Don't You Just Want To Scream? - Page 2

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  1. Aug 12, '11 by
    This is the way it was at all of the facilities I ever worked at. Most of the nurses didn't even bother to "paper" it either. They didn't care. They all knew that there would never be consequences for not doing the job very well.
  2. Aug 13, '11 by
    Must have been the full moon this week- my two incidents: 1. Resident is on lovenox with Coumadin at 6 mg from hospital. The lovenox is one of those kg/mg so I have the RN ask the MD about it just because I am not comfortable- knew someone would make a mistake. I check later in the day after the MD does rounds and she looks at me and goes oh- I forgot to ask. OK- now I had this all written down and spelled out with my "t's" crossed. She said "well he will get mad if I call him"- too bad too sad. So she gets the Lovenox changed to a straight up order with no weights involved. Wonderful! Walking back to my office I had a sinking feeling about the PT/INR as she didn't tell me when they were doing that. I started thinking too myself No- she knows better and would get one. I just couldn't take it anymore and had to call her- guess what she didn't get one. Worse yet she asked me "why would I do that?" Seriously??? 2. A resident is coughing/choking in the dining room and the RN doesn't remember to assess him as she is to busy? Seriously? A-B-C- Airway always trumps anything. She should have gotten up then and went straight down and looked at him. Why would she even put it on her paper to look at him later. I just want to hit my head against the wall. My ED says I have too high of standards. I am sorry, but not killing someone because of stupidity is not too high of a standard.
    kids, pixie120, and itthybitthythpider like this.
  3. Sep 12, '11 by
    Quote from caliotter3
    This is the way it was at all of the facilities I ever worked at. Most of the nurses didn't even bother to "paper" it either. They didn't care. They all knew that there would never be consequences for not doing the job very well.
    So sad, really. It is just so very hard to hold these folks accountable, and so hard to get the managment above us, to support holding these people accountable. Really makes for poor patient outcomes,and in this economy, one would think the employees would be looking to improve their skills not worsen them, or increase bad behaviors. It seems backwards to me.
  4. Sep 14, '11 by
    i do not feel like a nurse. no critcal thinking skills, if a res is sick we ship 'em to hospital

    i agree with no restraints and pt rights etc. but i'm losing my skills. because of paper work and the fact when a res is sick we ship em out.

    ltc may not be for me d/t paper work, no critcal thinking, losing my skills, no iv's, etc. any one in ltc have any advice.

    polly, i think you may have answered your own question. go where you are happy. ltc is not for everyone. we each have our own nitch and i'm so glad we do. i'd hope to see you when i needed you at the hospital.
  5. Sep 15, '11 by
    Looking at a MAR: (medication name) 50 milligrams BID 9 a.m. 9 p.m.
    Right underneath this order and I mean right underneath the 50 mg order handwritten in the next space---couldn't miss it... (same medication name) 25 milligrams 9am 9pm


    50 milligrams signed off for 9a and 9 p from 6/1 through 6/29/11 then D/Cd
    25 milligrams signed off for 9a and 9 p from 6/24 through the end of the month.

    Physician's order for D.C (medication name) 50 milligrams BID start (same medication) 25 milligrams BID order date 6/24/11 (not 75 milligrams BID)

    Okay- so did the resident get the 50 milligrams and the 25 milligrams for 5 days BID? Both were signed off. Tell me someone didn't notice the orders and clarify that? Or is it that someone just signed off the medications for 5 days without paying one bit of attention to what they were signing???? What do you think...
    I was amazed....
  6. Sep 15, '11 by
    Quote from debRN0417
    Looking at a MAR: (medication name) 50 milligrams BID 9 a.m. 9 p.m.
    Right underneath this order and I mean right underneath the 50 mg order handwritten in the next space---couldn't miss it... (same medication name) 25 milligrams 9am 9pm


    50 milligrams signed off for 9a and 9 p from 6/1 through 6/29/11 then D/Cd
    25 milligrams signed off for 9a and 9 p from 6/24 through the end of the month.

    Physician's order for D.C (medication name) 50 milligrams BID start (same medication) 25 milligrams BID order date 6/24/11 (not 75 milligrams BID)

    Okay- so did the resident get the 50 milligrams and the 25 milligrams for 5 days BID? Both were signed off. Tell me someone didn't notice the orders and clarify that? Or is it that someone just signed off the medications for 5 days without paying one bit of attention to what they were signing???? What do you think...
    I was amazed....
    That's scary 0.0
  7. Sep 22, '11 by
    Today we had 3 discharges. OKAY so there were 3 nurses on the unit plus the unit manager. The nurse sent Mr. Jones' meds home with Mrs. Smith. Can't you even read English you silly twit. That's what I want to say to this woman.
    Then....there's an order, very clearly written to discontinue Lovenox when the INR is greater than 2. INR comes back 2.2 which is greater than 2. So....two nurses give the Lovenox! How do they make it through nursing school?
  8. Sep 22, '11 by
    Quote from CapeCodMermaid
    Today we had 3 discharges. OKAY so there were 3 nurses on the unit plus the unit manager. The nurse sent Mr. Jones' meds home with Mrs. Smith. Can't you even read English you silly twit. That's what I want to say to this woman.
    Then....there's an order, very clearly written to discontinue Lovenox when the INR is greater than 2. INR comes back 2.2 which is greater than 2. So....two nurses give the Lovenox! How do they make it through nursing school?
    You do INRs on Lovenox?
  9. Sep 22, '11 by
    We have a lot of ortho patients who come in on Coumadin & Lovenox. When their INR is greater than 2, we dc the Lovenox and continue the Coumadin.
    SuesquatchRN likes this.
  10. Sep 22, '11 by
    So what do you do or say to these nurses who make these blatant (and dangerous) errors? How do we put the fear back into their practice? Do you make one into a scapegoat? Do you report them?