TheDudeWithTheBigDog

TheDudeWithTheBigDog ADN, RN

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All Content by TheDudeWithTheBigDog

  1. APRN in scrubs?

    TheDudeWithTheBigDog replied to CommunityRNBSN's topic in Advanced Practice

    My primary is an APRN, she just wears scrubs to her

  2. I Feel Responsible For A Patients Death

    TheDudeWithTheBigDog replied to Flashsomefang's topic in General Nursing

    We're not in the business of curing patients and saving lives. That's not what most nurses do. We manage symptoms and comfort, and nurse the patient. You did what nurses do, you responded to the...

  3. Anyone removed from Orientation early?

    TheDudeWithTheBigDog replied to 2ndcareernurse37's topic in General Nursing

    And in a completely opposing perspective: When $#%$# hits the fan, it's your license and nobody else's on the unit. If you've only been given 2 days of orientation as a new nurse, there's nothing...

  4. If Nurses are "Essential", Why Can't We Be Treated Like It?

    TheDudeWithTheBigDog replied to Catalin's topic in General Nursing

    Because we're weak and allow ourselves to be treated the way we are. We'll whine and whine but never stand up to management together out of fear of being fired from a job that we can replace with...

  5. Got The Vaccine! Share Your Experience

    TheDudeWithTheBigDog replied to Nurse SMS's topic in Disaster Preparation

    I'm scheduled to get my vaccine in 3 weeks, but apparently decided at the last minute to build my immunity the old fashioned way. However the vaccine makes you feel, it can't be any worse than what...

  6. How can I be a better nursing professor?

    TheDudeWithTheBigDog replied to GS ED RN's topic in General Students

    The thing that always makes the biggest difference for me in school is the attitude of the teacher. Don't be one of the ones that your students are expected to pretty much self-teach while you just...

  7. What is up with the level of entitlement?

    TheDudeWithTheBigDog replied to sofla98's topic in General Nursing

    True, that's why almost every nursing student's first semester of clinical is in a nursing home learning at a CNA level. 4 semesters in, all you're accomplishing by making the student change linens...

  8. Nurses are Pushed to the Brink

    TheDudeWithTheBigDog replied to Nurse Beth's topic in Disaster Preparation

    They should try the incentive my company gives: If you work the assignment assigned to you, even if it's the COVID patients, you won't be fired for refusing your

  9. What is up with the level of entitlement?

    TheDudeWithTheBigDog replied to sofla98's topic in General Nursing

    My argument that the nurse shouldn't have to do the aides job, being supported by the fact that when I was an aide, I did my job, actually IS a consistent

  10. What is up with the level of entitlement?

    TheDudeWithTheBigDog replied to sofla98's topic in General Nursing

    Then, by law, they're owed a paycheck. They are not there to work, they're there to learn. After the first time you change sheets or do denture care, it's not exactly rocket surgery. People get...

  11. What is up with the level of entitlement?

    TheDudeWithTheBigDog replied to sofla98's topic in General Nursing

    After a potentially career ending incident a few years ago in another type of work, I've been learning to be more like them. Right now, I work in a nursing home. A new job is as simple as a phone...

  12. Why do RN's avoid LTC positions?

    TheDudeWithTheBigDog replied to amyca's topic in Geriatric, LTC

    Nobody in legislature cared that black people had to be segregated in this country. But they were persistent about demanding equal rights until they gained enough support behind them that changes had...

  13. Why do RN's avoid LTC positions?

    TheDudeWithTheBigDog replied to amyca's topic in Geriatric, LTC

    It's been done once. Maybe make it happen a few hundred more times until something actually gets changed. You're a college educated PROFESSIONAL. Stop being OK with

  14. Do EHRs Push Nurses to Lie?

    TheDudeWithTheBigDog replied to jeastridge's topic in General Specialties

    Basically, EHR's don't push nurses to lie, management's obsession with productivity > patient care push nurses to

  15. The Staff RN’s Role in Nursing Homes

    TheDudeWithTheBigDog replied to Queen Tiye's topic in LTC: Directors, Assistant

    Usually not, because in most cases where LPNs are allowed to be in supervisor roles, they're still working under the supervision of a manager / director either in the building or on-call who is an RN....

  16. Long term care medical director is a jerk!

    TheDudeWithTheBigDog replied to missourinurse2b's topic in LTC: Directors, Assistant

    First bring this whole issue up with the administrator. Then, make sure your nurses know that if that ever happens again, that he calls back after the call is over and he gave instructions already...

  17. Why do RN's avoid LTC positions?

    TheDudeWithTheBigDog replied to amyca's topic in Geriatric, LTC

    So then you get revenge, you go public about the conditions you had to work under. Get a story out to the local news. Make the residents' families know about their mother having to lay in her own...

  18. Why do RN's avoid LTC positions?

    TheDudeWithTheBigDog replied to amyca's topic in Geriatric, LTC

    The issue is that it doesn't solve the underlying problem. If it's not her it's another nurse who's going to replace her. Until we put an end to this, it's going to be an endless

  19. Why do RN's avoid LTC positions?

    TheDudeWithTheBigDog replied to amyca's topic in Geriatric, LTC

    Nobody should have to look into what they don't want to do. What DESPERATELY needs to happen is that all of us, as an entire industry, stand up and make it clear that we are not OK with this. WE let...

  20. A Staffing Perfect Storm

    TheDudeWithTheBigDog replied to J.Adderton's topic in Disaster Preparation

    All the time that these hospitals and nursing homes have been intentionally working with a bare minimum staff... Who could have ever predicted that it would become a mess like this if a major outbreak...

  21. Staffing and covid

    TheDudeWithTheBigDog replied to litbitblack's topic in LTC: Directors, Assistant

    Let me guess, 30:1 patient ratio and now you're extremely short staffed when someone is forced to take time off? My idea: learn from this. Make sure you have staff. Fight to make sure that your...

  22. Memory care-Can you pass meds in the dining room?

    TheDudeWithTheBigDog replied to Blackcat99's topic in Geriatric, LTC

    Meanwhile, for most of the patients in these places, they're not getting assessed, their treatments aren't actually getting done, just signed off that they are. The 20-30 patient / nurse ratio forced...

  23. DON on cart

    TheDudeWithTheBigDog replied to arainh20's topic in LTC: Directors, Assistant

    Well, that's the situation that comes up when 20-30 patients per nurse is considered acceptable. You run on a bare-bones staff, and then when someone eventually calls out, you don't have anyone to...

  24. Need advice

    TheDudeWithTheBigDog replied to Nursie_C's topic in LTC: Directors, Assistant

    You grow up, you be an adult, and you go to work and do your job. And your boss is right, education isn't everything. Your degree doesn't mean that you will EVER be a strong leader. It doesn't mean...

  25. How long is a typical LTC orientation?

    TheDudeWithTheBigDog replied to RNMTRC's topic in Geriatric, LTC

    If you're an RN, when #@$%@#$!@ hits the fan, ALL OF THAT was your responsibility, that shift and every shift. The fluff is your job and your responsiblity. There is no such thing as a "med nurse"...