Nishstar1

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1. Policy contradicts State Law

   Nishstar1 replied to Nishstar1's topic in Safety

   I do feel like I made the right choice. During my time there, I had documented and time stamped my actions and the responses. I filed them in a binder along with a print out of the state law. I made copies and kept one set. If an EGD is done, yo...

2. Policy contradicts State Law

   Nishstar1 replied to Nishstar1's topic in Safety

   I'll work on that right now. It is extremely difficult to get through to someone in the state BON, but I'll start with the medical board. Thank you

3. Policy contradicts State Law

   Nishstar1 replied to Nishstar1's topic in Safety

   True. Also, would like to add this is an outpatient ASC with no anesthesiologist on site for conscious sedation and likely not within a 5 mile radius (they leave after mac sedation cases are over). There were so many red flags, I hightailed it like...

4. Policy contradicts State Law

   Nishstar1 replied to Nishstar1's topic in Safety

   Thank you all for responding and supporting my stance. I've been a nurse for one year and the nurses I work with have been working in ICU and ER For over ten years, but I've been taught to go with my gut instinct. I have quit working there (unlike...

5. Policy contradicts State Law

   Nishstar1 replied to Nishstar1's topic in Safety

   I've resisted into going in while this is happening and told her I'll stay out in pre/PACU. The day of, she tells me that I am to relieve her for breaks because there isn't nobody else. Since when does consensus overrule patient safety? She says...

6. January 2018 Caption Contest - Select $100 Winner!

   Nishstar1 replied to Joe V's topic in Announcements

   "It looked different on the ultrasound!"

7. Policy contradicts State Law

   Nishstar1 posted a topic in Safety

   Good afternoon, I need to know what to do when state law contradicts a policy in a facility. This is related to conscious sedation where state law says that an RN cannot be performing any other tasks when administering sedating medications. The pol...

8. DIRECTOR OF NURSING

   Nishstar1 replied to Nishstar1's topic in Operating Room

   I agree with a lot of your points. A littleore background to this is that I came in as DON and there were two RN's who were really great but they had gotten burnt out and had quit one week before I joined...so I picked up the pieces and worked in the...

9. DIRECTOR OF NURSING

   Nishstar1 replied to Nishstar1's topic in Operating Room

   Rose Queen : I read your message and have been trying to absorb/back track on things I have missed. Another factor is that they are so young and haven't developed the ability or realize the importance of professionalism and there is tempers flaring,...

10. DIRECTOR OF NURSING

    Nishstar1 replied to Nishstar1's topic in Operating Room

    I'm not sure, and I didn't identify a problem because I regularly interact and communicate with staff (almost daily). It so happened one day that one nurses started venting to me after she couldn't come in to do her own work and expected me to drop w...

11. DIRECTOR OF NURSING

    Nishstar1 posted a topic in Operating Room

    I would like advice on how to handle sabotage from staff nurses and technicians. As Director of Nursing within an ambulatory surgery center with an upcoming Joint Commission inspection, there is an increased focus on getting the surgery center up t...