Thursday, March 17, 2011

Brand New Hat, Battle of The Sexes Jokes, Geriatrics Humor

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There was a little old lady standing at a corner. She had both hands holding her hat on while the wind blew her dress up around her waist.

A dignified southern gentleman came up and said, "Ma'am, you should be ashamed of yourself, letting your skirt blow around, being indecent, while both hands hold your hat."

She said, "Look mister, everything down there is seventy years old; this hat is brand new!"

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A Woman's Random Thoughts, Battle of The Sexes Jokes, Getting Older Humor:
http://www.nursinghumor.com/random

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New Secretary, Doctor's Jokes, Battle of The Sexes Humor:"Dr. Johnson got himself a new secretary. She was young, sweet, and very polite. One day while taking dictation, she noticed his fly was open."
http://www.nursinghumor.com/secretary

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Rules That Guys Wish Women Knew, Battle of The Sexes Jokes, Relationship Humor:
http://www.nursinghumor.com/rules

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Ultimate Fantasy! Battle of The Sexes Jokes, Relationship Humor:
http://www.nursinghumor.com/fantasy

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Dogs Vs Men, Battle of The Sexes Jokes, Relationship Humor:
http://nursinghumor.com/dogs

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Home Repairs, Battle of The Sexes Jokes, Marriage Humor:
http://www.nursinghumor.com/repairs

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Why Cats Are Better Than Men, Battles of The Sexes Jokes, Cat-Pet Humor:
http://www.nursinghumor.com/better

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25 Year Old Breasts, Battle of The Sexes Jokes, Marriage Humor:
http://www.nursinghumor.com/25

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Top Ten Reasons Why God Created Eve, Battle of The Sexes Jokes, Top Ten Humor:
http://www.nursinghumor.com/eve

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17 Ways To Be A WOMAN.... From A Somewhat Bitter Man, Battle of The Sexes:
http://www.nursinghumor.com/17

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The Perfect Man, Battle of The Sexes Jokes, Relationship Humor:
http://www.nursinghumor.com/perfect

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Name Calling, Battle of The Sexes Jokes, Relationship Humor:
http://www.nursinghumor.com/calling

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A Real Lady, Battle of The Sexes Jokes, Infidelity Humor:
http://www.nursinghumor.com/lady

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A Woman Thirty Years Younger, Marriage Jokes, Battle of the Sexes Humor:
http://www.nursinghumor.com/younger

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Mating Bulls, Battle of The Sexes Jokes, Marriage Humor
http://www.nursinghumor.com/bulls

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Five Kinds of Sex, Battle of The Sexes Jokes, Marriage Humor:
http://www.nursinghumor.com/five

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Men Are Like . . ., Battle of The Sexes Jokes, Relationship Humor:
http://www.nursinghumor.com/like

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Following Orders, Battle of the Sexes Jokes, Gallows Humor:
http://www.nursinghumor.com/following

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Top Fourteen Things PMS Stands For, Top Ten Jokes, Battle of The Sexes Humor:
http://www.nursinghumor.com/pms

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The Escapee, Battle of The Sexes Jokes, Relationship Humor:
http://www.nursinghumor.com/escapee

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Why Pumpkins Are Better Than Men, Battle of The Sexes Jokes, Relationship Humor
http://www.nursinghumor.com/pumpkins

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The Blind Date, Battle of The Sexes Jokes, Geriatrics Humor:
http://www.nursinghumor.com/blind

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The New Girlfriend, Battle of The Sexes Jokes, Relationship Humor:
http://www.nursinghumor.com/girlfriend

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Pros of Being A Woman, Battle of The Sexes Jokes, Relationship Humor:
http://www.nursinghumor.com/pros

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If You Love It, Set It Free, Battle of The Sexes Jokes, Relationship Humor:
http://www.nursinghumor.com/free

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A Divorced Woman's Perfect Breakfast, Battle of The Sexes Jokes, Divorce Humor
http://www.nursinghumor.com/breakfast

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How To Impress, Battle of The Sexes Jokes, Relationship Humor
http://www.nursinghumor.com/impress

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Great Female Comebacks, Battle of The Sexes Jokes, Relationship Humor
http://www.nursinghumor.com/comebacks

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His and Her Road Trip, Battle of The Sexes Jokes, Relationship Humor
http://www.nursinghumor.com/battle/

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Generation Gap, Battle of The Sexes Jokes, Parenting Humor
http://www.nursinghumor.com/gap

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And You Wonder "Why" It Didn't Last, Battle of The Sexes Jokes, Divorce Humor
http://www.nursinghumor.com/wonder

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Because I'm A Guy, Battle of The Sexes Jokes, Relationship Humor
http://www.nursinghumor.com/because

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The Gentleman On The Bus, Battle of The Sexes Jokes & Humor
http://www.nursinghumor.com/gentleman

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If Men Got Pregnant, Battle Of The Sexes Jokes, Pregnancy Humor
http://www.nursinghumor.com/if

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A Man, His Wife, and The Cop, Battle of The Sexes Jokes, Marriage Humor
http://www.nursinghumor.com/cop

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If Men Wrote The Rules, Battle of The Sexes Jokes, Relationship Humor
http://www.nursinghumor.com/wrote

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What Women Know About Men, Battle of The Sexes Jokes, Marriage Humor
http://www.nursinghumor.com/know

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All Wives Are Alike, Battle of The Sexes Jokes, Marriage Humor
http://www.nursinghumor.com/alike

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A Woman Thirty Years Younger, Marriage Jokes, Battle of the Sexes Humor
http://www.nursinghumor.com/younger

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Radar, Battle of The Sexes Jokes, Marriage Humor
http://www.nursinghumor.com/radar

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Definitely Warm, Battle of the Sexes Jokes, Relationship Humor
http://www.nursinghumor.com/warm

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Suspicions, Battle of the Sexes Jokes, Marriage Humor
http://www.nursinghumor.com/suspicions

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I Just Want You To Hold Me Tonight
http://www.nursinghumor.com/me

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A Dictionary of Dating
http://www.nursinghumor.com/dating

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Translating Men, What They Say & What They Really Mean:
http://www.nursinghumor.com/translating

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I am glad I am a man, I am glad I am a woman:
http://www.nursinghumor.com/glad

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Male Bashing:
http://www.nursinghumor.com/bashing

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Two Gifts For Adam & Eve, Battle of The Sexes, Nursing & Medical Jokes & Humor
http://www.nursinghumor.com/gifts

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Why Men Can't Win
http://www.nursinghumor.com/win

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Why We Appreciate Men, A Woman's Perspective http://www.nursinghumor.com/appreciate

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Viagra Funnies
http://www.nursinghumor.com/drugs.medications/viagra.jokes.humor.htm

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Bachelorette@bachelorettepartyfun.com, 818-718-1104 or Fax us at 818-993-8358.
http://www.bachelorettepartyfun.com/

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Viagra Jokes:
http://www.net2business.com/humor/viagra.html

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Nursing Topics, A to Z: A, B, C, D, E, F, G, H, I, K L, M, N, O, P, R, S, T, U, V, W, X, Y, Z

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4nursinguniforms.com

Nurses' Station:"The idea for the Nurses' Station Catalog was conceived in 1989. After searching the marketplace in response to customer inquiries, it became obvious that there were no catalogs of this type serving the nursing profession. To be sure, there were several catalogs offering nurse's uniforms and a smattering of professional items. But there weren't any catalogs at the time offering a range of gifts, clothing, professional items, name badges, shoes and scrubs for nurses. It took two years of hard work to gather samples and put a together a catalog of the most unique and high-quality items for nurses."
Nurses Station P.O. Box 388 Centerbrook, CT 06409-03881
http://www.nursefriendly.com/station/

Choose Nursing Uniforms, Shoes, Scrubs, Accessories By Brand:

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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Approaching Each Day, Inspirational Poems, Touching Stories

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I woke up early today, excited over all I get to do before the clock strikes midnight. My job is to choose what kind of day I am going to have.

Today I can complain because the weather is rainy or I can be thankful that the grass is getting watered for free.

Today I can feel sad that I don't have more money or I can be glad that my finances encourage me to plan my purchases wisely and guide me away from waste.

Today I can grumble about my health or I can rejoice that I am alive.

Today I can lament over all that my parents didn't give me when I was growing up or I can feel grateful that they allowed me to be born.

Today I can cry because roses have thorns or I can celebrate that thorns have roses.

Today I can mourn my lack of friends or I can excitedly embark upon a quest to discover new job relationships.

Today I can whine because I have to go to work or I can shout for joy because I have a job to go to!

Today I can complain because I have to go to school or eagerly open my mind and fill it with knowledge and adventure.

Today I can dejectedly murmur because I have housework to do or I can feel grateful for shelter for my mind, body and soul.

Today stretches ahead of me, waiting to be shaped, and here I am, the sculptor who gets to do the shaping.

What today will be like is up to me. And I shall decide what kind of day I shall have!"

How will you live THIS DAY?

Author unknown

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Nursing Topics, A to Z:

Nursing Degrees, LPN-RN, RN-BSN, RN-MSN, Online/Offline College, University and more!:"Higher income. Career mobility. Now, no matter where you live or what your schedule, you can earn your Associate or Bachelor Degree to take your professional life to the next level — without putting the rest of your life on hold!"

If you do any Browsing or Windowshopping online, please visit our online Mall:
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Gifts For Nurses:
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4nursinguniforms.com:"Choose from Top Nursing Uniform Companies. All sizes, styles and popular name brands available. Large selection of accessories as well: Accessories Blood Pressure Cuffs, Sphygnomanometers Nursing Tote Bags, Carry-Ons, Medical Bags Clinical, Medical Supplies, Nurses Discount Outlet: Angels, Books, Clothing , Equipment, Figurines, Holidays, Home Decor, Jewelry, Nurses, Office Decor, Scrubs, Shoes, T-Shirts Footwear, Shoes, Sandals, Discount, Bargains Gifts For Nurses (Nurses Week) Hosiery, Socks, Stockings Hats, Jackets, Jumpers Jewelry, Earrings, Necklaces, Watches Luxury Spas, Facials, Manicures, Pedicures Perfumes, Fragrances, Phermones Shoes, Boots, Sandals, Footwear, High Heels, Slippers Stethescopes, Nurse Kits, Replacement Parts Swimwear (Tan-Through) Women's Lingerie "
4nursinguniforms.com

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Nursing Chat, Nurse Discussion Forums:
http://nursingdiscussions.com

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

Let's Connect! http://www.nursefriendly.com/social/

The #1 stressful thing about being a nurse, Scrubsmag.com

So, we all know there are a million things that ‘stress’ us out during our shifts. Do I really need to list them? Here are just a few that come to mind:

Causes of Stress

  • Inadequate staffing
  • Nurse-to-staff ratio overload (does the word unsafe come to mind)
  • Lack of teamwork
  • Lack of effective and fair management
  • Coworker strain
  • Paperwork
  • Endless charting – repeating information on multiple forms
  • Miscommunication or the lack of communication
  • Census overload and strain (revolving door of admissions and discharges)
  • No time to even use the bathroom

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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Seniors Not Getting Important Preventive Health Services-HealthDay Articles

Many Americans aged 65 and older are not receiving potentially lifesaving preventive health services, says a new report by several U.S. Department of Health and Human Services agencies.

Too few seniors are getting recommended vaccinations for influenza and pneumococcal disease, including bloodstream infections, meningitis and pneumonia; help with quitting smoking; or screenings for breast cancer, colorectal cancer, diabetes, high cholesterol and osteoporosis, according to the report released March 14.

"Millions of Americans are not getting proven clinical preventive services that we know can prevent disease and improve quality of life," study author Lynda Anderson, director of the Healthy Aging Program at the U.S. Centers for Disease Control and Prevention, said in a CDC news release.

Click on the "via" link for the rest of the article.

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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Emergency Department Nurse Verbally Abused, Physician History Well Documented

See also: Medical, Legal Nurse Consultants, Clinical Nursing Case of the Week, Clinical Charting and Documentation, Nurses Notes, Courtrooms, Disability, Discrimination, Employment, Expert Witnesses, Informed Consent, Medical Malpractice, Nursing Practice Acts, Pensions, Search Engines, Torts and Personal Injury, Unemployment, Workers Compensation, Workplace Safety:

Each week a case will be reviewed and supplemented with clinical and legal resources from the web. Attorneys, Legal Nurse Consultants and nursing professionals are welcome to submit relevant articles. Please contact us if you'd like to reproduce our material.

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Summary:  Official tolerance for verbal abuse and sexual harassment is approaching zero.  It is clear that both are still prevalent in healthcare settings today.  Enforcing and reporting instances of abuse are critical to an end being put to the situation.  In this case, a physician had a "history" of verbal abuse in the facility involved.  It was the documentation of previous events that made formal action and administration of a suspension feasible.

The physician berated the nurse for the way in which one of his patients was being handled.  He accused the nurse of "not doing her job" and giving the patient substandard care.

Specifically, he admitted making the statement that the nurse "Should get off her ass and that she was a wrench in the works, she was obstructing patient care."1

"Rothschild says that physical abuse is more publicly recognized than verbal abuse, the latter is just as potent a force in a person's life. Verbal abuse might not inflict the same bruises and scars that physical abuse does, but it does not occur without leaving its own marks."2

This was not the first time this type of verbally abusive statement had been made by the physician.  Complaints had been made and formally documented about his outbursts.

These attacks had been occurring with sufficient frequency to merit formal written warning by the hospital's Credentialing Committee.

This instance represents the exception, rather than the rule regarding abusive behavior on the job.

"The continued low profile of verbal abuse could be attributed to the idea that it is a subtler form of abuse and therefore more likely not to be taken seriously, Kesden says. "If you don't inflict a wound on someone, it is easier to be passed off."

Often, abusive behavior was learned by the abuser in childhood and cannot be overcome without therapy.

"If a person is raised in a house with verbal abuse ... there is a good chance he will bring that into a romantic relationship," Kesden said.

The first step in acknowledging a verbally abusive relationship is to admit that there is a problem. "The abuser has to recognize what he is doing," Rothschild says."2

Regardless of a behavioral pattern's origin, when it occurs on the job, toleration or inaction can set a dangerous precedent.  By not taking action on the spot or when safety allows, the stage may be set for future occurrences.

The physician's abusive and harassing behavior was clearly identified and reported.

"Harassment

Discriminatory harassment includes verbal or physical conduct designed to threaten, intimidate, offend, demean, or coerce; and may impair an employee's ability to do his or her job. Harassment may take on many forms such as:

  • gestures, or physical acts
  • slurs
  • taunting
  • verbal abuse or epithets
  • comments or jokes
  • displaying derogatory objects, cartoons, posters, drawings, or pictures
  • Harassment may also be any unwelcome or offensive conduct relating to an individual's race, color, religion, ancestry, national origin, sexual orientation, sex, age, disability, veteran status, political ideology, or other protected characteristics."3

    Prior to the above outburst, it had been made clear that any further abusive behavior would result in a suspension of privileges at that hospital.

    When the incident was reported, a suspension was handed down of no more than 30 days.  The physician appealed the suspension internally.  The decision to suspend was affirmed.

    When it was clear that the suspension was going to be upheld, the physician filed suit against the hospital.  The hospital filed for and was granted summary judgement to dismiss.

    The physician appealed.

    Questions to be answered:

    1. With documented evidence of abuse and previous warnings of future consequences, did the physician have grounds to appeal the decision?

    2. In light of the history of abuses, did either the Credentialing Committee or the court arbitrarily or without merit decide that a suspension was appropriate?

    To initiate filing a suit, typically no legitimate grounds are needed, just an attorney that will take the case.  It can literally be done at will.  It can be called "frivilous." It is a basic and constitutionally guaranteed right.

    The physician regardless of his chances of succeeding had a right to appeal a decision that will deprive him of the right to practice.  A suspension would directly affect his ability to earn an income from consulting/treating patients.

    The appeal could have been filed to make a point.  This could also have been done to further harass the nurse who would be called in to a deposition and subjected to interrogatories.

    It is common for an individual to attempt to delay hearings that will result in a license suspension or revocation.  Whether the physician was looking to "buy time," further harass the nurse or if he actually thought he could "get off," procedures to do so are in place and available.

    The likelihood of the decision being overturned, was slim.

    It was to the nurse's advantage in this case that previous actions had been taken.  It was not the first time that abusive practices by the physician had been documented.

    It is vital, that when a pattern of behavior is emerging that action be taken to document it.  If a nurse or patient or member of the healthcare team is abused, it needs be reported.

    Frequently, abusive behavior is not.

    This case example occurred in the Emergency Department.  It can happen in any unit or setting.

    The Association of Operating Room Nurses offers the following guidelines:

    "The best thing to do about a surgeon's abusive behavior is to confront the surgeon at the time the abuse occurs. This does not mean, however, that you should interrupt the surgical procedure. Immediately after the patient is out of the OR, confront the surgeon and let him know that his behavior is unacceptable and that you will not tolerate it. Tell the surgeon how the abusive behavior makes you feel.

    Offer a comment, such as

    When you berate me as you did during the surgical procedure, I feel very uncomfortable and distracted. This interferes with my ability to provide you the assistance you deserve.

    Inform the surgeon that you will confront him immediately should another incidence of abusive behavior occur. Also inform your supervisor of the surgeon's abusive behavior, your confrontation with the surgeon after the surgical procedure, and your plan for continued confrontation. If the surgeon's abusive behavior occurs again, continue to confront this behavior each time it occurs. Consistency is essential. In addition, you should file a formal complaint to the medical staff committee through the appropriate channels in your facility. Finally, if this does not stop the abusive behavior--and as a last resort--you can press charges for slander and/or sexual harassment, if there are sexual tones to the abuse"4

    Verbal abuse is both damaging and demeaning and treated similarly to sexual harassment in the workplace.  If you feel you have been the victim of any type of abuse, you need to be aware that rarely will it "just go away."

    Whether it is a personal relationship or "on the job," the likelihood of a person changing their ways or stopping an abusive behavior is poor.

    "SOLO emphasizes that the quicker a woman decides to get out of an abusive relationship, the better. Verbal abuse only escalates, like physical abuse, and the longer a woman stays in such a relationship, the deeper her self esteem sinks and the harder it is to get out of the relationship."2

    It is a difficult situation for both the individual and coworkers that might be hesitant to step in.  It's crucial then for the individual to discuss the situation with a supervisor or someone they feel comfortable with.

    A fatal trap to avoid is making excuses for the abuser.  Phrases like  "I deserved it" or "I made him angry" are common responses to abuse and are patently false.  There is never any excuse for abuse in the workplace or at home.

    "Women do a lot of convincing to themselves, rationalizing about the relationship," Kesden says. Many women often try to justify the abuser's actions."2

    A sad fact is that often abuse is occurring at home as well.  It compounds the problem and can be disabling when the problem is encountered at work.

    The sooner action is taken, the sooner formal proceedings can be set in motion.  Taking initial action does not guarantee an immediate solution.  It may cause the abuse to escalate initially

    This can deter many from reporting a situation in the first place.   It is this first crucial step that makes corrective action possible when there are recurrences.

    Depending on the environment, pressure may be put on the nurse or physician to "make the problem disappear."  An administration may or may not be intimidated by the fact that physicians are sometimes viewed as the "money makers" of the hospital.  In this case, they were not.

    Regardless of the cause or abuser, one outcome is inevitable.

    If the problem is not dealt with, it will not go away.  It may signal to the abuser that it is "ok" to abuse if it is demonstrated that he can get away with it.  If no resistance is encountered it literally gives free license to pick other "victims."  It opens the door for abuse to get progressively worse.

    The question you need to ask is this.  "If I'm getting abused today, how much worse can it get? Who will it be tomorrow?"
      Related Link Sections:

    Abuse:
    http://www.nursefriendly.com/nursing/directpatientcare/abuse.htm

    Emergency Department Nurses on the Nurse Friendly
    http://www.nursefriendly.com/nursing/directory/spec/ed.html

    Psychiatric Nurses on the Nurse Friendly:
    http://www.nursefriendly.com/nursing/directory/spec/psych.html

    Sources:

    1. RRNL 4 (September 1998)

    2. Munoz, Rachel.  No date given.  Student.com.  Verbal Abuse Scars.  Retrieved June 6, 1999 from the World Wide Web: http://www.student.com/article/verbalabuse

    3. Francis Hutchinson Cancer Research Center.  1995. Personnel Policy and Procedures Manual, Section 3-2. Harassment/Sexual Harassment.  Retrieved June 6, 1999 from the World Wide Web: http://www.fhcrc.org/admin/hr/pppm/p0302.htm

    4. Association of Operating Room Nurses. September 1997, Volume 66, Number 3. Clinical Issues.  Retrieved June 6, 1999 from the World Wide Web:  http://www.aorn.org/JOURNAL/997/Septci.htm
     
     

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    Send comments and mail to Andrew Lopez, RN

    Created on June 6, 1999

    Last updated by Andrew Lopez, RN on Monday, February 28, 2011

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Don't cut Medicaid, fund it better - CNN.com

Editor's note: Dr. Aaron E. Carroll is an associate professor of pediatrics at the Indiana University School of Medicine and the director of the university's Center for Health Policy and Professionalism Research. He blogs about health policy at The Incidental Economist.

(CNN) -- You can't turn on the news these days without hearing about our budget crisis. We've also been told, over and over, that it's a problem with spending -- we're doing too much of it.

There's truth in that. Even if taxes were to be raised, it's nearly impossible that we can begin to tackle the deficit without addressing the spending on Social Security, Medicare and Medicaid. Together, they total well over a trillion dollars in spending.

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Nursing Retirements Have Critical Implications - Blogs - Nurse.Com Forums

terri_g An article in the today’s Washington Post, written by Darryl Fears, states, “Health-care economists and other experts say retirements in that group [nurses] over the next 10 to 15 years will greatly weaken the health-care workforce...” I am glad to see more attention being paid to the implications of losing our most experienced nurses.

Several years ago, I heard David DeLong, an expert on the aging workforce; speak about the notion of lost knowledge. He remarked that as highly experienced workers retire, companies lose critical information that resides deep within their minds. This concept resonated with me and I set out to learn how it applied to the aging nursing workforce.

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