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Aged, Palliative Care, Oncology
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Nurse3000 specializes in Aged, Palliative Care, Oncology.

Pt. safety is my number one priority.

Nurse3000's Latest Activity

  1. Nurse3000

    Suspended for a Medication Error

    Was new grad end 2015 - didn't know how to read insulin needle.. drew up too much, not confirming amount I stupidly asked for check/without verbalizing that I didn't know how to read the needle and expecting the second check nurse to draw up right amount.. it was reported and BOY did I get the coals raked for me to walk over!! The next day managers/educators were in cahoots. I Wasn't allowed to give a Panadol out by myself. Was shameful embarrassing and felt like everyone knew... b***** colleagues lost trust in me and did not support me. Wasn't allowed to give out ANY meds without an educator, manager or other R.N. there next to me. I left half an hour late after every shift for 2 weeks just waiting for someone to watch me give out tablets. It dragged on, I wasn't allowed to give any injections intravenous subcut or otherwise whatsoever for at least a couple of months until "review" by a new grad educator not known to the ward... Was given unnecessary attention/meetings nearly every week..to get me up to scratch (unlike other new grads) My near miss was rubbed in NON STOP on top of the demands to do job. It was A HUGE overreaction and loss of trust in me for pulling up the wrong amount of insulin and expecting someone to fix it up for me. it completely Ruined my year and reputation and I became so anxious I could hardly breathe half the time...instead of making things better, it just all got out of control I put on 15kg and HATED myself. I HATED my self as a nurse... I hated the job, (not looking after people.. ) but the mere politics of it. It's still affecting me to this day... and because of that experience, and it's consequences relating to my confidence, self esteem, belief in myself, broken weak version of myself and personality, my reference is Not strong as well and I'm only working agency at the moment... I haven't worked full-time since July last year (7 months)... I feel like maybe full-time nursing is not on the cards for me, it's not meant to be...??? (Part of that attitude is confidence Stuff) but part of is it a pressure to work full-time nursing hours. Maybe I can just work part time and/or just a regular job with casual part time nursing hours in between... Screw the prestige of saying I'm a "Registered Nurse", or only being a Registered nurse ~~ I'm over it! [Plus I'm 31 years old and down to earth!] The politics are the killer!!!
  2. Nurse3000

    The "Fat" Deception

    Brilliant article. And I'm so lucky to have stumbled across LCHF recently proscribed by an excellent General Practitioner (GP). One is very lucky to have this new information tries and tested. I have PCOS and was finding hard to lose weight... doc suggested this new way.. hardly any refined carbs, no sugar and even fruit... unrefined carbs and fruit can be introduced in small amounts as weight/fat begins to fall of or has reduced. It's sad that millions of people are hungry on their lo cal, lo fat, high carb diets and wondering what the hell is going on and why a lot of us are failing the diet/"healthy eating plan", or becoming frustrated with not being able to lose and/or maintain weight. Obviously healthy/normal enough weighted people don't have to be too strict with carbs (the unrefined ones), but just a bit of extra good fats, incl. the inbetween good fats (saturated), and less and/or avoidance of refined carbs, i.e. pastries, flour. Plus, way less/no sugar, i.e. chocolates, candies, added sugar/juice/cordial/soft drinks/teaspoons of sugar.... It's all good, it can be a bit tough, (But gets easier over time/tastebuds change with better LCHF diets). The better off, satiated and healthier we'll be! More people will be better off... things need to change, in this case, the faster the better!
  3. Nurse3000

    Terminated After Two Months!!

    Oh Dear lady. I feel your struggle. Nurse Beth thanks for the advice. Very good. One of the reasons why I'm on this site is to get adequate support and a sense of comradity... when I feel alone and scared as a 1st year / 2nd year nurse I freak out and I need an outlet. This site let's me know that I'm not alone. That i have people who belive in me when I no longer do or felt like my old colleagues did. Where do I begin... my story very similar to you. I'm smart and soft and caring but I just kept making wee mistakes or ones that could be potentially dangerous. and it felt like it sucked the living life out of me. I was working on a short staffed ward for my first rotation of new grad and some of my "preceptors" were crabby, short tempered, surly and unapproachable. I therefore felt scared to ask questions and for help. then I Began to make mistakes. .. and it followed me around for a year. The pain I went through. The humiliation is traumatic. you feel scared that you're never going to soar in nursing like other seems to do... (I don't want to be a cranky one either)... but, Yeh don't give up you'll find a place that like something about you and are willing to give you a shot and like beth said.. support you and help you to flourish. I'm in a predicament myself... I need full time work and city jobs are COMPETITIVE .. I may have landed one but references need to be done. And I am running scared even when I get reassurance. My latest line manager has to be honest (most probably about the mistakes and what entailed on my year I guess) ... and I'm worried (I cried myself to sleep last night) that the new manager won't give me a go and let me show him how amazing I can be. . I feel like not many people feel comfortable doing my reference. Yeh I'm a nice kid but is that enough? will I make the same mistakes again... I don't think so.... I just hope my future employer sees that. The struggle is real... I've been waiting 3-4 weeks for this job (manager went away), busy, etc. so if this guy doesn't give me a job I don't know who will.. because it is where I want to work and the manager seems very smart and reasonable. When you get back on the floor/office. .. DEEP BREATHS... always. .. deep breaths and believe in your ability. You have trained you are deemed competent. Use your confidence to let that competence shine! You can do it. DO NOT feel afraid to ask for help even when you're working with a cranky pants. Don't let their bad attitude make you feel like you have to close up, wilt, not breath, not work together and start to make mistakes. Stand tall , breath, be professional, stick to the task & don't worry what anyone thinking of you. . you're all there for the patients and to make it a good, safe thriving place... not a place for any old ego to air and ruin morale
  4. Nurse3000

    Perfect-o Meter

    wow fantastic article. sage words.
  5. Nurse3000

    What just happened?

    Thanks for your support guys. Will reflect on it some more and forgive myself too! Hooley Dooley!
  6. Nurse3000

    What just happened?

    No because he didn't have any drugs of addictions or injections due. He was diet controlled diabetic, so no BGL taken either (gulps). I'm so freaking lucky nothing happened to him. I am responsible for overlooking the patient on my list but for not getting a handover on them either or someone regular checking the sheet of paper I'm not used to seeing that I had them and firmly confirming I do indeed have them. I just wished that happened. 2 hours is not so bad. .. but a WHOLE shift with no attention whatsoever. ... that is just insane and I'm traumatised by this. ... I'm waiting for a call to come into to discuss. ... I don't take mistakes well... It feels like I'm dying inside which is not healthy nor productive. I wish I read it properly but I also wish the room numbers were verbalised (like other hospitals) i.e. "you will be taking room 5-9" and that a handover was given. .. do you think I'm solely responsible? I'm scared
  7. Nurse3000

    What just happened?

    I'm 2nd year doing agency work. I got my patient load this morning. The team leader said you have say, rooms 38-41. I said sorry, she said check the book. I checked book and overlooked my name with room 37 too. thought I just had 4 patients. to compound the problem did not get handover on room 37. There is NOTHING written next to their name; Didn't even look at one chart. end of day thought I'd done a great job. And team leader says hand over 37. I genuinely said I didn't have them. Pt was not seen all day. no PPI or mild pain killer given. no vital signs. no call bell pressed. no shower. Pt jovially chatting with friend inside room. can't believe it... am petrified of the ramifications. and lucky nothing happened to him. thoughts or advice?
  8. Nurse3000

    The Respect You Get

    There's no use for overbearing egos in patient safety and care.
  9. Nurse3000

    Disturbing Conversation on Overweight Healthcare Workers

    I might have. I've been overweight the last 6 years. Before I was slender. And I have been the most bullied and mistreated ever since being a bigger girl. The thing is, I was slim but I had eating disorder tendencies and smoked a lot almost all day if I could . It's funny how that is glorified over someone who may have extra weight and exercises but has trouble with their weight.
  10. Nurse3000

    Drug seekers

    leave it to the docs and say what you think it might be, i.e. drug seeking, and tell your team, hand over. and keep on promoting that health.
  11. Nurse3000

    Odd interactions

    Odd? Gawwwd the whole thihg is odd. Erm, we've had this old greek man saying, with a wry smile, saying, "i want dead, i want to shleep, i want to pish, i want dead..." They seem to be his catch crys.
  12. Nurse3000

    Nurses that eat their young

    Nah bro.
  13. Nurse3000

    Nurses that eat their young

    Wow hahaa, you guys are on the attack, hey? Ignorant newbies? wannabees? (What even is that? lol,isnt that a spice girls song?) No wonder you types get called the things you do. Y'all sound too cranky for your own good! So they say, if you can't beat em, join em, OK, i'll come down to your nasty, arrogant levels: Sorry, but I have the right to opinion as do all of you, and I shouldn't not have to feel like I'm being spoken down to because of that, i.e., "um, did you like, not read that, omg"? I don't disagree with the words that are being said here... but come on ladies/gentlemen?; some of you, get off of your high horses. The whole nursing shtick doesnt revolve around America, and how American's see things: which is often a culture of punishment, cockiness and, imprisonment. What about more liberal cultures, like Scandanavian? Whereby they don't criminalise humans, but rehabilitate, help, support, keep their eyes and minds open? Get over yourselves. You don't know every damn thing. And also, take those kinds of nurses to a board instead of having a whine about how you guys are so much better than she is. Feeding off of your egos on how you have got something right, and this person hasn't. I'm sure you've got a lot of things wrong in your nursing, with say, um... your ethics, morals and legal frameworks. There's always more to the story and I don't have to believe one darn thing that you guys are saying or perhaps even fabricating...just because your a mini celebrity on "allnurses".com, with your thosands of posts. Yeah, good on ya mate. I know theres a**holes out there... and we've got to be careful of types, like you guys... minute, miserable, power trippers. This "isn't little league, you don't get trophies", it ought to be, "WE require that WE think about what we're doing"... (but with you guys, it's "me and my mates excluded, coz we're like special and never get it wrong"). Cough. Get over yourselves ladies, you don't know everything :) and that's why it can become bullying, and 'nurses eating their young' because of the overwhelming arrogance that is displayed by these ***** ***** bag nurses. These types of nurses are like a damn Jekyll and Hyde, nice as pie (fake) one minute and a little devil the next. They makes people's lives in that hospital, families, friends, patients, staff, miserable, full of shame and a damn punishment. Beware, you're in for a scare... Keep your distance and keep on believing in yourself.
  14. Nurse3000

    Nurses that eat their young

    What is a NETY? Criticism? Is telling a newgrad nurse infront of 5 other people that their current partner is going to leave them, or constantly overhearing that, "these new nurses don't know anything" after going through a 3 year degree in this day and age, not humiliating and just plain nasty? That nurse went home upset and looking for confirmation from her partner that he isn't leaving her and planning to marry her. What about, eye rolling and heavily sighing and abruptly stating the person's name, when that person has asked for where normal saline is kept, if one doesnt know where it is? What about making sure no one is around and then saying, "YOU HAVENT DONE ANYTHING", right at a start of a shift, when one was merely trying to read the notes about the pt's they were looking after? Why do people deny that bullying is non-existent? It's ridiculous. People's heads are so far up their ass that they refuse to look at their own behaviour, reflect on it, swallow their pride and realise they were/or are going the wrong way about things. It's rather frustrating. "Eating our young" can be a disrespectful term, but then why do you have "Fat, Old, Ugly, Biter" and such negative and potentially offensive words in your signature on this forum. It's pretty hypocritical. Negative feedback? That wording worries me. Why does it have to be negative? Can't it be contructive? or posttive, useful, helpful, or encouraging? Must it be 'negative'? That choice of word indicates potentiall lack of acceptance, lack of respect and rejection from the person giving the apaprent, 'negative feedback'. The e.g. with the 'newbie' giving wrong insulin. We are human after all. There is such thing as, "human error", I bet you anything that girl was a new nurse who just needed some guidance and constructive feedback? or was she just getting some nasty lip about it, which made her feel more insecure and bad about making the mistake or even staying as a nurse. [TABLE=class: vk_tbl vk_gy] [TR] [TD=class: lr_dct_nyms_ttl]and this:[/TD] [TD][/TD] [/TR] [/TABLE] "There, there, Newbie. It's OK. You killed your patient with an insulin overdose, but you've done great active listening with the family." Is this just a joke or are you genuinely harshly judging this person; also, it seems as though you may be catrasophising this (possibly junior) nurse's situation (?). The preceptor sounded like she had to give constructive criticism, however, in your eyes, if you were the preceptor you possibly would have made her feel bad by patronising her and saying, "There, there.... you nearly killed someone?".... Gosh, I'd feel worried to be working with someone with that attitude. Varying reponses and communication to different individuals and there mood, is from a concept, which you're probably already aware of: Emotional intelligence. It's the ability to read one's own emotions, then to be able to respond to someones covert and overt emotions in a way that is apporpriate to that factor: mood. For e.g. if you can see someone looks worried, upset, unconfident with what they're doing we would take a more gentle, and calm approach. Where as if you can see that the person looks strong and resilient, then you could use a more officious, or stronger tone, because one has realised that the orientee can "hack it" and comprehend the message at that point in time. I didn't say communication is dependant on the orientees mood; although, I appreciate this term you used, because I now think it not only depends on the orientee but the orienter. Communication is a two-way street, and as we know, we are both responsible for relaying information to eachother, not just someone taking a passive, agressive, passive-agressive, assertive stance. We're all responsible.
  15. Nurse3000

    Nurses that eat their young

    Hi Rubyvee, Sorry, if I have offended. I'm not sure, it's a bit hard to determine via chat. However, I'm just concerned about the comment where 'people go to work 'looking for bullying'. I don't quite understand. However, I can see you point where someone might be oversensitive about getting words been told. In my eyes, it's about mutual respect. It doesn't have to be sugar-coated, just professionally stated in a matter-of-fact way. People DO bully. If one is being nasty to someone else (and others), and constantly, that is is bullying... It's evident from hearsay and is included in countless literature pieces. It does not have much to do with contructive criticism. However, if it is said in a way that is demeaning, humiliating, berating manner, and consistently. It is bullying. And, you're right, we all have the potential to bully one another no matter how sernior or junior. The thing that is intimidating is the fact that more experienced nurses have the oppportunity to practice their leadership skills and lead by example in a way that can be firm but fair, maybe even kind and gentle, depending on the person's mood recieving the feedback/criticism, but as long as its fair but firm. Not demeaning, disrespectful, dismissive, hopeless, or "arrogant" in nature, it's OK. Bullying is real. A not so good leader can reduce the morale, seem intimidating, unapproachable, arrogant, lead to a decreased productivity, more sick days, higher staff turnover, and just an all time punishing experience for some staff, patients and families just because of someone's sucky ego. . Eating their young may be a disrespectful term in itself, but don't take it personally. It's a figure of speech. And, in my eyes, it is a form of bullying which should be stamped out. People ARE NOT stupid, and deserve compassion, patience and due consideration at all times. OK, outside work, it's a different thing, it's a crazy world out there. Inside work, we are bound by laws and ethics and we are getting paid to be good to eachother, afterall we are supposed to be promoters of health. Indeed, being nasty to eachother (with absolute exclusion of feedback or constructive criticism - which we've all got to take and consider) is not health promotion; in fact, it can promote bad feelings, thoughts, behaviours, excessive stress and illness if the ward culture dares to feed off of it. And I agree, we should see the best in people, no matter how senior, junior or role youre in. That's creativity, and creativity creates change and all those great things that come with that. Yay! I guess sometimes it comes down to what sort of nurse we want to be. Not who we are in downtime, but at work. To all reading this: What sort of nurse do you want to be?
  16. Nurse3000

    Nurses that eat their young

    Hi Rubyvee, Yes, as much of a clown as I am, unfortunately, in this instance I am being serious. Sadly nurses treating others unfairly is a breach of the code of conduct which in some instances, can be discussed, and hopefully resolved with the person harassing or the manager. After all, we are being paid to be nice to each other. We don't get paid to do a disservice to someone or something. Please read below to see how I have come to this opinion/conclusion of how "Eating our young", i.e. bullying, lateral violence, browbeating, oppression, intimidation, badgering someone, pressuring, force, nag, etc. in the workplace is a code of conduct. I'd like for others to remind others that this is obviously a legal document and one of the NSW Health (Australian) Code of Conduct. I think it's a great guide to be followed: "... Respect .We treat our colleagues and patients with dignity and respect, and care about those around us. • Each of us is responsible for workplace culture and performance. • We have zero tolerance for bullying and no-one, no matter how senior, is exempt. Empowerment • We encourage and support local decision making and innovation. • We accept that with local decision making comes responsibility and accountability. • We make best use of resources and experience to meet patient and community expectations. • While we seek direction from our leaders, we believe that everyone is empowered to make a difference in our workplace. • As individuals, we can improve our workplace culture and performance by addressing issues that hold us back. • We strive for individual excellence on behalf of our patients and our teams, and to deliver the best possible care and services 4.1 Promote a positive work environment Staff must: 4.1.1 Treat patients and members of the public with courtesy and respect and with due sensitivity to the needs of people with different backgrounds and cultures 4.1.2 Treat all other members of staff (irrespective of whether they are at the same level of seniority, or more senior or junior) in a way that promotes harmonious and productive working relationships, and a collaborative teamwork approach 4.1.3 Not bully or harass other staff, patients or members of the public, or discriminate against them on the basis of their sex, race, ethnic or ethno-religious background, marital status, pregnancy, disability, age, homosexuality, transgender or carers' responsibilities 4.1.4 Not encourage or support other staff in harassing or bullying, or in acting in a way that is contrary to harmonious working relationships between staff members 4.1.5 Where appropriate, attempt to settle any complaints, disagreements or grievances involving other staff themselves in the first instance; or pursue such matters through their manager or a more senior member of staff in a way which is proportionate to the issues raised, utilises applicable NSW Health policies, and recognises that in any process to resolve such matters other staff also have 2.4 What to do if you are concerned about a breach of the Code Staff should report any breach or concerns about a breach of the Code to their manager.If staff are not comfortable about reporting to their manager, they should report the matter to a more senior staff member. In some circumstances, such as allegations of corruption,there is a mandatory requirement to report matters to external agencies. 2.5 Protection for people who raise concerns about a breach of the Code NSW Health is committed to protecting any person who raises concerns about a breach of the Code from retaliation or reprisals. Any attempt to take detrimental action against a person who raises a legitimate breach of the Code will be treated seriously and may lead to disciplinary action. Further, it is a criminal offence to take reprisal against a whistleblower under Section 20 of the Public Interest Disclosures Act 1994 where a disclosure falls within the scope of that Act..." For more details please see here: http://www0.health.nsw.gov.au/policies/pd/2015/pdf/PD2015_035.pdf What do you think about it all Rubyvee? I'm keen to hear your values, beliefs and points of views on the subject. Therefore, I can gain a wider perspective on the matter. Thanks, Regards, Nurse3000.