crx971

Last one 2 years ago. I just don't get it. I've tried dozens of IV starts on people with veins of bodybuilders, like veins that are the size of normal person arms. Basically arms that are 99% veins and 1% space between them. Any anxious student with shaky hands can throw a needle blindfolded from 10 ft away and still end up with a perfect IV, and I will be poking and poking and poking... to no avail. This is not a confidence issue, I stopped caring after like 20 fails after realizing this is just not one of my talents, I can't be good at everything. Not a technique issue, I've been through IV courses, IV team education and personal training and everything, know exactly how to do it, but just can't do it. No pressure. Our hospital has an IV team which I call for IV starts, also a bunch of nurses oin the floor who are good at IV starts so I can have IV placed quick without a problem. But sometimes if pt pulls out IV and I'm bored have nothing to do, I'll just grab supplies and try to do it myself even though I don't have to. Semi-comatose patients, or patients who don't care who have excellent bulging veins (anything less than excellent which is 99% of my pts I usually pass on or do 2 max sticks before calling for help)... I'll stick them numerous times, again I feel no pressure of any kind on myself, just pure curiosity... but I just leave them bleeding from multiple holes and with a bunch of massive hematomas. I wonder if I should just stop even trying, I'm just hurting my patients for no reason. It's like anti-talent or something. I don't know anybody else who would try something so supposedly simple over a hundred times and still not learn how to do it. It's like a part of my brain responsible for whatever coordination/tactile feedback stroked out or something. It's like my hands are not my hands but some metal pincers I'm holding/using, I don't feel anything and I don't understand anything that's happening when I'm poking my patients. Just zero. Nothing. And yes, I've had it explained to me billion times how what I should feel, but I just don't.

I've had some exceptionally hard time getting in contact and making sure my school where I originally got my RN education from (Ukraine) had all paperwork completed and submitted for my license and recently BSN program enrollment, I thought it would never get done. I used to have friends live in that city who helped with a lot of footwork and expediting things, but now they're not there and thinking of dealing with the school over there from over here again gives me nightmares. I'm afraid my school will simply not process paperwork properly. Currently I'm working on my BSN degree here in US. I wonder though, if I were to try to endorse my license to another state which is not part of simplified endorsement process such as California that require original school documents, will I be required to submit my original Ukrainian school's paperwork too, or will my BSN degree from US school be sufficient from then on as a proof of my RN education?

It's funny people say you learn it in a BSN program. So what? By this logic, say, Donald Trump should do his own accounting. Just flat out sit in the accounting office and crunch his numbers. Or plane pilot should go refuel his own plane. Just go out there, grab the hose and stick it into the gas tank of his plane. Just because you know how to do something doesn't mean you have to function at the most basic level. Also, the whole myth of "learning about your patient"... you don't learn squat! Just like in the examples above D.Trump can learn something about his company crunching numbers... or pilot can learn that his plane has grey numbers on its wing below... is that a useful information that he needs to fly? No. Same with pts... If you do learn something by wiping someone's butt, or spreading bedsheets, you probably didn't pay attention during a change of shift report or didn't read the chart on the patient. I have never found out anything new or useful while wiping pt butt... If a pt is in pain from rolling side to side when wiping, I don't need 30 minutes to find out about that... I can just ask aide who did it, and the answer will take about 2 seconds. I'm pro-efficiency. I don't like stupid assignments. Making nurses do CNA work is stupid. You don't see doctors doing nurses work, do you? They could too... I'm sure it was in their program too, how to start meds etc... As I said, I'd rather have extra pt and have CNAs do stupid vitals and poops. The amount of time I'd save would give me plenty of time for doing something only _I_ can do, and while we're at it, professional development and maybe my hospital could have 20% less nurses. I don't know what you're developing spreading sheets on a bed or hooking up blood pressure cuff to one's arm. It's a shame that most nurses kind of went with it and now we're all stuck in this poopy situation and most nurses are made to naively believe they're actually benefiting from this setup. Greatest hospital scam ever.

I worked 4 years in a nursing home. It was a common sense that the more CNAs you had, the happier the pts were. They got fed on time, they got dressed, they got changed more often etc etc. Simple, common sense. Nurses didn't have to do anything with poop. Or pee. Or dirty dishes. Or moping the floor. Or fetching soda pop. Or other things that don't really require BSN in anything. We could actually focus and spend all our time doing actual nursing whatever it was. Meds, tx, orders, labs, admissions etc. The stuff nurses go to school for, you know. Imagine my surprise when I started my new job at the hospital and found out there's like one aide for the whole floor of about 40-50 people at night, and she's kind of doing her own thing and I'm supposed to do all the work. Now, I'm responsible for wiping poop 10 times a night instead of watching a titratable heart med administration. Or I'm sorry, another of my pt is having a stroke? Too bad, find somebody else, I'm currently to my waist in diarrhea and pee and vomit in a isolation room with my pt in a very awkward position, can't leave him like that, and it will take me a few minutes to clean up and exit the room properly. Can't run to another room like that! Anything else? Critical lab, you say? Doesn't matter, can't do it, tell them to wait or call the charge nurse... See, I got my BSN so I can wipe butts, not do critical thinking or take care of acute medical problems that requires several years of education. Sorry, once I take a set of wipes and briefs, I will be unavailable for at least 20-30 minutes. If anything happens... there better be other nurses around who can figure out what's going on with my pt right away, like his detailed hx, meds, etc etc. No. It's all equally important for a nurse in a hospital to do both poop wiping and high-level nursing. Because hospital can't afford a $14/hr aide or two. 10 nurses per 40 pts ok, but 2 aides instead of one - that's insanity! Gonna go bankrupt overnight. Hospitals aren't as rich as medicaid nursing homes that can afford 3 aides per 20 pts. Do you get where I'm going? I hate it. I love hospital nursing, but I absolutely hate doing CNA job. I can help out, always did, but I hate being pretty much solely responsible for all that crap, pardon me french. It's like when you eat a delicious cake and stumble upon a piece of poop in it, literally, a piece of poop in the cake. And then you try another cake, and there's poop too. And almost all cakes have it. Some don't, but most do. That's how I feel about my shifts in the hospital. 2-3 complete bed changes a night completely **** me off and make me hate being there... and also makes me wonder - what the hell do hospitals think? How come nurses allow it? It makes zero sense. It's plain stupid. Why don't we strike and demand more aides? So how many aides do YOU have? How do you deal with poop? Do you just accept/tolerate it? Love it? Does it make you hate your job sometimes? How do you feel?

Yet they mention self-study as one element of acceptable CE (first page) http://www.doh.wa.gov/Portals/1/Documents/Pubs/669332.pdf

I keep trying to reach them over the phone but so far no luck, they're always busy. So I'll ask here... I got my original license in OR then endorsed to WA where I've been working for 5 years. I want to move to CA and was checking out their endorsement requirements. Their instructions seem a bit complicated and vague in that they demand all kind of school-related documents yet they say they will accept CGFNS transcripts. I have completed CGFNS Credentials Evaluation Service which I used to get licenses in both OR and WA states. So I wonder, if CGFNS CES copy sufficient for CA BON or are they a lot more picky than other states? Anybody endorsed their license? How was your experience?

It was a very interesting book and I spent the whole week reading it, I learned so many new things. Does this meet CE requirements for license renewal?