Protect yourself, Protect your license, and most of all Protect your patient - page 2

Did you know that the only way to protect yourself in a court of law is to follow your company’s policies and procedures, to the letter! If it is in the Policy and Procedure (P & P) manual, then it is written in stone for your... Read More

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    Got a new medical director shortly-

    I will be trying. The old one was a nice guy, but not great at getting stuff done.
    madwife2002 likes this.

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    In my unit there is a young, "click" of about 5 nurses. My unit director is a member of this click. These women could care less about the ppl they care floor. I have seen alot of stuff and heard them talk excessively (laugh, make fun of) the patient, right there in the front of the nurses station where they all gather. They all sit behind a computer and you can hear them laughing very loudly. Patients fam members (and the patient) have overheard many conversations. One young nurse is involved with a surgeon from our floor.She makes it no secret. The guy is married with children of his own. When he comes to the floor, this nurse and he go to the nurse's lounge area and close the door. (That's our hint to not go in there) These young nurses donot care about the patient at all. I have seen them ignore call lights and they take thier time getting pain meds to the patient on time. One patient waited an hr (after repeated calls to the nurse) for his pain meds. When I reminded her again, she was with another nurse headed for the staff elevator to go get her breakfast from downstairs. She told me she would give him (the patient) his pain meds after she was done eating. I have been in a tight spot to where I needed the assistance of a nurse and been refused help. Had one nurse tell me once,"I have done my CNA work in the past and I don't do that anymore." I have seen them refusing to go into a terminally ill patients room, telling me "they are DNR anyway, we don't need to go in there." (Do not recusitate) Stuff like this I put up with on a daily basis. My dir has been made known of this and she gets mad and says to just do my job and stay out of her nurses business. I don't know anymore as to what to do with the stuff I hear and say....any advice?
    madwife2002 likes this.
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    Thank you for a very important article. I believe it is very important to know what one's own nursing liability insurance policy does and does not cover, and what the exclusions are.
    madwife2002 likes this.
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    Great topic, you protect yourself by having your own personal nursing liability insurance.

    I would suggest newbies, or any nurse, think through what are the 10 top issues I deal with frequently that I am a little unsure of, and make a copy of those. No one can read or remember every P&P.

    However I hate to be to rigid. I have knowingly NOT followed P&P's.....yes I know "my license was on the line"...... but P&P's can get in the way of common sense. I could easily give 10 examples without breaking a sweat. I am not advocating any nurse not follow P&P's, but personally I am OKAY with doing it in certain situations.

    Not a hospital or nursing example but last summer a mentally ill man was standing up to his neck in a near-by bay for over an hour. The police and fire officers stood by on the beach, due to budget cuts they had not been re-certified in water rescue. They would not go into the water and get him per their P&P's.....he died.

    I don't know exactly every detail....but the broad outline is honest to God true.
    madwife2002 likes this.
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    Just to clarify, you must understand, know and follow the laws of your state before that of your facilities policies. If your facilities policies tell you not to do something, but the law states you should, then you have to follow your states law.
    SarahB84 likes this.
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    Quote from 1010MASH
    In my unit there is a young, "click" of about 5 nurses. My unit director is a member of this click. ...snip... One young nurse is involved with a surgeon from our floor.She makes it no secret. The guy is married with children of his own. When he comes to the floor, this nurse and he go to the nurse's lounge area and close the door. (That's our hint to not go in there) These young nurses donot care about the patient at all. I have seen them ignore call lights ...snip... I don't know anymore as to what to do with the stuff I hear and say....any advice?
    Ummm...and your post addresses the original article in what way?
    BrandonLPN and anotherone like this.
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    This is informative and helpful. I would surely go back and brush up on the P&P of the hospital I work in.
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    In my area there are a dozen or so for profit RN schools and 4 legit ones. If a nurse did as this article suggests they would simply be replaced by one of the many new grads available every month. Please understand that the written policy is there to cover THE FACILITY in the event of a lawsuit. They will systematically bully, pressure, and direct you to do things that are against written policy because it is more profitable and then give the BON and lawyers a blank stare if something goes wrong and you're involved. "that's not policy" and "I never told you that". This is why I came to the difficult decision to leave direct pt care. I didn't put in 19 years to lose my license for any one patient or facility. I got into nursing to help not fight and worry. I have a family and at least another 20 years of employment to consider. It was a hard and sad transition but I won't look back. Evolve or die off.
    Susie2310 and anotherone like this.
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    Quote from 1010MASH
    In my unit there is a young, "click" of about 5 nurses. My unit director is a member of this click. These women could care less about the ppl they care floor. I have seen alot of stuff and heard them talk excessively (laugh, make fun of) the patient, right there in the front of the nurses station where they all gather. They all sit behind a computer and you can hear them laughing very loudly. Patients fam members (and the patient) have overheard many conversations. One young nurse is involved with a surgeon from our floor.She makes it no secret. The guy is married with children of his own. When he comes to the floor, this nurse and he go to the nurse's lounge area and close the door. (That's our hint to not go in there) These young nurses donot care about the patient at all. I have seen them ignore call lights and they take thier time getting pain meds to the patient on time. One patient waited an hr (after repeated calls to the nurse) for his pain meds. When I reminded her again, she was with another nurse headed for the staff elevator to go get her breakfast from downstairs. She told me she would give him (the patient) his pain meds after she was done eating. I have been in a tight spot to where I needed the assistance of a nurse and been refused help. Had one nurse tell me once,"I have done my CNA work in the past and I don't do that anymore." I have seen them refusing to go into a terminally ill patients room, telling me "they are DNR anyway, we don't need to go in there." (Do not recusitate) Stuff like this I put up with on a daily basis. My dir has been made known of this and she gets mad and says to just do my job and stay out of her nurses business. I don't know anymore as to what to do with the stuff I hear and say....any advice?
    Could you have given that pt pain meds? You don't want to do their work too, but that is what I would do. If she was on break who was watching her patients? This is a management issue more than anything else. Most people need to be managed as they have a poor work ethic. My advice is if managment doesn't care than don't bring it up over and over. You will be disliked by management . It isn't ideal but it is reality. You can try going hire up if you want. Maybe look for a job somewhere else.
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    Hospitals who get paid by Medicare and Medicaid services, and who are also JCAHO accredited, MUST have policies and procedures in place or no payment or certification will occur. Unless you are in a very rural area where your hospital accepts private pay patients only, somewhere tucked away is a set of policies, procedures, and protocols that haven't been shared. It is not prudent to provide ANY care without a policy and/or procedure to back it up. I'd double check that if I were you.


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