JKL33 8,594 Views
Joined Oct 2, '08.
Posts: 1,184 (84% Liked)
OK, so is it better for an abused nurse to leave than to punish the abusers?
Changed my mind.
I was going to suggest visiting a smaller shoe store where the employees are well-versed in the particulars of the lines they carry, the inserts they sell, etc; they usually have personal fitness interests also. They may do gait analysis and various measurements and observations to suggest a shoe. If you've thus far just tried random shoes, I think there is hope that making an inquiry about some more technical aspects of shoes might yield good results.
I think the above ideas are excellent places to start, though.
Good luck - I'm sure it's miserable with the amount of walking and standing we do. Hope you find something ASAP!
We aren't in a position to receive your apology, although I realize you were using that term sarcastically.
It's unfortunate that you've had bad experiences and I wish you healing.
I can see several instances where what you are describing could occur if a patient refuses the medication. On my floor this happens most often with heparin, colace, and senna. If the package is already open, or the patient is in isolation I throw the med away. I don't think any of the nurses I work with go back into the pyxis and "waste" the med. Narcotics/controlled substances of course are a whole different animal. Another instance might be that the pill falls onto the floor as I open the package. I throw that pill away, and remove a 2nd pill from the pyxis to give. Again, if it is protonix or magnesium, none of us "waste" the original pill in the pyxis.
As far as patient billing, at least where I work, patients are billed when we scan a med, not when we remove it from the pyxis.
You shot yourself in the foot when you "got close" and gave her your number.
Couple of things:
1) You can waste a medication (through the dispensing machine) whether it requires a witness to do so or not. This is what I suggest. I go back to the machine and do a waste if I so much as drop a Tylenol tablet on the floor (or, say, the patient changes his/her mind after it's already removed from packaging). Take yourself out of the loop of these foolish "diversion" games!! See #2
In my opinion yes, if you pull the med, the patient for whatever reason doesn't want it and you don't document the refusal and return the med to the omnicell, you've diverted the med from its purpose, whether you forget a APAP in your pocket (we all have) and take it home and either throw it out or put it in your medicine cabinet for later use its still diverting-the med did not go where it was intended. Diversion most often has the connotation with narcotics and people who reroute them illicitly but regular meds can be diverted too, in the technical definition.
If I was with someone who made me cry(assuming it wasn't tears if joy) all the time I would definitely end it. Your significant other is supposed to make you happy not sad.
Here you go...from earlier this week...
What is happening to all of these medications that are pulled but not given? Are you saying people aren't wasting or returning them appropriately?
Or are you saying people are actually giving them but are bypassing the scanning process?
People need to waste or return appropriately, period.
Next thing to do is write up every incident where meds won't scan appropriately and CYA as far as how those instances are handled. Get an RN cosigner, etc.
Just from what you wrote, it sounds like they are targeting you for some other reason. If your workload is that heavy, I can't believe they'd actually risk losing you over a documentation issue. So, either there's more to the story here, or there is something going on they aren't telling you about. I would start looking for a different job while you still have one.
I don't know about the PTO and that aspect of it, but I do know that until this gets straightened out, I would give my usual report to the charge nurse, and I would document that the care of those patients was turned over to Suzy Q, RN Charge nurse. If the charge nurse says that's not how this is supposed to work, call the supervisor and inform them you will not be leaving without turning over the care of your patients - maybe they would like to take report from you, instead.
I'm just exhausted from running around trying to fix things. Today was so bad I actually cried from sheer exhaustion and frustration.
I'm tired. I can't get the higher ups to fix the situation, and I can't get these RNs to realize their mistakes, but I can't keep taking on everyone else's job.
I know I should go to school and get my RN. Especially since some of my frustration stems from knowing that despite their ineptitude they are making more than I do.
But I love my patients and I'd feel like an ass abandoning them to these idiots.
You're right, it's not really an lpn vs rn thing, but I figured some sensitive Sally would try to make it out to be one so I wanted to nip it in the bud at the beginning. Usually when I give a warno it stops the nonsense before it even gets started!
OP, I take your written story at face value, and wish you well in getting through this.
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