Tomascz ASN, RN

Wound care; CMSRN

Living the dream

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All Content by Tomascz

  1. Tomascz

    Was I in the Right Here?

    Tomascz replied to Grande_latte04's topic in General Nursing

    Sounds like a crappy situation all the way around. I wouldn't walk into the guys room either, especially after I was done playing games with the only thing (in his mind and nervous system) that was...
  2. Tomascz

    Nurses: Respect or Money? What Matters Most?

    Tomascz replied to jeastridge's topic in General Nursing

    Money is what admin respects. Talent and ability come second. Quite seriously; the more you cost somebody, the better they listen. The value of your input is directly related to your paycheck. That...
  3. Tomascz

    Work Schedule

    Tomascz replied to SarahRN0325's topic in General Nursing

    I've only ever worked in a union shop, 12 hour shifts, 4 or 5 to 1 ratios (ideally). We were expected to have our charting done by end of shift and never worked un paid OT (if you ended up staying...
  4. Tomascz

    Op-ED: Practicing Medicine vs Practicing Advanced Nursing

    Tomascz posted a topic in Advanced Practice

    Just throwing this article out here. I've been an RN for about 5 yrs now working in Med/Surg Acute Care but I've been a curious human for 67+ yrs and a student of human behavior for not quite that...
  5. Tomascz

    Four 12s in a row?!?! ??

    Tomascz replied to NightNerd's topic in General Nursing

    And that's the real issue working a chopped up schedule. I always liked to get "my" patients back if they were still there but sometimes another nurse had been working with them for the last couple...
  6. Tomascz

    I Really Do Not Want the COVID Vaccine ?

    Tomascz replied to AspiringNurse94's topic in Disaster Preparation

    Got experience or an opinion about the vaccine? Tell Medscape. The comments are pretty interesting. They're all over the map too!...
  7. Tomascz

    I Really Do Not Want the COVID Vaccine ?

    Tomascz replied to AspiringNurse94's topic in Disaster Preparation

    OK, WOW! Just found out where all the traffic went. 41 pages! If I go back through and find out it's just been ten of you arguing with each other for 41 pages I will dump this group and never look...
  8. Tomascz

    Four 12s in a row?!?! ??

    Tomascz replied to NightNerd's topic in General Nursing

    I worked a 3 on,2 off, 2 on, 3 off for several years (3s being weekends; all being 12hrs, 84 hrs a pay period) and I really enjoyed it. I worked a 5 on 2 off, 2 on 5 off for a while which I liked...
  9. Tomascz

    How would you improve the nursing profession? (beyond better staffing, higher pay, etc)

    Tomascz replied to labordude's topic in General Nursing

    I don't know where to start. First off, I haven't heard the phrase "LPN" mentioned once here. Did they become illegal? Anyway. The whole field is a compromised mess as far as certification, academic...
  10. Tomascz

    Med-Surg Certification

    Tomascz replied to FeliciaRNCPN's topic in Medical-Surgical

    https://www.amsn.org/certification/certification-review-course This isn't the NCLEX (which I passed in 75 questions first time out). Like the NCLEX, this is aimed at a specific audience and you need...
  11. Tomascz

    Sick, Sore, & Depressed

    Tomascz replied to ndahl's topic in General Nursing

    Number one get yourself a couple therapists; one physical and the other for talk therapy which has equal or better results than SSRI's for mild to moderate depression. Those pills don't listen worth a...
  12. Tomascz

    Just Say “YES” to Nurse Staffing Laws

    Tomascz replied to SafetyNurse1968's topic in General Nursing

    There are a whole slew of things that make nursing difficult and staffing ratios are one of the things we can have some control over. What we can't help is that our patient base is becoming sicker,...
  13. Tomascz

    Exhausted; I want a way out.

    Tomascz replied to KalipsoRed21's topic in General Nursing

    I've been working for IHS on an acute care floor for 4 years now and started as a new grad (GS5). The work is challenging and often frustrating but looking at my end of year pay stub, while it says I...
  14. Tomascz

    Plant-based (vegan) mandate for NY hospitals

    Tomascz replied to Emergent's topic in General Nursing

    I guess whoever is responsible for the grocery bill will have the most say about what gets served. I certainly applaud the nod to healthier eating with the caveat that simply eating a diet devoid of...
  15. Tomascz

    Over 70% of Nurse Staff Turnover is Due to Bad Leadership

    Tomascz replied to Brenda F. Johnson's topic in General Nursing

    Managers work to fulfill the needs of management. Management at the floor level has an impossible job trying to mollify JCAH, Medicare, Infection control, burned out nurses, etc etc etc. Beyond that...
  16. Tomascz

    Drug Seeking Patients

    Tomascz replied to Quinnbee's topic in General Nursing

    Apparently we get along better with our Docs than most of you. We're a relatively small critical access hospital with an acute care/med surg floor that admits from our ER and clinics and we deal with...
  17. Tomascz

    Med-Surg Certification

    Tomascz replied to FeliciaRNCPN's topic in Medical-Surgical

    https://www.msncb.org/exam-preparation Everything you could possibly need can be found under this link. If you're a week or two away and you aren't prepared you need to re schedule your exam,or, just...
  18. Tomascz

    Exhausted; I want a way out.

    Tomascz replied to KalipsoRed21's topic in General Nursing

    Try this on for size. I started nursing school at 57. I've been a nurse for three + years now. I was a carpenter in the 2008 bust in the poorest county in Missouri so my wife encouraged me to go back...
  19. Tomascz

    I Am A Sober Nurse, But Only for Today

    Tomascz replied to J.Adderton's topic in General Nursing

    Thanks for sharing, Jane. It takes guts to stick it out there. I've found my experiences to be helpful in dealing with what seem to be a majority of my patients; if not for them, certainly for me....
  20. Tomascz

    Case Study: Trust Your Gut? A Fecal Transplant Could Change Your Life

    Tomascz replied to SafetyNurse1968's topic in Critical Care

    And how many patients have died from untreatable c. Difficile infections? The patient was immunocompromised and the fecal samples contained antibiotic "wise" bacteria. Was the treatment used as last...
  21. Tomascz

    Med-Surg Certification

    Tomascz replied to FeliciaRNCPN's topic in Medical-Surgical

    So by now you have a record of the areas you're weak in but not the exact questions you missed, of course. You also know this is not the NCLEX. NCLEX style strategies don't necessarily work with this...
  22. Tomascz

    Sensory Processing Sensitivity: Is Being Highly Sensitive Associated with Stress and Burnout in Nursing?

    Tomascz replied to RNliveoak's topic in General Nursing

    And the difference between this and PTSD is
  23. Tomascz

    Case Study: Trust Your Gut? A Fecal Transplant Could Change Your Life

    Tomascz replied to SafetyNurse1968's topic in Critical Care

    Thanks for this!! I've been following research on gut microbiota for about the last 10 years. What the public lacks is exposure to reduce social sensitivity as well as education about how their bodies...
  24. Tomascz

    On this week's episode of 'People Offending the Entire Profession of Nursing'...

    Tomascz replied to adventure_rn's topic in General Nursing

    As I opened this issue of Allnurses I saw an article titled in the sidebar to the effect of "New Grad (BSN no doubt) RN, absolutely hate nursing". How many times have I seen similar sentiments here?...
  25. Tomascz

    Playing Cards

    Tomascz replied to Nurse Beth's topic in General Nursing

    So, #1, I'm glad I don't work in WA. I work in a "small" hospital where our "Med Surg" floor w/ 20 beds sometimes resembles a NICU in a Memory Unit in a Psych Ward in a Drunk Tank in a nursing home....