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LadysSolo 6,989 Views

Joined Dec 17, '06. Posts: 335 (70% Liked) Likes: 884

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  • Nov 19

    You are a student. You cannot...legally ...make a medication error. Any medication you administer is under the responsibility of your instructor and the patient's nurse.
    You are in a learning role. NOT your fault.

    Peace.

  • Nov 18

    Quote from LovingLife123
    Here, everybody goes to the same hospitals, they all just have different insurance or no insurance. And they all have equal access.
    Hmm. I think you do make some good points. Especially in your second post. But I have to disagree about this one. It is definitely true that universal health care has its problems (i.e. wait times, sustainability in the context of an aging and sick population). However, it does promote equitable access to health care by removing the barrier of financial burden. i.e. If I don't have to pay to receive medical care, I am probably going to be more inclined to seek it- and seek it early, than if I don't.

    For someone with money, medical fees are not going to be a barrier to seeking care. However, for others (i.e. the working poor- even those with insurance) copays and deductibles are barriers to health care. Do you think someone working at a minimum wage job supporting a family is likely to get that suspicious mole checked if they have to pay to do so? For some people it is a choice between rent, food, and health care.

    Furthermore, I would argue that we don't all get to go to the same hospitals. This depends on whether or not I have insurance, and how good my insurance is.

    Anyways, I don't mean to derail this thread and turn it into a universal health care coverage debate. That is another topic for another day.

    As an aside:
    I was quite sick when I was little and lived in a country with universal health care coverage. Now that I live in the US, I keep thinking back to that time and what would have happened if my family had lived here. I think of the financial burden my illness would cost us and how that would have changed the trajectory of all of our lives.

    I realize the privilege I have at being able to work as a nurse in the US. I love being privy to technology in health care and the culture of safety I see everyday at my job. However, I probably will never stop hoping for universal coverage so that patients can enjoy these things without having to worry about how much it will cost them and their families.

  • Nov 18

    1). Universal health care mandate (plus private commercial insurance available for those who wish to have it).
    2). Financial and care-related incentives for preventive care and fines for the lack of it. Smoking tobacco? 1%/year up your tax goes. Hip replacement? Get your diabetes and HTN under control before it happens.
    It WILL make waiting times more longer - for some surgeries, quite a bit longer, though.
    3). Get direct advertisement of drugs and medical service illegal.
    4). Get noveau medications targeting high-risk conditions mandated for coverage. GLP1 agonists like Saxenda have tons of evidence promoting their role in weight loss - they cost a fortune and not covered by most plans, and that's only one example.
    5). Drugs prices MUST be federally controlled (and each and every CEO caught price-gauging must see the daylight next time in 10 years or later).
    6). Shift action from inpatient to home-based. I believe that this country needs a whole lot of daycare respite centers for aging adults - so that they might stay in their homes and their caregiver could continue with their active lives.
    7). Things like yoga, pilates, lightweights, tai chi and Pure Barre should stop be expensive entertaintment for rich and young. Everybody needs them, and everybody should be able to afford them.
    8). Allow so-called "mid-levels" to practice within their full scope of practice everywhere in the USA. Get their training under same sort of control as medical schools are.
    9). Allow all "mid-levels" and MDs/DOs to be trained in primary pain management, so that they know and do basic things which can solve most pain problems before they become chronic.
    10). Eliminate role of HCAPS for reimbursement (and send the authors of this genious idea to court, please).

    10 things, just to get started

  • Nov 18

    I would have a free universal healthcare system in place like there is in England (the NHS - National Healthcare Service), but with good compensation packages for all staff. Funding would come from wages/salary and would be a % of income. No insurance.

    It would no longer be a business, it would be a HEALTHCARE system. Top admin wouldn't be paid ridiculous amounts, but salaries more in proportion to realistic standards.

    I would make sure every hospital was adequately equipped with everything it needs in terms of supplies and technology.

    I would staff appropriately to improve patient safety and reduce nurse and doctor burnout and stress.

    I would funnel money into preventative care programs.

    I would funnel money into social services and provide family support from the ground-up, because a lot of the issue begin there.

    I would provide adequate resources in schools to educate in health and wellness.

    I would funnel money into mental-health because that is tragically understaffed and underfinanced.

    (....and I would also like to dive out from behind the wall saying, "hi, I'm John Quiñones......"and this is "what would you do??")

  • Nov 18

    I disagree with the previous posters. Nursing shortages and inadequate staffing is only one of the symptom of the problems in healthcare in the us.

    In an unlimited, perfect world, I would Direct the budget towards primary health care - smoking cessation, proper nutrition, education, dealing with the social determinants of health to prevent health problems. Implement a universal health care model such as France. Change the model from a business centred one to one focussed on health and wellness of the individual.

    Unfortunately, I think the US would require a lobotomy before that would ever go through

  • Nov 16

    You say you are a new nurse with only 6 months of nursing experience. You also say that you are finishing your first semester of your MSN program. Those 2 facts together might be a problem. If you have not yet "found your niche" and become a successful nurse, then why are you pursuing graduate education as a nurse? Why did you invest in graduate nursing education without first getting your feet on the ground as a nurse? Maybe you should put that investment on hold until you get settled in a nursing field that you actually like.

    What type of MSN program are you in?

  • Nov 16

    Quote from brandy1017
    I'm sorry this happened to you and I hope you will be able to find another job soon.

    Still I don't think it's fair to blame Obamacare, before insurance companies cherry picked only the young and healthy and simply refused to insure anyone with any health problems. Even worse they had a nasty habit of refusing to pay claims when someone became sick with an expensive, serious illness like cancer and bonuses were even given out to whoever found some obscure reason to retroactively uninsure the now desperately sick patient who was forced to rely on the kindness of strangers or the govt to bail them out!

    Obamacare isn't perfect, but at least millions more people finally have health insurance, sometimes for the first time in their lives! The Republicans have made it their mission to destroy Obamacare rather than work across the aisle to fix things.

    It probably isn't any consolation but you are not alone. The same corporate downsizing is happening across the country from nurses in hospitals, home care, clinics, etc. I've worked with a couple travelers who after being laid off found the only way to get steady work was to work as a traveler. It's not just us, even engineers and IT pro's are being laid off, many IT workers forced to train their Indian or Filipino replacements if they wanted to get a severance package! Disney was the latest in the news for this disgusting tactic.

    In the end it is our government's refusal to protect us both from age discrimination and allowing companies to bring in foreign workers on HB1 visas to work for less! A recent Supreme Court ruling made age discrimination almost impossible to prove unless you had the smoking gun! One computer pro won his claim for age discrimination because the supervisor had publicly bragged about replacing him with a high school student for next to nothing!

    I don't understand how we can be one of the richest countries in the world but not even have national health care for its people. It is just shameful! National healthcare doesn't have to be the end of insurance companies we could follow the German model and I believe other countries in Europe people pay for private supplemental insurance most closely resembling our medicare system.
    Far from blaming Obama care, I stated it is the current administration's decision to stop funding Obama care that is the problem.

  • Nov 16

    Quote from brandy1017
    I'm sorry this happened to you and I hope you will be able to find another job soon.

    Still I don't think it's fair to blame Obamacare, before insurance companies cherry picked only the young and healthy and simply refused to insure anyone with any health problems. Even worse they had a nasty habit of refusing to pay claims when someone became sick with an expensive, serious illness like cancer and bonuses were even given out to whoever found some obscure reason to retroactively uninsure the now desperately sick patient who was forced to rely on the kindness of strangers or the govt to bail them out!

    Obamacare isn't perfect, but at least millions more people finally have health insurance, sometimes for the first time in their lives! The Republicans have made it their mission to destroy Obamacare rather than work across the aisle to fix things.
    She is not blaming Obamacare (ACA), she said the cutbacks are because Trump is screwing with Obamacare and causing the financial struggle it is currently in, which I happen to agree with wholeheartedly. Trump has undercut and underfunded our only national health care program to the point where not only are people losing insurance but people are losing their jobs, as evidenced by Been There Done That's situation.

    BTDT, so sorry to hear this is happened to you, and I'll hope along with everyone else that you find a great position soon!

  • Nov 16

    I'm sorry this happened to you and I hope you will be able to find another job soon.

    Still I don't think it's fair to blame Obamacare, before insurance companies cherry picked only the young and healthy and simply refused to insure anyone with any health problems. Even worse they had a nasty habit of refusing to pay claims when someone became sick with an expensive, serious illness like cancer and bonuses were even given out to whoever found some obscure reason to retroactively uninsure the now desperately sick patient who was forced to rely on the kindness of strangers or the govt to bail them out!

    Obamacare isn't perfect, but at least millions more people finally have health insurance, sometimes for the first time in their lives! The Republicans have made it their mission to destroy Obamacare rather than work across the aisle to fix things.

    It probably isn't any consolation but you are not alone. The same corporate downsizing is happening across the country from nurses in hospitals, home care, clinics, etc. I've worked with a couple travelers who after being laid off found the only way to get steady work was to work as a traveler. It's not just us, even engineers and IT pro's are being laid off, many IT workers forced to train their Indian or Filipino replacements if they wanted to get a severance package! Disney was the latest in the news for this disgusting tactic.

    In the end it is our government's refusal to protect us both from age discrimination and allowing companies to bring in foreign workers on HB1 visas to work for less! A recent Supreme Court ruling made age discrimination almost impossible to prove unless you had the smoking gun! One computer pro won his claim for age discrimination because the supervisor had publicly bragged about replacing him with a high school student for next to nothing!

    I don't understand how we can be one of the richest countries in the world but not even have national health care for its people. It is just shameful! National healthcare doesn't have to be the end of insurance companies we could follow the German model and I believe other countries in Europe people pay for private supplemental insurance most closely resembling our medicare system.

  • Nov 16

    Quote from nursel56
    I'm sorry. And not the least surprised. But you have your sense of humor..which can be the butt-saver when all else is lost.
    What make's you think I was kidding? My tassles will just be a lot lower.

  • Nov 13

    i often wonder if the push for BSN has had something to do with new grads being unprepared for the real world? I graduated in 1985 from a Diploma program which, like most, was connected to a hospital. The program was six semesters and we spent 2-3 8 hour days a week in clinicals and had lectures/classroom time the other 2-3. By the time we graduated, we had "worked" in ICU doing everything on our own. At the time, team leading on med surg was the norm and we took our teams of 8-12 pts and had lpns and cnas on our team. The student preceptor was there in the background in case we needed him or her but we were basically on our own. Over the last 30 years, i have had many students follow me. "Clinicals" in icu were observation, not hands on. I noticed most students werent prepared and didnt expect to do the work ( most were thrilled when I would encourage them to try an IV, insert a foley, etc.). I am not saying that there is anything wrong with getting a degree, i just think we need to evaluate the effectiveness of the clinicals they offer now. By the time a nursing student graduates, he or she should know what they are getting into!

  • Nov 12

    She's on very little for medication. She refuses medications and they have to be hidden in ice cream, which we are being told can be considered abuse. I asked if we could get prn IM ativan to give her prior to providing cares and was told that was chemical sedation. Our physician refuses to prescribe it and our regional director said "no" to it, as well. We are a "no restraint" facility.

    We have tried to get her admitted to a psych unit but they say her dementia diagnosis trumps her schizophrenia diagnosis, so psych does not have to take her.

    She most likely has a UTI, but we can't get a urine sample. She has such severe uterine prolapse that we wouldn't be able to cath her even if she'd be still long enough to do it. Now, of course, we have the new rules about not being able to administer antibiotics to anybody who doesn't have a positive urine culture.....

    All these laws really stink. We're not allowed to use our common sense or our educations. We're not allowed to restrain or force anything but not providing cares is abuse.

    Wish we could send the politicians to run the nursing homes themselves for a while.

  • Nov 12

    Quote from Here.I.Stand
    "Honey, I am not taking luxury naps during the day -- this is my BEDTIME. Waking me up in the middle of the day is akin to me waking you up in the middle of the night...how would you like it if I woke you up at 3 a.m. for a non-emergency? Interrupted sleep is not restorative -- therefore it puts me at risk. Of course I trust that you can understand this, and I trust that you don't want to put me at risk. Our new policy is: you may wake me up if you see blood or smoke. We will see how that goes; if nothing improves, I will have to start locking the bedroom door."

    If that doesn't work, you may consider proving your point by waking him during the night.
    This is probably the best response out of the ones above. TALK to him first. Explain to him that since you work at NIGHT, you will have to sleep during the day. Assume that he means well but is totally clueless (as opposed to assuming that he's out to get you in some fashion). If that doesn't work, then wake him up at night, say at 2am for some inane reason that he's used when waking you. Use the exact wording if possible. (For my ex, it was "Help me find my shoes.") You may have to repeat this tactic before he "gets it." Next time, wake him up twice.

    If, after three nights of interrupted sleep he still doesn't get it, then you're not dealing with a clueless spouse. You're dealing with a disrespectful and potentially abusive spouse. And then you have a whole bunch of different decisions to make, problems to sort out.

    I hope he gets it before the third night!

  • Nov 12

    Quote from BabyRN_nights
    Ok so I have been married a little over a year now and I work nights 7 p-7am.
    Quote from BabyRN_nights
    My friends are envious the man is amazing I'm lucky no doubt. There's one major issue that keeps causing fights between us though.
    Quote from BabyRN_nights
    He wakes me up all the time.
    Quote from BabyRN_nights
    I can't get him to understand even if it was just for a minute or five that it's a big deal.
    Well from your post I gather that you have probably told him on several occasions that you need your sleep and that you don't want him to wake you up/disturb you while your sleeping. I've bolded some parts of your post because I think that they are revealing. I don't know your husband but I know people. It's not that you can't get him to understand. Unless he is far below average intelligence he should understand your request just fine. It's a simple enough concept. Wife is sleeping = do not wake up wife. This isn't rocket science. For whatever reason he chooses to not respect your request. Be it resentment, power games or simple selfishness, I don't know. But it is disrespectful.

    I can't tell you what to do as my own response would likely be quite harsh if someone treated me that way over and over again. In all honesty, I probably wouldn't stay around for the repeat performances in the first place. I simply wouldn't tolerate it unless the house was literally on fire, in which case I would appreciate being woken up. But that's pretty much the only exception to the do not disturb rule (I work nights).

    I am aware that people who've never worked night shifts don't always understand why night workers sleep "all day long", but that shouldn't really matter if you've explained to him that your need your sleep to be uninterrupted. You telling him this ought to be sufficient. This is in my opinion an issue of respect for ones partner and being "good around the house" and envied by friends (he's not regularly waking them up in the middle of their sleep period, is he?) isn't a valid excuse or give a person carte blanche to be a jerk in other arenas.

    OP, I'm sorry that you're having to deal with this behavior. Night work is hard enough on your body without having your sleep sabotaged. I hope that you can find a solution to your problem.

    Best wishes!

  • Nov 1

    It sounds like this patient needed to have some limits set and enforced well before this happened. Patients who cannot behave appropriately and do not want to participate in their care can be discharged home.

    We do not allow smoking in the hospital or on property, and we do not allow patients to leave the unit to smoke. Patients who leave hospital grounds without an order (these are pretty much restricted to our oncology patients who are going to family events for a very short period of time) are considered to have eloped the facility. They are no longer patients and if they are a risk (including things like having an IV in place) we call PD for a check the welfare.

    If the patient hit your tech he or she needs to file a police report. That is never acceptable behavior, battery is not and never should be considered okay. I have sent patients to jail before for battery on a health care worker and would do so again. In my state it is a felony and I think it should be everywhere. Patients are in a position of trust with staff and if they abuse that position they need the same punishment that anyone else in a position of trust gets.


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