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pagandeva2000 LPN

Community Health, Med-Surg, Home Health
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pagandeva2000 is a LPN and specializes in Community Health, Med-Surg, Home Health.

pagandeva2000's Latest Activity

  1. pagandeva2000

    Brian Short News

    Blessed Be to allnurses: I used to be an active member of allnurses some time ago and reading about this tragedy really hurt my gut. I know that the many faithful participants, guides, moderators and administrators of allnurses MUST be in deep pain while trying to process through all of this. May the Creator embrace ALL OF YOU, the extended families of the Shorts and the AN community and bring peace to this. May this bridge togetherness and love. love to you all, Joy AKA Pagandeva2000
  2. LPNs are NURSES. And, I am also darned curious to know what state is insane enough that would actually not allow a nurse to call herself one. I don't see why hearts and thoughts would have been legally responsible either, especially if the patient was alert and oriented x3. I mean, she, herself did not touch the patient at all. Am also wondering if the patient refused to actually go to the ER via ambulance? How close was the hospital? Maybe this patient has a history of refusing to travel via ambulance, not sure. I think it would have been better to call 911, myself, but, there are patients inside and outside of facilities that do, in fact, refuse to follow protocol that makes sense. It did not seem, however, that the patient was being abandoned to his own devices, that they were planning to get him to help, so, I can't really say their intent was bad if he was not in immediate crisis.
  3. pagandeva2000

    Tattletale nurse

    I have to agree with you there. I have not directly experienced it, but heard plenty of stories about it. Again, I discovered that the dynamics involved in home care can be so complex. You do see families playing one nurse against the other...sometimes getting nurses to do more than what their real responsibilities are, etc. One of the reasons why I had decided to leave the pediatric case I had was because the child had a half sister that was a wild indian. She was much older (my client was 3, the sister was 14 and their father was in jail); and the mother of my client sort of expected that the dayshift nurse should babysit both, the actual client and this sister whenever she was staying with them. The girl used to sneak out of the house to meet boys, and from what I heard, the family would blame the nurse if this happened-meanwhile, she had NO responsibility towards this sibling. Some families expected for the nurse to change her hours at any given moment, would expect them to be responsible for the siblings, other family members, and many other situations. When conversating with some of these nurses, I would find that a few of them accepted this because they were no longer used to working in facilities. Sometimes, if there are three nurses involved in a case, and one of them does not agree with what the others are planning, then, they try and find a way to oust the odd ball from the case because that is messing with their program...all sorts of things. You may know your efforts, but can't really determine what the values or motivation of that other nurse really are, so, I feel your pain.
  4. pagandeva2000

    Tattletale nurse

    I would always chart my findings and report them to the agency. Keeping them out of the loop can be bad business for the people I am employed for. Not informing them or keeping them in the dark can lead to surprize situations that are not pleasent for all involved. In the case of the pediatric client I spoke about, it was important for me to report it, and I'm glad I did. The RN I reported it to did call the mother, assess the situation and found that there was no harm to the child, that the nurses did nothing wrong, but she was also annoyed that the situation happened 5 days prior, and were 3 other nurses who came across this situation, were told by the mother and child, but it was not reported to the agency. My thoughts upon first hearing about it was that the child didn't give the situation much thought until she was being bathed by the night shift nurse. What if she then, associated this with one of us? Or what if there was someone in the family who may, in fact, had been abusing her and because she was too young, a poor witness? What if the mother accused the nurse of doing it? I do find that home care can be lax, depending on the situation, because that nurse (whether LPN or RN) is really working autonomously. No direct supervisors on site, etc... Some of the other nurses I knew tended to take these jobs as babysitting and nothing more. There is just as much responsibility and liability as working in a facility. Even moreso, in fact. Sometimes, you discover that families are using home remedies that are contraindicated to their current course of treatment, giving extra medications (usually OTC) that are not on the MAR, patients using drugs, so many dynamics that we can't even imagine them all.
  5. pagandeva2000

    Where was your first LPN job????

    Hospital clinic. I had worked at this same facility and clinic as a Patient Care Associate. Also grabbed side gigs as a flu nurse, med-surg per diem (at my same hospital), and vaccination nurse for the US Army.
  6. pagandeva2000

    Tattletale nurse

    You're right. I have found that chasing other nurses to make them do what they were supposed to do can be fruitless. I report it because I found it. If I don't report it, somehow, it can fall on me, so, I have no choice. After that, this is the agency's issue. What this can do, however, is teach all of us that we have to increase our observations, have as much of a rapport with the patient and families as possible in order to be more current on the status of our patients.
  7. pagandeva2000

    Tattletale nurse

    I think that the next time something occurs that leaves you in doubt, YOU be the one to report it to your agency-act like it is the first time you were aware of it...this way, it doesn't appear that you were the neglectful one. If the agency already received report on a situation, then, good, if not, then, at least YOU told them. And, whatever happens afterwards regarding those other nurses, let them be the ones to deal with it. I had a similar situation with pediatric home health. I only worked this case on Saturdays, because I already have a regular fulltime job in a clinic. I came in and the mother told me that her daughter reported to her that while she was in daycare a few days ago, another little girl caressed her vagina. This client has a nurse around her 20 hours a day-including school hours. I am not saying that the nurse had to see it directly (this is pre-kindergarden, where children sit in a circle, drawing, doing other activities). The client did not report it to the mother until the night shift nurse gave her a bath (I guess the bath reminded her of the incident). In any event, the mother went to the school, reported it, got the parent of the other mother involved, etc... Meanwhile, the nurse that reported it and the dayshift nurse did not report it to the agency, nor write a note about it. I, on the other hand felt this way...if the little girl remembered at the time she received a bath, and she is only 4 years old, what if she then, associated that nurse bathing her as the one that touched her inappropriately? I mean, all nurses have to bathe intimate areas on our clients. And, what if more happened to this little girl that no one decided to report because they weren't really supervising her at the school? So, I called the agency that same day, left a message, and made sure I called back Monday morning again and reported the situation. Now, it was up to those nurses to explain what happened, but I reported as I heard it. Whether those nurses were going to report it or not was one thing, but I was going to make sure that I said it. I did eventually leave that case, however, it was for other reasons.
  8. Will you be working 5 days a week? If not, maybe as your confidence builds, you can eventually obtain a per diem or part time med-surg position. If not, tell him that you have an on line friend who hates this particular mole over her right eye that would LOVE to have it removed at a discount (just kidding...)
  9. pagandeva2000

    Should I refer to my new RN director as Ms. Newboss?

    As mentioned, there are more battles to contend with than what a person demands they are to be called. What would concern me more is how the staff interact with this person. Is she approachable? Does she address issues effectively? Does she advocate for patients and staff appropriately? It could be that she wants to establish the "Mrs. Newboss" in order to remind people of the formality. Too much familiarity can undermine authority at times. If you walk in with the demeanor of call me Ms. Newboss, it sets a precedence. As mentioned, calling people by their title, or preferred title doesn't seem like a bad thing, as long as they respect who you are. I have had many supervisors that insist on calling people by their last names. They were rough drill sergents, but, they were available to us, were fair and we trusted them. I'd rather that, then to be treated like an animal and called an animal.
  10. Are you an LPN or RN? I'm only asking because this reminds me of when I attended my best friend's graduation from the same LPN school I went to had an LPN guest speaker that spoke very highly of LPNs working in plastic surgery clinics. In fact, she works for an agency that recruits nurses in such positions. I think that is a sure win! You will get to see many interesting procedures, and you would get to know as well as practice sterile technique blindfolded. In addition, you'll probably have choice days...no weekends (or maybe Saturdays at best) or holidays. You might meet some influential people that can lead to other similar positions. I say go for it!
  11. pagandeva2000

    Television Reality Show Casting Nurses & Student Nurses

    These reality shows are staged, anyhow. They hire psychologists to study the profiles of potential reality participants and they try to gauge which personalities are most conflicting-those will be the ones that will be chosen. Can't have a great reality show without the traditional cat fights, you know. Just last night, I saw that The Learning Channel plans to launch a reality show about polygamy. Comes on in a few weeks. Go figure.
  12. pagandeva2000

    Got fired... again. Should I not be a nurse?

    Setting up the meds, signing for them, but expecting you to give is a lot of nerve. Dealing with 70 patients is insane, but unfortunately, that is the experience of most LTC nurses...these facilities almost force them to treat patients like a meat market rather than human beings. At this stage of the game, at least you know what you don't want to put up with...now, maybe with this experience, you'll be able to make better assessments of the places that you are interviewed for. This is one of the major frustrations of nursing...so many disgusting situations to have to put up with, and if you don't play the game, you are targeted. Maybe Public Health Nursing is the better deal for you. I think what bothers me the most is that many of the reasons that you are no longer at these previous positions are why most nurses are running as FAR from the bedside that they can go, where they are needed the most.
  13. pagandeva2000

    Smoking coworkers and fair breaks

    Tell them when you need a break and take it. Or if you need longer time for your break/lunch, let them know and take it. I smoke as well, but work in a clinic, where it could be a bit different. There are 'slow points' or down time in our clinics where it is completely slow, and that would be the time that I take the break...not when it is busy. And, I make rounds to each station before I make that announcement to see if there are any lingering situations where another nurse needs assistance before I go. Those same nurses will also let me know if they have to take an extra break to get coffee, take a breather, need to pay a bill and may need a longer lunch break, etc... and we've always worked it out where everyone gets their bit of downtime if needed or even just desired. Not sure what can be done to change their habit, but I'd make sure that they work with you, too.
  14. pagandeva2000

    Answering "YES/NO" to contacting current employer?

    I tend to check 'do not contact'. Things can get very dicey when they know for a fact that you are looking for something else. Sometimes, supervisors take it personally, some are upset because they worry about who to hire to take your place, sometimes, additional responsibilities are assigned to workers that they trust because they know that particular employee is efficient...many reasons. I have seen it happen more than enough times to other people that it is best to be as discrete as possible with the current employer.
  15. pagandeva2000

    "I am sorry - I refuse to float to Peds!"

    While it shows good sportsmanship to call the charge nurse to share concerns, many times, you still don't know what you are getting into until you are actually there and are no longer in a position to turn around, because it will be perceived as you 'accepted the assignment'. Hate to say it, but at my hospital many (not ALL, but MANY) of the senior nurses are witches who prey and dump on the agency or floaters. As mentioned, it is TOO much to look up and recall in the case of any emergency. And, a frazzled nurse=deadly nurse.
  16. pagandeva2000

    Can the doctor refuse to see a patient?

    I have also heard that if a physician is treating a patient in his private office, that he can refuse to continue treatment as long as he notifies them in advance and allow them the chance to find another provider. Hospitals-not sure, but I suspect it would not go over very well. As previously mentioned, you WILL hear plenty of practitioners vent and say similar things if not worse, but go in with a different tune. And, don't be surprized if you do it yourself occasionally. There are some patients that will just not comply and there are plenty of them who will just LIE....yes, LIE. Here is an example: I work in the OB/GYN clinic at my hospital. Nurses do a great deal of teaching, of course, and we provide them with anticipatory guidance on what to expect each trimester-you know...danger signs, fetal movement, early labor, etc... Now, our facility is empathsizing breast feeding teaching and offering our Lamaze classes...which we introduce in the 2nd trimester. I worked the high risk clinic with a woman pregnant with twins. Most of our high risk patients are seen every two weeks. I gave her literature and discussed in great depth about the risks of twin pregnancies, benefits of breast feeding, positioning twins for breast feeding, etc... even got her into the Lamaze classes earlier than the 27 weeks as per policy, and asked the Lamaze instructor (who is a lactation consultant) to take extra time with teaching breastfeeding with her twins. She reported to someone that I did not provide ANY teaching for pre-term labor or breastfeeding. Looked me in the eye and told me I didn't. Yes, when the patient left, I certainly did say some not nice stuff. But, I would have to still treat her. I understand how the doctor felt. I think he was just venting.

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