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gonzo1 19,043 Views

Joined Jun 8, '05. Posts: 1,720 (46% Liked) Likes: 2,455

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  • Jun 15

    PS I love this man with all my heart! He may be "cantankerous and ornery" with me, lowly Dogan that I am, all he wants, but he loves his grandboys! And that is all I care about! I thank the small gods every day that he survived to teach them all he knows about hunting, fishing and snaffling coo beasties!

  • Jun 15

    Quote from Wuzzie
    I went back in about 30-45 minutes later to start morgue care and noticed the tips of his ears were pink and getting pinker. Next thing I know he took a breath. Not an agonal breath but a real honest to goodness breath. I threw the curtain open and yelled "Dr. N he's aliiiiiiiiiive.
    OMG, I might have peed my scrubs! lol. That is pretty amazing.

    Ours was a young patient who apparently experienced sudden cardiac death, found by roommates down in the bathroom after they heard a thud. We worked this patient FOREVER, and achieved ROSC when we thought it was way past time to call it (but our doc just refused to call it, to his credit — spider sense?). That young patient walked in with their parents some months later to thank us, and everyone got choked up. It was amazing. Very few deficits for such a long downtime, just some minor memory issues (I guess we perfused the heck out of that brain with our CPR). I will never forget the patient's mom hugging our crusty ol' doc and thanking him for saving her child. My eyes well up even now!

  • Jun 15

    I know what you mean, but the one time you have someone you thought was futile walk back into your department under his/her own power to thank the physician and staff, it changes you forever.

  • May 21

    Quote from poopylala
    I ... Where have all the older nurses gone?
    Gone? Early to bed mostly as we need more sleep

  • May 21

    Quote from SoundofMusic
    Oh gosh ... a travel nurse ought to have a triple policy.... so much risk, especially also not knowing your staff all that well. I have to wonder about the lawyers, too. Mine never asked if I had insurance -- but I wish I had.
    The facility will throw the travel nurse under the bus any chance they get!

  • May 21

    Hello:

    Wanted to post this, as a way to share my story, and help another practitioner avoid what I've gone through over the past few months. Many of you out there are probably too smart to land where I did, but then again, many out there who are new or who are cruising along just not thinking about it may benefit from my advice.

    Earlier this year I was involved in a patient dispute, was terminated from my position, and the company reported me to the Board of Nursing.

    There was no harm done to the patient -- more of a charting/billing issue in which I made an incredibly dumb mistake while working in a very pressured position in a retail setting and had zero administrative support to fall back on.

    Anyway, a few lessons here I'd like to share:

    1. FIRST AND FOREMOST -- get a malpractice policy and keep it current at all times, every minute while you are working. The malpractice policy will come in handy when you have to hire a lawyer to represent you in any dealings with the BON, even if you are innocent. Remember, ANYONE can report you to the BON -- a co-worker, a patient, a "friend," a doctor ....anyone.

    2. Don't panic, and get a lawyer. There are lawyers out there who do this for a living and will counsel and advise you on how to present yourself in the best light to the investigators and/or board. Be prepared to fork out at least $2500 to start to retain them. It will go up from there if there are additional needs.

    3. If you're in a bad job where you are not supported, or perhaps not really getting along with people you work with, or are unsure of their support, LEAVE as soon as possible and find a better job. Even if you are being paid well with outstanding benefits, etc. There is sometimes so much risk in what we do -- and patients are unpredictable and have the entitlement mentality going in many cases. Don't do patients any favors ...follow the policies of your employer at all times. Do not stay in a job where you feel you are being asked to do more than you can handle -- eventually something can and will happen. Call for help when you need it.

    4. If you make an error, do NOT expect the company to come to your aid. They will throw you "under the bus" so to speak very quickly. And rightly so -- they have a company to uphold, and you are just not the priority to them. Thus, the malpractice policy, again -- very important.

    5. Take care of yourself -- get counseling, get therapy -- whatever it takes. It's an intensely rough situation to go through -- you may be dealing with the loss of your income, the loss of your colleague support, the loss of your identity -- extremely rough thing. Was for me -- it just about killed me, literally. Luckily I had a wonderful medical provider (an NP who is fantastic) who recommended various steps for me to talk to get my equilibrium back, both mentally and professionally. Luckily I also have a wonderful spouse, family and friends who were there to support me. Luckily, my husband provides an income that we can get by on without my income. If this is not the case for you, you REALLY need to hear this.

    6. Be truthful, and tell the story. Tell every detail, and don't try to cover up anything that you did. Yes, it will difficult and mortifying at times to admit what you did ...but this is what I did -- and in the end, the new doctor I will be working with knows the entire details of my story, and has been completely understanding. I had to go on many many interviews after being fired, however, and some of them were not pretty because I was just not ready to present myself properly. I also had to explain to the malpractice company what had happened to be cleared by them. I may receive a "reprimand" to my license soon, and it will follow me forever, unless I get it expunged from my record.

    7. Know that you are in an extremely demanding profession and that you are held to an a very high standard -- higher than an RN. Go on the BON site and do a little CME for yourself -- look at the discipline process - look at the various types of discipline that can result from your errors. (for example, Getting a DUI is an instant LOSS of your license, etc.) Know that once you receive a public discipline, it will not only be reported to the state you worked in, but any other state in which you have a license. It will be public, and it will also be sent to a national data bank where anyone will be able to see it as long as you have it. It may make getting certain jobs very difficult.

    8. While you may love and admire your colleagues, they are not your friends. They are sort of like that company you work for ....they'll help you to a degree, but when push comes to shove, everyone will have their own best interests in mind. You WILL stand alone to defend yourself. Be good, be friendly, but always keep that professional boundary with them.

    9. Do the best job you can and do try to make a few contacts at your job who you may need to use later as references. I am thankful that I had a very good relationship with some of my colleagues and that they were absolutely there to support me through this ordeal. But that's because I always helped them when I could, and I tried to be a decent person at work.

    Now that I have somewhat survived this ordeal and looking back, I'm not sure I'd change a thing -- I learned so much -- learned about the reality of the profession, learned about myself and who I am. Got knocked down from my very high horse (and I was on a high one -- I was a top clinician and producer for my organization and thought I could do no wrong). Learned how to handle a tough situation, learned the law, and learned that there are better jobs out there. Most of all, I learned that TRUTH is key ....be truthful in everything you do, even if it means letting a patient yell or get a little mad. Your license and your livelihood is at risk -- and really nothing is worth that, ever.

    And lastly, do not affix your identity to this job. For me, I had to re-learn that my worth as a person is not defined by what I do, or how much money I make, etc. This is probably one of the hardest things I had to re-learn and face. Love your job, but love your God, your spouse, your family, your life that make life worth living ... these are the things that will ultimately sustain you in the end.

  • May 21
  • May 21

    I got a hearty pat on the back. Of course the hand had a knife in it.

  • May 21

    Just as a reminder, I wasn't asking for anyones opinion or discussion. I am aware that not everyone will feel the way I do. I am only a portion of many perspectives out there and I just wanted to share *MY* experiences with others who may be considering nursing as a career. Just because you guys feel different does not mean my perspective shouldn't be treated with any less value.

  • May 21

    Quote from Kooky Korky
    Roll out. We're going to roll out, we did roll out, we are rolling out whatever it is. I just hate it. I thought it would have gone away by now but I still see it/hear it from time to time.

    Enemas for everyone who says it!
    If you broke out in a soul-stirring rendition of "Roll Out the Barrel" every time someone said that, do you think they'd eventually get the message?

    No, me either.

  • May 21

    Quote from chacha82
    How do you unpack a silo? But for real, I don't know what silo-ing is.
    When the left hand doesn’t know what the right hand is doing.=information is siloed.

    Information is power and people don't like to share power, therefore "leadership" ends up having to "unpack" a "sentinel event".

    Inevitably they find information was "siloed", promise to be more "transparent" and the next thing you know some VP has decided to "move forward" and are given "best wishes in their new endeavors" :-)

  • May 21

    I don't think I can participate in this thread without dropping the f bomb. Why can't I just provide good care to my patients without having a bunch of BS shoved down my throat?

  • May 21

    I had another episode of uncontrollable eye rolling following a local news report this morning. Perhaps it's an unrecognized seizure disorder.

    News anchor with concerned look on his face states in serious voice, "They are conducting an investigation into what happened!"

    Isn't that what an investigation is? Damn my high school English teacher for making it impossible for me to simply listen to air heads read bad news copy without experiencing a neurological reaction.

  • May 21

    Quote from txredapple79
    I need a catch phrase now!
    How about using past advertising slogans in your daily conversation and try to pass them off as your own?

    When an employee complains about a coworker - "Where's the beef?"

    When you receive a patient compliment about an employee - "I'm lovin' it!"

    In the event of a C-Diff outbreak - "What can brown do for you?"

  • May 21

    "Perception is reality," as in, if the patient perceived you as rude, you were rude.

    In some ways it's true, I don't want to hurt anyone's feelings. But if I'm stating a fact they don't like, that doesn't make me rude. For example, hospital policy prohibits smoking, and the only way they will be happy is if I let them light up.

    Perception is reality, in a lot of cases means there is no way to complete the job in a satisfactory manner.


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