unworthy of an RN - page 4
Hey guys I have a question. I am an extern at one of the hospitals near my home, and I will be graduating from a BSN program in may. During my time as an extern I have witnessed a lot of acts done to... Read More
Jul 8, '04The LPN issue is one I am researching now. I have found many states that allow LPN's to get IV certification and perform that task. Most do it with the utmost professionalism. Check out the nurse practice act for your state. Or ask her conversationally where she obtained her certification. Be sure of the facts before you act.
The RN that did not see that her patient was turned is responsible, she was negligent pure and simple. If she does not want the role of supervisor then she should pass on it. The Med tech deserves to be disciplined, as does the RN. Perhaps a better solution would be to put them in bed, and leave them for several hours in one place.....I have found that as an educator any thing that you can do to make the student feel "like they are there" is the best teaching tool.
There are so many little tricks you can do with the dementia patient to help them during an agitated episode. The best one, can sometimes be giving them some small little goodie to eat. Fingerfood, tasty and tempting. It is a symbol of trust and fills one of the most basic needs. Watch carefully for choking though. I have found that if you put a snickers bite in your mouth, then offer one in the spirit of hospitality, it works.
I am with the others though, figure out the indicators and identifiers, watch for time, event and instigating factor. Then act accordingly. The little old lady in the post, who was afraid of the towel men.....was probably put off by a male orderly taking someone to the shower. Bless her heart. The way the nurse described his action was great.
I hope that you continue on, prosper and move others to join the great profession of nursing.
Jul 8, '04New nurses in particular must learn when to choose their battles and to do so carefully. You are new to the field and green to the culture of nursing., as well as politically naive to some of the games played. Since you're 'new' you're fresh meat for the sharks. If you are working in a toxic place YOU may quite likely be seen as the problem. I don't mean to discourage you, but rather to warn you to be cautious.
I too applaud your interest in improving your working conditions...and i remember well the 'reality shock' I experienced as a new grad. But the sad truth is sometimes one nurse alone cannot change a culture that is tainted, and instead ends up its victim. You may wish to look for somewhere else. If you wish to stay and become a role model/help change things; you will need the support of your peers and the blessing of your manager specially... so be very sure you have that. Good luck.
One other thing: when managers play favorites with the aides and LPN's over supporting the RN's in leadership roles that has always been a huge warning sign for me....this is somewhere I don't want to work.
Jul 15, '04I only have one thing to say. This RN allowed the patient to lie in one position for her shift. I don't care what kind of point she was trying to make with the tech...she is, herself, lazy and unprofessional.