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wooh 31,346 Views

Joined Feb 12, '04 - from 'GA, US'. wooh is a RN & Critter Mama. Posts: 4,988 (74% Liked) Likes: 20,698

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  • Mar 16

    Good thing nursing and housekeeping and dietary staff all take the ethics and compliance classes each year. Would hate for HCA to have anything unethical going on...

  • Mar 16

    Quote from VivaLasViejas
    I have had 31 falls in my building this month already, and the full moon is yet to come. I am NOT looking forward to filling out my monthly variance report, let alone going through the 15 incident reports that will land on my desk between now and Halloween.......
    If you really want to spice things up, perhaps you should try some of this decor around the place:
    Attachment 11965

  • Mar 8

    In the field, both of us being good samaritans, I'd probably defer to an EMT unless I saw he didn't know what he was doing. (After all, they are trained to respond in the field.) But if the guy started to try giving rescue breaths to someone who is breathing, I'd immediately ask to get credentials (because someone's BLS has obviously expired) and while he's digging out his wallet kick him the hedoublehockeysticks out of the way!

  • Feb 27

    Hardest nursing? Whatever I'm doing.
    Easiest nursing? Whatever someone else is doing.

  • Feb 24

    I feel every shift that doesn't end in me strangling a random administrator is a day I've gone above and beyond.

  • Feb 19

    I love when they request another nurse. Someone else gets the distinct privilege of dealing with their crazy butt instead of me. Life becomes good again.

  • Feb 17

    Quote from francoml
    I just wish I had the same opportunities to have those wage increases on my floor. ... When I made the comment about just passing meds I was just coming off a shift on medsurg when that was all that I did. ... I have had over 150 hours of critical care class only to make $22/hr !
    First, want to make med/surg pay at your hospital? Transfer.
    Only passed meds? Probably because they gave the inexperienced float nurse a cushy assignment.
    And if you were paid while you were sitting in all those classes? What are you bitter about. You got paid for training that will make you marketable, and got to sit on your ass in class making $22/hr while your fellow nurses were busting their butts on the floor to earn only $3/hr more.

    Quit whining. You could have it worse. You could be one of the many nurses who graduated when you did and are unemployed. Or could be the patient that you're making all those "life altering" decisions on. (Silly me, on the floor, my decisions are all just what I'm going to eat for lunch or when I'm going to take a pee break.)

  • Feb 15

    Quote from Altra
    Considering that I have had to stop families from endotracheally suctioning intubated patients ... I have no problem picturing a family being overly aggressive with a Yankeur.
    And there you go, that's all the hospital needs. I knew of a patient that the overnight RT getting overly aggressive with a Yankauer (IMO) led to enough swelling and bleeding that the patient was intubated by the end of dayshift. And that patient had not had surgery. And that RT supposedly knew what they were doing. You get a family member sticking a hard piece of plastic down the kid's throat after surgery?

  • Feb 15

    Quote from wtbcrna
    I am sorry using a legal definition in Latin causes problems for you, but it is common to use with anesthetic and surgical malpractice cases. A relatively healthy girl comes in for an elective surgery then dies while in the hospitals care is hard to defend no matter what. More than likely the hospital will settle and that will be the end of this case.
    I'm sorry that my understanding the nuances of the legal definition in latin causes problems for you. Because it IS commonly used in tort law, but not how you think it is used.

    Perhaps the case is hard to defend. But we don't know the facts, as you've said previously. And until we do, we have no idea what kind of defense is available. The hospital may just settle. But if they don't, the plaintiff WILL have to prove that more likely than not the hospital committed negligence. Which requires more than just showing there was a surgery and someone died. Which is all we really have right now.

    As of now, I'm done. Arguing with someone that has a google law degree is about as pointless as arguing with my patients' family members that have google medical degrees.

  • Feb 15

    Quote from wtbcrna
    Res ispa loquitor will more than likely be used in this case.

    "Res ipsa loquitur is a legal Latin phrase which translates to "the thing speaks for itself." The doctrine indicates that there is no need to provide any further detail-the facts of the case are sufficient to find liability. Generally, because the facts are so obvious, a party does not need to provide further explanation. The phrase is most often applied to civil tort claims in which liability is clearly established merely based on a review of the facts.
    In some jurisdictions, res ipsa loquitur is merely a rule of evidence which creates a presumption that a defendant acted negligently simply because a particular accident occurred. The presumption arises only if (1) that which caused the accident was under the defendant's control, (2) the accident could only occur as a result of a careless act and (3) plaintiff did not contribute to the accident.
    "Plaintiffs attempted to invoke the doctrine of res ipsa loquitur based on the fact that plaintiffs were injured by bricks which fell from a private bridge."" Legal Latin - Res ipsa loquitur
    Attachment 13296

    Even when used appropriately,res ipsa loquitur is merely a "presumption." It doesn't establish a case by itself. And the few things you've stated do NOT establish a negligence claim by themselves, even making wild presumptions. There has to be PROOF of the negligence, or at least a presumption of what that negligence was. You can't just say "They were negligent." You have to say HOW. Just doing a surgery by itself is NOT negligent. Res ipsa loquitur merely allows you to skip having an expert go and explain, "Cutting off the wrong leg is bad." Because EVERYONE knows cutting off the wrong leg is bad. Dying is the harm. NOT the negligence. Dying by itself does not prove negligence. No matter how much latin you spout along with it. The plaintiff has to say WHAT was negligent. If it's not obvious what exact act was negligent, res ipsa loquitur does NOT apply. Even if it did apply, it's a rebuttable presumption. And in this case, there's plenty of fodder to rebut that presumption if it was appropriate.

  • Feb 15

    Quote from wtbcrna
    Anesthesia legal 101 res ispa loquitor. The act speaks for itself.
    Legal 101: The plaintiff has the burden of proof. Res ipsa loquitur doesn't absolve them of it. They are still going to have to make a minimum showing of proof, they can't just go in and say, "She died." They have to show negligence. For res ipsa loquitur to apply, the negligence has to be obvious to a layperson. The doctor OBVIOUSLY shouldn't have cut off her leg when she was in for a T&A. The doctor obviously shouldn't have cut off her head. Not just she obviously shouldn't have died. Res ipsa loquitur does not apply based on what's been seen in the media so far. You've admitted we don't know all the facts. We know she had surgery. She died. That's not yet a winning lawsuit. That's not yet even enough to get past a motion to throw the suit out of court.

    Quote from wtbcrna
    Most of us have kids and most of us of have had patients, do you really think it is realistic to ask a child not to talk especially an adolescent of this age?
    Yes. I do it all the time. It's called being a nurse. Asking a 3yo not to talk is difficult. Asking a 13yo, not difficult at all. Unless the family is undermining you.

  • Feb 14

    Considering how many family interactions I've been a part of or witness to that the family has completely skewed what really happened, I'm not judging a hospital based on a one-sided account of what happened.

  • Feb 13

    No need to change the way you give report just based on this fool. In most cases, those that are the biggest jerk to give report to are the worst nurses.

  • Feb 12

    Sheesh, I make a mistake, I tell EVERYONE. Better for my colleagues to learn from my mistakes than for them to have to make the same one.

  • Feb 8

    Everyone that wants to close visitation, will YOU leave your family member alone in the hospital?

    The answer isn't blanket rules forbidding visitation during whatever hours. It's allowing staff to kick out disruptive visitors. And management standing behind them when they do.