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RNNewYork

RNNewYork

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  1. RNNewYork

    How old were you when you started nursing school?

    I was 40 when I started an associates program and graduated at 42. Last year at 57 I finally completed my BSN and I am now working on a Masters!
  2. RNNewYork

    How do you deal with the name calling?

    I worked in psych as well, and would still be there if it weren't for some physical issues I have. Sometimes we have to "check in" with ourselves to figure out why certain patients are making us bristle. Are we having a bad week? Is our health a bit off? Sleep poor? Maybe there is a staffing issue? I never let any of their "stuff" bother me because I knew the patients were in the hospital because they needed acute care. But we are human and some patients can get under our skin especially those that split staff. If the entire staff is not on board with treatment plans or letting certain patients have privileges and not others (that includes visitors as well). I often found that staff created more problems then the patients did. Do I have stories! It can make for a rough shift or a tough couple of weeks until the difficult patient is discharged. Stay strong and things will turn around. In the end the patients, even the difficult ones, know that you truly care about them as you help them through their difficult times.
  3. RNNewYork

    Am I wrong from refusing to help a friend?

    I agree with you and maybe OP should suggest her friend speak with an academic counselor. In addition,the friend may need to be assessed for a learning disorder or other psychological needs or deficits. Does she work to put herself through school, are there family issues, what are her eating/sleeping habits, is she in an abusive relationship? So many things could be hindering her progress. Maybe she just needs someone to talk to to help her sort things out.
  4. RNNewYork

    How old were you when you started nursing school?

    I graduated at 42 with an ADN (this was my second associates degree-the other one was from The Fashion Institute of Technology). I am about to turn 57 and will complete my BSN in a few months. I am presently researching MSN programs.
  5. RNNewYork

    Hospitals Firing Seasoned Nurses: Nurses FIGHT Back!

    Administration will take a smaller hit when someone dies or is injured--they are insured for millions of dollars. But the poor nurse who was assigned to that patient will lose their license and probably their home and could go to jail for negligence. Administrators don't care, they will hang the nurses out to dry. A court will tell the nurse it was her/his fault for working under substandard conditions. It's a catch 22 if a nurse refuses an assignment for unsafe conditions they worry they will lose their job or be labeled trouble. This is why so many have left the bedside. Sad, because most of us became nurses because we really wanted to make a difference in the health of others.
  6. "If you feel the medication isn't managing her symptoms well-enough, the patient is requesting/using medications inappropriately and/or the patient is constantly complaining about not getting the "right" medications, then notify her PCP so they can evaluate her and her medications. The PCP will decide if medication changes are necessary." I agree with this 100%...but I have seen too many instances where the docs are just ignoring the patient's extreme use of pain meds while admitted to an inpatient service. I recently reviewed (third party) a chart where the patient was taking everything and anything written for her and "right on schedule". Two to three times nurses documented finding other narcotics (not prescribed for the patient) in the room, falling out of her handbag and on her bed. No one addressed this, no provider notes, nothing...not even a psych consult was ordered! She came in with a psych diagnosis and was already taking Xanax and Ativan outside of the hospital. (she was taking her husband's Percocets in the hospital) Oddly enough, the patient was admitted even though all her imaging and tests in the ED were negative. She had a managed Medicare policy which in some hospitals is an automatic admission $$$$$ (until they get denied) Pain should be treated but addiction should be addressed. If that patient were to overdose while in a hospital bed who do you think will be the first discipline to be blamed for negligence? Nurses!! I would be reporting this to administration and if they don't address it, then report it to the state. Protect your license!
  7. RNNewYork

    Psychiatric History - Can I still become a nurse?

    Great advice! I would also add that it may not be a good idea to consider a job in mental health. Dealing with patients' mental health issues could bring up things about your situation that could create additional stress. (I have worked in mental health for 14 years) High stress areas like the ED or ICU may also bring you more stress. Consider areas that you are passionate about, do you like pediatrics or geriatrics? Do research on the specialties that you are considering, look for scholarly articles about nurse to patient ratios, burn out patterns, credentialing etc. Some of the specialty nursing organizations have websites that you may be able to access or request a mentor. I have never found that my worst day at work was any worse than going to nursing school at 40, raising 2 kids and going through divorce. lol I always tell myself that I'm here, after surviving what I thought were my worst days! Best of luck to you, you will do great things!
  8. RNNewYork

    Psychiatric History - Can I still become a nurse?

    Great advice! I would also add that it may not be a good idea to consider a job in mental health. Dealing with patients' mental health issues could bring up things about your situation that could create additional stress. (I have worked in mental health for 14 years) High stress areas like the ED or ICU may also bring you more stress. Consider areas that you are passionate about, do you like pediatrics or geriatrics? Do research on the specialties that you are considering, look for scholarly articles about nurse to patient ratios, burn out patterns, credentialing etc. Some of the specialty nursing organizations have websites that you may be able to access or request a mentor. I have never found that my worst day at work was any worse than going to nursing school at 40, raising 2 kids and going through divorce. lol I always tell myself that I'm here, after surviving what I thought were my worst days! Best of luck to you, you will do great things!
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