JustBeachyNurse 63,891 Views
Joined Aug 5, '10.
Posts: 35,644 (21% Liked)
GN status is dissolved after your first nclex attempt. Either you pass and you are an RN or you fail and you are a general citizen until you pass the nclex. She's unlicensed assistive personnel. If she acts like anything more she is out of line. She is not a nurse.
In CA yes it means you passed
House fire teenager CPR in progress. They got a pulse back, intubated barely recognizable as ultimately it was a young teen smoking in the bathroom and fell asleep in the epicenter of the fire. I had the uncle, bilateral broken lower legs from jumping out the window with the brother who had burns and a broken arm. The brother looked familiar. I was an ED tech at the time who also cross trained to unit secretary. The most severe was the younger brother. General surgery and neurosurgery called in. Never saw these men run into this busy community ED...ever. Did a nuclear scan to see if any blood flow to the brain, emergency fasciotomy to relieve pressure of the swelling. The older brother looked familiar. I couldn't place it. Then the uncle asked me to call their mother. Oh my god. I know these boys. I know their mother. PD was sent to pick her up from the paid city EMS two towns over, she had no idea as paid uses a different radio channel than the county channel used by volunteer EMS and ALS dispatch. Her younger son, swollen, charred hair, barely recognizable as a human. I called the affilated burn center for transfer as the nuclear scan was positive for blood to brain.
Burn center called back. They refused transfer, admitted to the ED attending his chances were low and they didn't want it to affect their statistics. I never saw this petite woman so composed go bananas. How can you say the odds are not high enough to give a child a chance at survival?!? I was doing a paper on burn patients and resources at the time and had memorized burn center referral hotlines. I found a burn center in the next state willing to take him and someone willing to drive his mother. Helicopter and burn crew in the air within moments. Their resuscitation protocol relayed to the ED team and initiated. Neurosurgeon is not happy, livid when he finds out the affiliated burn center refused to accept the transfer. Pharmacy called for extra medicine, central supply called for the needed fluids, lab running specimens stat, two RRTs helping with art lines, vent management, ABGs, a wound care nurse from upstairs came down to help with dressings. Fire was at around. 3AM. He was out of house by 3:10, pulse restored by 3:15. On the way to the out of state burn center by 6am
Later that day we received word that he died in the burn icu. Mom had asked about organ donation but they were too swollen from the heat to be safely transferred.
The the next day the headline was that the affiliated burn center refused to accept the child and give him a chance. Would he have lived if they accepted transfer? Maybe not but he would have potentially been a their burn center by 4:30 am as it's not that far by medievac helicopter. Lots of executives speaking out. Lots of memos sent and policies clarified.
To to this day, nearly two decades later, I believe the anonymous source was that petite, quiet yet feisty ED attending physician. She had enough of the BS and a child lost a chance, and a mother had to leave the state to give her child that chance, albeit small, to survive.
The only letter from an employer needed in my state is to renew CHHA as they cannot work independently and must work under the direction of an RN in an agency setting. Leave the job = CHHA is suspended until employed again
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