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grnvillechick

grnvillechick

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critical care nurse for 10 years

grnvillechick's Latest Activity

  1. grnvillechick

    Ooooooh!!!! My Aching Back!!!!

    Oh My Gawd...like I could go on and on about Chiro men...they advocate a total holistic approach..which will really appeal to the nurse in you...they are very good at diagnosing...and they explain everything unitl you completely understand...I broke my neck in a MVA...had surgery..and was told no more critical care..no lifting bending pulling, pushing--like no nurse things...so after a year ...i went to a chriopractor...my first adjustment it felt like a elephant got off my shoulders...it is now 7 years later, I have fully resumed life...and am a happy overstressed,overworked and underpaid CCU nurse..haha... a few things to keep in mind...be very sure they are certified and real...log onto your state chiro assn web site...finding one that is certified in Neuro or Orthopedic is a real bonus..I lucked out and found one certified in both( a feat as there were 17 in the country at the time!)...this cert means they have logged in serious hours of extra study and are well versed in all things Neuro or Ortho more so than your average one...andother thing is to find out What KIND they are...there are the Palmer Method ones...a little to the left for me...and the ones who graduated from Life Chiro College in Ga...I have liked everyone of them. Also keep in mind for the first few times--and it will be 3-5 a week at the start--you are adjusted you will be sore...but ice down like they tell you...demand electro-stim AFTER your adjustment...and keep your appts...it really will work but you have to committ...visit several offices..and chose one you feel comfortable with. NO chiro should adjust you with out a full neiro examine and films. if they try to do so...walk out. If you have diabetes or any vascular impairment , tell them up front as this will alter the way they adjust. Each office should have a table in three section(they adjust you on this) , a electro-stim machine( a really large tens like unit), and alot of posters..hahahaha... I really wish you well in your journey..this appraoch will totally change your way of thinking as a nurse..it sure did for me...!!!:roll
  2. grnvillechick

    Sign bonuses! Can you believe this?

    I am located in Montgomery,Alabama---we have 3 hospitals city wide--2 of them owned by the same system....they are paying 3-5K sign on bonuses...and 2K recruitment Bonuses...I did the sign on for a year---yep they hit you in taxes---and after that I went PRN...and if I chose to work 3 12 hr shifts a week---I would make 50K a year...no lie. The hospital I am at is 95 RN positons down. I have a friend moving here who is a 23 yr exp RN---yep ..she will get a sign on, I will get the recruitment bonus. It is plain nuts...but in this time of shortage....it is the well deserved milk and honey period for nurses. Why dont they sink the cash into thier full time RNs????fools...then no one would leave. They have to pay bonuses just to get the nurses to come in extra. Insanity...and after being full time for the last ten years, this prn gig is the way to go girls!!! You can plan your work around your life...not your life around your work schedule!!! If you can do it....DO IT!!!!...and if you move to Montgomery..remember me !!!!
  3. grnvillechick

    Is it like this everywhere???

    WOW!!!! I slowly came to the same realization a few years ago..we tenderly care for the pt--but can turn around and rip another nurses' head off...or ruin her rep..or even get her fired....dare I say it...is this Human Nature???? One hospital I worked at ----that seemed to have the lowest level of this type of interaction--- actually sent thier employees every year to a 3 day workshop. Held in the Education classroom, this workshop had no limits of who came...so in a group you could have nurses, lab tech, housekeepers,and dieticians. And all of the activities dealt with team work...in the most subtle of ways. Like in one section, you all got up on the beam of wood...and then were told to arrange yourselves in order of birth...youngest to oldest...but you could not fall off the beam...it amazed me how you naturally held out a hand to steady or help..like we should do on the floor. Another time, we were put into groups, given a list of materials and told the following scenario--if you were shipwrecked, would you stay in the same spot to be found, or hunt for help. All you could use were the items on the list. When we were done, it was very insightful to see who did what and why. SO I do not know whether or not this would work for you...a small group prob would...but see if you could get your DON to do team building workshops, or inservices. that hospital has been my favorite place to date !!!
  4. grnvillechick

    Whether or not to become a nurse

    First of all, I congratulate you on entering the field at the last rung on the ladder. Some nurses I have worked with have no concept of just what a CNA sees and does in a shift. I also think you are wise to give so much thought about entering our field. It is not all guts and glory like the TV show ER. Yes, it is about being understaffed...and overworked...and 9 times out of 10 underpaid as well. We see people at thier absolute worst...and sometimes that can apply to the families of the pts as well. We are surrounded by our co workers, so are also burned out ..suffer from lack of sleep...are over stressed...and under appreciated.--and so the dark heavy cloud of gloom seems to be heavier yet. Out units are over lighted, noisy, chaotic, and just down right frenzied at times. We deal with doctors who are chronically in a hurry and always right, social workers who want the demographics they can find in the chart, but would rather ask you, dieticians who cannot for the life of them figure out why Mr Smith has not gotten his peanut butter snack, and an assortment of hospital staff--EKG,Lab,Pharmacy---who either need the chart or the nurse or both. In a nursing home setting as you well know it is even worse...because not only do you care for the pts like your hospital counterparts do....you admit them, become a part of thier " family" and then have to watch them go...sometimes slowly. But...I became a nurse at the age of 30--and have never looked back.I was an EMT,a CNA, and now a RN with her ASN. The way I see it--if you were not there to care--who would be?? Do it...make the committment, as they say now- DARE TO CARE !!! You will not regret it. When you see the pain ease away after giving a shot, see the weeping pt smile, watch the daughter hold her mothers hand and say thank you...no you will not regret it at all !!!
  5. grnvillechick

    Chemical code vs full code

    here is the update---- the resisent found me at the beginning of my shift ..and told me he needed to talk with me. He later found me that day..and apologized profusely about his actions. He told me he had just lost a pt he worked very hard on before coming to the unit..and wasn't really emot stable. I listened to him...and told him I understood he was having a bad day, but it still did not make things right. He promised to never touch another drip..and we both went and made a request to the ethics committee to review Chemical code orders...to see if it could be eliminated as it apparently causes much confusion house wide. I am still going to watch him like a hawk as will the others...and feel at least in some small way things are being addressed...and yes, I did write up all up !!! thanks so much for the input..I appreciate it !!!
  6. grnvillechick

    Chemical code vs full code

    whew !! you mean I isn't crazy??? Your southern cousin!!!
  7. grnvillechick

    Curiouse as it may seem..........

    I think it is great you are so into science and the study of it...But my advice to you now is to just focus on getting thru nsg school...fine tune your asssessment skills..remember safety above all else..and use the NCLEX cd-roms over and over...that will ensure your graduation. After you pass and take boards--no small feat !-- then return and go further in your study...if you feel you are not getting what you need out of your program...considering changing schools(what is your schools'pass rate for boards?)--or at the very least see an advisor. Have you ever been tested to see what kind of learner you are? My first quarter, all I did was tape lectures...and made a C for my efforts...I was tested and sure enough, I was a 95% visual learner. I was told to sit near the front of the class ( I favored the back)...to write out my lecture notes as well as text reading onto flash cards to study...to study 2 hours for every one hour of lecture....and guess what happened??? I went to straight A's..and graduated with honors..as well as being a member of the nursing soriety..and I was no young chick then. I also worked 40 hours a week. so you see...it is up to YOU how far you will go. focus on NCLEX....and good luck...I think you already have a heart of a nurse !!!!
  8. grnvillechick

    Chemical code vs full code

    Hi everyone !!! I have come across a most frustrating issue at work..and I was wanting your input so I can properly deal with this --- I had 74 yr old pt...dx was brain stem CVA with very poor prognosis...on a T piece, not vent at this point...family of 9 children and one very sweet and very passive spouse. The family could not come to grips with the reality of this pt's state and could only agree to a Chemical Code...No CPR--no Defibrillation...attempts by our hospitals' chaplain to get a DNR were futile. The day I had this pt, the family yet again declined DNR offers. 8 hours into my 12 hour shift--with a very critical pt trying to crash on me all day..my brain stem CVA pt becomes bradycardic --30's and junctional..and agonal resps. In the unit at the time was a first level resident of the medical teaching program ...who rushed into the room and immediately started to yell out typical code rhetoric--get the cart---place the backboard,etc---I told him this pt was a chemical code only--he yelled at me and said " I do full codes only..." and despite 2 other nurses trying to verbally stop him ( one was the nurse manager) --he began CPR. I called his upper classman resident(who was in charge of him) and when he arrived, he followed suite and now we had 2 docs doing CPR..the very thing this fammily did not want..the very last thing this poor pt needed. Finally the pt's Pulmonologist came and stopped the code and told them off in a hurry. He then got mad at the nurses for " not getting the DNR like I told you !" he never approached the family for it himself of course. No record of CPR was put in the code sheet. No mention of the CPR was told to the family. With my nurse manager there agreeing to all of it, I had no choice but to go along with it. Yet it still bothers me. The family was lead by the chaplain and I had very little chance to console them because--- In the meantime..I am still dealing with my crashing pt...who happened to be the pt of the resdient who initiated the CPR and wasn't listening to us. While I was taking off orders and preparing for my pt to go to the cath lab, this guy walked into my room at some point and shut off the Dopamine ...he never told me, couldn't remember exactly how long the pt was off..and pooh poohed the idea of titration--it was at 15 mcgs at the time he shut it off. My question is , considering how dangerous this guy was on 2 occassions on 2 different pts....shouldn't I write him up???? my nurse manager witnessed it all...but she is burned out and leaving in a few weeks, so what does she care. How should I handle this idiot in the future...as it stands right now, I think I would like to refuse care of pts assigned to him...but that isn't the solution . Funny thing is that I LIKED this one before that day. he seemed to listen and work with the nurses...but apparently he is in the GOD mode now..they all get there at some point. so HELP ME!!!!!!!
  9. grnvillechick

    the fools

    you can tell you have been a nurse for 20 years... and I bet you are a skilled one too. you sound very stressed out though...surely in your 20 years you have figured out that being a charge nurse is equivalent to being a diplomatic ambassador--you don't have to be everywhere..just aware...you don't have to be in the the middle of an argument...just supportive of your team...in fact you have the choice to nurse...so who needs it???? you do apparently. stop your dour attitude...it kills the new ones coming up the line..be a role model...after 20 years you probably can be a good one...or transfer out ...maybe the stress is too high...you should not be afraid of being charge...you are a valuable resource...share your knowledge !!!!!
  10. grnvillechick

    A Question of Morals?

    I can understand the nurses' thinking on this one..I started out as a CNA and am now a RN of 11 years...technically you must follow policy and proceedure..in a court of law..that is what they will look at....and it is always the safest to follow...but in reality, safety is the number one issue here and that you are very aware of...yes, the cord could possibly be a tool by which they hurt themselves or others...or it could be effectively used in a lucid state by the pt....as a nurse, though...if I have a Alz pt or any pt that has altered mentation, I usually do room checks more frequently--which can take the place of the call bell. This type of pt can get into a tangle very quickly--pull out an IV
  11. grnvillechick

    critical care resources

    they very best resource for you as a newbie???? the policy and proceedures manual in your unit...not only will this protect you in a court of law..but it is so regulated it is simple to read and fairly understandable.. also..remember you will not learn some ICU skills right off the bat without alot of exposure and practice...Swan-Ganz come to mind...the best teachers are the nurses you work with...find someone you feel comfortable with..someone you can trust and whose style you like...and above all...get into every room you can that has alot going on iin it...if only you run for supplies...you will learn what to anticipate..as well as see what the nurses role is !!! best of luck to you!!!:)
  12. grnvillechick

    Do you care?

    Welcome to the wonderful world of Nursing...it certainly isn;t what any of us thought it would be ! First of all, let me apologize for the busy and obviously overworked nurses you have had the pleasure of meeting..in a few years, you will look back and smile when you think of the frustration you are now feeling. We all went thru this. Crushing meds that have no other way of being given are only the tip of the iceberg. I have one question for you though...did the patients GET all their meds?? were thier dressings changed..were they kept dry...were they fed...were they cared for??? ok more than one question there !!! What I am trying to get across to you is this.... Nursing is a juggling act...a balancing ...you compromise in idealism...but once you are out there...once you have the responsibility to care for all those patients..you will slowly come to realize just how streeful life can get. OK, so a nurse didn't know where the crash cart was...she isn't the only one working...in an emergency, someone would have gotten it, trust me. And yes, in some places, you have the luxury of a pharmacy that can substitute enteric coated drugs for liquid ones...but not all can(or will). Instead of judging, perhaps you should try to focus on the goals of the nurses' care. It will not change...no matter where you go. It is universal..this stresed out feeling and this overwhelming shock of getting out there and seeing nursing in action. Just remember, we nurses are out there because one day long ago we were just like you...new and ready to care !!! Don't lose hope...it gets better...:)
  13. grnvillechick

    Dealing with patient's families

    Stop and think back to nursing school..remember we treat the patient..and the family...because the patient has many roles within the family..mother-daughter-wife-aunt-sister...family dynamics are the real source of frustration. The key is to figure out what MOTIVATES the families...what are the issues??? guilt from a far away fam mem who arrives on scene to "save the day"??? anxiety perhaps...not quite ready for life threatening or life altering changes...unresolved issues(this is a biggie)--saying I am sorry in a thousand different ways...even if it is to harrass the nurses on your behalf,Mom....I see every day I work many nurses who turn away...who suddenly become busy when a family member apporaches..who avoid speaking to the family like the plague...and I work in a critical care setting ! Just today , a doctor was at the desk ...and an innocent and overwhelmed son asked him a simple question. The son not only recieved royal rude trmt from the doctor, but also was barely away from the desk when the great MD whined about how it wasn't even his patient. I am a strong believer in patient and family education. I honestly believe the family that is labeled "difficult" is simply scared to death and feels they have no control. And control is what gives us our comfort zone. If we have some sort of control over whatever happens to us in life, we can feel ready to handle it. I always make myself available to the families at visiting hours..or when I see a wary look. Simply explaining the monitor or giving them busy work(lotioning the hands is a favorite) makes the family feel like they are doing something to help the pt get better..no matter what the motivation!!! and many times I hear.."oh, I wish you were here yesterday!" or " why can't the other nurses tell me this?" it is not because the others I work with are horrible or incompetent in any way. It is not because I am super nurse...or even an overly competent one...it is simply because I address the spiritual needs of the family..a hug, a pat on the shoulder,humor to lighten the stress...honesty at all times..no sugar coating is needed..no brutal truth either...it is ok to say I don't know..but I will find out for you...take a good look at your approach..your attitude..your level of comfort in talking to the families. They are a great resource and sometimes better than any pain med I can give. This came from 10 years of learning and making mistakes along the way. keep the explanations as concrete as possible..simple..direct. go slowly. do not overload them with too much info. do not confuse...I wish you luck!!!
  14. grnvillechick

    Thinking about getting out of acute care

    First of all, you will find the same set of problems anywhere you go. It is a challenge being short staffed,overworked,usually underpaid,and defintely you become very adept at being a Master of all Trades..doing everyone else's job it seems. The stress level may change for you however and it seems to me that is the real problem for you. If you have been there 3 years and are unhappy, I say Move On! there is no law that condemns you if you do. That is one of the best aspects of our field..go to a different specialty..with 3 years have you thought about critical care??? less patients..more resposibility..but you can feel like you make a difference...you can also feel that way on a busy med surg floor too...it all depends on your stress level. Don't trudge onward...let go and explore the world of nursing...there are so many options for you....good luck!!!
  15. I have been in nursing for 10 yeas as a RN. I precepted quite a few young grads... I find thier enthusiasm and eagerness to learn refreshing in this world of stale or burnt out nurses. I am always reminded of myself just starting out...giving 150%..if only we could bottle up that new fresh outlook the new grads bring with them..On the other side of the coin, some nurses don't want to be bothered, because it does eat away valuable time when you stop and show a new grad something basic. And some grads either think they know everything and don't really listen...or think they are there to make big bucks and don't want to dirty thier hands. Some are lazy and skate as long as they can on orientation. But overall, I still love to see the new grad come my way. It is a gift really, a way to pass on to the next generation of nurses things you have learned along the way. Hope this helps..let us know your results!!! and godd luck in your career!
  16. grnvillechick

    Attitude Adjustment

    word to Mito...get over YOURSELF...pluleeze.....if you have been a aide for 7 years...you of all people should be setting a proper example of teamwork...your attitude is the very reason we have to deal with lazy aides....and to be technical..you DO work for the nurse...she is the one with the license..she is the one who will be in court if you decide to NOT do what she asks of you...if you are a student as it reads...BOY!!! I want to be a fly on the wall when you wake up and realize what this person is going thru.....