Latest Comments by BabyLady

BabyLady 13,755 Views

Joined: Dec 17, '08; Posts: 2,405 (41% Liked) ; Likes: 2,557

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  • 6
    ProfRN4, 2bAngilRN, FineAgain, and 3 others like this.

    Quote from momtojosh
    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 was like 7-10 dosage questions....and i passed on my 2nd attempt....did you have that in LPN school as well as 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 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....
    It is a lack of practice.

    Seriously....this is probably the #1 mistake that people make in math...they rush through their homework, don't do enough of it, etc.

    I am not a strong math student, however, I have never seen math that I cannot eventually master if I practice at a particular problem enough times.

  • 0

    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.

  • 0

    Quote from deemarys
    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?
    If you get a copy of an NCLEX study guide, they should be in there.

    Don't obsess with minute measurements of start and end values...these will always vary slightly by text.

    We were told that on the NCLEX the value will be VERY out of range...not borderline.

    The instructors were correct.

  • 3
    Purple_Scrubs, GadgetRN71, and xtxrn like this.

    Quote from SummitAP
    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 would really like to see your source if I am an RN that assists at a scene and Mr. Ego Paramedic can't seen to get it in his thick skull that a patient is having a possible MI and needs O2 NOW because he is fiddling with non-essential things (Which I have personally witnessed, by the way)...that as an RN that has been trained in BLS, ACLS, PALS and NRP, I can assure you that I would be WELL WITHIN my scope to apply O2 if available in an EMERGENCY.

    I also saw a Mr. Ego Paramedic refuse to drive a conscious victim 8 miles to the hospital while he tried to start an IV (which was not emergent at the time) and he didn't have the skills to start one....and she was having early stroke symptoms and he got mad when I said the IV could wait that he needed to get on to the hospital NOW because he was taking so long he could have already been there. The husband was getting ready to pull her off the ambulance and take her to the hospital himself before Mr. Ego finally figured out he couldn't start the IV and had the driver pull out.

    Oh yeah, then there was the other case where RN's told EMTs not to lay a COPD patient supine because he couldn't breathe when transporting him to another facility, because he was in a crisis..that he needed to stay in high-fowlers. They argued with the RN's about it...well, they killed the guy by the time they got to the receiving hospital and when the RN's from the first hospital called the other one to find out HOW the patient was positioned upon arrival? Supine.

    I mean, darn those RN's.

  • 0

    Quote from MammaNurse2Be
    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
    I had this same procedure done under general anesthesia and I was shocked at how fast the recovery was.

    I never even took a Tylenol.

  • 1
    ohioSICUrn likes this.

    Quote from flyingscot
    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.
    yes, but you have to read the fine print.

    to borrow an example from minnesota:

    "a person at the scene of an emergency who knows that another person
    is exposed to or has suffered grave physical harm shall, to the extent
    that the person can do so without danger or peril to self or others, give
    reasonable assistance to the exposed person. reasonable assistance
    may include obtaining or attempting to obtain aid from law enforcement
    or medical personnel. a person who violates this subdivision is guilty
    of a petty misdemeanor. "

    notice that nowhere in this statute does it say that you have to directly render other words, it does not require you to touch the victim. it simply requires you to contact a medic or law enforcement.

    it does not require you put yourself in danger in the process of attempting to obtain aid.

    if you sit in your car and call have fulfilled your obligation under this statute.

    i see nothing wrong with this any medical professional or layperson with a cell phone can comply with it easily.

  • 0

    Quote from Esme12
    Then learn to get it right. If you use the 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.
    Young and educated?

    You got one out of two right.

  • 0

    Quote from sherry79007
    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.
    ..and many are still learning.

    If this was an APA paper it would matter.

    This is a message board, therefore to me, I could care less how someone types it. However, some would support fines for getting it wrong on here.

  • 0

    Quote from SummitAP
    Almost everything you said is incorrect. I don't even know where to start.
    Maybe to you and in your opinion...but not in mine.

    There is so much myth going around on this message board about the legalities of people that respond first on the scene, I could write a book if I drew them all out.

  • 0

    Quote from AJPV
    "Not identifying yourself as an RN, for professional and moral reasons I would NEVER render aid to start with and hide who I 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.
    Please go back and read the post I responded to....that is important.

    When somene says that they "would not reveal" that they were an RN if responding to an emergency situation because they think it would set them up can RN's claim to want to be treated as educated professionals if we make decisions like that?

    Nobody said anything about administering drugs or anything without an MD present...where did you get that I suggested that?

    When I said that you had to function to your highest level of training.....think about that statement.

    Different RN's have different certifications depending on where they work...if you touch a victim as a first responder, an RN that also has paramedic training is going to be held to a different standard than someone like me, who works with babies. If I perform CPR on someone, I am going to be required to perform that CPR on a healthcare provider level...not as a layperson. If a layperson moves a person with a spinal injury and causes further damage....chances are they are not going to be held liable because a layperson may not be fully aware of the danger...IF I MADE that same decision, I would probably be in serious trouble because as an RN, I should have known better.

    That is the point I am trying to make.

  • 0

    Quote from Hearticulture 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..?
    It makes no difference if you hand off someone and identify yourself as an RN. This is why...

    An RN has a scope of practice and you are only responsibile for legally performing to your highest level of that would differ in NO WAY from any layperson that would sit with a victim until EMS arrives to explain what you know so far and what has been done so far.

    Unless you have SPECIFIC training in trauma you are not trained to render that type of you are not going to be obligated to splint, remove a victim from a crash area....RN or not, unless you have been trained to do so and have the certifications to back it up. don't have to be a nurse to know that is information that is needed. An RN wouldn't leave someone until EMS arrived anyway.

    Not identifying yourself as an RN, for professional and moral reasons I would NEVER render aid to start with and hide who I me, that is wrong on 300 levels.

  • 1
    ICU56 likes this.

    Quote from floridanurse1983
    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.
    Don't confuse RENDERING aid with CALLING for aid.

    No state wants someone with zero training to try to pull someone from a crashed car only to find out that had they been stablized properly, that their broken back probably wouldn't have severed their spinal cord.

    No state wants a mother to stop with babies and toddlers in the car and leave them unattended to RENDER aid.

    Those laws are designed to make sure that people don't drive by and totally ignore them without even calling 911...I agree with those laws.

    But you are not required to TOUCH anyone.

  • 2
    ohioSICUrn and SummitRN like this.

    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.

    Quote from wannabecnl
    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 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 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 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.
    Use your head....did you learn anything in school regarding your LEGAL REQUIREMENT to respond outside fo the facility?

    Of course you didn't....there is a reason for that.

  • 2
    Meriwhen and ckh23 like this.

    I'll be honest...tired of the HIPAA vs HIPPA corrections...happens with every post and it always hijacks the thread.

  • 0

    Quote from Kateoh82
    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?
    Why are you concerned about what someone else posts on their OWN Facebook account?

    Would you want someone monitoring the information you post on yours?

    Sounds like the only people that find it irritating are probably jealous.