jodispamodi, BSN, RN, EMT-B, EMT-P 2,108 Views
Joined: Mar 7, '08;
Posts: 205 (60% Liked)
; Likes: 363
The plan of care that a nurse acts upon is partly based on the physicians plan of care, but no, nurses don't simply follow only the medical component of the overall plan of care. I have to assume you misstated the claim that we must always follow doctor's orders and that we can only do what a doctor directs us to do, there are certainly times where following a doctor's order would rightly cost a nurse their license.
It's important to understand the reason why in the OP the doctor said they couldn't prescribe the CBD oil, in the context of prescribing and administering CBD oil is not considered a medication, so it is neither prescribed or administered.
Our primary responsibility to advocate for the patient and ensure that the plan of care we are acting on is based on the patient or their surrogate's preferences, values, goals, etc.
In the scenario described, there is nothing that prevents the nurse from incorporating CBD oil into the plan of care the nurse is overseeing and participating in.
I had a patient very recently who believed his many health problems were caused by someone putting a curse on him, he requested help in finding a shaman (he had asked me if I knew any native americans) to get it lifted. Other nurses just laughed at him, but I got in touch with social work and chaplains and we were actually able to arrange someone to come in and perform some ceremony for him. I don't believe in curses but I know if he believed it could impact his healing and mental health. My theory is if it doesn't hurt him, me or anyone else, why not.
I got violently ill at work once and had to go to the ER in the middle of my shift. The ER doc was convinced I had caught something from a patient, I had no other sick contacts. I just know that was probably the sickest I've been in my life, and even now a few years later I still don't think my body ever fully recovered.
I've seen ads for a sneaker called xerogravity, they look comfy and have the springs in the heels but are $120.
I'm really confused, did you run the code alone?? Something is not right and missing, purpously omitted!!
I spent last winter living in my car, not by choice but through no fault of my own. My employer was aware, did'nt care one way or the other. Just know this op, living in a car or van (unless you have a dependable place to park is expensive! More expensive than renting an apt for sure. All depends on location and circumstance, but gas, meals, having to pay to take showers or rent a hotel room to shower add up quickly, add sleep deprivation and stress to the mix, especially if you don't have a dependable place to park.
Some places allow for hardship and reduce or eliminate what is owed. Talk to that states board of revenue and see what they say. If that doesn't work, I'd try consulting a lawyer, there are lawyers that do pro bono work through legal services or the bar association.
Usually for jobs you have to list every state in which you've held a nursing job so even if you gave up the license it is still discoverable on a background check and would likely show up as suspended rather than inactive or expired., hiding that license by not disclosing it would probably be seen as a far worse omission than a suspended license over back taxes.
Best of luck, I hope this can easily be resolved for you.
I understand. Glad you have a lawyer; hopefully someone who can help you navigate this. I suppose it'd be a fantasy to think they might actually put some pressure on them to cut out the "diversion" language or else make them accountable for it. But, it's easy enough for me to sit here and say that; I haven't experienced this...I just keep thinking, as told, this type of misuse of "diversion" language and the havoc that wreaks when nothing at all has actually been diverted seems to me like the very definition of slander (and likely libel, depending). If I had already retained a lawyer, it would be for the purposes of not just advice on how to get through this, but also to examine the situation a little more closely.
This is just so nuts. It would be like finding out that one is "being investigated" for murder for not coming to a complete stop at a stop sign. Meanwhile, no one died...
I asked my manager twice before this mystery meeting if I need representation or a lawyer with me to protect my career or license. She stated both over the phone and text message that no I did not need anyone. I have now obtained a lawyer but I am so upset that I went in there alone and poured my heart out without anyone their to be a witness. Thank you for responding and your helpful info and kind words.
Just always, always remember this... Your manager is not there for you... They are there to protect corporate interests, they get lots of premiums for doing that, and they may be nice, and work with you on schedules and such but if push comes to shove corporate comes before you. For any type of serious discipline ALWAYS consult someone who in YOUR corner. I have a friend going through something similar, not accused of diversion or patient care problems but fired over something ridiculous when a coworker retaliated and lied. I have seen a very good nurse have her heart broken. Protect yourself! By any chance are there any surveys or audits coming up at your place of work? That may be one reason for this overkill accusation.
off on a tangent - anyone remember when they used to have separate dining rooms for the physicians? Like does anyplace still have them?
As long as the CNA's at that hospital, accept this as "normal" seriously 15 patients or the whole floor? Not very nice, and not very safe. I personally would leave.
I am so sorry for your loss, how horrible. The advice I can offer is (from losing my own loved ones in traumatic and non traumatic ways).
First of all, work is a great distraction but allow yourself to grieve. Don'rush it and don't fight it, losing someone traumatically can take from a year ti a lifetime to get over.
Stay out of your own head, you nay find yourself thinking weird things- I believe this is just the minds way of coping-ignore those thoughts that say you should have known, done more etc, again just the minds way of distracting ourselves from the pain.
Find someone/somewhere to talk-sometimes it it hurts to talk because it reminds us the loss is real BUT each time you talk makes the pain slightly less intense.
Expect that some people you assume will be there for you-won't be, and some that you never expected to be there for you will be.
Allow yourself a certain amount of time every day to be sad, be mad, yell, cry or hit things, then after that time is up put your game face on (this strategy helped me immensely when my brother was killed)
Although it is hard to believe it doesnt get better but it does get easier.
Turn a deaf ear to curious comments and such.
Be kind to yourself, allow yourself more time to complete tasks, and DON'T make any major decisions without out at least looking over the details 3 times over 3 days.
Some days it will feel like it happened a day ago, others it will feel like it just happened, allow yourself time to grieve
After a loss like this it feels so weird when you turn on the TV or the news and people are acting normally, as if the world hasn't stopped in its tracks. I think that is one of the things that hurts most.
So sorry for you and your sons loss, I hope some of my advice will help you and your sons cope.
I had a family member who lived in another state who had a lump on his neck, being a guy of course he just brushed it off-didn't think it was anything, Gosh how I wish one person would have said something to him, told him to get it checked out... yes it was cancer. Its hard to say something to a stranger, but I'd like to think I'd say something, particularly if the lump or whatever looked like early stages, later stages they probably know, but early stages may be just hopeful wishing/denial that "its nothing" or will go away.
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