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mom_e_bizcut LPN

Jack of all trades, master of...a few ;)
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mom_e_bizcut has 24 years experience as a LPN and specializes in Jack of all trades, master of...a few ;).

mom_e_bizcut's Latest Activity

  1. mom_e_bizcut

    Dodging The Mucus Bullet

    LOL! Switch your phasers from stun to kill!!🤣
  2. mom_e_bizcut

    New Grad Needs Advice - Hostile Work Environment

    True because no face to face meaning oncoming nurse may not be able to ask questions which was feared to create gaps in continuity, also they moved toward bedside report for some time and also stressed importance of a standardized specific report system. But even if recordings are not best practice anymore I don't believe there is anything in their regs that actually prohibits the process as long as the nurse is still following facility policy and observing patient confidentiality. Your'e simply taking an extra step, some shift change reports also include a quick rundown of assignments with the aides which could also be on tape as you politely delegate tasks to the responsible aid and cordially offer to help as needed. If you love the job fight for it, make it known to managers and coworkers that you won't be walked on or intimidated.
  3. mom_e_bizcut

    New Grad Needs Advice - Hostile Work Environment

    Hmmm...back in day I worked a few places that used a “taped report”. The idea with this was it would leave a nurse available to tend to any patient or staff needs instead of no nurses available. The downside was no interaction so...if you had questions...if something wasn’t explained clearly ect..it could interrupt continuity, However, I don’t believe it's against regulations if you wanted to record shift change report! There’s a few steps you can take to ensure patient confidentiality is not compromised 1.)use old fashioned tape recorder, as long as it’s not on your personal device it shouldn’t be an issue 2.)the recorder is not taken home with you but is stored (locked up) somewhere in the facility 3.)your intention with recording report is to ensure patient safety quality care is not compromised due to potentially “missing something” that was reported to you. 4.)informing the nurse that you are recording and why(as stated above). She can’t fault you for ensuring you're not missing things that she’s telling you and SHE can’t intentionally leave important information out in an attempt to get you in trouble. You can check on it a little more as far as actual rules, check your employers P&P and HIPAA regs to see if its prohibited then let your manager know that is what you intend to. This goes a step further than journals although that is a good idea as well and she’d probably think twice about throwing you under the bus. Next thought is your contract which is exactly that and just as you have the obligation to stay 2 years...they have the obligation to ensure that you're in a productive environment where you have ALL available resources and tools needed to do your job, that includes compliance from assistive staff as their duties are essential for the completion of your duties(to ensure all standards of practice for quality care is followed), so in fact they are not holding up there side of the contract either and would have a hard time forcing you to pay the money back, especially if you have documentation.
  4. Because it was a high profile event and they're all about appearances. Her arrest I think or I hope will be dropped down or completely once the smoke clears, then they can pay her unemployment.
  5. mom_e_bizcut

    Yes, Employer Can Require Covid Vaccine

    NO NO NO, Just stop googling. You'll find every scary thing that could possibly be associated with the vaccine and is often half truth or blown way out of proportion! You can find stories and evidence from both sides always. My main thought is even if drug companies are shady, unless the CEO is THANOS what good is it for him to kill off or debilitate half his paying customers. I'd be more apt to believe the vaccine is worthless placebo then to believe its truly that harmful to me. I remember a particular controversy surrounding the gardisil vaccine, so many parents read the internet scare stories and it was difficult to convince them otherwise. I trusted my pediatrician, she advised giving the vaccine as she did always, and told parents to read about it on the CDC website and no where else. I promptly gave my daughter the vaccine and since my 2 sons have gotten the series. none had any side effects..in fact out of the roughly 75 kids that got that vaccine from 1 almost fainted and 1 had some pain and tingling in her arm for about 24 hours...that's it, the only 2 side effects. My daughter will be 26 on valentines day, just bought a house and 2nd year nursing student, she had a close friend (who would not get the vaccine) that passed away from cervical cancer at the age of 24 shortly after having a baby. And I realize that's just yet another scare story, but its enough for me. The problem here is being forced to have it, the freedom to choose is important for everyone. The freedom to take your time to think about it. The freedom to make the choice on your own and I think most HCP's will make the right choice when they don't have the shock stories coming at them from every side.
  6. mom_e_bizcut

    Yes, Employer Can Require Covid Vaccine

    I hear what you're saying when it comes to the mandate, that’s an awful lot of control for any entity to have over your life and body. The schools mandate our kids though and I agree with that, but they don’t mandate EVERY vaccine. As far as the safety of the vaccine I’m not worried, they’re never 100% safe but they’ve not hurt anyone I know as of yet. I’d never Google anything when it comes to vaccines and I’d be careful who I’d trust when it comes to news broadcasts. I’m completely in favor of vaccines, I worked in pediatrics for 6 yrs and the kids in my practice were consistently at 100% for their vaccines, and that includes my own kids who were also stuck by me! What I am not in favor of is SHOTS...when they’re coming into me anyway. My previous employer made the flu vaccine mandatory unless we wanted to wear a mask all day, well I didn’t so... bring on the flu shot! I hated that time of year, I could hear the flu shot cart coming down the hall and I’d panic, hide in the bathroom they’d find me. I’d get sweaty and dizzy, I’d feel faint and you know when all the sudden you can’t see because this darkness comes over your eyes but your still standing??...ya that (can’t think of the word..which is what happens to me when I talk about getting shots)!. I hate shots, I’m afraid of them, I’ve never had any needle willingly enter my body, no piercings not even ears no tattoos. I couldn't concentrate when I knew it was flu shot time. I’ve given literally thousands of shots I’m sure but apparently I can dish it out..I Just can’t take it. I left there and started at a different facility in 2015, they don’t force me to get the flu shot so..I’ll admit I haven’t had a flu vaccine for 5 years, luckily I’ve stayed healthy and I’ve not had to deal with the shot stress which made things a little easier for me. I do try for flumist but usually unable to get that. So maybe that was an unnecessary long story but point being I’ve so appreciated not being forced to get a shot so maybe mostly because of that, I’d say I’m not in favor of mandatory vaccines for adult HCPs. I’d add that if there was a nasal preparation, I’d likely take that with no problem but again, nice to make the choice myself.
  7. mom_e_bizcut

    Struggling! LPN School

    A&P was my favorite, I finished with a grade of 103%. My teacher drew big pictures on the board, sounds weird but it helped so much. It's been like 26 years and I can still draw the digestive system(the pulmonary and circulatory system is a struggle). My nursing arts teacher was a horrible nightmare, didn't explain things well at all. Aside from taking notes during lecture I had to actually write everything I read from book to help me understand and remember.
  8. I realize there are many sides to consider and we don't everyone's situation. No I DON’T think we should corner the absentees under a spotlight asking sarcastically if they enjoyed their LONG vacation. No I don't stick my nose in their business but some put their business out there not knowing who's going to see it. Yes I acknowledge the need for leave of absence policies, I’d hate to see an opposite situation that would leave employees without the option. I know there’s nothing we can do about the ones who abused the policies, so why am I still talking? Because some DID abuse the policies and those who were wrong..know they were wrong, and I’m disappointed in them and their lack of compassion. That’s it, professionals should have more personal accountability. You say they had the right to remove themselves from an unsafe situation because their employers are vermin, but I say the employers weren't the ones that got hurt in the process, 2 wrongs don’t make a right and when the deserters return they’ll come back to the same s##tshow they left so maybe a new strategy for change should be considered. You say we shouldn't fault those not willing to sacrifice themselves, I say the sacrifices would have been far less if we’d had all hands on deck. I agree big health sucks, they care little about employees and everything about keeping a fat bottom line, We all know that, I don’t feel sorry for them, my loyalty is not to them it’s to the patients, my co-workers, and my peers. Employers prefer to have us pitted against each other so they can pick you apart separately, keeping us in weakened positions so it’s harder to fight for positive changes, So I say when we treat our coworkers with such disregard, we’re making things easier for them and making it worse for us, the every nurse for them self mindset is helping no one. And I know it’s not nursing “nursery school” but going to work knowing that SOMEONE there has your back makes even bad situations a little more tolerable. So even if we can’t change things, even if the relationship between nurses really makes no difference, we can at least make our work day less miserable. We can’t change the past but continuing forward I just think there should be more emphasis put on integrity. Maybe more focus on it in school, make it a skill required for hiring, maybe add it to your preceptors list for orientation, check it off with our flippin competencies! However it can be done! It IS important.
  9. There's a difference between taking off a reasonable amount of time for a legitimate reason then getting right back to it, and intentionally ducking out of a crisis situation and leaving your peers to take it on alone...regardless of the excuses. There are always those nurses who, I suppose, might really shine behind a desk, but wouldn't come work bedside care if every other nurse in the building spontaneously combusted. Apparently the service they do provide must somehow be stellar because they continue to be allowed to do that. And even though it might be completely understandable that some decided that they weren't going to run themselves ragged and/or possibly put themselves at risk for these facilities that notoriously treat nurses like they're expendable, I cant help but wonder if they're perpetuating that very problem! The anger the OP feels is completely fair, no matter how you try to explain it away (or blow it off) they should have had more care and respect for their fellow nurses than that. Has it ever occurred to anyone that maybe these companies get away with treating nurses like crap because nurses treat each other like crap. Why should they try to make collective improvements to their nurses working conditions? There's always another nurse around that's willing to let the other ones fall on their face to serve themselves, until the day THEY decide they want more..to which yet another nurse comes along
  10. mom_e_bizcut

    Case Study: It’s a Lump, but is it Breast Cancer?

    How about the physical exam? Is the lump soft and pliable, can it be moved around? A mammogram will most certainly be ordered either way, but if the lump is hard and immovable it may be a more immediate appointment or they could possibly do an ultrasound right there depending on the resources available at the office. Any recent illness or allergic reactions? Blood work may be needed as well assuming standard tests prior to test for change in BRCA1 or BRCA2 genes, but with family history I guess that could be an earlier option.
  11. most nurses are "lifers" ...probably a big reason these companies can treat nurses as poorly as they do, they know how much has been invested in your career. I have no other skills to work in other fields(for the same pay that is) unless you count the crazy zombies and monsters that I make for halloween decorations for my home and how many can actually make a living with a career in the arts..probably few
  12. most cities have shut down any bars or "eat in' areas of restaurants or cafes so I assume you mean socializing at a private residence? Which is allowed in small groups. Truthfully its probably needed especially with nurses, we spend hours every day comforting, holding hands, holding our bladders, wiping tears, debunking myths and teaching truths, running from one end to another, getting yelled at and dumped on, then come home to do homework our kids or clean our houses so we need a little fun time, social distancing is important and it works but I do fear the emotional issues that come with isolation, loneliness, boredom...just as our bodies effect our minds, our minds can effect our bodies making it more difficult to fight off illness. personally having 1 friend coming to my house seemed scary but after a night of mystery science theater and laughing ourselves into stupidity, I felt better than I had in weeks so I think it was needed. we can hope that anyone socializing outside of work is using common sense and staying vigilant in the fight against covid-19, I'm sure thats possible even with a small group of friends.
  13. mom_e_bizcut

    Crisis travel assignments for Covid-19?

    WOW! seems a little unfair considering the staff nurses that have already been beat down by this crisis. Understanding the need to have relief available and that travel nurses get paid more on a regular, but this seems like more that your average pay difference.
  14. mom_e_bizcut

    SURVEY: Nurses, Are You Prepared for an Encounter with COVID-19?

    I work at an MAT clinic and we did have a disaster plan in place including response for a pandemic event. Strangely the plan for pandemic was not as detailed as that in place for natural or man-made disasters, though most of the steps could be crossed over if necessary. Around this time last year, in an interesting twist of fate I had grown quite bored with the nurses usual go to training of "infection control" & "bloodborn pathogens" that (granted was still very important but that I'd done 4 other times with my coworkers), and decided to do an in-service training on disaster preparedness which had not been done previously. The policy was there and some general steps and safety measures had been discussed of course but not the more specific considerations that come with possible treatment interrupting emergency events. Our exposure to this virus is of course not nearly as risky as for nurses in the hospitals, but our company sent out info on recommended precautions to reduce exposure to staff and patients, mostly things I'd already been doing like surface disinfection, but also removing some chairs to ensure patient distancing from one another while waiting, making special dosing arrangements for pregnant and immunocompromised patients and for ill patients so they're not exposing others. The training I'd done on disaster preparedness familiarized staff with the authorized changes to clinic activities and patient dosing during an emergency event, such as loosened DEA criteria for take-home doses allowing for temporary phase increases and decreased patient traffic in clinic (although these are still stiff and there are of course patients who don't qualify). There are also some very slight/careful changes to patient confidentiality regs in urgent situations, approval for counseling sessions by phone rather than in person and agreements with other MAT Facilities as alternate dosing for patients if ours could not be staffed due to illness. I'm sure my experience with preparedness does not compare to the challenges for nurses on the front lines with covid-19, But keeping our patients safe and educated about the virus will hopefully help reduce the number of patients they are dealing with. Not to mention that the last thing they need is for the hospital to be bombarded with patients suffering with opiate addiction because they're unable to access crucial treatment.
  15. Two thoughts on this.. first is to remember that negativity breeds negativity, which can come through in your performance if your not careful. Its very difficult to apply what you already know to your daily tasks and remember everything new or different that you've learned during your training when you're constantly worried about falling short of expectations. You waste time when you're stalling to think about whether they'll approve of the care you're giving or when you stop to second guess yourself unnecessarily. A hostile environment clouds your judgement and stifles your knowledge...if you let it! Try to keep a notepad and write down the specialty specific teachings that you DO get from your mentors. Take another look at them on your own time and maybe refresh yourself on some of the things you already know that may be helpful in this setting. I kept flashcards and books from nursing school for years after I graduated just in case I needed them, perhaps you've got something similar. Walk in there with confidence, carry out your tasks with confidence and show them what you KNOW you can do when you're not being berated. I don't know how much longer you've got but if there's time i'd give it a try before you resign. Second thought...the right mentor makes a huge difference in your ability to learn and thrive. This is not your failure and does not define you as a nurse. If it does not work out for you there, know that you may find that special mentor in another care setting, even if its not your first choice.
  16. mom_e_bizcut

    LPN/new traveling nurse

    thank you, very helpful!