"Hypothetical" situation.... - page 2
OK, just want to preface this by saying that this is not about me. I've been doing some searching around the internet about what types of nursing offenses are required to be reported to the nurses... Read More
Sep 26, '02I can only talk about Missouri . . .
Here, anyone can report anything or anyone and the Board will investigate. I've heard of nurses reported (and disciplined) for drunk driving, shoplifting, etc., that didn't even happen while working as a nurse (immoral conduct). Alot of the Nurses Practice Act is very broad and general, so it leaves a lot of room for being reported.
Reporting abuse or neglect of the elderly in Missouri falls under another statute, not covered by the BON. In that statute, anyone who works for the elderly in anyway, are classified as mandatory reporters. If you fail to report, it's a criminal offense.
Hope that helps a little.
Sep 27, '02Why on earth would any nurse take a lasix while at work? For crying out loud, I have enough problems getting to the bathroom as it is!! Definitely would be anchoring foley with leg bag just to make it thru the shift!! Otherwise I would probably be charged with pt abandonment because I would be in the bathroom for 2 hrs!!
We do have a stock bottle of just plain Tylenol that the pharmacy gives us for staff use. It is in our manager's office. Otherwise, I just carry my own ibuprofen to work.
I would be scared to take medication such as Valium or Atarax at work for fear of making some mistake. Even if I had a legit script from my own physician, I wouldn't feel safe taking those meds while being responsible for pt care. I am sure other people take those meds routinely and go to work and don't have any problems.
Sep 27, '02We def wouldnt be popping Valium at work but floor stock tylenol or other otc meds are fine. If you go to pharmacy and ask for sudafed or something like that they also gladly hand it out. That is nuts that someone would get fired for taking lasix... there has to be more to that story!!! Geez...
Sep 27, '02In my area if you are fired from a hospital for cause the BON says the hospital must report why. My hospital goes along with that but has also given nurses the option to resign voluntarily in some cases.
And I have and will be taking Tylenol and ibuprofen when ill at work- unless someone wants to come in and relieve me at 3am. I can't imagine taking Valium or Atarax though, even if I had my own. Very irresponsible to care for patients while on sedating meds.
Sep 27, '02I knew a nurse who worked for a cardiac doc; she took lasix (he gave her a prescription, wasn't out of floor meds) when she felt bloated. I think some people use it for "weight loss".
Sep 28, '02I know a number of nurses, med students, and interns at a nearby hospital that routinely use hospital supplies to hook themselves up to IV's ranging from fluids to antibiotics gotten (lord knows how...) from pharmacy, as well as using patient supplies of advil and various other medications (from the well-stocked open cart in the ER) for their own purposes. None of them has ever gotten fired or reported for any of this. Another nurse who worked Maternal/Child was fired and reported for mentioning to a new mom (who was giving her child up for adoption) that she was attempting to adopt a child herself. They called it "soliciting", even though no actual soliciting went on and the only witnesses were her and the new mom.
Sep 28, '02I admitted a young, female RN one night into ICU. She was in the middle of her shift on a med/surg floor when she went into respiratory distress, later determined caused by Lasix overdose. She was later fired because she had been taking Lasix from patients' med drawers. Taking the Lasix as a way to lose weight. Dumb, dumb, dumb.
Sep 28, '02re Lasix: Well, I guess it WOULD help you lose weight. For an hour or two. Thanks for the feedback. What will people think of next?
Sep 28, '02We had one RN fired for taking 3 of those little half cans of gingerale because she had morning sickness.
Another RN was reported and fired for taking 2 rolls of toilet paper.
Another LPN used other nurses' patients' profiles to take 27 doses of narcotics from the Pyxis in ONE night. The only way he was caught was another (rather lazy) nurse always waited 'til end of shift to document her meds and saw HIS name for HER patients on the printout. He was reported and allowed to resign...he had a relative in the hosp. administration though.
One RN was sent home in a cab after being found high as a kite, with needle marks on her thigh and empty toradol tubexes in the bathroom. They sent her by cab;she took the cab 200 feet, got out and drove her car into a post and went to jail. Never reported, never fired.
If you look at the disciplinary actions on your BON site there are some who are suspended for "minor stuff" major stuff and some who never show up. Guess it's who you know not what you know.
Sep 28, '02We have floor stock ibuprofen and acetaminophen for the staff. In a pinch, you can usually get the pharmacist to give you an OTC med such as Sudafed or Tums.
I don't feel like I'm running fast enough as it is most days at work. I can't imagine trying to work after taking something like Valium.
Oct 3, '02sorry it's taken me so long to reply. working lots of ot getting info into agency's new computer system--we've loaded ~1250 patients in past month; along with shoping for new used car last weekend (van died); two attempts lost info then got sick. ahh..life.
note: .pdf files require acrobat reader software for viewing.
from national council of state boards of nursing (ncsbn):
regulation of registered nursing:the american perspective
reporting a colleague to the board of nursing
your rights and responsibilities. by winifred y. carson, esq.
american journal of nursing - november, 2001 - volume 101, issue 12
nursing malpractice: protect yourself
what to do when you're the subject of a board of nursing complaint.by winifred y. carson, esq
american journal of nursing - december, 2001 - volume 101, issue 12
i see and am silent / i see and speak out: the ethical dilemma of whistleblowing
ethics in practice november 1999
published by the policy regulation and research division of the canadian nurses association (cna).
state boards of nursing
reporting incompetent, unethical, or illegal practices
guidelines for minimizing legal risks in nursing practice
south dakota board of nursing : consumer tips
ohio:revision of the nursing practice act
good moral character: qualification for initial licensure- a supporting paper
new jersey board of nursing :statutes and regulations
pa sbon winter 2002 newsletter,pg 7
the effect of criminal convictions on nursing licensure
online ethics center: blowing the whistle on a therapeutic experiment
a disciplinary action can put a wrinkle in your career - and tie you up in knots
by megan malugani
august 21, 2000
protecting your patients and your job
by christy lyon
nurseweek january 7, 1999
national summit on medical errors and patient safety research
hope this is helpful. karen