nurse2033 23,675 Views
Joined Jun 6, '07.
Posts: 2,091 (46% Liked)
Maybe Landstuhl would hire you part time and you could arrange your shifts in clumps. You could then stay on the base either at Landstuhl or nearby Ramstein and drive there once or twice a month...
Don't do it. If you truly made an error it should have been caught long ago by agency chart review. If their review process is lacking or absent that is not your problem. How can you even remember what happened? I can't remember patients from the start of my shift. Unless you were negligent, and you have full recall of the situation, I would not do this.
I hate to nitpick but there is no nurses' oath. I happen to agree with "do no harm", but it is not an oath that nurses take.
I had a similar situation (about not being able to work certain days) and had the same outcome. The manager said no problem in the interview, then didn't back me up when the schedule came out. Next time I will get it in writing.
The cost of a toxic employee is very high, both in morale and retention. Although unpleasant, you or the manager should counsel the employee, keep records, and fire them if there is no change.
This is an excellent example of why nurses need to get involved in politics at the state level. Yes, yuck! Or at least with your state nursing association. Consider working on ratios as advocacy for patients.
You don't drive the medical care, that's the provider's job. So I don't think you did anything wrong. You did have another nurse cover in case anything changed, and guess what, it did. The patient was treated appropriately. You notified the provider about a change in mental status which puts it on them to investigate. The MD's remark that a change in mental status is to be expected seems a bit blasé. Altered mental status in the face of shock is deadly serious and needs to be addressed immediately. If not, the patient could decompensate. Oh wait, that's exactly what happened (not your fault). What you could have done differently perhaps, is to more assertively remind the MD that the patient was deteriorating. What is not here is the dynamic between you, the MD, their experience, the culture of your department and so on. This all affects how things go. I work in a small ER, we all know each other, no students, and the MD's take our concerns seriously. Take a breath. Patients will have bad outcomes sometimes even if you do everything perfectly. You can't take it personally. You did everything that nurses are expected to do. Hope this helps.
I love taking care of people. Being a parent taught me that men are just as caring as compassionate as women, just in their own way. To me nursing is the same. Regardless of sex, we all have our own perspective and paradigm of caring, which is the core of nursing.
Great post. Thanks for advocating for nurses, and ultimately our patients.
You shared the information. Not a violation.
Best of luck. Thank God you stopped skimming at least. Addiction is a disease, this is a great step. Get all the help you can. I would just come clean and take every opportunity to get better.
Yes please, that would be great. Thanks!
I'm trying to find any studies that specifically address "looping". This is securing the male end of an IV infusion set to a port on the same line. This practice is common to keep the end clean instead of placing a clean cap on it. I see that it is not recommended but I can't find any study that proves it is harmful. Does anyone know where this could be found? Thanks!
To answer your question I was thinking it will be when pigs fly, when cats and dogs live together, or when snowballs don't melt in hell. You know they say the same thing about us right? Accept, breathe, don't judge, and carry on!
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