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JustBeachyNurse 72,887 Views

Joined Aug 5, '10. Posts: 36,116 (21% Liked) Likes: 22,288

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  • Feb 21

    Having precepted students in the OR, I can assure you that no one expected you to be involved in patient care, but they DID expect you to be aware of safety issues. When you felt ill and woozy, it was your immediate responsibility to alert someone and/or remove yourself from the room. Remaining in the room, closing your eyes and trying to compose yourself may have resulted in you falling, fainting, vomiting or who-knows-what else, compromising safety and infection control. The last thing the OR staff needs is to be forced to attend to an observing student who failed to take responsibility for him/herself.

    Feeling ill may have been unavoidable. Remaining in the room was your choice, and it was one you should not have made. You were correctly criticized for that.

  • Feb 20

    Quote from VaccineQueen
    BUT - you are still correct. I don't think you can endorse the challenged LPN license to another state.
    CA even warns applicants on their website that the CA license obtained in this manner will not be honored in other states.

  • Feb 20

    I understand your feelings of violation. And considering the intimate, private nature of your pumping, he might be considered a "voyeur" and legally charged for voyeurism. Of course, he'll argue it's his house, but if he were viewing you in the bathroom from the outside in his yard, he' d be a 'peeping Tom'. He was getting his 'jollies' off by watching you.

    Might you want to consider pressing charges AGAINST HIM? Unless you can get evidence of the nanny cam, he'll also deny its existence. You can bet though, he's prob done something like that in the past and will prob do it again in the future.

    Why might you think you lasted so long in that assignment without 'peeper Tom' discharging you? Honey, you were his peep show.

    And as for his wife, I'd bet she may be in an abusive situation or she may be in on the 'peep.

    Good thing you're out. But I'd be the one pursuing charges. JMO

    PS - your having pressed charges against him would likely strengthen any chance of BON activity (however unlikely) against you based on his charges. Just so it doesn't seem like a frivolous 'he said, she said' case. I wouldn't count on your employer to go to bat for you. They certainly won't want any bad rep.

  • Feb 20

    You do NOT want to have to explain why you did not report this ethical and legal violation.

  • Feb 20

    Quote from srercg6
    I come from a line of nurses in the family. So we hear stories all the time, but I hadn't ever heard of this situation.

    This nurse works for a hospital that is a teaching hospital - so lots of new staff all the time. She works nights, so if there are Dr's around, they are new too.

    Her first night with a patient she was given report saying the patient was going home the next day. She did her assessment and found the patient had very low oxygen Sat.

    She placed him on oxygen, and called the Dr. She told the Dr. that the patient was found to be in the 70s at the start, but he was asymptomatic. Dr. did xrays, and so on ....and the patient was found to have pneumonia that was pretty far along. She asked the dr. if she thought the patient should be upgraded, or be on a monitor etc. The Dr. stated no.

    The patient was mobile, and went for walks etc.

    The night shift nurse came in, got all that in report, checked the patients vitals twice before midnight, and ran a series of antibiotics, and other meds after midnight, brought the patient snacks, and peeked in on him several times to be sure he was doing okay.

    The patient was found out of bed near his closet (as though he was trying to get dressed), and was on the floor naked and blue. A code was called but the patient did not make it. Because of the way the patient looked some assumed she hadn't checked on the patient for most of the night.

    She knew by the time she had given another medicine to another patient what time she had peeked in on him last and it had only been just over 2 hours.

    The only thing she can think is that the patient woke after she left the room and must have immediately gotten up then, but she said the patient was good about using his call light.

    Management blamed her for not getting the dr. to upgrade the patient, or pushing to get the patient on telemetry.

    The entire group of dr's had seen that patient that day, the day shift nurse has pushed for that, the nurse on night shift the night before had pushed for that, all of management had been there on day shift, and the nurse manager had been made aware of the situation on day shift, and they had considered different options for the patient but nothing was done, and the blame for the patients death that evening was put on the night nurse because she didn't do what none of the management or the doctors had done that day?

    The way it sounds to me is that this patient should have been upgraded on the day shift when his condition started to deteriorate, and they needed somebody to blame.

    They made this girl feel absolutely horrible, and she already felt horrible to begin with. It was her first job as a nurse, and her first code, and her first patient death.

    In all honesty I think they should be thanking her - I mean from what she said they were going to send this guy home, and because she did her job and assessed the patient and his airway correctly, they discovered he was in no condition to go home. He'd been there for 2 weeks!
    Second hand information is about as good as no information, at all. A few thoughts:

    Hourly rounding is typically required in a hospital setting, so if no one noticed the patient for a few hours, that would most likely be considered too long.

    For patients with concerning circumstances, rounding should be even more frequent. I've had patients that I checked on at least every 10-15 minutes ...and not only that, but asked my co-workers to glance in as they walked by, too.

    If a patient's issues are not handled in satisfactory (safe) manner, the situation needs to be escalated until they are. After hours, doctors only know what we tell them and the way we communicate can have a huge impact on what's done or not done. It might have been appropriate for this new nurse to seek advice from her change nurse or the house supervisor.

    Patients prone to low O2 saturations can become very confused and should not be trusted to behave reasonably. Even if this individual had been using his call light, he probably should have had a bed alarm on.

  • Feb 20

    CT scans do not take such a long time to complete (even extensive CT scans shouldn't take more than an hour). In cases when an order for a stat scan is written and there is already a patient currently being scanned on the table, the Radiology Technician typically calls the bedside ICU RN to let them know that the patient will be next to be scanned as soon as the other patient's scan is completed. There should be a time frame for this as far as when this will happen. This gives the RN enough time to get the RT and transporter to the bedside for the trip to CT scan. Those patients whose ordered scans are not stat or are less of a priority gets bumped down the schedule.

  • Feb 20

    If you have RN on your badge, do not clock in with it while this is going on. You do not want to spend one minute on the clock as an RN if the board of nursing says otherwise. Your employer cannot override the board. If they try to, get it in writing (I can assure you they won't do that), not that it'll help one bit. But they can issue you another badge with an alternate title while keeping the same wages if they choose to. Just show up on time as you normally would. If your employer won't make the title change, all it would take is for word to leak out to that one co-worker willing to make that phone call to the board and you're charged with impersonating a nurse.

    I'm sorry this is happening to you. But for now and until this is cleared up, get everything in writing. You're in a precarious situation. Your documentation (such as the letter you received) will be your supporting documentation to guide your actions and possibly your saving grace. Good luck with this!!

  • Feb 20

    Yeah.... if the BON tells me I'm prohibited from practicing, you won't find my butt on the floor until that's worked out.

    Better to have patience now, then screw yourself in the future for practicing without a license.

  • Feb 20

    When I am sick, I stay home. In fact, I called-in last Monday because I was in the beginning stage of a cold and felt horrible. The UHS facility that I work for doesn't have paid sick time. You either go without pay, or take PTO. I opted for going without pay.

    Last night, one of the my coworkers arrived to work with her right hand bandaged and wrapped. She had had surgery the previous day for trigger finger and couldn't use her hand at ALL.

    That meant she couldn't write notes. Couldn't make a bed. Dispense medications, etc. Basically, she couldn't do any nursing duties because do you know of a nursing job that doesn't require hands?

    As charge nurse on the unit, she was of no use to me. She wanted to avoid a call-in and be allowed to answer telephones. Nope. I suggested she go home and take care of her hand. Fortunately, she called-in tonight.

    If you are sick, you are sick. Nobody needs to be a martyr.

  • Feb 20

    Ask the parents what works best for their child. If it's a child with chronic illness, the parent may give them medication every day.

  • Feb 18

    This isn't a work environment. This is a place to learn.

  • Feb 17

    Per our terms of service, we can not provide legal advice. Please contact a lawyer.

  • Feb 17

    I doubt many will be willing to disclose the hospital- it seriously compromises the ability to retain anonymity here.

  • Feb 12

    Quote from marsalette
    It's not accredited?
    Nope. Of course this method is not accredited since you never even completed a nursing program. Since you did not complete an approved practical/vocational nursing program, you will not be able to obtain LPN/LVN licensure by endorsement in most other states.

    Most state boards of nursing require endorsement applicants to have graduated from an approved PN/VN program. LVNs who obtained their California LVN licensure by challenging the board never graduated from an approved program; therefore, other state boards of nursing will usually not grant them licensure.

  • Feb 10

    Quote from Alimamy
    I need your own view
    You posed the question; the expectation is that you begin the discussion.