Tomascz ASN, RN

Wound care; CMSRN

Living the dream

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All Content by Tomascz

  1. Subjective assessments like the one you apparently failed can be used unfairly to eliminate students from nursing programs who the instructors or others "feel" are not up to some unwritten standard in their performance or aptitude for the job. A c...
  2. Tomascz

    Endorsing License

    Not sure how you were able to pass the NCLEX, which is identical across the country, and obtain a compact license, which is good in about 27 states, yet not be able to work in the sate you went to school is in, and not be able to go to work as a bona...
  3. If you're only accepting feedback that is consistent with your prejudices, you might want to look at another line of work because nursing school is gonna eat your lunch. Sorry; not sorry.
  4. Tomascz

    Failed Orientation

    I don't know what this means. I'm assuming your preceptor was not satisfied with your performance, apprised you of the facts (at least once previously, in writing) and then reported the situation to their supervisor who removed you to another positio...
  5. Wow! 27 pages of replies to this and most replies are in the negative. I've been a nurse and I've been a law enforcement officer with 45 arrests for various things with 44 of those resulting in convictions. If you're going to make an arrest and ...
  6. Tomascz

    Can I file a complaint against a facility

    "If you didn't chart it, it didn't happen". So if nothing happened, how do I chart that? You make a pointless, but factually true entry and sign it. This is another example of why hospitals and other care facilities don't have the nursing staff the...
  7. Tomascz

    Leaving a first job during orientation

    You can not take care of 8 Med Surg pts at a time safely. They're in the hospital because they are acutely ill and they are not inherently stable. If one crashes, you might get lucky and do what's necessary to get backup and get the pt out of trouble...
  8. Tomascz

    Wrong Department?

    Get out of there as fast as you can. It's your "manager" that sux. If you're not comfortable w your skill level, get training. My best preceptors had at least 20 yrs or more. They didn't get their confidence by whining to someone pretending to be a m...
  9. Tomascz

    Shift Nurses Post-Pandemic

    The action that needs to be taken is to get "profit" out of "healthcare", and I'm not talking about wages for time spent. You can call it private enterprise or capitalism or whatever you want, but any part of the system that simply exists to extrac...
  10. Tomascz

    Shift Nurses Post-Pandemic

    Well put. For some reason I've become increasingly unable to keep a civil tongue in my head in the face of this kind of naked ignorance/avarice/opportunism at the expense of people who've been giving their all for the last few years.
  11. Tomascz

    Shift Nurses Post-Pandemic

    I could tell he wasn't an RN right off the bat. Basically what he's describing is Gig work for nurses; like Uber or Lyft or pizza delivery. As far as these guys are concerned, we're all interchangeable; indistinguishable cogs in a corporate machine. ...
  12. Tomascz

    RN Jobs That Do Not Require Covid Vaccine

    Doesn't look like we're going to get the reproduction rate of Covid under Ro1. Woulda been nice. So called "herd immunity" doesn't actually occur until the disease stops spreading, which is to say; when the transmission rate drops under Ro1 through ...
  13. Tomascz

    RN Jobs That Do Not Require Covid Vaccine

    2 initial 21+ days apart (turns out now not to have been optimum) and a booster 6 mo's later.
  14. Tomascz

    RN Jobs That Do Not Require Covid Vaccine

    If we had a cheap accurate and fast dipstick for this it would solve a lot of problems. And yes, I am not unaware of the weirdness. Some days I just want to walk away. I did for 10 months until I could get at least a little bit of a leg up. I know ...
  15. Tomascz

    RN Jobs That Do Not Require Covid Vaccine

    The problem is you work with sick people who pose a lot of risk, to you and everyone else. If you've had Covid and you're doing OK now, good onya, but you have no right to expose others as an unprotected carrier. That's where good PPE and diligent in...
  16. Tomascz

    RN Jobs That Do Not Require Covid Vaccine

    She's not and you know she's not. X % of the general population are at no, or very little risk, of death from this stupid bug. y% are. Do you know who they are? You want to bet their lives? Is that how you treat your patients? Part of X [x] wil...
  17. Tomascz

    RN Jobs That Do Not Require Covid Vaccine

    I don't know Flo. Either it's your attitude or my lack of time, but none of what you "quoted" as support for your "argument" was actually authored by me (except "I tend to think that there are a lot more than two sides to this argument. The battle l...
  18. Tomascz

    RN Jobs That Do Not Require Covid Vaccine

    I think we're on a big a*s learning curve in an environment where there are as many opinions as there are cell phones and laptops and a very small percentage of those think critically or are particularly educated about the ins and outs of Math, Scie...
  19. Tomascz

    RN Jobs That Do Not Require Covid Vaccine

    >90% = Greater than. Can't be lower than 90%. Chronic lung is accounted for in the Docs assessment (assessed prior to acceptance by licensed provider, ie. FNP. MD, PA etc.) Falling sats are generally indicative of progression of pulmonary inflam...
  20. Tomascz

    One Nurse's Approach to Discussing the COVID-19 Vaccine

    That is just so 2015 Gary. A lot has happened since then, but have it your way. I heard the Pope, who has been vaccinated, and is by all accounts well educated, has come out against mRNA vaccines based on some snippet of knowledge he acquired from ...
  21. Tomascz

    RN Jobs That Do Not Require Covid Vaccine

    Oh my, you've certainly accomplished a lot. Kill the messenger, by all means. I've done nothing but study since this started. What fuels this pandemic is retrograde, largely Anglo, human behaviour and a mindless and pernicious virus. All I'm repo...
  22. Tomascz

    RN Jobs That Do Not Require Covid Vaccine

    I know, right? I'm in the South West working with a population that is hardest hit and also the highest vaccinated in the US and they started getting vaccinated early in the pandemic which may be one of the keys. The incidence of diabetes here proba...
  23. Tomascz

    RN Jobs That Do Not Require Covid Vaccine

    Honestly this thread doesn't surprise me given the number of people in the medical field I've run into who are totally into woo woo. The self satisfied snark pretty much wraps that type up. I don't take my patients lives for granted. I just got te...
  24. Tomascz

    Pandemic: The Beginning

    What we've learned in this pandemic, about respiratory care particularly, is so valuable but has come at such a dreadful cost, to both our patients and ourselves. Thanks for sharing your experience. It takes the focus for me off all the hard heads, i...
  25. Tomascz

    Was I in the Right Here?

    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 standing between him and the fires of hell. You're...