LadysSolo 4,451 Views
Joined Dec 17, '06.
Posts: 200 (71% Liked)
It's stories like this that push me closer and closer to the edge of leaving nursing altogether. I'm so glad you kept your license and it was resolved.
Thank you so much for the information. Unfortunately, I already accepted the BRN's charges as my lawyer told.me it would.cost upwards of $40,000 to go to a hearing and he didn't think we would win. He said the BRN in my state "often" rejects the judges decision , and they are allowed to do that based upon non binding arbitration. I made an error in a med administration, but they based the severity of charges saying I didn't have the 2nd RN present at the time. I DID. She was watching me. She stated I didn't call her into the room to do the procedure. No I didn't "call" her into the room because She came into my room at the pre-designated time as PLANNED and walked with me to the pump etc...there is.even more detail here. Too long for this post....
I've found that a little sarcasm or a little humor works with these sort of folks. The thing is, I can't plan it -- it just sort of pops out.
There was a renal attending who had a reputation for being nasty, and we all used to dread renal consults in the CCU. One morning he showed up at 7:07am (after the consult was placed at 7:01) and started yelling (raised voice, offensive language) about the fact that I didn't have an hour's worth of urine collected for him. "It's been six minutes," I said. He continued to rant about the fluid orders, labs that hadn't been sent (because they hadn't been ordered) and various and sundry other issues. Finally I snapped.
"I'm SURE Dr. Smith ordered this consult to ruin both of our days."
"Oh," he said, taken aback. "Right. I'm sorry."
And I never EVER had another problem with him being nasty to me.
Wish people would stay on this topic. Everyone has different experiences and just because you may not have had that experience, it does not mean others have not. That being said, what is the appropriate answer? For the sake of discussion, let's say you have a healthy 24 year old that does not have anything showing they wish to be an organ donor. In my state this can be designated on the drivers license. The family says they never expressed a wish to be an organ donor. For whatever reason (pick one, religious, past experience, just don't want to) the family states they don't want their family member to donate organs. Per hospital protocol, the phone call is made that there could be a possibility for viable organs. That conversation happens and the family says no. What is the accepted practice thereafter? No more asking, asking one more time, sending in another person. I am wondering if this varies by state, by institution, etc.
Quote from Asystole RN
Yes, let's. In what way is it questionable - let alone criminal - to alert someone of the possibility that their rights have been ignored and validate their (initial) feelings that something wasn't quite right? I was not aware you needed to be professionally trained to determine if it's okay to walk in unsolicited and unwanted when using the bathroom. Silly me, I thought it was common sense. I guess I learned that lesson.
Read back the original poster's situation, then my first and second reply. You will find I do not disagree, at least not on the principle of things. I suggested a more appropriate, less intrusive, way to check on a patient.
In any event, it seems the original poster provided more information which clarify a lot more of the situation. It appears he is happy with the answers he was given and is closing the case. I'm happy to follow suite.
Patients are sometimes found unconscious, on the floor of the bathroom, bleeding from their heads. People often say they're going to call for help before attempting to ambulate, then do not. Falls are a HUGE deal and it is ALWAYS the nurse's fault ...even when it's not.
Yes, you deserved more consideration, but I understand why you did not get it.
Agreed - we have to call Donor Network regardless of Advanced Directives or a will or any statement the patient does not want to donate.
Your casual dismissal of his concerns reminds me of white people casually dismissing black people's experience of racism. Of course sexual identity doesn't affect YOU, you are the majority.
Dude I would forget those stereotypes, male nurses are like any other group of guys. I'm a nurse, happily married for four years, and prior to that had several girlfriends, went on a whole bunch of dates and no woman ever gave it a second thought. In fact my wife thinks it's kind of cool that I help people heal and that I have medical knowledge. And besides, your career has nothing to do with your gender anyway. My dad was a nurse for years, I knew early on that I wanted to be a nurse, and the fact that I'm a guy has always been totally irrelevant. Nursing has been a challenging, rewarding profession, and I chose it over medicine because I like doing more hands on care, I like the flexibility to work any kind of schedule I want and to work in all different areas rather than specialize in one thing and stay there.
Anyone who doesn't view those questions as inappropriate might need to examine their critical thinking skills.
Wow, the timing of this thread is shocking!
I'm in California as well and I work hospice. For our hospice patients in SNF, when they die, we have to call that 1-800 number. I've been doing it for years but recently it has gotten more difficult to deal with them. Even if you say the family has said no, they continue to ask you questions that take about 20 minutes to ascertain if the patient would be a candidate.
I had a patient die a couple of days ago. Uterine cancer with mets everywhere. She had a large open necrotic coccyx wound. When she died, I called her family and then started the paperwork as I called the Donor Network. I told the rep the family said no and again, had to answer all the questions. Very detailed, H&P, labs, X-rays, MRI, CT scans, etc.
The rep said the patient qualified for skin donation. I told her the family had already said no to donation - the legal rep of the family. I was told that another specially trained person would be calling back in an hour to talk with the family about donation and I should not talk to the family about the upcoming phone call or anything about donation.
I was appalled. So, OP . . . I totally get your point.
And I am in favor of donation.
But this new way to change people's minds reminds me of Mortuaries and how they prey on the grieving families in order to get them to purchase more expensive caskets.
"Predatory" and "unethical" indeed.
I'm still fuming about it . . .
I agree with you OP. If it was my family member and I'd already said no, I better not see or hear anything else about it. Leave alone in peace to grieve.
Wow, I didn't interpret the OP's original post the same at all. Amazing how we all see things differently.
I was surprised by the timing of the post because I had a recent negative experience with the donor network here in California.
The OP has some good points and a scattered few posters have agreed that some of the donor networks' tactics are troubling.
Again, I am in favor of donation.
I have actually, 1-2 million, quick google is very taxing. But, let's not digress.
Bringing in a third party after the family already made their wishes known regarding organ donation and during the grieving process seems predatory and unethical.
@ traumaRUs, MSN, APRN, CNS
In California, the same license practice of being an organ donor is done. I was wondering about the people that didn't respond yes or no on their license.
I understand the role of the third party to show no impropriety. But, is it really ethical to persuade someone during the vulnerable state of grieving?
And, thank you for the good read. It was an intelligent and thoughtful reply.
@dangerous1: I understand how you feel. We had a similar policy when I worked in the ED, and it didn't sit well with me either. I remember watching a video where they showed the representative from the organ donation center approaching a grieving family shortly after they'd gotten the news about their loved one being brain dead. It was supposed to be a positive representation, but it really put me off.
I don't think you're unintelligent for questioning these procedures. Better to question than to blindly follow.
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