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vivacious1healer specializes in Neuroscience/Neuro-surgery/Med-Surgical/.

At the age of 19 worked as a CNA while going to school for Occupational Therapy. Did that for 8 years, then went back to college to get my LPN and then a year later my RN degree. I have worked in healthcare for almost 18 years.

vivacious1healer's Latest Activity

  1. vivacious1healer

    Bedside Reporting

    I too was resistant about bedside reporting, but as others mentioned, it certainly has its benefits, and I now welcome it. Our hospital has a computerized SBAR form, that is updated every shift that includes pertinent info: name/DOB/MD/allergies/vitals q ___/ diet order/ and then the info that can be typed in like IV site&date of placement/ IVF/ Dx/chief complaint/ pain meds/last dose given/ tests to be done/lab work. Then it has the last 2 sets of vitals signs and lab work results automatically generated on this form. Anything significant, I will type on the form, and then point it out to the RN/discuss as needed. I believe this SBAR form is what keeps our bedside report short and sweet! We just go in, introduce ourselves, update the white board (RN name/ tech name/ MD/ diet/ plan) and quickly review what the plan is for the next 12 hour shift while I am there, and then inquire if there is anything we can do for the patient at this time? Granted some patients will not recall what the plan is, look at the white board for info, but generally, the patients and family, are happy to be informed of their care and that we will address their concerns. I know that is what I would want if I were a patient.
  2. vivacious1healer

    any reputable travel angencies?

    Well, I can tell you to stay FAR FAR away from Emerald Health Care and American Mobile! Both lied about the assignments, pay checks ALWAYS wrong, awful recruiters, and unexpected bill for apartment. I love to vacation in St.Thomas USVI, which is where the main hospital is located, but it is a much different culture down there (men have little respect for women) and pay is for crap.
  3. vivacious1healer

    don't burn bridges!

    I have quit 2 jobs without notice and it has yet to come back to haunt me (this was over years ago). I don't even bother putting it on my resume, as it was during the 90 day probationary period. And have had no problems landing jobs. If you only worked at the awful facility for literally one day, what are the chances she is going to remember you? And I would wonder why she quit that place too? hmmmmmm
  4. vivacious1healer

    Who plays the "I'm a Nurse Card"?

    I've used it in circumstances that warranted it: grandpa in hospital, and busting a resident that LIED about assessing him at bedside; I saw her poke her head in the room, and walk away...NO assessment done other than he was asleep! He later has 1.5 liters removed from the pericardium....yeah there is a reason he was so SOB that he needed the bi-pap at nite.....urrrgh! And working downtown Chicago, I have used it to show police that are re-directing traffic for the summer time events...I can usually get through and to work on time!
  5. Ya know, there is an option on FB where you can just email someone privately. Seems like a safer decision than trashing your employer/co-workers or violating HIPPA on your FB wall for all to see!
  6. I can kind of understand why some feel that RNs make good salary. Ex. I have an ADN degree that allows me to earn 70+ grand yearly w/o overtime. My sister is a Veterinarian, and makes less than me with much more education (6+years) and more years of experience. And yet, most days I feel I am not paid enough for the crap I have to deal with.....ho hum!
  7. vivacious1healer

    Potential MN Nurses Strike?

    And what did the one-day strike accomplish other than disruption to patient care? As far as I can tell nothing. -The month long campaign informed the public nationwide of the problems that Nurses face, and how it can impede on patient care and outcomes. I have experienced an increase in inquiries from patients and families re: RN to patient ratios since this story has been in the papers, TV and web. Many had verbalized that they were in the dark about such issues UNTIL they became patients or had a loved one in the hospital. -Walking out and striking showed administration how seriously the Nurses are about the issues of patient safety, fair wages and pensions. I wouldn't be so quick to state that is 'nothing'.
  8. ...still too many in my opinion! 5 patients total is a much safer #
  9. vivacious1healer

    The Great Double Standard?

    Female sounding in here..... I recall when I was a nursing student, and had the opportunity to observe a surgery on a male that had a testicle torsion. The patient was about his mid-late 20's (about my age), and I introduced myself and asked his permission if I could observe his surgery. He was very laid back and answered 'sure' without batting an eye. Then he went on to explain how this happened to him. Well the older RN ( about 60) was in the pre-op room and overheard our discussion. I was pulled aside and lectured on how inappropriate it was of me to ask permission, and discuss this 'type' of surgery with the patient. She went on to tell me " you made him very uncomfortable, and he doesn't need that stress before surgery! you should know better!" I returned to the room red-faced, and the patient told me he could hear me being berated, and was trying to reassure me that it was 'all cool. no big deal'. That incident was definitely a generation gap.....
  10. vivacious1healer

    C's In Nursing School

    When I graduated 8 years ago, all the nursing students had to put together a portfolio, that did include our GPA. I included letters of recommendation from instructors, employers, a notification of the scholarship I won, and even those care plans (that took forever to complete). Now, how many employers asked to view my portfolio? None. I had to insist they look at it, since I was so proud of my accomplishments. In this economy, I would not at all be surprised that employers will ask for your transcripts. Also, I believe that being a PCT/CNA can only benefit you for experience, and perhaps give you a foot in the door for internal hiring for RN position.
  11. vivacious1healer

    what is the shortest amount of time you've lasted at a nursing job?

    Let's see I have a couple: 1 week of classes/3weeks on the med/surg floor (hospital) where I was expected to take care of 7 patients during the dayshift, and possibly more on night shift. The final straw was when a fellow co-worker gave pt heparin shot (which pt was allergic to/ allergy band on wrist) and had what was close to anaphylaxis reaction as I have seen. Next night, different RN but same pt, again received heparin shot. Came upon the room to see the code cart, docs, RNs and pt's family standing there stating ' she got the heparin again?!' Finished my shift, left a hand written notice under the manager's door. Was begged to come in and meet with manager & nursing director to discuss my leaving, but I declined; list long of reasons were clearly stated in my letter. Another one: Travel RN in AZ hospital; left after 1 week classroom and 1 shift on the floor. I signed up for med/surgery, but ended up on ortho (which I had NO experience). Given 1 nite of orientation, took care of up to 8 fresh post ops, only 1 CNA to 30 patients. Oh, and they only used dial-a-flows, and hid the IV pumps. That nite had a multiply issues with patients, confused patients with restraints that pulled out foley, trying to figure out their computer system, and come upon a pt that reports she hasn't voided in hours. Pt fresh post op bilateral knee sx, foley removed in PACU (?why???) and the preceptor responded "oh just give her some time". Forget that, I went and checked her w/bladder scanner and she had 999ml + in her bladder. I placed an indwelling foley. The preceptor was miffed. I finished my shift, and called my recruiter the next day and quit; "for fear of losing my license."
  12. vivacious1healer

    Potential MN Nurses Strike?

    I received this email yesterday before I even knew of a strike in MN. No way I would take such an assignment -------------------------------------------------------------------------------------------------------------- Mass Email to all Nurses: We are looking for RN's who are willing to cross union lines to work at Minnesota Hospitals during a strike, June 1st is the approximate start date. Wages are yet to be determined but the pay will be EXCELLENT ! We require the RN's to: A. Have current/non-restrictive Minnesota License. B. Current 2 Step TB C. Health Statement from Doctor in the last 2 years stating: " This person is in good physical and mental health, free of communicable diseases and is able to function and perform all job duties without any physical limitations in his/her profession at full capacity". D. Checklists by department, ER, OB, E. Current Resume/Application F. Able to work all shifts, including weekends, average of 50 hours a week or more. G. This could be for 1 or 2 days or last for a few weeks. There are other items that would be needed but as professionals I am sure that most of you have those items already available. If this is something you would be interested in please call or email me as soon as possible. Thank you, Wally
  13. vivacious1healer

    Ignorance is bliss

    I read on another thread that the following hospitals in Oklahoma were hiring new grads: Integris, Mercy and Deaconess hospitals. I believe these are located in Oklahoma City. I can't imagine the stress you are experiencing, but if you are willing to be flexible to move, you'll have more opportunities. Hang in there!!!! :)
  14. vivacious1healer

    Terrible visitors - Unsafe situation

    Sounds like that unit needs to revise the "visitor policy" to state that only 2 people to visit per patient, when its a semi-private room. For safety and for privacy of the other patients in the room. I don't believe the OP was discriminating against Middle-Eastern people (when she mentioned it), in my experience I have seen large groups of people visiting the patient at one time. Luckily our hospital has private rooms, so only rarely is it ever a problem. Nite time policy: only 1 visitor can stay overnite with patient.
  15. vivacious1healer

    Should have never gotten out of bed.

    Oh yes....i have had those types of shifts, and have dealt with those types of RNs. Not what you need after a crappy shift, that's for sure! In one instance, I had to give report to a RN that sounds very much like the one you describe; asking questions in a condescending tone. I stopped report, and just point blank asked her " Is there a problem with how I am giving you report? " She continued with her sarcastic tone, didn't answer the question, so as I turned to walk away I replied that I would be back when she calmed down and was ready. This method didn't help her attitude, but by the time she caught up to me, I had witnesses to how she was speaking to me, and they intervened on my behalf. Other RNs with this kind of attitude, I will just interrupt the bazaar of questions, with " would you prefer this method of report? You ask and I answer?" And just carry on from there. OR just ask "is there a problem? you seem upset/angry/irritated/etc..."