on nurse pay are the same people who come into the salary threads each year swearing up and down that their friend who's a nurse consistently makes 6 figures EASILY with no OT and only a few years of experience. Not to mention the higher-paying specialties you can go into! It might take a while to get there but it's doable
  16. Ah yes, two days after passing the NCLEX I found myself kneeling on the bathroom floor staring at a spot on my grandmother's butt where she'd had a mole removed recently. All the while she kept turning around and asking me "Does it look like it's healing ok to you!?"