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bgxyrnf

bgxyrnf

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  1. bgxyrnf

    Help getting kicked out have a 4.0

    Oh, that sucks. It's quite unfortunate that you didn't ensure that you met the requirements. I'd be quite shocked if they weren't well-documented in your program's documentation.
  2. bgxyrnf

    Do employers look at new grad grades?

    Some of us view grades as a significant piece of information to help form a complete picture of a candidate; others do not. Some people, in fact, express a bias AGAINST people with excellent grades, the common refrain being that excellent grades somehow indicate that the person lacks "common sense" (whatever that means) or practical skills. As with most such questions, the answer is quite simply that it depends upon the person/people doing the screening, interviewing, and hiring decisions. Personally, grades are very significant to me and a good indicator of one's mastery of a subject, their intelligence, and their work habits.
  3. bgxyrnf

    Do employers look at new grad grades?

    Some of us view grades as a significant piece of information to help form a complete picture of a candidate; others do not. Some people, in fact, express a bias AGAINST people with excellent grades, the common refrain being that excellent grades somehow indicate that the person lacks "common sense" (whatever that means) or practical skills. As with most such questions, the answer is quite simply that it depends upon the person/people doing the screening, interviewing, and hiring decisions. Personally, grades are very significant to me and a good indicator of one's mastery of a subject, their intelligence, and their work habits.
  4. bgxyrnf

    How do I become stronger clinically?

    Use the resources that the physicians used when they were learning... Harrison's is a great place to start.
  5. bgxyrnf

    Mandatory Vaccination

    None of the anecdotal comments regarding one's experience with vaccines and illness are worth the pixels in their display. Science, and the meaningful statistics that it produces, are all that counts... Vaccines prevent disease... and do not cause autism or RA or influenza or... It remains, however, the choice of the individual as to whether they will be vaccinated... just as it remains the choice of the employer whether said refusal constitutes grounds for mandatory masks, unpaid suspensions, or terminations.
  6. bgxyrnf

    Mandatory Vaccination

    Stigmatized? I think not. Plenty of people at both of my workplaces decline to be vaccinated and hence wear masks. These are fine nurses and nobody gives a rip whether or not they are wearing a mask. I often wear a mask DESPITE being vaccinated (twice) because there's plenty of crap that I don't in my lungs besides the few strains of influenza contained in the vaccine. Nobody cares. It most certainly is NOT force by any definition of the word.
  7. bgxyrnf

    Mandatory Vaccination

    It is not a punishment, it's an infection control measure. The definition of "fair" is having the rules equally applied to all; it would be unfair to exempt certain people from the requirement.
  8. bgxyrnf

    Troponin not flagged as critical?

    My experience, as well.
  9. bgxyrnf

    Holding voluntary patients - illegally?

    If I were your patient and you refused to unlock that door, I'd certainly come after you in addition to your employers because you would be the one who had denied me my civil liberties.
  10. bgxyrnf

    Holding voluntary patients - illegally?

    You made no assertion at all... you simply asked an honest question, and not a silly one at all. My 'patient not prisoner' remark is a deliberately blunt attempt to emphasize their autonomy and complete right to self-determination. My apologies if it seemed that I was wrongly assigning a belief to you... or if the comment came off as snarky.
  11. bgxyrnf

    Holding voluntary patients - illegally?

    I can imagine it quite easily. By refusing to unlock the door, you are imprisoning this person against their will. Unless you can justify it based on the patient's evident lack of capacity, it's easy to envision a jury entering a judgment against you. Were I empaneled, I'd be 1/12 of the vote.
  12. bgxyrnf

    Holding voluntary patients - illegally?

    Absolutely. Unless the patient lacks capacity, autonomy and self-determination rule supreme. They're patients, not prisoners...
  13. bgxyrnf

    Holding voluntary patients - illegally?

    Encourage them, yes. Make them, not a chance. Stable or not, unless they have been deemed to lack capacity or you can clearly articulate why you believe they do, it is both unethical and illegal to prevent them from leaving. If the patient is willing to hang out for a few minutes and the doc is sufficiently concerned, said doc can get out of bed and drag him/herself in to deal with the situation him/herself. Otherwise... off they go.
  14. bgxyrnf

    Holding voluntary patients - illegally?

    Patient: "Am I on an involuntary hold?" Nurse: "No, you are here voluntarily." Patient: "Um, I've changed my mind about being here and I choose to leave. I understand that I am doing so against medical advice and that doing so places me at risk for relapse as well as acute conditions possibly leading to permanent injury, disability, or even death. I acknowledge those risks and voluntarily accept them. Despite your urging me to stay, I choose to leave." Nurse: "OK, I need to talk to the physician and to case management first." Patient: "Am I being held here involuntarily?" Nurse: "No, you are not on an involuntary hold." Patient: "Then I choose to leave... right now." At this point in the conversation, any attempt to prevent the patient from leaving (that is, physically or chemically restraining them in any way - and yes, locked doors count) would likely constitute false imprisonment as well as assault and battery. If you have reason to question their capacity to make the decision for themselves, you'd better be able to clearly articulate it. Personally, I'd step out of their way and notify the charge nurse and physician... but I would not touch them nor in any way try to prevent them from leaving. If the person controlling the locks wants to take on the false imprisonment issue, so be it. If I were the one controlling the locks, I'd unlock them and encourage them to return at any time without prejudice.
  15. bgxyrnf

    Scared.....No Nursing?

    That is just a new-nurse kind of thing. It didn't take me long to figure out that docs would always follow with a predictable set of questions when I'd notify them of abnormal findings... and generally focused on ABCD... which don't take but a couple of minutes to assess... honestly, it takes longer to chart the assessment than it does to do the assessment (once you've done it a number of times).
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