dream'n, BSN, RN 11,651 Views
Joined Aug 28, '06.
Posts: 968 (58% Liked)
I would of called 911 also with a patient pulse ox of 31% on RA and 58% on 4L of O2, that is just insane. No one should be calling you, that in itself is unprofessional.
Welcome to Nursing 2017! The agency doesn't care who they assigned you, they don't care you are a new grad. All they are interested in is that you are a RN and that you need to 'make it work'. Working in the hospital almost everything will be your fault and you will be blamed for most things that go wrong. Again, welcome to the nursing profession
I work inpatient with adolescents. Don't think I've ever had to do any ADLs or lifting at this job. The adolescents can get very physical and aggressive, but I've found that most of my patients won't ever lay hands on me for some reason. I think they understand my age and usually target each other or the bigger and stronger staff members. This happens even when I have to get between two of them that are fighting. I find this especially with the escalated males in psychosis. They seem to not want to assault an older woman. Though none of them have any trouble calling me out verbally
Agree with previous poster - by virtue of being an RN, they are competent to act in a supportive manner. They should not take a patient assignment until they've been fully oriented to the unit. Further, there may be special equipment or procedures for which a nurse may have to show competency, per Joint Commission guidelines, before being asked to do it. So floating an RN to a unit she's never been to is probably a JC violation.
How about the hospital have some of the overstaffed OB-GYN doctors 'float' over to Cardiology to see patients? All MDs went to Medical School so they should be able to function just fine out of their specialty, right? The Neurologist could handle Nephrology and the Pulmonologist could work easily for the day in Orthopedics.
Seriously though, I think floating is as dangerous for nurses as it would be for Drs. Why the ANA hasn't dealt legally with such issues (along with staffing ratios), I don't know
Sounds like you would enjoy living under a socialist regime. Let me know how that works out for you.
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I'm sending good thoughts your way. It'll be hard, but you can succeed.
Our stories are fairly similar, although my baby was a newborn. I knew I had to get the quickest education around and start working. My plan was to support us as a LPN while going back for my RN. Took me 18 years to finally get that RN after my name just to become a new grad again, having to start from the bottom up. Employers didn't care that I had multitudes of experience as a LPN, I was a new RN and was payed as such. Honestly that was hard, I had topped out on my LPN salary, which was more than the new grad RN salary I was given.
Take whatever you want from my experience. I don't know if it will help in your decision. But sometimes life gets in the way and it can be really difficult to fit the additional schooling in once you stop.
I'm a psych nurse. Any employer I have had would have outright fired any staff member (nurse, security, etc) that had forcibly assaulted a patient like this. Sounds like the patient should call the police and make a report of assault and battery. Personally I think they have a basis for a lawsuit.
Ok, what is the real issue here? You've posted this same thing twice. Are you trying to find something wrong with this nurse? Several posters have already explained that this nurse was probably correct, but you're still not satisfied? I'm getting a freaky-dink feeling about all of this. I think you probably need to back off the nurses and do whatever it is you're hired to do.
I felt it in my early 40s. Really, really felt it
It was really tough call. I couldnt justify a 911 EMS transfer as the pt is stable.
Some physicians become extremely irate if you make a judgment call in non emergent situation like transfer to ER for CT. I've many times had MDs refuse an ER transfer even if pt on a weak bloodthinner if pt is otherwise stable.
I also was not direct caregiver for this pt. I was only supervising RN which was another factor i considered, there was another primary RN reporting to me.
I have no knowledge if pt intends to proceed. My understanding is the proximate nurse is directly responsible. Also for facility to be liable delay of care must result in harm to pt. Since the pt was stable and suffered no change of condition, opting for a 911 EMS transport didnt seem like good step. Now if the pt was reporting pain, if the minor bleeding or hematoma worsened, or if neurological deficits from baseline occurred, i would have obviously called 911.
TBH i do think I did what was appropriate, i'm just concerned this may end up in court room because that's the nature of medicine and society. My main question is,would I be considered responsible for the actions that night, or would it only be the primary RN?
My opinion is to go finish high school. I find it hard to believe that you're taking college pre-requisite classes without a diploma or GED, or even being enrolled in high school.
I haven't seen CNAs in the psychiatric inpatient facilities I've worked, although I think I did see them in Geri-psych clinicals while in school. What I've regularly seen are Behavioral Techs that quite often already have a Bachelor's degree of some type (ie: Psychology, Sociology, BSW, and Criminology) and are working on Graduate degrees.
It's also not a good idea to strongly "relate to patient" suffering. Boundaries are of BIG importance in psychiatric care for both the patient and the staff. Empathy not sympathy is important, as many of the patient's psychiatric conditions display in unhealthy manipulative behaviors.
Living at home with no housing expenses? I'd go 24 months for that (and 10,000 dollars cheaper).
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