Latest Comments by OCNRN63

Latest Comments by OCNRN63

OCNRN63, RN Pro 33,011 Views

Joined Aug 27, '10. Posts: 7,090 (75% Liked) Likes: 27,161

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  • 20
    xoemmylouox, nurseletDZ, Ruas61, and 17 others like this.

    That cake belongs on Cake Wrecks​.

  • 3

    Quote from Ruby Vee
    If you're going to potentially damage someone's career and jeopardize their livelihood by reporting them for narcotic diversion, you should be willing to stand up and do it without being anonymous. If you say you KNOW this person is using drugs, then stand up.

    On the other hand, if you think the person may be using drugs but aren't 100% sure, then you have no business reporting that they are. Report what you SEE, not what you THINK.

    If a medication is due every eight hours prn, then 15 minutes on either side of it is not a big deal. An every two hour prn med would be different. If the patient has been waiting for everyone to get out of report so she could have her pain meds and is in significant pain, it seems kinder to go ahead and medicate her before going into report so that the next nurse doesn't have a patient in uncontrolled pain to deal with.

    You already talked to your manager; you've done your due diligence. It is now up to your manager to follow through. It is also not your manager's duty to report to you how the situation is resolved. If there is disciplinary action, you don't get to know about it. It's confidential.

    I don't see any facts in the original post -- except the 7:15 and 2:45 times which seem pretty sensible to me. Are you sure your concern is narcotic diversion or potential narcotic use rather than getting someone into trouble?


  • 2
    LadyFree28 and poppycat like this.

    There's no such thing as privacy anymore.

  • 2
    toomuchbaloney and herring_RN like this.

    ABC News reporting that suspect called 911 after shooting pledging allegiance to ISIS.

  • 5
    Altra, kalycat, WheresMyPen, and 2 others like this.

    Quote from Jensmom7
    Eventually, the private funds run out and they file for Medicaid, which then pays their expenses. Fewer and fewer LTC patients are private pay these days.

    But, on topic...

    I rarely advise contacting an attorney, but what this woman is doing is slander, pure and simple. Others have advised having an attorney send her a strongly worded "knock it off or we're going to go Medieval on your ugly butt" letter.

    That sounds like an excellent idea. The situation has spiraled WAY past "ignore it, grow a thicker skin, she's just whacky". It could potentially impact OP's livelihood. The facility could decide that the easiest course of action would be to get rid of OP and not lose any revenue if other families pull Gramma out because they believe the lies.

    If it continues I might even have my lawyer contact the facility lawyer for a friendly little sit-down.
    Nailed it!

  • 4

    As a former certified psych. nurse, I have to be honest: your conduct was inappropriate and not only escalated the patient's agitated behavior, but made things more difficult for anyone who would have had to evaluate him later, e.g. physician, social worker, crisis intervention worker, etc. Not only that, but you angered his mother, who could have been an ally.

    People who are suicidal don't behave in textbook manners; they present in many forms. And just because he didn't take an OD this time doesn't mean he won't OD to get that girl's attention the next time...or the next. It sounds like this kid is very impulsive and most likely has a personality disorder. The last thing people like that need is someone hectoring them over all their shortcomings.

    This was definitely not a therapeutic interaction. Perhaps you should do some research on how to handle suicidal patients in the ED. When you learn better, you do better.

  • 0

    Quote from sungrl01
    I just found out yesterday I got the job. So I am going to do Radiology Oncology nursing at Cancer Center. This will be new to me as I have OR, pre and post op nurse experience but hope to learn so much! So excited

    Congratulations! Have you considered joining Oncology Nurses Society? They have all sorts of CE materials at a reduced rate for members, and they also have a certification for radiation oncology nurses which is also offered at a reduced rate for members. (At least they did ~3 years ago.)

    Very best wishes to you!

  • 1
    NurseGirl525 likes this.

    You can't work as an LPN/LVN if you are an RN. It doesn't matter if your RN license is in NY; if you go back to CA to work as a nurse, you will need to let the BON know that you have a license in another state and that it is a different one from the one you currently hold.

  • 6

    Quote from moretonel
    Roser13, I accept I could be wrong, I'm still new to healthcare as a career. Please , enlighten me where I may need to rethink my position.
    Passing NCLEX means that a nurse has shown that s/he has the minimum level of competence to practice as a nurse. Nurses are licensed by their respective state BON and answer to them. Nursing education is highly regulated.

    An MA's education does not have the same rigor. MAs are not licensed, except in certain states, and even then that licensure does not carry the same weight as a nurse's license. Nurses are held accountable for their actions under their license; an MA, even one with a license, works under the auspices of his/her supervising physician.

    Someone may be able to know which squiggly lines require what medications, but that's a far cry from understanding the whats, the whys, and the wherefores of said treatment. Someone can't begin to understand how much you don't know until s/he actually goes to nursing school and starts learning about body systems, disease processes, and how they're managed.

    It's more likely that you're seeing lesser qualified individuals in supervisory positions because someone wants to save a buck or two.

  • 3

    Quote from Ambreree
    That's a nice way to look at it but I just felt that nurses couldn't really stick up for themselves on that site so the pre-meds could say whatever.

    You know, I have been a member of that site for nearly 15 years. I've gotten to know some really nice people on that site.

    I think you get out of that site what you put into it. I've had people there thank my for presenting the nurse's POV, or helping them to understand why nurses respond to situations the way they do.

    It's funny, there are people I remember as med students who are now attendings, and we chat on FB.

  • 2
    ShaneTeam and Farawyn like this.

    Have I seen "The Force Awakens"?


  • 6

    Quote from sirI
    I learned this week that panic ensues when the WILTW doesn't appear ... there's panic in the streets.


  • 9
    joanna73, elkpark, KindaBack, and 6 others like this.

    Quote from Lucky724
    Home health, hospice, school nurse, camp nurse and health department to name a few other options. you also have contacts at the clinic you are at so maybe network to get hired there - even as a new grad. Most home health and hospice agencies want some experience but it's still possible. Dialysis is another option as some offer the training.
    As far as UR or CM, at least where I live the RN has to have experience AND be certified.

    Absolutely not to the first two. It takes an exceptional new grad to feel comfortable working independently in home health/hospice. Where do the medically fragile people in hospital go when they're discharged? They go home. Caring for the dying patient at home can require complex symptom management as well. In both cases, the nurse has to be able to function by him/herself, and do so confidently. A new grad likely doesn't have the skill set nor the fund of knowledge to do so. That's why the majority of home health and hospice agencies require prior experience.

    I'm not saying new grads never get hired into either of these fields, but it's much harder to find positions in these areas for nurses who lack experience.

  • 1
    ShaneTeam likes this.

    Nurses Week at many of my jobs had turned into "All Allied Health Professionals And Volunteers Week." We wouldn't want anyone to feel left out now, would we? (Even though some of the groups who felt entitled to participate in "Nurses Week" had their own special week.)

    Usually we got gewgaws with the corporate logo on it and junk food. Sometimes there were ice cream sundae bars!

  • 3

    I didn't go to pinning, but it was because our pinning ceremony was a very religious ceremony that I did not want to be part part of. I wish I could have gone, but, there it is...I went to graduation which was wonderful, and I'm glad I went to it