bebbercorn, BSN, MSN, NP 9,992 Views
Joined: Feb 25, '13;
Posts: 437 (50% Liked)
; Likes: 692
10 year(s) of experience in Family practice, emergency
What is this "break" you speak of, and how might I procure it?
Safe injection houses keep needles off the streets, can intervene in overdose, and is safer for our most vulnerable populations. Resources can be given for those looking for medically assisted therapy, rehab, or treatment for HIV/Hep C. These are diseases also less likely to be transmitted when clean needles are available. People have been chasing highs forever and they will use drugs if there is a safe space or not. So let's have it. It is a harm reduction method.
I completely agree with KatieMI. Ask for confirmatory testing. They can do so through NMS labs.
The important thing is that you owned up to it, I have heard of nurses getting fired for making med errors knowingly "Sure, I double ativan doses all the time, somebody will sign the waste for me..." or that sort of thing. Everyone is human and the fact that you acted to prevent harm in the patient says loads for your character. Proud to know you are an RN!
Med errors, especially ones you reported, should be resolved in a non-punitive way. Otherwise, it stops nurses from reporting. I'm sorry, your facility is in the wrong. Find an employer that values integrity, I wish you luck!
As a Muslim I have traded Friday's for Sunday's, Christmas for Eid... I have mostly had good luck. If you can speak with your rabbi then this may help, if you have to alternate fridays is this acceptable for you? I have worked in ED, Trauma, and have held pressure on bleeding wounds, done chest compressions, and held hands right through when I'm supposed to be praying. I'm no religious scholar, but I know in my heart that this is not a problem. I pray it goes well for you , if this is the best job meant for you!
Anders, one of my favorite professors did this. It was completely optional, but you could do a "visit" with her, where she would give you VS, pertinent history, and chief complaint, then go from there. I loved this learning method and it was so helpful. She had a ton of experience as an NP and was one of those who really facilitated learning. We need more of those!
I precept. I don't like to precept first semester clinical students because they don't have enough internal medicine knowledge to make the leap to geriatrics. What I find is that I get NP students coming through who have the book knowledge the school gives them about prescribing, labs, etc, but that previous preceptors many times don't let them practice working with any of it. Physical exam skills tend to be good, but the actual "exam, then do" is lacking. When my students are there I make them sit with labs and med lists and diagnoses and tell them to "figure it out". Generally that starts with them talking through it with me and as the rotation goes on it's them coming to me with assessments and plans, including meds, future labs, and reasons why. I won't take "it's the guideline". Ok, nice, but why??? I also let them practice writing prescriptions for everything from PT/OT (I work in LTC) to actually writing the controlled substance scripts. Since the facility still uses paper, they have to think and can't rely on an EMR to populate meds. This means they have to know how to look up dosing guidelines. This is from a school that does weed out people (I've had students set up to come to clinical and then be told they're not coming because they failed a mock physical exam with SOAP note, failed a written exam, etc).
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