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guest974915's Latest Activity

  1. guest974915

    Older grad nurse/can't fit in

    Hello Chronicallychanging. I can relate as I am currently struggling with this myself. I am also an older nurse (also 54 yo) and after beginning a new job 4-5 months ago, I am still really feeling like an outsider. I am a career nurse and hav worked in quite a few different hospitals but don't recall ever having had much difficulty in transitioning to a new job before. Not that I don't have faults, but I really don't think it's me in this instance; I am conscientious and try to be pleasant, open and friendly. I'm not wanting to be noticed, liked, or even to make friends...and to be fair, everyone has been generally pleasant and helpful, but I'm a pretty good read of people. I just get this vibe like I'm the odd man out, just don't fit in somehow andm somehow not welcome. Most of the other nurses I work with are younger and I wonder if this is a factor. Anyway, sorry, no real advice, just wanting to commiserate and I also definitely get the part about just being left to figure things out yourself.
  2. guest974915

    Are you friends with coworkers? Maybe you should be...

    Perfect^^^. Me too
  3. guest974915

    Giving a life-altering diagnosis

    I kind of agree and not to undermine your knowledge or scope of practice but I would hesitate if you are not fully prepared to answer questions and give detailed information should the patient inquire; disease prevalence, traditional/non traditional treatment modalities, support groups, and resources?
  4. guest974915

    Disrespect & Profanity

    You're missing the point-some people (especially older), prefer a more formal greeting-"Mr./Mrs.", some people prefer a middle or a nickname, some people prefer an alternative pronoun. It's professional courtesy to address people in a manner in which they prefer.
  5. guest974915

    Disrespect & Profanity

    Not real sure I'm understanding? Regardless of age, gender, race, rank, social class...a safe, initial introduction would go something like; "Hello, my name is [insert name]. I am a Registered Nurse and I will be caring for you this evening until 11:00 P.M. Could you please tell me your name and how you prefer to be addressed?".
  6. guest974915

    Disrespect & Profanity

    ^^^Disagree and I'm siding with Davey on this. First of all, Clark sounds like a complete heel with a serious case of arrested development and I found Davey Do's approach to him entirely appropriate. Having dealt with this personality type before, I know that subtleties are usually ineffective, hence the need for blunt and pointed dialogue. Nursing report is not the time to shoot the bull and talk about the upcoming weekend, it is a time to communicate pertinent patient information and facilitate continuity of care. If Clark was blathering on and a critical bit of report-i.e. a patient's critical lab, consent, unverified order.... was missed, it could potentially have serious consequences. As such, Clark's interference could be viewed as a patient safety concern.
  7. ^^^^Completely agree! I have long thought that academia is entirely out of step with nursing practice. At the curricular level, I remember the hours and hours spent in the classroom learning NANDA nursing diagnoses. In the real world, no one give two whits about care planning (other than to check off the mandatory boxes in their documentation). Then, as touched on above, nursing theory-I'm sorry but some of these theories are so arcane and just wacky-really? No practical application whatsoever! Lastly, APA ad nauseum; When what you say (write) means little but the complete preoccupation with capitalization, commas, and citations-give me a break!
  8. guest974915

    RN to BSN dilemma (for an older RN)

    Like you, I have been a nurse for a long time and also like you, my employer mandated that all staff RNs attain their BSNs within five years. I did it, graduating at age 50 and when all was said and done, I had spent about $25,000 out of pocket for an online RN-BSN program, not to mention the many hours of study and frustration. Although I graduated with honors from a well respected program, I went right back to doing the same job I had done pre-BSN for all these years and for the exact same pay. Yes, perhaps a BSN may someday open up a career opportunity that I wouldn't have had otherwise, but my experience has been that many hospitals' compensation for this additional credential is negligible. Lastly, I honestly feel like my BSN added very little to my clinical practice; no new skill sets, no real 'must have' information, just a lot of fluff and filler that I could have just read on the side. It's also just laughable to me that the content of those many Blackboard posts and papers didn't matter at all as long as perfect APA formatting was used-unbelievable!
  9. guest974915

    Using prn staff instead of posting day position

    I'm not entirely sure why you are angry with contingent nurses This is your nurse manager's attempt to control costs and maintain staff nurses in difficult to fill positions (night shift). Also, although per diem nurses are paid a higher hourly rate, they typically don't receive benefits (insurance, 401K, paid holidays...) and as such, are a big cost savings for the hospital. Fair practice? no. Commonplace practice? Yes, sorry
  10. guest974915

    Just Say “YES” to Nurse Staffing Laws

    Said well-thank you. The most disturbing part of this post was the OP's cavalier attitude and his inability to appreciate the gravity and possible patient harm that can result from unsafe staffing ratios.
  11. guest974915

    Anyone Ever Actually Used Their Malpractice Insurance?

    Agreed! Malpractice insurance is cheap too, like $.50/day! Even defending a bogus/unfounded claim could costs thousand in legal fees and lost work.
  12. guest974915

    Anyone Ever Actually Used Their Malpractice Insurance?

    Bad advice!^^^^ In a court of law, if it came down to paying out a multi-million dollar lawsuit or implicating a staff nurse on even a small technicality or deviation from established policy, it would be an easy decision for the legal department. Protect your interests and livelihood because while the probability of ever needing malpractice insurance is slim, we all have far too much at stake.
  13. guest974915

    Just Say “NO” to Nurse Staffing Laws

    Don’t be fooled; the ANA is plenty cozy with HCA and other large heath system conglomerates. Their advocacy and alliance for rank and file RNs is always trumped by its support for those who profit the most from corporate healthcare:(
  14. guest974915

    Just Say “NO” to Nurse Staffing Laws

    Having worked at hospitals that have outsourced nutrition and housekeeping services along with security, I would say the answer to that question is a resounding 'yes'. If those shortsighted approaches don't appease the MBA numbers crunchers, then there's always the implementation of skeleton staffing, the slashing of employee benefits and wage stagnation to fall back on.
  15. guest974915

    Just Say “NO” to Nurse Staffing Laws

    Agree with Jedrnurse here. Sorry to say, but the American Nurses Association is in bed with corporate health care and as such, any position that they endorse is spurious to me and likely taken for political gain, not advocacy! A closer examination of the issue would show that while CA N/P mandates were somewhat responsible for hospitals' "cut funding for supplies, upgrades and education and holding patients longer in the ER", the CEOs and senior management continued to enjoy exorbitant salaries, company benefits, perks, and golden parachutes-odd, no cuts there. It is 'all about the money'.
  16. guest974915

    Millennial Nurses Have Issues

    I'm a Gen X (33 years in healthcare and almost 28 as an RN) but have never agreed more with a Millenial nurse-spot on! In my tenure as a nurse, every year it seems, hospital benefits are cut just a little more (increased insurance copays/deductibles, lowered cafeteria discount, call and call back pay...) and wages fail to keep pace with the cost of living. All the while, CEOs and senior management entitle themselves to very comfortable salaries, benefits, perks, and golden parachutes. I think we as nurses have every right to job hop and have little loyalty to anyone other than our patients, peers, and ourselves.

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