3/19 What I learned this week: more about employment laws than anything else

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I'm sorry for another late post this week. Honestly, I'm not really sure where to begin. The last few months really haven't been kind, but we might be at the cusp of an upswing. Vacation next week, surgery to follow. If my leave is approved (yes, still waiting, and very anxious about this), I'll be off for quite awhile, which I think I've really needed for my own health. I'm hoping to use a lot of this time to brush up on patho and pharm in anticipation of school this fall. I just wish my employer would communicate with me. I have no idea what is going on.

So, with that said, this week, I have learned:

Malpractice insurance lawyers are not occupational lawyers. I mention this because I see so, so often on here, "contact your for guidance," whenever someone comes on here with a work-related, potential legal issue. I definitely think no matter the issue, it's good to at least make sure they have your issue on file in case the issue does affect your license or patient care. But, they will not get involved with workplace complaints. Very disappointing and, frankly, scary news in my world right now.

If the body isn't able to be in REM enough, eventually there is a rebound effect during which you will go into REM while awake. Literally, you will be sleepwalking.

Symptoms of the above:

*going from one topic to something wildly different mid-sentence, each thought potentially being understandable or not

*inability to complete things, adequate patient care, maybe even simple tasks, when you may typically be a fully competent, fully functional and great nurse at your baseline

*total personality change in a person who is typically normal and stable

*falling asleep, even mid-sentence

*hallucinations

*essentially appearing to be drunk, doing heroin nods, on acid

I imagine there are plenty more symptoms than that. If you witness this behavior, your first instinct may be send the nurse for a drug test. Certainly that's a good idea. But make sure you send that nurse to the ED for it, so they may be assessed by an MD/NP/PA. Any other person in a hospital with a severe change in mental status would be given immediate medical help. An employee should be, too. This person needs medical attention.

I'm still not sure if I'm employed. This is actually beginning to really bother me.

A dog's normal heart rate is 70-180 with a regular rhythm. Mine goes quite brady and irregular when she's resting. When she gets up, she begins to pant. My nurse brain has decided she needs an ekg while resting.

If you shave your dog to determine if she has a heart block, you may be a little unbalanced. (I did not cross the line. Mostly because of the next line. [emoji23])

It's minimum $600 for an ekg or tele monitor on amazon.

I begged my PRN job's nurse to take a day off because I considered shaving my dog for an ekg. I need to be nursey. I'm craving it!

I left my stethoscope at work.

When I'm not thinking about work's uncertainty, I'm feeling happy again. Legitimately happy. I forgot how good that feels, and I wish I hadn't allowed myself to get swallowed by the big dark cloud that hovered over me.

A lot of very random threads that are older have been getting bumped lately.

TPTB here on AN are working on ideas for better thread visibility. I've discovered my, and guest OPs', WILTW threads have been labeled Journals and I really like that. These things have become journals to me, and I love that I can look back through almost a year now and see where I've been in my growth as a nurse.

I "forgot" how much fun quotation marks can be.

The entrepreneurs hub they just started here has been tempting me, but I don't know how committed I would remain over time.

With all of this uncertainty with employment, I've considered what might be my plan B. I've been stalking a few posters who have mentioned they work from home. Since I'm heading back to school, this may be a good for fit me.

Boy Child is so happy to have his mommy home that I've been stock piling the sweet greetings, snuggles, and unlimited hugs. Girl Child is all like, "whatevs." *sigh*

My step-uncle, who happens to be my grandfather's best friend in this world, decided to move hundreds and hundreds of miles away, when he's never lived more than an hour away his whole entire life. I live hours away. My mom lives twice the distance away that I do. My other living uncle lives an hour away but is very limited in his spare time. My step-uncle was the main support that Grandpa had. Grandpa is going to be destroyed by Grandma's Alzheimer's. I wish I could be there every day for him. I'll be stepping up and being there more for them because I just can't see Grandpa being okay, or asking for any help. I'm furious that my step-uncle would do this, now of all times.

FMLA paperwork requires a diagnosis be disclosed.

The show Cuckoo is hilarious, and I love Greg Davies.

I love that AN has connected me with some of the most amazing, supportive people to help me get through all of the stuff that's going on lately. Far, Ood, WK, and Dogen, I'd be out of my mind completely without you. Thank you!!!

A large number of nurses here only feel comfortable with disclosing their mental health challenges here. On one hand, how wonderful to have this great place to turn to. On the other hand, how sad is it that nursing doesn't accept mental illnesses well in the work place. If you didn't get to last week's thread and you want to bond with others who may share common experiences to your own journey, check out last week's WILTW, which has "ALWAYS taper your SSRIs" in its title.

You guys learn anything good this week? Perhaps something happy?

Small reminder - please try to keep this thread mostly related to topics regarding nursing, employment in nursing (including nursing assistants), or nursing student-related topics. Veering away from this too far will make the thread disappear, but it is okay to discuss side thoughts briefly, and always, always, always respond to each other with encouragement, questions, whatever you'd like to keep the conversation going. This thread is meant for hijacking, provided we stay mostly nursey. Thank you for this! I love these threads too much to see them leave the yellow side.

This week's video?

I'm fairly certain I've accidentally become this song. Except for the whore part.

I just learned about menstrual cups and placed an order. How did I not know about these before?

Because they aren't great. At least I don't like them.

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
(((((OC))))) I wish I could do more than a hug. You've had a rough time lately.

Thank you. *hugs* Yeah, life has dealt me a rough hand right now. [emoji17]

Specializes in Oncology; medical specialty website.
That's what my husband said. ������

It sounds like he's supportive. I'm glad you have that. If you can get your anxiety and depression under control, the rest will follow. Just let it come to you, don't try to force it.

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
It sounds like he's supportive. I'm glad you have that. If you can get your anxiety and depression under control, the rest will follow. Just let it come to you, don't try to force it.

He really is, I'm so lucky to have him. I seem to start jobs when I'm maniac & then when the depression & anxiety hit I can't work any more. I need to do something with my medication & therapy because I can't keep going like this.

I just learned about menstrual cups and placed an order. How did I not know about these before?

My very personal opinion is you did not miss out ....

Specializes in Pediatrics, NICU.
I wouldn't be too quick to consider that "lying" (unless, of course, you know for sure that it was intentional). Remember that, in states of significant anxiety, we develop "tunnel vision" and only hear about 1/4 of what we're told, and the memory goes completely sideways. I spent years on inpatient psych units personally escorting individuals to the psychiatrist's office for the daily visit and watching them walk through the door and sit down before the door was closed, only to have some of them complain indignantly later in the evening that Dr. X didn't talk to them today. When I would remind them that I knew for a fact they had seen the psychiatrist, and reminded them that we had walked to the office together and I had handed them off to the psychiatrist myself, they sincerely didn't remember spending 30 or 45 minutes talking with him (although they would eventually remember when I reminded them).

And sometimes "nobody talked to me" is code for "nobody said the thing that would make me feel better and less freaked out."

And sometimes "nobody talked to me" is code for "they talked to me but nobody listened to me and I don't feel my concerns have been addressed." The mind is a funny thing.

I'm pretty sure it was a combo of "nobody would tell me that everything would be ok" and "we're planning to sue the hospital so we're trying to find actual things to sue over because the hospital didn't actually do anything wrong."

It's definitely true, however, that high levels of anxiety impair memory and ability to process information. I just think this particular family had an agenda behind their claims so I have a hard time extending them the benefit of the doubt.

He really is, I'm so lucky to have him. I seem to start jobs when I'm maniac & then when the depression & anxiety hit I can't work any more. I need to do something with my medication & therapy because I can't keep going like this.

I'm glad you guys are a unit again. I hope you find the sweet spot in your therapy soon. You deserve to be happy.

Extra hugs and love (((OC))).

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
I'm glad you guys are a unit again. I hope you find the sweet spot in your therapy soon. You deserve to be happy.

Extra hugs and love (((OC))).

*hugs* Things are going great between us, it's just our situation is crappy. Things were great, he had a solid job but it was in the oil field so it took a down turn & they let him go.

We just recently got our own place & I tried to support my family but it went downhill, fast. We are waiting on a the results from unemployment (it doesn't look good). So for now we are both unemployed.

Specializes in retired LTC.

I've learned there are some folk here at AN who are AWESOME (yes, I said it, but it's well warranted) in providing clinical explanations. All of a sudden there's a wealth of information from which I learn something new. Maybe I just never noticed it before. And there are so many of them here.

Kudos to Calivianya re the X chromosome info here in an earlier post.

Kudos to KatieMi re the neuro brain death/persistive veg state info on the Jahi thread.

Thank you for sharing.

Specializes in Critical care.

I learned what it's like to have your first med error. Previous nurse acknowledged orders to stop a continuous infusion, but didn't pass it on to me. I didn't realize it until hours later. The nurses I work with all stated it could have happened to anyone and it wasn't my fault. I notified the doctor, patient appeared unaffected, and I filed the incident report. It doesn't change how crappy I feel or my anxiety regarding how my manager will react (she's hard to read). I know it's supposed to be nonpunitive and I fully acknowledge what could have happened (I'll probably have a nightmare) and I even have an idea on a system wide change to prevent this from happening to me or anyone else again (besides being extra critical in report outs), but I'm still worried. I feel awful and I know the previous nurse and I both dropped the ball. I hope I can get some sleep before my next shift :(

Specializes in Med-surg, school nursing..
I'm not sure if this helps or not, but I'd like to share my experience with this.

I offer gigantic hugs, and encourage you to get in touch any time you feel these feelings and need to talk them out.

Ixchel, MA belle. Sont des mots qui vont très bien ensemble, très bien ensemble.

Sorry, had to do it. Now that I finally know how to pronounce your name, The Beatles ring loud.

Thank you so much for that. Not for making me cry first thing in the morning, but for the encouragement. Right now I feel like this is something I wont get past, WHY did I do this? But I know I will, I have three amazingly beautiful babies that I am so blessed to call mine.

You are awesome, again, thank you...

Specializes in family practice and school nursing.

I'm so sorry. I hope thing work out for you. Take care of yourself

I didn't go to orientation. *sigh* This was my last try at a job. Now I am going to apply for disability because it is obvious I can't hold down a job.
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