Kooky Korky 17,502 Views
Joined Feb 12, '10.
Posts: 2,900 (52% Liked)
THAT should be the firable offense, to knowingly work with influenza or norovirus. If that was my child in the hospital bed, I might even get Mama Bear enough to contact the BON -- nurse is working while impaired and a danger to patients. At least a nurse working while drunk can't make my child drunk; not the case with norovirus or the flu.
So I am not a nurse but wanted to share this with all of you still. I see how hard the nurses and CNA's work. I am a patient and this is my fourth facility. My second facility I was in I had a nurse come in at 2:30 in the morning, flipped on the lights and said I am here to give you your shot! I said Shot? What kind of shot? He then told me it was my Insulin shot. I said Insulin? I am not Diabetic! He said oh you are not? I said no I am not. He then said I must have the wrong room. I was glad I caught it the first night and the second and third night. After the third night I told the DON (I reminded the nurse the other two times.) I also told the DON I did not get my meds the night before. She talked to him because he came and tried to convince me he had given me my meds. My meds had been counted to which he replied well I know I gave her some meds!! At that point he was put on suspension, the DON was fired and he came back within a day. The Center Director told me I made accusations against his staff. A month later or so he passed away of a overdose. I am not putting blame on him persay how ever there was evidence he was rushing through his med pass. My concern was the possible of insulin shots when I am not diabetic. I had seen this in another facility I was at. When I did HR and Payroll I made sure I had checkpoints in place to ensure my work was correct. Is there anyway of adding checkpoints to med passes as well? And the doctor that barked orders, did you repeat back what he told you? Thank you to all of you for what you do.
Any error (esp. a med error) should always be viewed as an 'organization' error. Analysis of the error should focus on where, in the process of administering the medication, the error could have been interrupted. It should never be "whose fault is this", but how could the process be altered so that it doesn't happen again. No one should be singled out. Sure, the nurse who made the mistake will know, and feel guilty, but she should made to be part of the problem solving. "How can we, as an institution, make it more difficult for an error like this one to occur?"
Sometimes, as the group analyzing to error works together, it will turn out that, by changing something simple, the nurse would've paused and caught the error before it happened.
A few years ago, a colleague was about to flush an IV w/heparin (as we did back then). She selected Heparin 1000U from the PYXIS, which dispensed it. It came in a little vial w/a blue stripe on the label. She drew the med up in a syringe, disinfected the port, and looked again @ the vial. Turns out, the vial contained 10,000 units of heparin, not 1000u!!! Our unit didn't even use that strength Heparin! She called pharmacy. Pharmacy tech that filled the machine thought s/he had put in the 1000 unit vials. Both vials were the same size, and both had a blue stripe, but a different shade of blue. Pharmacy got in touch w/the FDA. Ours was not the only place where this error had happened, or, in our case was a 'near miss'. Eventually, the manufacturer was compelled to change the packaging to make it harder to confuse.
My point is that patient care delivery has many components, and many, many ways to mess up. We need to resist the urge to point a finger @ an individual, acknowledge that there are lots of ways to make a mistake, and it behooves the institution to analyze errors, and find ways to help NOT make an error.
You may want to check your current hospital policy. At many facilities, you are not allowed to use any PTO during your last two weeks of notice. If you call out, you may have to take it unpaid.
You have no idea if it's true or not. The person who told you could just be repeating gossip or surmising and assuming things.
It does not directly involve the patient.
You are not even on the case any more or in the employ of the firm any more, right?
I don't know what the legal requirement is.
Nurse Beth, can you help us figure out the moral duty/ethics?
Not saying it's completely fair. I think by Seniority maybe you should get first choice on two weeks a year, not every time you decide to take time off. So the person I work with could pick spring break and the second week in July but not Thanksgiving week.
Honestly, if you are not supplied with any 2 inch needles, I wouldn't worry about it, you do the best you can with what you have. If he is having EPS and hallucinations it sounds like he needs a different medication, or at least a tweaking of his other meds to better control the EPS. Have you relayed your concerns with the provider? Providers often only assess every few months and might warrant an earlier appointment.
More seasoned nurses can probably offer you better feedback, but my understanding is that you never split a dose into 2 separate muscles on a LAI, because it messes up the absorption rate. Not to mention that you would have to place a second clean needle on a dirty syringe...which strikes me as a major infectious disease prevention no-no.
You did alright.... I use 2 inch needles a lot, on appropriate patient population, trust my in excess of four decades experience..... With a two inch needle, you did not give a sub que, injection..
It will get better
I am more unsettled that a nurse who is working in Psych and is afraid the patients are somehow a danger to her!
Patients with serious psychiatric illness are not a danger to the public, including any care givers they come into contact with during their hopspitlization.
I've been a nurse for three years and have struggled with anxiety and depression through most of it because of the stress. I care for my patients, they usually love me and express appreciation for the care I provide. Currently, I've been in my "dream job" working in a level II trauma center for two years. I appreciate and like most of my team and patients. Staffing and admin is awful, of course, but we all pull through. Everyday, every night, the same stressors and fears are there. Nothing changes except the charge nurse and charting requirements. Lately, the stress has become unbearable. Initially, I assumed it was because I lost a few family members unexpectedly and under traumatic circumstances. I became less willing to cooperate, learn, be flexible, etc. I have been working with my doctor and a therapist trying to find a way to Medicate me in a way that will ensure I am safe to practice. Med side effects are awful so I can't work and then I quit the meds. I left two weeks ago, called in sick for a week and am now filing fmla. I alerted my boss and was honest about my difficulties. So far, everyone is supportive, however, I can't see how I will be able to actually go back to work. Every time I think of it, I burst into tears. My husband and therapist are the only ones who have "given me permission" or votes to leave the profession. Everyone else advises me to keep attempting to attain further degrees, change units, etc. at this point, I just can't. I was recently diagnosed with PTSD which is directly related to my job. I feel horrible and I feel that I am letting everyone down. Nurses have to "suck it up", stick it out, make improvements, be super humans, and pretend we are caring for ourselves so we are safe to practice. I just can't play the game. Maybe after a month off, I'll feel differently as I am currently in distress. I keep thinking about my coworkers and how high achieving and motivated they are and just feel awful about myself. I worked as hard as they did to be where I am but I am stagnant and stressed while they thrive. I have never felt like this in my life and I have been through a lot. I wish you luck and healing. I am spending a lot of time trying to apply for non medical jobs. Anything.
Yes, you sound temperamentally unsuited for your job.
Personally, I think the rise and all these anxiety disorders is a direct result of our crazy society and modern culture.
Recognize that you are very sane and having a natural response to an insane world. Money isn't everything, I think you should find a less stressful job that you are suited for.
Bronchitis so bad I could barely breathe and had a fever. No way was I going to compromise my patients or fellow workers. My mom died unexpectedly. I threw my back out, could not stand straight (the straightest I could stand was with my back at about 45 deg), no pain med worked, and the doctor said my back was gone for anything over 50 lbs.
Truly sick (flu) or mentally needing rest from work stress. Once for no babysitter. Funerals of parents, although I used bereavement time, not sick time.
Our facility has a pretty lenient policy, yet I think it weeds out the people who are habitual caller-offers. In a rolling 12-month period, if you have 5, it's a verbal; 8 is a written; 10 is suspension; 11 is termination. Multiple shifts in a row is counted as one absence. After 3, you need to get a doctor's note before returning to work.
You need to enforce it. A lot of managers don't.
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