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  1. So after being a schoolteacher for years and years and being a nurse for 2+ ... I’ve been exposed to a lot and thought I’ve had a good handle on keeping myself relatively sick-free. When my little darlings in the classroom looked up at me smiling, only to sneeze into my eyeballs ... to those Geri patients coughing and hacking into my smiling face ... at least my teenage kids now cover their mouths when they cough. But I think I’ve caught everything coming my way this year, strong immune system be damned. Bronchitis, then pneumonia ... now I’ve woken up this morning to my fourth cold since November when one nostril is stuffed up and the other is running like a leaky faucet. Good hand washing, vitamins (multi and C), sleep and a good diet has only gotten me so far. Can’t exercise ... since I seem to be always sick. So I’m looking for some tips - what’s worked for you? I’m getting desperate.
  2. pixierose

    Are O2 sats a vital sign?

    Like Davey, even the inpatient psych floor I work on absolutely uses this as a VS (mostly intermittent). I had a patient come back from ECT Monday with 91-92%; it then dropped and stayed at 84% so intervention was needed. What are your requirements?
  3. I just hit two years officially a few days ago. So still a youngin’. But: Nursing is 24/7 care. You only work 12 of those hours, give or take. You’re not going to complete every.single.task. An order will always pop up 5 minutes before the end of your shift. Sometimes, you need to leave it to the next shift. And that’s ok. Do your best, and safety first ... don’t leave them hanging but ... 24/7.
  4. pixierose

    Older Doctor doesn't think nurses should be in charge

    Varies by state as to my understanding 15 states have done away with this law. Also, different position. Not sure why this is so difficult for you to understand
  5. pixierose

    Older Doctor doesn't think nurses should be in charge

    Um, no. I work under my nurse manager. She hired me; she evaluates my performance. We are hired, fired, and managed by other nurses. I operate under a nursing scope of practice, different than a physicians. Nursing is clearly an autonomous and distinct scientific discipline. Nursing practice is not defined by physicians. I am in agreement with Rose Queens assessment as I am unclear as to how a CRNA is so unaware of something so basic. Yes, I follow physician orders. That in no way means I work under a physician. They are not related. You mistake a lower level of practical power to subordination.
  6. pixierose

    Worsening Health, Considering Resignation

    I’m sorry you’re going through this. I have an autoimmune disorder that has many neuro s/s (flashing lights, muscle weakness, migraines, etc). On that note, I work psych and neuro ICU. My FT neuro ICU job is actually more “laid back” (for lack of a better word) than my psych per diem position (that I worked at a year prior to moving on). It’s just the nature of the unit. I work with a great bunch of people who I learn something from each day. It’s also 3p-3a (3p-11p) so it’s not the craziness of days. It’s not the rich or powerful. Just a metro hospital. My psych job (Geri), also a great group of people but physically and mentally draining and people get overworked and overwhelmed. Quite a lot of violence lately, as “Geri” has been 45+ and quite able bodied. I enjoy it, but oh boy: “please put down the metal cane, sir” as it was aimed at my head the other evening was a little stress inducing. So what would I tell your present employer? What you feel comfortable doing. But I would personally keep it bland and short. What would I tell future employers? Nothing personal or specific. Is psych a better alternative? No. It depends on the unit. The people. The experience. My ICU keeps my stress levels DOWN. My husband, who works in a NICU? I’m sure if I worked there my stress would go way up. I’d hate it there.
  7. pixierose

    Older Doctor doesn't think nurses should be in charge

    When I first started working on my unit, I had a physician tap me on the shoulder, then demand that I give up my chair to him. Because, “that’s how it should be.” Thank god it was a joke, because the initial look on my face matched the words that were about to come out of my mouth ... words not quite meant to be stated in polite company. Anyway ... Luckily most docs understand that we work with them on my unit. We are not equals, per se. I carry out the orders, but I will damn well question them if I see a safety concern. And I should feel comfortable doing so.
  8. pixierose

    Med error . I’m devastated

    Of course you’re shaken up - it’s because you’re a *good* nurse. We’ve all made med errors. Those that haven’t, will. We just need to learn from them. This is a *facility wide* learning experience. Not just you. Never pre-pour, always scan, always always always the 5/7 medication administration rights. In psych some floors tend to get away from this ... our child/adolescent floors do this and it boggles my mind because it’s an accident just waiting to happen (as you found out). On the Geri psych floor we have the WoWs, we pull one at a time from the Pyxis, we scan etc etc. The facility needs to own up as well. You're going to be ok.
  9. pixierose

    I’m burnt out

    Everything previous posters have said. Never feel guilty not saying yes to OT, not picking up your phone when you recognize that number and let it go straight to VM. Your NM doesn’t feel guilty, why should you? Take those breaks; you need them to function better on all cylinders. I don’t go to work to feel appreciated; it’s just additional if I do. I go to work to make money. I think a change in mindset is key; find different ways to feel appreciated (i.e volunteering). Youll get there. (((Hugs))).
  10. pixierose

    Calling Out for EXCEPTIONAL Snow Conditions

    You plan ahead, usually by going in much earlier prior to your scheduled shift. I’m scheduled to work all weekend, and the NE is going to get hammered with wet heavy snow in my area, followed by freezing rain and an artic blast that will create a sheet of ice. So Saturday as I’m driving it will be up to an inch or two of snow an hour ... at 11:30 at night. On Sunday the roads will be a skating rink. You plan ahead. Your car is gassed up. Warm clothes, a blanket, flares, etc. And pray to the DOT and the weather gods that all will be well. I’ll be going in much earlier to give me time. If I have to stay over, that’s life. You don’t call in. We have a coworker that does this every.single.storm. She’s now on probation. It makes us short staffed and makes someone from the previous shift stay ... which isn’t cool nor fair.
  11. pixierose

    Are We Too PC?

    Well. She lived through that famine. My intention is that she speaks for it more than a song. Or any American, for that matter. And since I now have said song in my head, I'm out.
  12. pixierose

    Are We Too PC?

    Oh honey, no. Listen to what you're saying, please. "Intended for western ears." Did you even read the article I posted? Which were *not* from western mouths but *were* intended for western ears? In the song, the message is clear: drought caused crops to fail resulting in widespread famine. But the causes of the crisis were farrrr more complex, with the policies of the government in Ethiopia partly to blame. The region was caught in civil war. There was even question that some of the money raised by Farm Aid was given for weapons used by those Marxist governments. The individual who provided me the link to the article was my coworker of Ethiopian descent. Placing yourself in someone else's shoes is the whole idea of being PC, no? Your attitude is entirely dismissive from your reply alone; go ahead and explain each line for her and I will pass it along. She was a child of eight in '84 and I'm sure she will let you know some thoughts to your explanation. The song white washed the problem, made us feel good for donating, and allowed us to go about our day. It oversimplified it for our ears and portrayed an Africa that even today many of us envision inaccurately. If we are to be PC, we are to be educated. Not blindly accepting what others say to be true.
  13. pixierose

    Are We Too PC?

    You'd be the epitome of cool to those kids.
  14. pixierose

    Are We Too PC?

    'We got this, Bob Geldof, so back off' | Ethiopia News | Al Jazeera For every good intention, you'll find one of the above. And it WAS a good intention, no argument. But ... it's not so black and white. It's patronizing, condescending and arrogant. If you're looking for the definition of white privilege, I'll define it simply as this: a head start over everyone else. An inherent advantage over every other race of people. The whiteness of my skin? It gives me that head start over other people of color at the starting line. And it shouldn't be that way.
  15. pixierose

    Are We Too PC?

    Sorry to disagree; this song isn't appropriate at all, even in 2018. You can squint and look at it the way you're looking at it ... A few other lines ... "Do they know it's Christmas?" Er, probably ...since large parts of Africa are indeed Christian. "Pray for the other ones" - pardon? "There won't be snow in Africa this Christmastime" - well, except for the mountains ... Such an example of white savior complex. Turns cliches about Africa that need western saving. The 2014 version that was made for Ebola didn't fare so well either. Blech.