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TitaniumPlates has 15 years experience and specializes in ED.

TitaniumPlates's Latest Activity

  1. TitaniumPlates

    Nurses and Bullying: 4 Things You Can Do

    Wrong. The person in the example is an experienced, second careerist and a highly educated Chemist. Which is precisely what some nurses find soOsoOOooooOOOO intimidating and threatening. I've seen this before many times. An older, more mature and life experienced nurse comes in---maybe she's a new grad--but she's certainly not stupid. She ran a household of 5 kids or a department of 27 sales people or a unit of soldiers. But nurses do this just like any other profession. Don't give me that crap about "she's just harried and rushed"---sorry---I don't act like an arsehole to people because I am "rushed". I don't say s#itty things or threaten people because I'm "harried". If you have to act this way---when your rushed or overworked? This profession is not for you and this says so much more about YOU than about the new grad. It's about time good nurses start walking and finding other places to be. Misery loves company---leave the nasties to each other--maybe they'll drive the unit into being shut down or the patients will complain enough because there isn't a one that can hold their tongue. I love how nurses seem to think they're some sort of special sauce that they get to act all crappy and get away with it because...stress. Like nobody else has a stressful job. Just them. Best advice is in the article. document and burn them. Don't sit back and be afraid and don't ever run if you can fight. I document, document, document. And when they least expect it---they're sitting in HR cooling their heels---and a few times? Losing their jobs. Yeah. I think they deserve it....because now I'll get the "but you cost a nurse her job!" No. The nasty nurse cost herself her job.
  2. TitaniumPlates

    Did I already screw up my nursing career?

    You're still a new grad. Leave the residency off of your resume and apply for the new grad residencies closer to you. "My former manager won't be a reference"===nursing at it's finest. He could speak to your punctuality, attitude and some other things---but he is choosing to do what all craptactular nurse managers who allow this garbage to go on in their units do---hobble anybody who dares to leave. I'd put them in my rearview and never speak of them again. Don't put them on your resume and don't utter a word to anyone about your experience with them. 2 months? I've left jobs of a YEAR off of my resume because of ***** nurse managers like the one you had the misfortune of getting. Apply as a new grad---if you're under a year---that is what you are. And don't let anyone tell you that acute care is off the table for you. That's just a scare tactic. Again---it's what nursing does best. Good luck.
  3. TitaniumPlates

    New Nurse Venting

    I will do what every good hospital HR and Risk Management person will do who is trying to prevent a lawsuit. Tell you I am so sorry, listen to your complaint, thank you for bringing the problem to my attention, and then promise that somehow I will find an answer for you. That's what happens now--on this forum and pretty much everywhere else that nurses go in order to express their frustration, anger, exhaustion, unhappiness.....etc. So sorry. Chin up. It'll get better if you just keep plugging along. No. It won't, and it doesn't. I am sorry that you are experiencing this----and this is not unusual in any way, shape or form. This is nursing. First. Kooky Korky is absolutely, 100% correct---you ever have someone touch you without your permission---you make it your mission in life to have that person removed. NO ONE. No. One. has the right to touch you without your permission. As any Nursing 101 instructor will drill into your head---YOU also have no right to touch a patient without their permission. This goes both ways. See the thread that discusses the horrible incident of the OR Nurse that was fired for "workplace violence" for "redirecting" a colleague who was baiting her in a storage room by blocking her way. She was in the wrong. I hate it, but that is the truth. You never, ever let a colleague or anyone else in your life---touch you without your permission. Second. Changing specialties isn't as hard as some here are trying to make it sound---unless you are shifting from, say, ER to OR or some super specialty. If you have ER experience, and you do---with ridiculous ratios, which says to me that you have a keen sense for organization and time management to succeed even for a month in that environment---you pretty much can go to Med Surg or Tele or Outpatient without 16 weeks of intensive "relearning". That's hogwash that you can't switch without this horribly steep "learning curve" with acute/emergent care experience. I changed from ER to ICU---and the ICU RNs were all flabbergasted that it took me 6 weeks to literally toss a good number of them out of my patients' room because they wanted to "drive". Yeah, no. There are subtleties that occur in ICU that in the ER I would not have been able to take the time to note---but I sure as hell knew what to do for my patients. CRRT and those specialty procedures come in time---that isn't part of the initial "learning curve". Anyway. Third. Nobody. Nobody gets to tell you that you are stupid, worthless, incompetent or lazy. That is harassment clear and simple...and you should be documenting every single incident and turning that into HR. If HR doesn't do something about it---you lawyer up. You sue that hospital for harassment. You are not a punching bag. I am so godda#ned sick and tired of these "senior nurses" who think that they can haze new nurses. I've kicked a few in the bits (figuratively) and I stand my ground. Bullies are mentally unstable. There. I said it. I am sooooOOoooOOOOoooo sick of nurses who believe their s#it doesn't stink or that they have never made a mistake---bullying and crapping on new nurses, techs, other personnel---because they usually are the dumbest, most dangerous and the most mentally ill of the bunch. They drive normal, successful, intelligent and valuable employees away---because they are miserable, quasi-talented and below level intelligence---it's the only way they can feel good about themselves. And that goes for anybody here that fits that bullying description. Don't give the the Bill Clinton defense---well, it depends on what your definition of bullying IS. Baloney. It's like pornography. We know it when we see it. Knock it off. If you wouldn't want it said to your mom or your husband or your kids---don't say it to another colleague. Studying is not going to convince the "hazers" in the NICU or Mother Baby unit to stop acting like arseholes. Because this is who they are. Remember Maya Angelou---"When someone shows you who they are---believe them." Nursing has degenerated into a core group that drive good people away---and good people who educate themselves the hell-o out of the bedside environment (this includes outpatient clinics). You're doing the right thing---educate yourself out of this. It's the only way---you are too good of a person to hang around and be abused. However---you should cast a curse on your way out of these toxic units if you can---document all of it, turn it all into HR, and if the situation warrants it---turn them into the BON for workplace violence if they grab you, turn them in for ethics violations---and see a lawyer. I'm all done with some nurses behaving as if they are immune to consequences. It's about time those of us who just want to come in and do our jobs---show those who decide that the job is for them to gossip, haze and bully---and that includes doctors---that this isn't going to fly and legal consequences will ensue. Many here will immediately respond with---but you do that, and you will never work as a nurse again. And.....this proves my point. If I hold you, acting like an arsehole and bullying and grabbing me and demeaning me, responsible for your behavior---you think I should be punished? This is exactly why nursing has degenerated into what it is---it's the Mob Mentality. You snitch, you squeal---about how we're abusing you? You get squashed. We take away your ability to feed your family. Nice, huh? OP----you document, document, document. If it's legal in your state to record as a "single party"---meaning you can record conversations without the other party knowing--and there is no HIPAA information? You do it. You nail these people and make it known that this is not okay. I would educate myself like you are doing----pull yourself up out of the muck. Like the lotus---you will bloom out of standing on muck and mud. Don't let any of these people drag you into their drama.
  4. TitaniumPlates

    Best States for RN's and NP's both in terms of pay and practice?

    Fullglass, you're being either willfully deceptive or ...well.... Bakersfield is....not a good place to live if you like breathing clean air and drinking water uncontaminated by fracking fluid or other oil field pollutants. Myoglobin, you have asked this question many times here and I can go back and pull up all of those threads, where someone suggests something and you shoot everything down. My best advice to you is pull the thread up from 6 months ago, go over it again with a fine toothed comb, put your nickel down and make a decision. If memory serves, your companion has no intention of leaving her position and there is a situation wih her kids as well. You kept hammering away at flying in to California and all that...and trying to game the system so that you can stay in...Florida?....and be paid big money, have low taxes, an easy caseload, and only work a couple days a week. Nothing has changed from that epic thread until now. California is on fire in the central valley. i moved from there when i had to wear an n95 to walk into work or walk my dog. bakersfield has a ridiculous level of respiratory diseases because of he oil fields. which is why its "so affordable". places like modesto, stockton, most of Sacramento, and the areas off of the interstate that are not big cities...are carbon copies of modesto. It gets a little tired when the same question is posed by someone who has no intention of actually taking any of the advice, can't or won't, doesn't matter. Blue states tend to have higher costs of living and taxes. red states have low taxes in some areas and lower cost of living...but each have their set of problems. what is getting irritating for me is when people ask others what their opinions are and then shoot those opinions down ad infinitum. Decide what you and your partner are willing to do and sacrifice for this "high paying, low work" job...and do that.
  5. TitaniumPlates

    Preceptor is SO BAD!

    i agree jed. she does have an attitude of entitlement. not attack, because she is frustrated and frightened. she needs GUIDANCE and LEADERSHIP. not attacks and the "i am the attitude adjustment police". give her decent, relevant advice or like my momma taught me...keep it to yourself. its not helping the new nurses cope or integrate. she is scared. i was where she is. i got the craptacular preceptor who told me to "get in there!!" in my first trauma...no guidance, no help, only attack and criticism afterwards.and he was a 10 year veteran who was just SO LOVED and respected. help her. that is what she has reached out for. there is a way to redirect her without calling her names and being demeaning.
  6. TitaniumPlates

    Preceptor is SO BAD!

    The point here I think is that if OP's preceptor is lazy and rogue for tiny, insignificant things, what is she doing for huge things? Whomever compared dumping a urine bag in the sink to doing what is effective in a code scenario....FALSE EQUIVALENCY. What are you doing prioritizing dumping urine in a sink when your patient is coding? No such thing. Don't compare the two. I have been a part of a unit where someone is just SO LOVED!!!!! OMG!!!! SHE IS THE GREATEST!!! And nothing could be further from the truth. Remember the old joke...opinions are just like buttholes....everybody has one. About the Adderall. So. I am a patient who witnesses this, but I have no context. What then? Is my nurse taking my drugs? Is she taking aspirin or adderall or xanax or oxycontin? yeah. i do expect someone to take their private rituals to a private area. no nurse needs ADDERALL so emergently that they cannot excuse themselves to go get a deink of water and privately pop their meds. I call bullshite. again...it says far far mire about this preceptor's lazy atritude that anything goes and nothing matters. it matters. OP, be discerning is what you need to take away from this preceptor and the advice you are getting on how to cope. I think you should stick it out for at least until you are off precepting. watch other nurses...get away and go observe others as often as you can. learn the charting inside and out get your assessments down to 15 minutes or less. step in feont of this preceptor when getting or giving report...interject as often as possible with questions. make her answer you and notice in her amphetamine fueled state that you are there to learn from her. and yes. Adderall is an amphetamine....just legalized.
  7. TitaniumPlates

    Preceptor is SO BAD!

    exactly this. the nurses here acting like OP is some type of abberant because she has a problem with spreading disease...says far, far, FAR more about the nurses making the demeaning and condescending remarks than it does about OP. OP....not everyone was brought up properly to know it's disgusting and unsanitary to dump urine where you wash your hands or quickly get a patient a cup of water. My mother raised me in a house, and even some animals know you don't defecate where you might eat from. I don't live or work in a barn, and I would expect that as a patient that may be immunocompromised or post surgical, I would have a nurse that has the sense God gave a cat. It's pure laziness on the part of the nurse...and I for one would not take their queue on anything from that point on.
  8. TitaniumPlates

    Preceptor is SO BAD!

    jed it was a devils advocate statement...the possible point of view of the preceptor. the piling on isn't helpful and it only starts to prove that nurses look for weakness and attack. like hyenas. OP has gotten really decent advice without the crappy clique engine revving up to decimate whatever confidence she might have had.
  9. TitaniumPlates

    Work asking all the time if I can work extra At work and home

    "You can feel like you are letting them down...." Exactly this. I am not a rabble rouser, but think about what that employer would do if you were injured on the job or at home or on the way to/from work for them---do you think they'll come over and cook your dinner, clean your house, take care of your pets and kids---pay your bills even (some employers cut you loose and force you to file lawsuits for workman's comp if you are injured doing your job---sometimes bankrupting you in the process) I don't ever give anyone the benefit of the doubt on this. I have my boundaries. I do my job 100% when I am scheduled to do it. After hours---it is my choice whether I pick up overtime or not. Nobody gets to coerce me---and if I need a mental health day or just simply don't want to work the >12 hours of overtime a month (after 12 hours, most of your pay goes to taxes. it's not worth it)---I say "No." and leave the pregnant silence for them to fill with whatever they want. I don't even apologize anymore. They'll get the hint that you are not a trained seal and move on to someone who is more pliable.
  10. TitaniumPlates

    Work asking all the time if I can work extra At work and home

    boundaries. "I can't." "no. I cannot do that." More words just gives them the opportunity to coerce or guilt you ---and for you to make a mistake and lie about something that someone will verify---then your credibility is shot. No. I cannot work tonight. End of sentence.
  11. TitaniumPlates

    What are most lucrative specialties for an NP?

    No, they're not connecting. I don't believe it's because of the OP--unless this person is an employer "testing" how their "work model" would go over with actual NPs or this is a recruiting effort. Everyone wants to practice by the same mantra that my ex did (at least he admitted it)--"The least for the most." He wanted to work the very minimum for the very maximum payout. This extended to everything in his life, however, which is a real indicator as to how he practiced actual medicine. That being said. I am not "bashing" NPs. Whoever that was claiming that I was---is misguided and misinterpreting my words---and most likely is one of those people (there's always one) who wants to be offended by anything and everything. I also find that if truth causes knee jerk anger---it hits a bit closer to home than some like to hear. My ex attended 4 years of undergrad as a geneticist--a BS is required to attend medical school and they prefer hard sciences, and if you have a liberal degree be prepared to do 2 years of O-Chem, BioChem, Statistics, and other hard sciences to even compete on the MCATS or get into med school. Then he did 4 years of medical school. 24/7 he was studying, practicing and doing. Then he did 1 year of internship. 24/7 plus every 3rd night on call for 30-40 patients. DOING. Then he did 4 years of 24/7 DOING. In his residency, he did procedure after procedure after procedure after procedure. He had oversight from an attending but he was The Guy right along with every other resident. As residency progresses, attendings pile more and more responsibility in preparation for that resident to become an attending themselves. Then he did 2 years of Fellowship. DOING. Answering to an attending but taking 95% of the responsibility for the procedures and exams. Let's see... All of that education was IN PERSON, not "all online". Could you imagine if your surgeon did his residency or medical school "ALL ONLINE"? Would you ever allow someone who did this to stick a needle into your spinal canal and administer a nerve block or to do an RF procedure, burning your nerves and possibly creating irrevocable harm?? I certainly would never, ever allow anyone who wasn't trained for years and after IN PERSON education and training to do it. And I did have an RF on my lower back! My ex had 11 years of post undergrad medical HANDS ON and IN PERSON medical training before he was even allowed to go out there on his own and perform procedures like liver biopsies, breast biopsies and contrast injection of the spinal canal for myelograms. I am tired of NPs acting like they can even approach the kind of training and hands on experience that some physicians have. They don't. Let me ask you---would you trust your surgeon if he told you that all of his education was done "at home" and his "preceptorship" was done by a friend at his workplace for maximum 1-2 years...not even full time hands on experience? I wouldn't. NPs have their place. As do PAs and CRNAs. They are NOT doctors and they can NEVER replace the training and experience that physicans offer. EliteNP--doctors don't "have it made". We had the same exact problems that NPs and PAs and CRNAs had---billing nightmares, malpractice insurance, transferring all of our assets into trusts because there's always that one patient who sees $$$$$ and thinks that doctors and their families "have it made". OP---if you are looking at this opportunity for the $$$$ only---you are going to be sadly disappointed. You will either work so hard that by year 3, you will be ready to throw in the towel, or were so overworked that you made a horrendous mistake and were sued into oblivion. Why don't you ask how many of their staff made it to year 3 and this "magical triple the salary"? How about how many of their NPs have been there for more than 5 years? How about number of lawsuits? There is much much more to "how much can I make per year and do the least amount of work possible" ideology. My ex settled for less salary in exchange for an easy workload and the minimal exposure to lawsuits. I think that you need to find a position that balances the two---while preserving your license and your assets. Doing invasive procedures is NOT a way to preserve your license or your assets.
  12. TitaniumPlates

    What are most lucrative specialties for an NP?

    I had RF on my lower back and the ONLY professional I would trust to do it is an Anesthesiologist specializing in Interventional Pain Mgmt. I laugh when I hear about "all online" NP schools that allow the student to aquire preceptorships on their own. I worked with one such "NP student" in the ICU. He cultivated a friendship with one of the newly minted ICU DOs with whom he worked OPPOSING SHIFTS. The shift RN Charge was his buddy as well...and everything was always signed off correctly. We dis not have the kind of ICU that should have even qualified for a student experience, yet there you have it. I used to watch him ultrasound HIMSELF to get signed off on those requirements. Now he is schmoozing a level 1 ICU for a new grad job and has these two "friends" in his pocket to give him excellent references. I wouldn't trust him to take my kids' temperature let alone work in a level 1 ICU. This is what NP schools are churning out...and you don't know who that NP is burning the nerves in your cervical spine. Maybe they had the exact same preceptorship experience as my co worker does. These invasive procedures are delicate and take years and years of specialized training to perform correctly. My ex does LPs and other semi invasive procedures, but just because he did a rotation in VIR does NOT mean he can do a Seldinger without perfing the artery. It takes daily practice for years to do these procedures. NPs are being churned out by the hundreds with little to zero oversight on actual clinical experience. I for one would refuse to have an NP touch me for any invasive procedure.
  13. TitaniumPlates

    What are most lucrative specialties for an NP?

    Bingo. My ex's group did this rountinely. Hired on fellows or "junior partners" at 1/5th the salary of a "full partner" (there was no buy in or anything like that. just a fancy name) He had to work 3 years as a "junior partner" and then they mysteriously let him go. Just not fitting in. Just not working out. Took them 3 years to figure it out. He was used as the work and call donkey. Weekends, call, overnights. Bahloney. If it's this kind of pay---which, by the way, my ex made $190K as a PHYSICIAN doing this type of scam--an NP isn't gonna make $300K after 3 years. My ex's specialty is one of the top 3 highest paid physicians in a hospital.
  14. TitaniumPlates

    I've Been Employed at 7 Facilities as a New Grad RN

    Gonna wade in--not to denegrate and horsewhip OP---because I really couldn't give a rat's rump how many jobs this poster had--I control me and OP controls themselves. If they end up at a facility with me--chances are good, historically--they won't last more than a few weeks anyway. I'm addressing this assertion that "background checks" mean anything. A background check can get an employer a few things--a credit check, a Work Number report, a nursing (and other licensure if you admit to it) check thru nursys, and criminal databases (depending on who the facility is using). This idea that if I don't put a 3 week stint at the LTC on my resume that a future employer will find out? Wrong. Many expensive things have to happen before you, my future employer, can find out everything about my employment history. My credit reports ( all 3) state that I work for a hospital that I left in 1997and am currently employed in my former profession. I have zero intention of correcting this. My Work Number report has 3 employers---all as a nurse and nothing from my former career of 18 years. I have one contract company that reported to Equifax and none of the other travel companies did this. I am employed through them--not the hospitals. In other words, I look like I've held exactly 3 jobs and have been a nurse since last year, according to Equifax. I have no intention of correcting this. My criminal database search will enlighten you only to any federal charges as a whole---and state charges if I admit to which states I've resided in. I have a compact license--so I can work in 26 states freely. I don't change my driver's license every single time I take a contract. If I choose to "lose" a contract that didn't turn out well---there is no one the wiser. Especially if it was a short week long thing where I walked in, saw the s#itshow and walked out. I've done that, and so have many other travelers. No one is the wiser and there is NO WAY anyone can find that information. If you think Social Security will cough up that information on someone? Wrong again. The only person that can get a SS report is the person to whom it pertains. Try it---managers---seriously....go and do a background check on yourselves through the main (cheapest) resources that most employers use and you will be surprised. I had Sterling do a check on me about a year ago---it was laughable. I didn't even bother correcting anything because what's the point? More information that they can sell or use in some way I don't approve? I think OP is not telling the truth about 7 jobs in less than a year. Orientations and interviews and such---nah. This was someone most likely testing to see what the reaction is to someone who does job hop and is wondering how to erase this or what their consequences will be if they're honest about the 3 jobs in a year they actually had. The sad thing is---unless you've done something where the BONs have you in their crosshairs or you're on some state/federal database for criminal activity---employers cannot and do not spend the time, money or effort to investigate every single employee's every iota of information. Since becoming a nurse, when applying for jobs, I have kept all of my former job history prior to nursing off of my resume. ALL OF IT. 18 years of it. I was certified and licensed in 4 states for my former profession. When I resigned my position as a nurse a few months ago--and returned to my former profession--I explained what I was doing and where I was going. Want to know the reaction? Wow. Nobody knew you were a certified X and that you had 18 years in medicine before becoming a nurse. That was from HR and my nurse manager. It's expensive and extremely prohibitive to do any type of state by state, facility by facility search to find out if someone worked there at some point. Unless the applicant provides this information, chances are almost certain that the employer never knows. HR and managers often will pick up the phone and call facilities (it's illegal) and try to glean from colleagues or the resume that was placed with a former employer---if there are discrepancies. This is a common tactic and it's been done to me several times. Which I why I keep my employment history to myself and my references are always 100% trusted to give what information I approve and nothing else. I am a good nurse. My deleting a crap travel job at horrifyingly bad hospital isn't going to change that. You don't get to judge me because I walked out of a dangerous situation to save my license. I was Wendy for kids' parties at the fast food restaurant for 2 years when I was putting myself through college the first time---I've never told anybody that I lived in Ohio and there is no reason anyone would ever think to look there---and how would they find this information unless I volunteered it? They can't and no one ever has known about it. The Work Number is not even accurate--and they're the biggest source of information for employers now to find out background. Castlebranch does okay but it still was laughable what they came up with for me. I've had Sterling try it and I've had the government try it. I don't correct inaccuracies unless they are harmful. I pass background checks because I don't break the law, I color within the lines at work and I am a fairly boring person---hiring me doesn't give you the right to know every second of my life unless it would negatively impact your business. If OP is being truthful--there was no huge financial investment in them for the length of time they were employed. The statistics that say it takes $50K to hire a new employee is including training/doubling up on manpower to do so, providing certification and education, etc. This OP didn't spend enough time on any job (according to OP) to cost anybody anything other than a pain in the arse for having the OP there in the first place. I'm NOT advocating for this OP and the crazy job hopping---what I AM saying is that this intense fear of deleting a month long mistake at a s#itshow facility is not going to be career ending. Travelers do this all of the time---delete jobs that were crap, run ins with managers or staff at crap facilities, bad travel companies---and there is no way to check every single travel company to see if a traveler worked for them. HR has a time and budget constraint and little 'ol new grad isn't worth spending $20K to find out that she was Wendy at kids' parties 10 years ago.
  15. TitaniumPlates

    Medical Emergencies in Public

    No, no, and.....oh.....NO. First off, you're a new grad. Enough said there. Not trying to be offensive, but you need to understand that having "RN" after your name doesn't confer immunity to prosecution if you make a mistake---Good Sam laws are not all powerful. You also don't have any more medical experience than a lay bystander has---in reality. Second. When you get into this job for awhile--you will understand what I'm saying here---people are not as kind and considerate and thankful as you may think. Third. If you see an MVA--it's on the road. There are so many reasons here that I can state to NOT stop, it's mind boggling. 1. traffic. Do you know how many EMTs and FD get killed every year doing their job with all the right equipment? DO NOT STOP FOR MVAs. 2. EMS and FD are already on their way unless you witnessed the accident seconds prior. They have the equipment, expertise and resources needed to do that job. Let them. 3. Unless you're one of those freaks who carries a "jump bag" in their trunk waiting for that moment of glory that catapults you into saintlike status for saving the baby in the minivan upside-down in a canal---LEAVE IT ALONE, you do not have the training or the equipment to help. You will most likely make the situation worse---see GETTING HIT BY ANOTHER CAR or unknowingly causing death because of something you practiced in nursing school once. This is coming from ex Prehospital and ED trauma nurse. The chances that you can intervene successfully in an accident on the road are slim to negative 1 million. Intervening in two cases I can see would be something I would do---and that is witnessed cardiac arrest or stroke (by me. not by anyone else) or bright red blood spurting from someone's body (witnessed by me. not told to me by someone running breathless looking for help). I would do compressions, not rescue breathing. I would call 911 and stay with a stroke victim. I would NOT coach a bystander. I would hold pressure on an arterial bleed. Nothing else. Falling off of ladders--tripping on curbs--getting burned at a bbq--especially MVCs---you are not trained nor are you equipped to intervene in any meaningful way. Call 911. It's 4 minutes for you to stand and wait or just drive by and call. Getting involved is not a smart thing to do. Just because those of you who have done it and escaped legal entanglements or the death/permanent injury of a person--doesn't mean that next time it won't happen. I've been threatened as a nurse on duty in the ER by a patient's family for breaking her ribs during compressions. PEOPLE ARE CRAZY. Even doing effective compressions on a witnessed cardiac arrest would make me pause---you do know that you can (if you're doing them right) break the patient's ribs and then possibly puncture their lung, cardiac lining, diaphragm and other internal organs while you're playing super hero? MVCs are the biggest no-no in my book. I loathed when passersby or drivers would get involved in an accident scene. FFS. Scene safety is the first thing we all learn as prehospital---and here's Dudley DoRight wading right in there with no thoughts for the safety of himself, the victims, or bystanders. No. Just no.
  16. some people never adjust. it is a very odd thing. i worked weekend nights...just weekend...and i felt nauseated ALL WEEK LONG. i never really felt like i was awake or aware, i gained 18 lbs by eating the exact same things i would eat normally except i was eating after 10p (you should never eat after 6p if you want to maintain weight without having to go to extremes), i couldnt function for the whole first day off (which negates this stupid assertion that we enjoy 4 days off), and since i have friends and family i had to "flip" for my days off....which meant the day prior to working i would have to try and get back onto night schedule. nights are for a select few. i made a crap ton of money doing it...but my health and personal relationships suffered horribly. management doesnt give a hoot about your health or your family. they simply want the shift covered. you decide what is best for YOU, not get in there and have a manager decide what is best for the unit. i took a $4k paycut to get back onto dayshift and a normal 8 hrs...i go home to my family every evening, eat a leisurely dinner maybe go see a movie or ride bikes...every single weeknight...and off to bed at 9p for a decent 7-8hrs sleep. my weekends are spent getting up at 0700 and enjoying 2 full days of clear head, hiking and biking because i have the energy and doing fun things with my family and friends. and still getting stuff done. you need to keep in mind that acute care is all about the money for the facility. yhey do not care about what they promised you or what you expected. if you cant do it their way they will find a new grad who will, for a lot cheaper. and then you are out a job and probably a recommendation. think long and hard before you give up a comfortable job that fits your lifestyle for one that wont even clarify the fine points of a contract.

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