klriggs53

You can plead, dance, beg, and go to all extremes in the book to encourage a patient to take their prescribed/ordered meds, HOWEVER, the ultimate decision is with the patient. They have the right to refuse. UNLESS, there is an ETO (emergency treatment order ) or they have been legally made incompetent and their HCS (health care surrogate) has given approval, it is patient choice. Even with HCS approval, unless the patient cooperates, PO administration falls in the hands of the patient. It may be necessary for the attending to adjust the "route" ( IE: IM, IV, . . . ). When permitted, morning coffee tastes better with scheduled meds . Just saying.

Sounds like you know the answer . . . with the kids, less hours, less stress, less exposure, etc. Money is something we all need, but in context, it is a relative thing. In the long run, I would expect a great benefit for you. Doubt these are words of wisdom and there is no right answer, most importantly, take care of Tippeny .

ALWAYS immediately after, in the door at home and to the shower. Clean bed and sleep, I should not need one in the morning. Of course there are exceptions fora frisky night. Ha!

Whoah!!! Your audience within this nursing forum have given you a lot of valuable advise . . . Please slow down and listen, if you are sincere, it will work out. Forgive me for saying, but some of the conversation does not compute. A Federal nursing scholarship where you owe $40,000.00 with stipulations, your report of lots of volunteer work on your behalf - with no offers, presumption the NCLEX will be a breeze, and a Cum Laude nursing student that is not being sought after, all indicate red flags to me. Please understand nursing is from the heart, it is not easy, and we do feed on our own ( not maliciously). In my experience, I have never known a good "nurse" that was a beggar.

My preceptor was not motherly and as our time drew to an end it became almost adversarial. I learned a lot, with an unnecessarily high stress level and I am grateful. There are numerous styles and motivations for precepting. All too often, the bottom line involves dollar signs. If you are precepting with a nurse that was introduced to nursing in a "trial by fire " method, as opposed to a nurse that was nurtured and supported, the ambiance is totally different with a distinctly different learning curve and outcome. Preceptors have their own baggage and it is easy to take that for granted. Whatever method is utilized, it is important to differentiate your nursing practice from theirs, incorporate the good facets, and move on with a stronger base. Thank you for your article, it was tremendously on point and pertinent. Well done.

There is a right and a wrong way to communicate, training or otherwise. I have no patience with a bully. Over time, I have learned there is a fundamental problem with the individual that has a "need to bully" and they tend to feed on the conflict. My father use to say, " the person that is unable to look you in the eye, talk to you as an equal, is not worth the salt that goes into making bread". That amounts to about two cents. Outside the work setting, I refuse to tolerate it. Within the work setting, you will have to seek a balance, the answer to your problem is complicated, with numerous alternatives and you will have the find the none that fits you as an individual. In the last several years, there is a lot of published literature on bullies. In the work setting, I tend to be more tolerant, for all those reasons you are candidly aware of, I am sure. My advice to you, if you have to leave, hold your head high and do not compromise yourself for the sake of a bully! Nuff said, my heart goes out to you . . .

"Room 202 needs a box of Kleenex when you are finished here . . ."