Schick shadel employment1/15/2024 Additionally, I have worked in both community and teaching medical centers and in four different states. My career includes three degrees in nursing and experiences in med-surg, and neonatal, pediatric and adult intensive and coronary care units. Schick Shadel Hospital offers a level of professional reward that remains unmatched in my long nursing career. Scheduling wasn't even in my job description, but as years gone by, there seems to be things added on to your job description but because I did love working there and had a very supportive FORMER DNS, I never mind taking on extra responsibilities. The last thing I wanted to do was leave, obviously, I've devoted 7 years and planned on staying there for as long as I can but constant pressure of trying to find staffing and sometimes, I even had to beg nurses to come in, just so the DNS can get off my back and not have her make me feel im useless. Former DNS understands very well what every staff does, and it works very well with the busy and fast pace nursing department. This is what happens when a new DNS comes in, and only value nurses but doesn't have a sit down and understanding of what a ward clerk does for the nursing department. What happens is that, ward clerk gets behind on their morning duties and your charge nurse gets upset that they're behind as well. But imagine trying to get that set up when your shift is at 0700 and then you have a DNS on your face every morning asking you to make phone calls to find staffing. The seven years I've been there, and as a ward clerk, I was told to set up charts and transcribe md orders and other clerical duties before my charge nurse double checks them and have those charts ready before 0900 and then the md takes the patients in. You are told every morning that your priority is to find staff regardless of the skeleton crew we already have. Such treatment may include increased reinforcement treatments, treatment of depression, and additional assistance in coping with intrapersonal and interpersonal determinants of relapse.Daily pressures and negative feedbacks from the director of nursing which has caused unrelenting stress. This suggests the need to take seriously patient reports of "urges" in the first year after treatment and to carefully assess the cause and initiate or update an individualized plan of treatment. In contrast, increased frequency of support group utilization was associated with increased urges to drink/use and lower abstinence rates. Increased utilization of reinforcement treatments was associated with decreased urges to drink/use and increased abstinence rates. However, interpersonal determinants were far more important in the cocaine and marijuana treated patients. The two factors were of equal importance in the alcoholics. The two most prominent factors initiating a relapse were "intrapersonal determinants" such as stress from work or marriage/family relationships and "interpersonal determinants" such as being around others who were drinking/using or being at a celebration or special event. Of additional importance was the use of support groups and reinforcement treatments after completion of the initial hospitalization. The most powerful predictor of success was whether or not all urges to drink or use had been eliminated (presumably by aversion therapy). Abstinence rates for alcohol and/or other drugs were also calculated including noncontacted patients who had chart documented evidence of relapse. The marijuana 12 month and "total" abstinence (mean 14.7 mos.) rates for the 30 contacted patients was 70.0% for both groups. The cocaine 12 month and "total" abstinence (mean 14.7 mos.) rates for the 49 contacted patients were 83.7% and 81.6%, respectively. Seventy-five of these treated for cocaine dependence and 47 treated for marijuana dependence. Fifty-two percent of the alcoholics were using or dependent on other drugs at admission. Of these, 65.1% were totally abstinent for 1 year after treatment and 60.2% were abstinent until follow-up a mean of 14.7 months later. Telephone contact was made by an independent research organization with 427 of the patients (71.2%). Contact was made a minimum of 12 months and as many as 20 months after completion of treatment (mean 14.7 mos.). A sample of 600 patients treated in a multimodal treatment program using aversion therapy and narcotherapy at three Schick freestanding addiction treatment hospitals and one Schick unit in a general hospital were followed-up.
0 Comments
Leave a Reply.AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |