Content That BabyLady Likes

Content That BabyLady Likes

BabyLady 10,437 Views

Joined Dec 17, '08. Posts: 2,406 (41% Liked) Likes: 2,548

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  • Aug 6 '11

    First thing that hit me about that law is this: Isn't it pathetic that we need laws to compel someone to CALL for help.... yikes

  • Aug 5 '11

    Quote from SummitAP
    What are you even talking about?

    Your RN license lets your practice under a MD. If you aren't at work, you aren't allowed to function as an RN. You can function as a first responder under your good samaratin law. Similarly, an off duty paramedic cannot show up off-duty with their personal Lifepack 12 and field cric kit. That's illegal.

    Being an ER nurse from a trauma 1 vs a med surg nurse, there is no difference in what you can do for a patient when all you have is some gauze and gloves. You will function at a first responder level because that is all that is legally allowed and that is all that is practical with the resources you have until EMS arrives.

    People talk about first air or first responder like it some huge class. I have news for you. First aid is an 4-8 hour class and you covered it in nursing fundamentals. It takes longer to become a CNA than a first responder. The name of the game is mindset.

    It is not your emergency. Don't risk yourself. You are there to help if you safely can. That's all. Make good decisions for the simplistic care you can perform.


    SO, when you leave work, do you put your license in a cubby hole, and turn into a layperson??? You are an RN 24/7. You can perform tasks within your scope of practice (each state different) because you are a nurse. You don't have to choose to do so, but as an RN, you can.

    If someone is dying at an unattended (no EMS) scene, are they going to ask to see your paperwork? Can you do worse than just watching them die?

    If you're not willing to help, don't stop We agree on that

    You've never heard about off-duty emergency personnel using their work gear to help at accidents? It happens. And there has never been a follow up about any lawsuits for someone who didn't let someone die that I've seen- maybe there are- but the person wouldn't even be around to sue, were it not for the person who stopped to help...if they end up being a grumpy (not my first word choice) human being , that probably isn't' due to the accident

    If ya don't want to help- that's a personal decision (and in some situations, I wouldn't feel OK about stopping). But don't hang it on not being an RN if you're not at work.... that's definitely NOT on my license.

  • Aug 5 '11

    If the x-ray shows TB in the lungs, then you will have bigger problems than just not being able to start school.

    I wouldn't worry just yet, though. I had a positive test result two years ago and my chest x-ray was clear. I had the chest x-ray just last month and was clear (after one positive TB test, you can pass go and get the chest x-ray!)

    My sister-in-law (who is a nurse in the US, but from the Philippines) will always test positive for the TB test due to a vaccination she received when she was a baby.

  • Aug 3 '11

    Quote from GM2RN
    xtxrn, I agree that it's not likely that the OPs license is in jeopardy, but I do see this as identity theft. Think about the anonymous person who uses a credit card belonging to someone else without his/her knowledge, or someone having his/her house broken into. Those things are not personal either, but they do feel like violations against your person and are against the law. In my opinion, using the identity of another person to illegally obtain drugs is no different.
    I agree- my only point is that an addict isn't looking at the source personally, although it can feel very personal. That's all

  • Aug 3 '11

    It is really depressing that in this day and age health care professionals continue to deny patients the right to make informed decisions for themselves and that some would even deny adequate pain control based on their own belief systems.

    They do NOT have the right.

  • Jul 26 '11

    Quote from nursemark29
    I only want to know one thing if you will oblige me. Was what you learned in the DNP degree program useful to you as a practicing nurse practitioner? More specifically, did it help you be a better nurse practitioner?

    I look forward to your response.

    Mark
    The DNP added a new dimension to my practice for sure. Duke taught me how to access, interpret and translate evidence. Simple enough concepts, but here is what I was able to do with what many describe as "DNP Fluff courses":

    1. I created the first police nurse practitioner program in the United States. Through Duke, I used my capstone experience to formulate an IRB approved study to evaluate the effectiveness of one component of the outreach program, which is being published August 3 in The Journal of Community Health Nursing. Once, where there was nothing--now there is a tangible program in place that is helping thousands in the community--all through direct implementation of what I learned through the DNP program. To date, the police nurse practitioner program has now provided screening and direct health care services for over 10,000 individuals within my community--all at no cost to the agency or the taxpayer.

    2. I created a special health chair position with the NAACP where I developed a free out patient clinic program for those vulnerable populations who have absolutely no access to health care services. Even though not one physician I contacted was willing to help or provide any assistance whatosever, I used my DNP training to craft, design and implement a program that has provided more than 100 patient care primary care visits over the last few months. Now, the local chapter has procured its own clinic site to expand the services provided by my project developed within my DNP training.

    3. Even though the DNP is not the research arm of nursing, there is a heavy emphasis on the research process. I now feel I have the tools to conduct research in the context of evaluating and translating evidence. As with the study I did at Duke, this will translate into improving outcomes across my practice.

    So, to answer your question, I would say that through my DNP training, I was not trained how to diagnose cystitis any better than within my MSN program. I wasn't provided with any additional training on how to manage diabetes or lipidemia or provide better birth control counseling, but I would say that the impact I have had on the lives of those in my community was pretty good.

  • Jul 21 '11

    As we don't know the situation, do you really think resigning is the answer? If I resigned everytime a patient's parent complained I would have had a multitude of jobs. People complain, esp in healthcare and we see it a lot in OB and NICU.

    The only thing you can do is go in, be honest and straightforth.

  • Jul 20 '11

    Quote from linearthinker
    We should always say partner, to everyone, regardless. I recommend crossing out whatever nomenclature appears on paperwork and replacing it with "partner" in all instances.
    I think "partner" is too vague. "Husband," "wife," or "spouse" implies the legal right to information, etc., if the patient is unable to ask questions or receive information (next of kin). Someone who is a "boyfriend" or "girlfriend" might consider themselves a "partner," but do not have the same rights.

    I think "spouse," "husband," or "wife" would be appropriate. "Gay marriage" or not, doesn't change whether someone is a husband or wife, right?

  • Jul 20 '11

    A male's legal partner is his husband. A female's legal partner is her wife. "Spouse" would be simpler for forms if it doesn't matter the gender.

  • Jul 19 '11

    Chances are it will not be 100 degrees inside the building, so unless you are interviewing outside, don't consider the weather. :-)

    A suit is very appropriate, and, like others have said, the best option for any interview. (Please, do not wear scrubs!!) I'm not sure where you live, but I was recently at Wal-Mart and they were selling some very nice business suits (jacket and pants) for 15-20 dollars for each piece. It was very reasonable.

    If you are concerned about the heat, wear a short-sleeved blouse under your jacket and leave your jacket off until you get out of your car to walk into the building. You can also wear a business skirt rather than pants. If you are really on a tight budget, you could probably skip the jacket and just wear the dress pants and a collared blouse, or the collared blouse with a business skirt. The attire is important, but whether or not you wear a jacket probably isn't going to make or break your job offer.

  • Jul 16 '11

    I worked in customer service for 8 years prior to going to nursing school. I do think that experience has taught me how to handle difficult people. I worked as a tech through nursing school and have found myself using the same skills with talking to patients that I used in my other jobs. There is a professional way to call someone out who is being unnecesarily rude to you and it's not inappropriate to do so. You don't have to get into a boxing match with them but just by simply saying "Excuse me sir/mam, I am here to help you today and want to give you the best care possible, but I do not appreciate being treated this way. We can either work together or against each other, it's your choice" Something like that. I have also just simply said "Why are you being rude?" and it worked. It shocks them to call them out. Or if they are cursing at you "Sir, I do not appreciate you talking to me that way, now if you can talk to me nicely I will help you with what you need....." Many times pointing out their behavior does help. Other times, it's useless, but atleast you tried. I did the same thing when I worked customer service in the bank. If somebody came in yelling at me because they overdrew their account or whatever, I would calm them down this way and it almost always worked. Many times they would apologize before they left.

    I am against the belief that a customer service attitude shouldn't be incorporated into nursing. It's not necessarily about "customer service" but just treating people professionally, with respect and just being nice. That's all customer service really is anyways and this is how we should be treating everyone, patient, customer, or friend! I've seen how some nurses and other healthcare workers talk to pts and sometimes I wonder if they have lived under a rock their whole lives because they really don't know how to deal with people. If you are abrupt and unfriendly to your patients they are probably gonna get rude back and not like you/or complain about you. It's not that hard to be nice. Some people are rude no matter how nice you are, but we're not gonna change that.

    Edit:
    I have also been a patient on the other side who had dealt with a very unfriendly nurse who was abrupt, didn't want to answer questions, talked down to me and my family, and was just rude for no reason. Anytime we simply asked a question she acted like it was an inconvenience to her to answer. We were inconveniencing her simply by being there. I have also been in rooms with pts along side other nurses who were completely disrespectful to the patients who didn't deserve it. It goes both ways.

  • Jul 13 '11

    Quote from rmicu
    "According to the 2008 Pearson Report, 7 states (Georgia, Iowa, Maine, Mississippi, Ohio,
    Oklahoma, and Oregon) have statutes or regulations prohibiting a nurse practitioner (NP) to use the title of Doctor: http://www.acnpweb.org/files/public/...son_Report.pdf"

    It sounds like these decisions are based on the MSN prepared NP, not an NP w/ a doctorate degree.
    No it is based on a doctorate degree. I did some looking on the AMA website and it is targeted at anyone with a doctoral degree who is not a physician in a medical setting.

  • Jul 12 '11

    Quote from ~Mi Vida Loca~RN
    At my facility we report all suspected abuse. It's a part of our admission stuff. We ask the person and mark their answer and then in a separate field we mark if we suspect any abuse and what type. It automatically fires a social worker consult.
    This is not the same as legally-mandated reporting to law enforcement or governmental agency authorized to legally do something about the abuse. It's important to recognize the difference.

  • Jul 12 '11

    I never thought this day would come so soon with me only having 2 years of experience as a nurse but it came and happened today.

    I refused my first assignment. I felt I would not of been able to give safe patient care with the load I was expected to have and with limited resources. I stood flat footed in front of the DON and administer of the facility and said "No" I have to admit I was shaking in my boots a bit however, I was prepared to be fired on the spot or quit right then in there. Neither happened as we were able to work something out.

    The day shift nurse also refused the same assignment in the AM, so that should give management clue that what they are asking is unsafe.

    I'm currently sending my resume out as I type. I got to get away from this facility.

  • Jul 8 '11

    Quote from BabyLady
    Because if you are practicing universal precautions there is no need to know anything any differently.

    I have seen nurses start IV's with no gloves, get blood all over their hands, etc.

    They shouldn't be crying later if they find out the patient is positive.

    I would never, ever advocate for HIV testing of all patients.
    I was watching one of those "Life in the ER" type docudramas the other day. An MD was inserting a chest tube in a patient with a tension pneumothorax and when he cut into the chest, blood exploded out, covering his face, in his eyes, his mouth.

    The patient then told him he was HIV+. The doc was angy that the patient had not told anyone. (He ended up not getting infected.)

    I remember thinking, "Why in the hell would you not wear PPE when slicing into any pressure and blood filled cavity, HIV or not?"


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