Miss Rayanne

I use both Facebook and Twitter, and here is my policy. I don't ever post protected health information or air my employer's dirty laundry. Other than that, I reserve the right to post whatever I want, whenever I want. If my employer can't handle it, they can fire me. I love to debate and I've taken positions that were controversial. I've even dropped a few F-bombs. I would rather not work for a company who feels the need to censor me.

I would not contact the BON until you speak with a lawyer. Anything you say or do can be used against if there is a formal complaint. Are you sure they did not send out a letter prior to this one?

Great you have another job. Then tell me what the point of your rant? Do you really need people on the internet to tell you to change jobs, when you are unhappy with the one you have? I know what you meant by that paragraph. Our issue is with you using the word retarded as an epithet. I have members of my family who have developmental disabilities. In my line of work, there have been times where I've had to advocate for them. There is food in my fridge and a roof over my head because of disabled people. When I hear people insult them, even indirectly, it grinds my gears. That's why I have a low opinion of you. Like everyone says, what can you do about it? All you can do is change jobs If you use offensive worlds in your posts, why are you surprised that people are offended? Good Riddence...

What do you mean by doing sexually immoral things. And how are the effecting you? And did you use retarded as an insult? I would expect alot more from a healthcare worker. If you don't like your job, quit. It's that simple.

I think you should wear business attire. You can never dress to professional.

I would check the roommate for lice. If he or she has has nits or if you find a louse, might as well keep them in the same room. Otherwise I would give the patient a private room, if possible. Be sure to wash and dry all of their clothes, bedding, towels, etc in the hottest setting possible. Deep clean their room too. If you don't mind me asking, why was her scalp bleeding. Was the medicating shampoo too irritating?

Tell them you're drunk. Works for me every time.

Personally, I think a new grad with no medical experience, should get at least 6 months of close supervision. However the amount of orientation you will get will depend on the company. When I took my first job in LTC, I only had two days. In retrospect, it was not enough time. I would aim for as much orientation as you can get. If they are offering less then a week or two, I would only take it if you have no other options. Unfortunately, LTC has a very high nurse to patient ratio. In my career, I've have had to deal with anywhere from 20 to 45 patients. If I am passing my own meds, typically that number is in the low twenties. When determining the amount of patient a nurse can safely care for, one must factor in more then just the number of patients. Patient acuity can make or break an assignment. You also have to consider how many CNA's or other auxiliary staff members you will have on the floor. If you have 40 patients who don't require anything more then a few pills, then that is doable. On the other had if you have 20 patients who all have G-tubes, wounds, psych issues, confusion, etc, then that workload can be unsafe. I don't really know how much average pay is in Denver, but down in Colorado Springs, I was able to get hired for $23/hour (LPN, 8 years of LTC experience). Hope that helps.

An ethical dilemma is when you have two moral imperatives and they are in conflict with each other. For example, let's say you are broke, would you steal bread to feed your family? I believe most nurses will encounter several before they retire. The first time I encountered an ethical dilemma was when the administrator and DON in my nursing home came up to me and informed me that one of my patients' son died of a sudden and unexpected heart attack. The mother of the deceased had no previous instances of behavior issues, anxiety, or outbursts, yet the administrator and DON wanted me to call her physician and obtain an order to premedicate her with Ativan, prior to the social worker informing her of the bad news. Ultimately I told the two that I would not have anything to do with chemically restraining a women in that manner. If the patient wanted something to calm her nerves, she would have to come to me and request it herself. I hope I answered your question. Good luck with your interview.

I work in home health and I could not imagine doing my job without a mobile phone. It provides me with access to my E-mail, Calendar, Calculator, Stopwatch, Drug Reference App and much more. When I worked in a SNF, I always carried one on me, despite the companies policies, because I like to be able to call 911 while staying at the patient's bedside. No one knew I had it because I have enough self control to not engage in personal conversations on the clock.

Quite frankly, I've never liked the idea of putting patients in special gowns or marking their rooms to indicate that they are a fall risk. That kind of information should be in the chart or on the 24 hour report sheet. Personally I believe that it is a HIPPA violation. Eventually word will get around to the other patients and their families what the yellow gowns mean. This is also a dignity issue. What if the patient does not want to advertise that he or she is prone to accidents? OP, I have to agree with you. This intervention is a waste of time and does nothing to address the reason why people fall

We don't know what really happen in nursingaround's crazy story, so it might be a little premature to be deciding if a rape occurred. I just pointed out that "good people" don't commit rape. Alcohol or hormones are no excuse for this, no matter how drunk the victim is. But I do love how you victim blame. Let me guess...you feel that a lady who has a few two many drinks while wearing a miniskirt and gets raped while walking home is partial responsible? Sorry that is absurd.

You admit to saying "silly things," so you can't be surprised that people are turned off by some of your posts. I am going to agree with this. In my opinion, I think you have crossed some boundaries, as evidenced by the fact that you see yourself as some kind of parental figure. We work in a profession, where "knowing nothing" does a disservice to our patient and can be quite dangerous. The fact that you did not understand your role in the scenario tells me you should reevaluate your ability to provide effective, safe, and professional care and act accordingly. We do, and I believe having a good moral center is essential to being an effective nurse. However in this profession, we need to know when not to make decisions based on your moral values. As the school nurse, you are not responsible for policing who a teen hangs out with, when she is not in school. By not acting, you are not making a moral judgement, you are allowing others to make the choices they are going to make.

That is a common belief among healthcare workers, but it is a false one. When there is a survey at your home, administration does not have to produce any incident reports to the state. However, in the event that the facility is sued, either by a private party or the government, an incident report is considered discoverable. Most decent lawyers are aware that making incident reports are a standard procedure for most medical facilities and they will try to gain access to them during discovery.

Do you know how offensive you sound? "Good people" don't go around raping others. It's not a simple mistake. I'm just astonished that you rant against the evils of marijuana or Media, yet you whitewash and make excuses for this crime.