Latest Comments by JKL33

JKL33 8,594 Views

Joined Oct 2, '08. Posts: 1,184 (84% Liked) Likes: 5,225

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  • 0

    Quote from Jon12
    OK, so is it better for an abused nurse to leave than to punish the abusers?
    Jon,

    Just popping back in to say everything you have said, everything you are going through now is related to this idea. ^

    Every single one of us has been wronged in some way or another at some point in our lives. Admittedly some of those wrongs have been more egregious than others - - but it's probably safe to say many, many of us have been in a situation to want to "right" things, to make some particular truth known, or have our brief moment of being vindicated or even getting a little revenge. It is kind of human nature to want the things we think are good to prevail and the things we see as evil to be defeated. Especially when we feel we personally were wronged.

    This is where the saying about how "living well is the best revenge" comes into play. It's also why some people advocate forgiveness in various situations like these; they don't mean literally "forgive" as much as "move on and refuse to let it ruin you." (But forgiveness is good, too, if it's possible)...

    I'm sorry but no nurse is going to be able to "punish the abusers." Or at least, that situation would be very rare. But what one may do is absolutely destroy oneself hoping and trying.

    Many times the biggest thing to do is walk away and refuse to give abusers the biggest "win" of all - ruining your life. The winner doesn't always get the last word. Sometimes (often) the winner is the one who knows when to walk away.

    You have to go forward, man. There's no other way.

  • 3
  • 0

    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!

  • 16

    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.

  • 1
    Ambersmom likes this.

    Quote from pedsnurse4ever
    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.
    But you can see how that leaves you wide open if/when someone decides to start asking what actually happened to these meds.

    At the very least, check your current nursing policies to make sure that your (and your colleagues') handling of this is in accordance with policy.

  • 11

    You shot yourself in the foot when you "got close" and gave her your number.

  • 3
    Ambersmom, cleback, and BSN16 like this.

    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


    2)

    Quote from Ambersmom
    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.
    I get what you're saying, but I disagree with the sentiment. My problem is that in the original spirit of the definition of drug diversion was the idea that the substance was being diverted for an illicit purpose (as you noted). In other words, if I forget about a Tylenol in my pocket, I probably haven't handled it exactly according to policy, but I have not "diverted" it according to what this word used to mean in context. I had and have no plans to use it for illicit purposes.

    The general and everyday dictionary definition of diversion is simply a change of course or turning from course - it works well for talking about something like traffic. But if we're talking about drugs then the original definition of drug diversion is more apt.

    What "some people in healthcare" want to do now, is define it exactly as you describe above, Ambersmom; they think they're so clever saying the same thing you said - meanwhile the rest of the entire world is still working on the old (in-context) definition of drug diversion. As in, "s/he was diverting fentanyl." The original definition of drug diversion involved intent. This new-fangled use doesn't address context or intent and instead steals old terminology in order to imply that there was nefarious intent.

    I realize I'm making picky distinctions here, but this terminology inflation is occurring right alongside the acceleration of reporting to BONs (or at least increasing threats to do so). It looks worse, it sounds worse, and it wreaks more havoc to call this "drug diversion."

    This makes a difference in a lot of things down the line, too, such as the way these issues are written about, talked about, and reported about - - and dealt with.

  • 7
    opalbee, WestCoastSunRN, TriciaJ, and 4 others like this.

    Quote from Munch
    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.
    I would leave if they made me cry tears of sorrow or tears of joy.

    Crying sucks, in general, except for like once every 5 years or so.

    On a more serious note, it's all about one thing: Respect. In my book literally everything else flows from that.

  • 1
    Sour Lemon likes this.

    Here you go...from earlier this week...

  • 6
    rn1965, TriciaJ, AceOfHearts<3, and 3 others like this.

    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.

  • 8
    morte, Lil Nel, RNKPCE, and 5 others like this.

    Quote from EGspirit
    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.
    All these little random acts of evil serve a purpose. They keep people on eggshells, distract everyone from focusing on the ethical issue of poor staffing, and in general are used to maintain the power structure.

    Plus, they get to find out who will tolerate what. They don't care so much about the possibility of losing any one person; the overall goal is to be left with employees who feel powerless and thus toe the line appropriately.

  • 2
    canoehead and Sour Lemon like this.

    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.

  • 10
    Nurse Leigh, Mavrick, opalbee, and 7 others like this.

    Quote from SilenceintheLibrary
    I'm just exhausted from running around trying to fix things. Today was so bad I actually cried from sheer exhaustion and frustration.
    You need to stop doing it. Seriously. If you feel you can't stop because these are serious situations where someone's life is at stake, then you need to report it through proper channels and then find a safer place to work anyway.

    Quote from SilenceintheLibrary
    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.
    Indeed. You must stop.

    Quote from SilenceintheLibrary
    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.
    A good insight, I think.

    Quote from SilenceintheLibrary
    But I love my patients and I'd feel like an ass abandoning them to these idiots.
    Have you considered that there is currently nothing to motivate change, practically-speaking? You haven't implied matters of life and death, so this may be one of those situations where you have to step back and let them do their work their way and hope that illuminates the situation.

    It's certainly not worth your sanity. The fact is we are all replaceable. I know it may seem like the place would implode without you, but it won't, and that's not snark - just reality.

    I admire that you want to provide excellent care and services - truly.

    I wish you well in making a change ~

  • 1
    brownbook likes this.

    Quote from SilenceintheLibrary
    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!
    But, no need to nip anything this time around because, like you said, it has nothing to do with that.

  • 4
    cleback, Here.I.Stand, Essexgirl, and 1 other like this.

    OP, I take your written story at face value, and wish you well in getting through this.


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