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JustBeachyNurse 71,944 Views

Joined Aug 5, '10. Posts: 36,066 (21% Liked) Likes: 22,252

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  • Jan 22

    The way I read this (from a nurse investigator point of view), is that they've received their accreditation through 2024; but there are a few things about the curriculum that the accrediting agency wants them to tweak and as such, has given them until 2018 to do so. As with any institution, Excelsior College is not perfect, and has room for improvement.

    Again, that's my take on it.

  • Jan 21

    Quote from Kooky Korky

    It really isn't a peer's job to counsel or investigate a peer.
    You are absolutely right!

  • Jan 21

    We can't tell you what we would do as a manager, no matter how badly you seem to want to hear, "Your manager needs to fire her!"

    We aren't there, we don't know the nurse, we don't know you, we don't know the patient.

    If you're not the manager, it's really not even your business at this point.

    Take care of the patient, and go on with your day.

  • Jan 21

    Each wound has its own form. She completed all 3 of the forms. She also documented in the computer that she did all 3. The issue here is not that she may have had a lapse in concentration and forgot to do something (we all have those days), the issue is that the patient told her that she had missed the wound, did nothing and continued to document that she did them.

    The patients wound significantly deteriorated after the event. The patient is a diabetic and has PVD. I had been spending a lot of time on his wounds prior and was seeing improvements. If his wounds were not looked after and deteriorated then he may need to have an amputation which would mean he would be a bilateral amputation (already had one leg amputated before) and result in him placed in a nursing home.

    After providing the above information, would you still have the same opinion?

    Quote from dream'n
    I might get flamed here, but on the surface, I would not have immediately considered this a serious-type/sentinal mistake. It's certainly not good and could have important ramifications, but it's not like a full Heparin bag run in over 30 minutes or 50 units of Lispro given to a non-diabetic. Not dressing a wound is not the mountain top of horrific nursing actions. Now I would have spoken with the nurse; Why? Because I would want the same courtesy. Does her documentation clearly state that she dressed three wounds or does it just state that she dressed THE foot wounds? Perhaps she was distracted and not focused, which I agree is not a good or proper thing, but we all have made mistakes. Is it possible that it was accidental? You are not privy to all of her employment information that your supervisors are. So yes I would have spoken to the nurse AND I would have informed my supervisors of the patient complaint and my later assessment of the dressings/wounds (which I would document with a fine toothed comb) but that is where I would have dropped it.

    And did you hear her yourself state that she didn't want her previous issue hidden from the boss? Or is it just gossip you heard from the other nurse involved?

  • Jan 21

    That's actually not a terrible outcome. The management is not letting her see that patient: that specific patient will get better care. If there are repeated problems, the management will eventually have to take more serious action. You might want them to take more serious action now, but it usually takes a few things like this to get someone fired -- unless there is some big bad patient outcome or charge they have to deal with.

  • Jan 12

    Quote from Susanorf1961
    Why do you use different sites for blood draws?
    I use the internal jugular on every patient, every time.
    You're welcome.

  • Jan 12

    Quote from yahoomagoo
    all the nurses on the floor ive been working on habitually bash me non stop. I literally went on that floor with a mentality that I can be a part of their team. They don't listen to any of my concerns about patients, they side track the MD's up their when I go to them with suggestions, They DO not want a well informed therapist up there that knows their stuff. they want an obedient dumb therapist who just says "ok" "sure" "no problem" "yeap" and thats it.

    Dude, the common denominator is you. YOU are the problem.

  • Jan 12

    Quote from yahoomagoo
    I could openly admit that I know nothing about your IV poles but you can openly admit that maybe just maybe an RRT is a little more knowledgeable than you when it comes to the safety of the patient.
    Huh? Not much else to say.

  • Jan 12

    Hope you feel better with all that venom off your chest.

    Everyplace I've ever worked in the last 40 years, relations between nurses and respiratory therapists have been cordial and collegial. I'm thinking that if you're experiencing that much difficulty getting along with nursing, the problem might be you. Perhaps you don't realize that you're not licensed to practice medicine and your difficulty ensues from thinking that you are.

  • Jan 12

    Quote from yahoomagoo
    I passed my boards and received my license to practice medicine with a focus in respiratory therapy.
    You do not have a "license to practice medicine". You have a license to practice respiratory therapy. Huge difference. I'm thinking that may be part of the problem.

  • Jan 12

    Once you have been disciplined by BON for working with lapsed license requirements in this case mandatory Continuing Education requirements, it is there permanently.

  • Jan 11

    Quote from Ruby Vee
    Everyone makes mistakes; absolutely everyone. Anyone who says they haven't made a medication error is either lying or too stupid to realize they've made one. If every nurse who ever made a medication error was terminated, there would be no nurses. It's what you do AFTER you make the medication error that is the difference between a good nurse and a bad one.

    When you make an error, you should recognize that you've made one, admit it -- to yourself and to everyone else who needs to know -- and then set about mitigating the damage to the patient. After the patient is as safe as you can make them, you initiate a discussion with your nurse manager, even if you must email them, phone them or text them. Tell your manager that you made a mistake (because you don't want the first she hears of it to be from a physician ranting and raving about her "incompetent staff"), that you realize how devastating the consequences to the patient could have been and that you could not be sorrier for that. If you've figured it out already, tell her how the mistake happened and what you will do in the future to prevent it from ever happening again. And then take the chewing out you get with humility and with as much grace as you can muster.

    People who react with defensiveness or attitude to having a medication error pointed out are the people who are terminated. People who make horrific errors and then admit it, fix it and are honestly sorry can survive with their jobs and their licenses intact. If the OP reacted to counseling about her medication errors the same way she's been reacting here, it is not surprising that she was terminated. Termination was probably the only way to keep her patients safe.
    That makes a lot of sense - thanks for taking the time to explain.

  • Jan 11

    Quote from Workitinurfava
    Why won't you just leave the girl alone? You said what you had to say, posted many post (pointing out that she isn't listening to you) and I refuse to join your lets attack the OP bandwagon. Whether nursing is a game or not is your opinion. I have mine and I won't be bullied by you to say and act a certain way towards this person.
    Whoa! You aren't being bullied, and if you think. You are, then you're part of the problem.

  • Jan 11

    Quote from Workitinurfava
    Well post as many bullying post towards me and the OP as you would like (if it makes you feel better). You need help. It really isn't that serious. I am done responding to you because as you told the OP (you aren't listening). Your behavior is only showing her the bullying, uncaring and cruel behavior that goes on in the nursing field. State your feelings but don't recruit members to bully someone or bully the people posting. Your are the only person doing this throughout the whole thread.
    IMO, you are really exaggerating. "Bullying," "you need help," "cruel behavior," "recruit members to bully," etc. Come on.

  • Jan 11

    The world is hurting right now... and I want to help heal the hurt.
    1) The "world" is not hurting right now-- most of us have not experienced what you feel, because ..... well, you've made up your mind, so it doesn't matter. Trust me, though, you're wrong on this one.

    2) Before you can be therapeutic for anyone, you have a long, long way to go before you're "healed" yourself, and all that denial is going to impede your progress.

    3) YOU want to help heal the world? You with 8 months of experience and a mountain of denial to finish eating? You're not that important. As Dr. Phil would say, "Most people are shocked to discover how little other people think about them." Get over yourself and then then you'll be able to find a way to make yourself truly useful.

    I'm not going to tell you again to take down the videos, because you present as so out of touch that you won't realize their effect is not what you fantasize. It's you that will be hurt, no one else.

    Good luck to you. Done here.