Re: "Fired for NO Reason"
Thanks Ruby for you story...I am a nursing student pursuing my BSN. I am taking a year off from obtaining my gen eds before starting the actually nursing program.
At the school I am studying I have no idea what to expect in the actual nursing program.
I am a little scared though by your story. I understood immediately about the Coumadin, though. I guess I don't know what a registered nurse is authorized to do. Could this decision not to give the Coumadin be made by her without getting a Dr approval??
I guess what scares me the most is this nurse passed the NCLEX, and graduated from the program with so little knowledge??
I have to admit I have an advantage given I was a medic in the Army. I have done clinicals in an ICU. My scope of practice was not limited to a title. My scope of practice was whatever I felt comfortable with and as long as I had done it before supervised.
We all were authorized to start IV's without question (just usually a bag of lactated ringers (burn pts), or NS)
We all were able to work as a Phlebotomist in the lab.
We knew how to use tourniqets, and quick clot (no longer use).
We were allowed to "prescribe OTC's" to our soldiers
We were allowed to "prescribe Prescription drugs if our Dr or PA approved"
(didn't need to get permission everytime just a one time "I trust your knowledge of this prescription drug"
Anything after that we learned we were forever authorized to do.
Small surgeries (cyst removal), suturing, and more.
I guess my biggest issue is do they really send out nurses that uneducated. I understand she is an extreme example??
I mean that is stuff you learn before nursing school I thought. Knowing normal levels No but see a PT bleeding out of orifices and your not going to question giving them a blood thinner.
Seeing lab results with abnormal K+ level, and then observe the pt cramping??
Hear a pt gurgling, are they not going to listen to their lungs, order a chest x-ray, suction???
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