BabyLady 10,716 Views
Joined Dec 17, '08.
Posts: 2,406 (41% Liked)
in my LPN class 4 yrs ago a gal was dropped cause she didnt pass her med pass part after 3 attempts...she was so mad the teachers thought she would come back with a gun....they were really worried...a few were dropped because of grades...
THE COMMUTER.......we had a doasge test that we had 3 attempts....it was like 7-10 dosage questions....and i passed on my 2nd attempt....did you have that in LPN school as well as RN....how do they differ?
I am so bad at math and calculations...this was one of the biggest reasons for me not going for nursing....i just cant "see" the correct math to use like others...it is a mental block or something...whenever i read post about math and how hard it is my stomach gets all in knots and i ask myself can i really do this??...liek right now...i feel my HR elevate and have to go to the bathroom.....that is how nervous i get....
We had one that was charged with a violent crime and she wasn't allowed to come back to clinical (she could attend class) until it was resolved.
She was ultimately convicted, dropped out of the program and will probably never be a nurse...b/c she had previously had a felony expunged...and the judge agreed to the expungement so she could attend nursing school.
No loss to the nursing profession...that's for sure.
Does anyone know who have taken the NCLEX what you see pop up for lab values on NCLEX exam??
I know the Aptt and INR are important to know for the exam but anyone else have others they can add?
Wow... no you can't. RN licenses do not cover prehospital care for professional practice except in special situation like flight RN (except in a few states that have prehospital RNs) much less good-sam practice at the RN level.
If you perform acts covered by your good state's good Samaritan act, you are fine. That act doesn't involve RN skills, paramedic skills, etc.
Uh, I can tell you right now...this isn't true. You can bet your bottom dollar if I touch a victim and have an RN license and something goes wrong? I am going to be considered by a court to have "unique knowledge" over that of a layperson. That means (as an example that I cited earlier)....if a layperson moves a person with an unknown spinal injury that results in further injury when there was no immediate threat of life ie. fire...then it is going to most likely be chalked up to an honest mistake....if an RN does that? You can bet he/she will be sued because an RN should know better than to try to move a victim without the proper equipment. I also read of a case a few years back where a woman had her throat crushed in an accident...who would have suffocated to death...and took a knife and attempted to insert an airway...HOPING she would do it correctly and insert a pen casing...the RN was successful and the patient would have otherwise died as it took over 15 minutes for EMS to respond...the victim sued the RN and collected for disfigurement...b/c the RN, even though experts testified that she correctly created the airway...the RN had NEVER BEEN TRAINED TO PERFORM THE PROCEDURE.
What you can do, so can John and Jane Q. Public if they've had their 6 hour first aid or 40 hour First Responder. BLS only!!! Nobody will complain if you go apply direct pressure, put someone in trendelenburg, provide nonrestrainted spinal precautions, CPR, jaw thrust, OPA, oral glucose appropriately, or put someone in a recovery position. Those are NOT RN specific skills. Those are trained lay rescuer skills. Those are about all you can do as an RN anyway unless you are a Ricky Rescue who carries around more gear than they should.
If any off duty non-MD medical provider starts doing things like soft restraints, initiating backboarding, suction, applying traction splints, CT/KA, ETT, IV starts or infusion, drugs of any kinds even O2, etc without jurisdictionally authorized on-duty EMS provider or an MD telling you to (and in some cases even if they do), you are practicing medicine without a license.
I am scheduled to have a uterine biopsy next thursday and an ablation the following tues. For those that have had the procedure, was it quick recovery? I am told I will be down for a day and fine after. I sure don't want to start nursing school sick however I also don't want to miss due to menstruation issues which would be no fun in a white uniform. Sorry for tmi, looking for experiences so I can weigh my decision with a clear head.
Again, much appreciation for your thoughts!:redpinkhe
to date there are only 4 out of 50 states that have this requirement. personally i think they are short-sighted and, quite frankly dangerous, mandates. to legally require you to put yourself at risk to do a job for which you really are not trained is ludicrous. as for the second part of your post, that's why i added the sentence regarding moral/ethical responsibility.
vermont, minnesota, wisconsin and rhode island are the states with these mandates. they are minor misdemeanors punishable by fine or jail for up to one year. someone else said virginia but i'm not able to find it listed as having such a law.
Then learn to get it right. If you use the term......be the educated young lady we know we all are and get it right. Frankly, I am tired of all the snipping and hijacking to bully people who have a different opinion or emphasize a point that someone esle might not agree with when they are a new nurse.....and I mean that in the nicest way. The post had already been answered.
Besides it's not your thread. That is my snip for the day.......Peace
I am stepping away from my keyboard before I get my fingers tied.
I apologize for using HIPPA instead of HIPAA. I'm not a nurse.
My concern is for the family who's being forced to watch while their mother is being drugged whenever she begs to go home. She's being slowly murdered, IMO. I've seen it with my own eyes. She's being mentally abused and she's miserable and told me she'd rather die than go on living in that awful place. This poor old lady needs to go home with her kids who obviously adore her.
Again, I apologize for the 'HIPPA' thing.
Almost everything you said is incorrect. I don't even know where to start.
"Not identifying yourself as an RN, for professional and moral reasons I would NEVER render aid to start with and hide who I was...to me, that is wrong on 300 levels." - not sure I understand... Are you saying it would be wrong to render aid and fail to mention you are an RN? I don't understand why in light of your argument that a simple RN who isn't trained in trauma is legally held to the same expectations as a lay person. If your training and the expectations placed upon you are the same as a lay person, your identity as an RN is irrelevant to the situation at hand. In that case, identifying yourself as an RN would be as relevant as another person announcing they are a chef or a roofing contractor before rendering aid. The only reason it would make sense for an RN to be required (legally or morally) to identify themself as an RN would be if the RN has certain legal expectations imposed on them due to the fact that they are an RN.
Basics Basics Basics! BLS stuff, ya'll. I've been a first responder, to pedestrian vs. vehicle, syncope, chest pain, etc. The risk in identifying your self as an RN/APN is that you have to properly hand off the pt to EMS, and not abandon until then. Do the minimum to keep the pt safe and stable until EMS arrives. If you don't know how, and someone is on the way who DOES KNOW HOW, and the pt can wait, DON'T DO IT! For example, if I was the first to respond to an MVA in a rural area, and I had called 911, I would assess my own safety first, assess the scene, and assess victims for IMEDIATE LIFE-THREATENING issues: airway, circulation, pressure to a bleeder, etc. If I could do something simple (jaw thrust, pressure, etc,) I might, but extraction? meds? H#&# NO! splinting? no. If EMS were delayed, and I was recieving direct guideance over the 911 call...maybe, but even then..?
Please do not believe you can't get in trouble for not stopping to render aid. Some states require it. I've lived in them. If you are caught not stopping at an accident site, you can be sanctioned by the board. Please check with the laws in your state.
In my state, it is MY decision, whether or not to become involved if I am not at work.
When I touch a victim, I am legally required to perform "to my highest level of training" and you are legally responsible if you do anything that is OUTSIDE of your scope of training/practice.
Before I became an RN and was a student, I did not realize that trauma care required very specialized training to do this out in the field. You will typically not have the equipment if you respond by yourself.
Don't think that you have a secret "super RN" cape flapping behind you. People go 190% of the deep end (with no legal case to back it up) that you have anything nurse related ie. bumper stickers on your car and drive by an accident and do not stop that you can be sued....that is about as big of a myth as the Easter Bunny.
You could have a child in the car, you could be on your way to another emergency, or even better, it may not even be YOU driving the car.
Now, some states do require that if you are the first to come upon an accident that APPEARS to have injury, you are required to GET assistance, not necessarily RENDER assistance...but I don't live in one of those states.
Two situations occurred today that made me start to wonder exactly what my responsibility is, now that I have my RN license, in the event of an accident, etc.
First, I saw a woman slumped over on a bench in town, but firefighters were already there checking her out (they are typically the first responders in our town and have AEDs and such on their trucks).
If you see first-responders on the scene, STAY AWAY FROM IT. They are there, they have the equipment to transport and they are trained...you don't worry about it. There is no help you can lend that isn't there already or at least coming. If you stop and touch the victim and something goes wrong, congrats, you just signed up for a lawsuit.
Then this afternoon, from my home I heard a car collision somewhere outside the neighborhood but not that far away. Within 2 minutes I heard sirens, and it turns out that the accident was on a main road near my house.
This is even more obscure...do you think that every healthcare professional within earshot of an accident is REQUIRED by law to respond?
Seriously...think about that.
I know that states have laws about professional responsibility--i.e., if I had seen the woman on the bench before anyone came to treat her, because of my RN license I would be expected to do so.
Morally, you would be expected to call for help. You can render CPR if it is warranted. But think about it...that is the same responsibility as any layperson (assuming they are CPR trained) would have.
If that had been the case today, I would have immediately assessed her and called 911 as needed. Similarly, had I been in the vicinity of the car wreck, I would have immediately called 911 and gone to help the people involved in the accident.
Like I said....think about what you are asking...do you really think EARSHOT obligates you? Use common sense.
But where is the line? Should I have gone over to see what I could do for the woman on the bench once the first responders were there?
No...because you knew they were first responders and they are trained and have the equipment to handle the emergency. Don't get involved in cases where TRAINED HELP IS ALREADY PRESENT.
Should I have thrown my kid in the car and driven in search of the accident?
Only if you wish to traumatize your child....see my above statement.
Was I wrong to assume (turns out correctly) that at rush hour there would be hundreds of cars going by who could call 911?
I FREQUENTLY call 911 if I witness something that it should be called for. I have no issue with that.
I am eager to help and would do so in any case where I was needed. I just wonder what people's experiences are with this sort of thing or if anyone knows how to get info about it. Thanks in advance.
I'll be honest...tired of the HIPAA vs HIPPA corrections...happens with every post and it always hijacks the thread.
Does anyone find this really annoying? I'm usually private about my grades unless a good friend of mine from class asks me..... Does the whole world need to know? This is how the posts usually look. A&P 93%... just weird to me.. anyone else feel the same?
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