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Sour Lemon

Registered User

Reputation Activity by Sour Lemon

Reactions Given

Like 565
Haha 34

Reactions Received

Like 626
Thanks 18
Haha 31
Disagree 4
Sad 3

  1. Like
    Sour Lemon reacted to traumaRUs, MSN, APRN in Is 54 too old to get hired as a new RN?   
    54 is mature. However, with people working until 70 or beyond this is still doable. Some questions:
    1. How long have you been out of school? That might factor into a job offer more than age.
    2. Are you willing to take what's offered as far as job? As others have mentioned you might need to take A JOB versus your IDEAL JOB. 
    3. Are you fairly active? I still am a volunteer fireman at 60 but am more cautious about placing myself in danger where I could hurt someone else too. Ask for help when lifting, moving a pt. 
    4. Much of age is your attitude. Do you smile, project a positive attitude? Are you open to new opportunities? Are you fairly computer literate? Do you willingly ask to do new tasks so you can expand your knowledge? And, don't broadcast your age - no one needs to know this. 
    Best wishes on your new career. Please come back and let us know how it goes.
  2. Like
    Sour Lemon reacted to not.done.yet, MSN, RN in Can they just switch me from days to nights?   
    I agree re: confronting. However, a respectful conversation is not a confrontation. Talk to your manager about it.
  3. Like
    Sour Lemon reacted to brownbook in Is healthcare suffering from lack of independent judgement?   
    Personally speaking I get quite a thrill when I intentionally and knowingly do something against policy and protocol.   
    Common sense and common decency sometimes trump policy and protocol.
    I am, of course, not referring to giving medications or doing a procedure, but other "minor" interventions.
    As Davy Do said,  covertly out of the sight of the video monitors or make sure the "by the book" nurses aren't aware.
  4. Like
    Sour Lemon reacted to Davey Do in Is healthcare suffering from lack of independent judgement?   
    Yes! 
    But we have to do it covertly out of the sight of the video monitors.
  5. Like
    Sour Lemon got a reaction from Davey Do in DNR? details please   
    It does vary from place to place. Where I live now, we have POLST forms and some people are classified as "DNR II" instead of DNR. "Comfort Care" also means something very different from one region to another.

    But as Davey says ...whatever type of form you have, it's always customizable.
  6. Thanks
    Sour Lemon got a reaction from Ladyddm in LPN vs. RN Schooling - First time student   
    Nursing is not a great hobby for someone over 60 who's "bored".
    I recommend you get certified and work as a nursing assistant to get a good idea what the physical requirements of bedside nursing are. As a nurse, you'll be doing all the things a nursing assistant does, plus a lot more.

     
  7. Like
    Sour Lemon got a reaction from nursehayhay in Licensure from CA to WA   
    You can call the CA BON, but it's rare that they answer. And if they do answer and you don't meet their criteria for calling, they will not tell you anything.
    California will not care if you're in a hurry. Whatever you need from them, just follow the instructions, exactly, then wait.
  8. Like
    Sour Lemon got a reaction from DowntheRiver in Where are the Nurses? Patient takes his inquiry about lack of nurses in the hospital to Heloise.   
    Sounds completely staged, to me ...not inaccurate, but not quite “real” either.
  9. Haha
    Sour Lemon got a reaction from MaxAttack in Application process   
    You may submit it right here.
  10. Like
    Sour Lemon reacted to MunoRN in nurses so ***y and bossy   
    I don't think it's unreasonable for a nurse to appropriately limit unnecessary distractions in order to ensure a patient's safety.  You're free to decline appropriate safety measures by declining medical treatments all together. 
    Typically, PACU's don't outright ban support/family members but this is determined on a case-by-case basis.  A patient-family member dynamic that suggests more than a tolerable amount of drama (such as what your post screams out) wouldn't be allowed to ensure safe and effective care of yourself as well as other patients.
  11. Like
    Sour Lemon got a reaction from DowntheRiver in Where are the Nurses? Patient takes his inquiry about lack of nurses in the hospital to Heloise.   
    Sounds completely staged, to me ...not inaccurate, but not quite “real” either.
  12. Like
    Sour Lemon reacted to MunoRN in Written Up   
    Of course two meds that both impact BP are given at the same time or in the same duration of action, the number of different orders that are being utilized aren't what determines if a med isn't going to safely tolerated by a patient, a since med from a single order may be excessive, and 5 different meds given from 5 different orders may be insufficient.
    I'm curious about how you define 'stacking'?  Why wouldn't you give ibuprofen and an opiate "at the same time"?
  13. Like
    Sour Lemon reacted to MunoRN in Written Up   
    It doesn't seem particularly confusing, leaving aside the issue of whether this is an appropriate way to prescribe and use benzos (it's not), the only thing that matters is how the prescriber intended for the order to be interpreted, which in this case sounds like is was a continuation of a home med. 
    The most likely way it was meant to be interpreted would appear to be that the patient takes Xanax 0.5mg throughout the day, then takes an additional 0.5mg at hs, which would mean you interpreted the order correctly.  
    Would it make more sense to people if it was written "0.5mg q hrs, MRx1 at HS" or "0.5-1mg q 8hrs".  I think people are getting into the weeds with the semantics of the orders and missing the intent of the order(s).
  14. Like
    Sour Lemon got a reaction from Davey Do in DNR? details please   
    It does vary from place to place. Where I live now, we have POLST forms and some people are classified as "DNR II" instead of DNR. "Comfort Care" also means something very different from one region to another.

    But as Davey says ...whatever type of form you have, it's always customizable.
  15. Like
    Sour Lemon got a reaction from Davey Do in DNR? details please   
    It does vary from place to place. Where I live now, we have POLST forms and some people are classified as "DNR II" instead of DNR. "Comfort Care" also means something very different from one region to another.

    But as Davey says ...whatever type of form you have, it's always customizable.
  16. Like
    Sour Lemon got a reaction from DowntheRiver in Where are the Nurses? Patient takes his inquiry about lack of nurses in the hospital to Heloise.   
    Sounds completely staged, to me ...not inaccurate, but not quite “real” either.
  17. Like
    Sour Lemon got a reaction from DowntheRiver in Where are the Nurses? Patient takes his inquiry about lack of nurses in the hospital to Heloise.   
    Sounds completely staged, to me ...not inaccurate, but not quite “real” either.
  18. Like
    Sour Lemon reacted to Young_Torso in Written Up   
    Sub-acute rehab.
  19. Like
    Sour Lemon got a reaction from rnICU303 in Written Up   
    I actually think the orders were very clear. What varies are unit culture and nursing judgement. 
    I don't even think there was an "error" in judgement ...just a difference of opinion. If we're looking at facts, the OP was perfectly right.
  20. Like
    Sour Lemon got a reaction from Davey Do in DNR? details please   
    It does vary from place to place. Where I live now, we have POLST forms and some people are classified as "DNR II" instead of DNR. "Comfort Care" also means something very different from one region to another.

    But as Davey says ...whatever type of form you have, it's always customizable.
  21. Like
    Sour Lemon reacted to Davey Do in DNR? details please   
    Each DNR specifies the wishes of the the patient or legal representative. The interventions can range from absolutely no interventions in the event of  cardiopulmonary arrest to full treatment.
  22. Like
    Sour Lemon reacted to RNNPICU in Do I have to disclose mental illness   
    Except, Mental Health is not viewed in the same way as other Medical conditions.  Mental health diseases are treated with much more stigma.  A medical diagnosis is treated much differently.  In Nursing school, any hint of a POTENTIAL sense that something may not be right is like painting a huge target on your back.If the past mental health diagnosis is not a currently active disease, there is no need for disclosure. 
    To the OP, provide a physical exam as that is what is typically required. 
  23. Like
    Sour Lemon reacted to Davey Do in My back kills!!   
    I wear New Balance 928's with Birkenstock inserts.
    I also exercise every day, doing at least a 20 minute workout before work which greatly helps getting me warmed up for physical exertion and preventing injuries.
  24. Like
    Sour Lemon reacted to ruby_jane, BSN, RN in My back kills!!   
    I love my Danskos. 
    It's worth it at this point (given your work gig as well as your schooling) to have a consult with your doc. We can't give medical advice but if you're sitting a lot and not moving, and then you have to lift things, you probably need to consider body dynamics and ergonomics in addition to your shoes.
  25. Like
    Sour Lemon reacted to Wuzzie in Is 54 too old to get hired as a new RN?   
    This is very  much true. I am 54 but athletic and active. I'm frequently mistaken for someone in their late 30's to early 40's. I've seen people the same age who look and have the physicality of someone 20 years older. However, the reality is that life is catching up to me as it is wont to do. To the OP I don't want to tinkle on your Wheaties but it would serve you well to think long and hard about this. Nursing is a tough gig physically, mentally and emotionally and you're coming into it late in the game. It may be hard to find a job much less do it but if you think you're up for it and have the support you're going to need then have a go.
     
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