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dholly2015

dholly2015

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  1. dholly2015

    Tips to Prevent Self Injury

    Hey guys! I was wondering do any of you have any suggestions or tips on how to prevent developmentally delayed pediatric patients from injurying themselves? Specifically removing PD catheters, MB, trachs? Pts like the ones I have dealt with often do not react when they do remove these invasive devices and tissue damage/infection is a great concern. This issue is especially challenging at night during sleeping hours bc pt does not sleep well then. I have tried to apply my nursing knowledge and “Mama knowledge” but have hit a wall at this point. I have also conducted my own research and viewed scholarly articles on this subject. I am not finding much out there unless it applies to the autistic child with suggestions like removing pt from stimuli, keeping a consistent schedule, or determining why the behavior is occurring. Everything I have read suggests that until the “why” is determined, the same behavior will continue either due to positive or negative reinforcements. Also, how is swaddling viewed these days as a deterrent? Is it considered a restraint sometimes or always? Does it depend on the chronological or developmental age? Are there any other options that I may not be thinking of?
  2. dholly2015

    To vaccinate or not to vaccinate, that is the question

    Why is doing a large study unethical? It would only be unethical if persons did not know they were or were not getting said vaccines. I am not suggesting placebos at all. We have a fairly large population of people in the US right now that would volunteer to partake in such a study! There’s many out there that pick and choose which ones they want/don’t want at all, some decide they want to space them out (but my question is why do they do that if there’s nothing to be concerned about?), and others decide to forgo all together. The US Supreme Court ruled in 2011 that vaccines are “unavoidably unsafe.” VAERS was created in 1986 under the Reagan Administration for vaccine compensation of injured children. SUPREME COURT: The National Childhood Vaccine Injury Act of 1986 Recommended Adult Immunization Schedule It is concerning to me that the Supreme Court made the above statement and that VAERS exists to protect large corporations, rather than children and adults. I also question how legally pneumococcal and zoster vaccines are somehow exempt from VAERS claims. If most knew that VAERS was selective and certainly would not cover everything “IF” they had an adverse reaction, would those same individuals go through with it? If there were a malfunction in anything else (e.g. a faulty car seat) pertaining to our children or adult in the US, one would at least have recourse. But the pharmaceutical industry is off limits.
  3. dholly2015

    To vaccinate or not to vaccinate, that is the question

    It does not look anyone has posted a different opinion yet, so I guess I will. Personally, I am not vaccinated and have not had any vaccines since nursing school. I also seldom get sick but I have noticed that the majority of the nurses that I work with all get sick and stay sick. They are also big proponents of vaccines. There are probably several different ways that I stay “well,” including but not limited to: not consuming lots of sugar, I take buffered Vitamin C on a daily basis, exercise, etc. I also do the same with my own children. They are all perfectly healthy and have had very little vaccines. Now as a nurse, that’s a different story. I pretty much keep my opinions to myself. I do not and could not work in a specific job where it is expected of me to vaccinate others, due to my own beliefs. It’s a better idea for me to not even go there. I would like to see a large study of groups that are vaccinated vs. unvaccinated from birth to 25 years of age. This study should follow those individuals for an extended period of time looking for everything including but not limited to: cancers, neuro (any type), developmental delays, various disorders (e.g. autism, depression, etc.), obesity, fertility issues, etc. I think if we could all see something along this level and of this scale, this debate that we have every few months could be settled but something tells me, that’s not ever gonna happen.
  4. dholly2015

    Does your pt/pts family love you like “family?”

    They don’t have just one nurse. I was one of the original nurses when pt was assigned to our company. Finding consistent and reliable night nursing care has been the biggest challenge for the family. They just got someone to work opposite of me about two months ago.
  5. dholly2015

    Does your pt/pts family love you like “family?”

    Unfortunately, the company I work for only assigns 1 pt on a regular basis unless there is a hospitalization or something. I do not have any doubt that they will and can find something for me, as night nurses are SO hard to come by in my area!
  6. dholly2015

    Does your pt/pts family love you like “family?”

    Hey guys, I had intended to respond earlier but I want to say “thank you” for everyone’s responses. This experience has been very valuable and I learned a lot about myself including: setting/enforcing boundaries and loving myself enough to take care of me before others. I think I had lost sight of much of this until the last few months. Oddly enough I recognized that I did not have adequate boundaries with family members either. I had initially established boundaries and considered this pt as only a pt BUT I foolishly removed them completely overtime. Perhaps I thought I had to do more than what my job entailed bc I was afraid what I provided at nights was not enough. In hindsight, I know that was NOT true. (That part is something I’m continuing to work on in personal level, too.) I have reflected a good bit in the past several months and recognize that it is time to move on. Maybe I needed to hear others confirm what I was already thinking? I am planning to remain here for the next month (tops) and then moving with my family to a new area. Anyways, thanks guys for your insight and advice on the situation!
  7. Hey guys! This is a long read but I’m hoping some of you have some experience with this sort of thing. I’ve been thinking about this for quite some time and here’s where I am. I have been working with the same medically fragile child in her home for over a year now. She has a whole host of issues including but not limited to: trach, vent, GB, PD and HD, developmental delays, etc. I have been loyal and dedicated to this child/family and like many nurses, placed this child/family above my own. I work nights and have been working nights since the beginning. When I first started I loved my job, my kiddo, and the family. For the majority of the time, I was working extra bc the family had no one else to work nights. I have become very familiar with this pt, her needs and how her needs have changed. I treat and love her like she is my own. (Maybe that’s my problem). In the beginning, I thought I got along great with the family and thought they truly cared about me as a person. There used to be kind gestures of them baking cookies and bringing me a few. Over the last couple of months, the PCG has become very distant and overly critical of me. I’m still not sure why but about a month ago I had reached out to my agency to let them know that moving forward I was no longer going to be able to work a certain day or the week. We are on an XY schedule and me asking for this one day off every week equates to 2 days a month. I gave agency a months notice, sent emails and called several times. Until this week they did not have anyone and I reluctantly agreed to continue to work it so pt would have coverage. I also talked to PCG about it. Last week I told her that “I love the pt very much and thought of all of them like family.” She said, “Well that’s good bc we want all our nurses to care about her that way.” Ouch....that really hurt. I realized at that moment last week, that this family does not care about me as a person but only sees me as a commodity. I’m dumbfounded that as a fellow human being, she didn’t even bother asking me if I was okay or anything as to why I needed that day off. Maybe I’m being overly sensitive but since then, everything has changed. Often times now I find myself in the situation where the PCG “steps on my toes” or micromanages me. She has since been overly critical of everything I do, when she comes in the room she will not speak to me. If I try to have any conversation with her, she ignores me. She blames be for things that have nothing to do with me. She made it clear she was upset bc I “wasn’t spoiling her like I used to.” (I used to go above and beyond the call of duty: pts laundry, organizing supplies, deep cleaning, etc. until I realized that she did not care or value me). I'm honestly disgusted with the whole situation. I’m upset bc I allowed myself to get too close and feel really foolish for doing as much as I did for a person that’s now treating me like poo. I’m now “walking on eggshells” bc I feel like I may get the boot and I don’t know what happened or what changed. She admits and acknowledges that I love the child and take good care of her. I am continuing to do some of the things I used to do but not everything. Just to be clear, how I feel about the PCG will no way influence how I care for my patient. That will NEVER change. I would just appreciate any advice, feedback, or similar stories from you guys!
  8. dholly2015

    Nursing School No Longer Going by Their Own Policies

    No, it's a state school. So I am sure that the school is aware of the inherent danger in allowing this to happen. Why in the world would they take the chance? I would be worried about losing my job if I were an instructor. By this going on they are basically saying that grades do not matter!
  9. dholly2015

    Nursing School No Longer Going by Their Own Policies

    Can't it still hurt the program?
  10. Ok, so here's my question/concern: What reason(s) would a nursing program have for no longer supporting their own policies contained within their nursing handbook? In the time that I have been in this program, I have seen a lot of changes. 1. Policy states that a student is allowed two appeals in the program and if not successful after second appeal, student would be dismissed from program. However, we currently have at least one student that's on his third appeal. 2. Policy states that a student is allowed two attempts on dosage calculations tests (one given at beginning of each semester) with a 90% requirement to pass. If a student is unsuccessful after second attempt, student is to be dismissed from program. We currently had at least 8 students that were not successful, yet they are still in the program. In the past couple of years, our program has gone through some additional changes with losing/gaining of faculty and we are now on our third program director. I do not understand why it would be in a school's best interest to retain or inflate grades of students that are performing poorly, not to mention that they could be a danger to caring for patients. Our school is not currently in jeopardy of losing its program and has at least 90% NCLEX pass rates on first attempt. My instincts tell me something is not right, but I just cannot put my finger on it. The rules have gotten more lenient and seem to be non-existent. Can someone please offer some potential insight as to why the school would be appearing to lower the standards by allowing students to continue in program despite not being successful according to specific policy, inflating grades for students that have technically failed, and how these decisions affect the program and myself as a current student? What's going on at my school? Should I be concerned??
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