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JustBeachyNurse 73,983 Views

Joined Aug 5, '10. Posts: 36,259 (21% Liked) Likes: 22,339

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  • Mar 22

    You could work in a pencil factory and get called names by your coworkers. That's part of life.

  • Mar 22

    it's not safe for pets. It is used as an urgent intervention. I would stay away.

  • Mar 22

    When I have seen that in has been "In the Setting Of"....on of the HUGE reasons there are approved abbreviations which this practitioner has decided not to follow.

  • Mar 20

    Five days in and you're doing homework and reading magazines.
    The patient managed to rip out his IV while you were reading a magazine.

    And yet you want to write everyone ELSE up?

  • Mar 20

    Have you tried reaching out to HR? The only thing I saw was this:

    Are Iowa employers required to pay employees for sick time, vacation or holidays?
    Employers must follow their own policies, practices or contracts regarding benefits. In the absence of such an agreement, these benefits are not required.
    Wage Frequently Asked Questions | www.iowadivisionoflabor.gov

    Many facilities in many states have policies that employees may not take PTO on their assigned weekends and must switch with someone on another weekend instead.

  • Mar 18

    Quote from Tonyucsbguy
    So did you ever figure out what the certified letter was about?

    Usually the most interesting threads are the ones where the OP never comes back to tell us the rest of the story.

  • Mar 18

    Quote from TheCommuter
    One of our site moderators (Esme12) became an associate degree RN at age 18. However, she graduated nursing school in the late 1970s.

    An 18-year-old RN would be exceedingly rare in today's world.
    Fun fact: ESME and I went to nursing school together! Boiler up!

  • Mar 18

    Wow! Thank you for your your time and your answer! That's complete and I think I got it all! Thank you very very much, that's helping me out!

    Guillaume

  • Mar 17

    First, it is never ok to yell at your colleagues. That behavior is totally unacceptable.

    That being said, yes, the pharmacist should have contacted the precribing doctor to come up with an alternative medication. Their "advice" was out of their scope of practice and that needs to be brought to their attention.

  • Mar 17

    Fyi since you're new to this job -- reading and doing homework is not okay. The patient needs a 1:1 for safety, because he is at risk of self harm -- be it intentional or unintentional (say the pt is confused or delirious). The nurse/floor CNA is unable to continuously ensure that the pt won't harm himself -- they have several other pts. The sole purpose of your presence is your presence. Your eyes must be on that pt, and you must be close enough to prevent self-harm. That is why you are being paid. You can do NOTHING to ensure pt safety by loitering in the doorway or by focusing on homework.

  • Mar 17

    Quote from Rayrayma

    They recommended I sit outside so I did just that, and it resulted in this dude almost dying...
    Okay, I see why you view this as so serious now.

    For future reference, a patient pulling a (regular) IV out of their arm or hand is not going to lead to death. Heck, even a larger IV would take a while for them to bleed to death. I understand that the pool of blood looked large, but body fluid puddles often seem that way. I work in pediatrics, and parents are always telling me about how their baby threw up their ENTIRE bottle of formula, when really it was like two tablespoons at most. So keep this in perspective; the patient did not almost die.

    I would like to make another point. This patient was assigned a 1:1 sitter because he needed to be watched closely, whether for suicide precautions, confused and might hurt themselves, fall risk, whatever. And yet the fact that he pulled out his IV and was bleeding wasn't noticed by you. Why are you there if not to watch the patient closely and notify the nurse if there is a problem? I know they may tell you that its okay to read magazines and sit outside the room and not really pay attention....but isn't it your job to pay attention? What does your job description say?

    Quote from Rayrayma
    "He's a terrible person, very evil and you should ignore him, also redirect him"
    If the nurse truly said this to you, then that is the most reportable thing in your entire story (I'm not suggesting that as a new employee that you necessarily should). But the reportable thing is not the scheduling mix up

    In the future, don't let unprofessional nurses influence you to be unprofessional. Always do your best to monitor your assigned patient and keep them safe.

  • Mar 17

    Quote from Ben_Dover
    Hmmm something is just off about this scenario.

    1:1 sitters, generally, regardless if the pt. is suicidal or homicidal or what not, are not supposed to read magazines, do their homework, or paint their fingernails.

    1:1 sitter is for safety
    This! OP, it sounds like the company "messed up" by assigning you a suicidal patient when you aren't supposed to have one for your first 30 days, whether that was on purpose or if they genuinely didn't know their status changed...that being said, you need to take some personal accountability here too, regardless of what the nurse may or may not have told you. Based on your own statements, you weren't essentially watching the patient which is what you are hired for so ultimately you did not perform your job. There are multiple factors and people to "blame" in this scenario, including yourself as well as the company and the nurse who gave an incomplete report, but the only thing you have control of is YOU - hopefully you take this as a learning experience and apply it to future scenarios where you will be more diligent with your responsibilities.

  • Mar 17

    Hmmm something is just off about this scenario.

    1:1 sitters, generally, regardless if the pt. is suicidal or homicidal or what not, are not supposed to read magazines, do their homework, or paint their fingernails.

    1:1 sitter is for safety

  • Mar 17

    Quote from Rayrayma
    This is what the nurse told me about the patient

    "He's a terrible person, very evil and you should ignore him, also redirect him" I wasn't informed he was suicidal AT ALL or that he had an IV in....
    ...
    im sorry but i am not buying this.

  • Mar 17

    Quote from Rayrayma
    Ok, honestly just find it all really unprofessional tbh. Is this normal at hospitals? like do status of patients randomly change within seconds? You have to understand I'm not that familiar with healthcare, I don't know if I should even report this.

    I mainly thought about reporting it because I thought the mix up was pretty severe.
    OF COURSE it's normal for patient's status to change abruptly. That's WHY people are in the hospital. There's nothing to report. It's taken care of.


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