I apologize if I am sounding stupid now,but I am just curious. We have all heard about the case in California with the 13 yr old,and how she is brain dead. Of course,she is on a vent,and the family wants her to get a trach and gtube.
I have several pts that are "unresponsive" meaning they don't talk, blink their eyes, nothing, no purposeful movement, nothing. All but one is on a vent, and all have trach and gt. At least one doesn't even use a gtube. She has been on Tpn for 1.5 years now for all her nutritional needs. One boy is a Dnr order, but with the understanding that we are to rescucitate him using the Ambubag, but if his heart stops, we do nothing. (I haven't seen a Dnr order like that before, and this is the first one I've seen like that)
It also says "at parents discretion", meaning that they could change their minds and make us do chest compressions. (according to nursing supervisor). This same boy had an EEG,and it shows no activity.
Anyway,I'm not seeing the big issue with the California case as I have several kids with vents, trach, and gtubes that are well...I'm not saying the words.
Specializes in Complex pedi to LTC/SA & now a manager.
Yes they require itbut its only if they ask you to present them.They don't ask all the nurses that need to renew to show them.[/quote']
Then if you do not have them you are lying under penalties of perjury when you renew your license and risk sanctions against your license as when renewing you state that in fact you have completed the CEUs as required. There is no limit on how far back they can review your CEUs for license renewal. And with recent licensing fraud the board of nursing has increased the rate of auditing CEU completion for nursing license renewal.
Is it worth losing your license, sanctions and several thousand dollars in fines when there are many free CEUs available ? Good luck.
Specializes in Complex pedi to LTC/SA & now a manager.
Aparentlytwo pts....Zack Dunlap and Stephen Thorpe,were declared"brain dead" yet woke up.Google them. No,they were in a vegetative state nor coma,and on was on the table to have his organs harvested.It isn't as simple as brain dead is dead.The Terri Schiavo Foundation is assisting the family with finding other arrangements.Why can't they send her home on hospice at least?(Of course,with tubes and vents)What really got me annoyed is that Mom is reporting that some hospital staff,including nurses,are referring to her child as "that body" and "deceased".I really hope that isn't true.[/quote']
Zack Dunlop was misdiagnosed as he was a TBI and was assessed sooner than 3 days post injury which does not meet the uniform guidelines for brain death.
EEG & CBF studies are NOT required for those over age 1 but ancillary studies to support the physician's neurological findings & apnea test results. So yes, in the US brain death can legally be declared without EEGs or CBF studies. The studies are encouraged to support neuro assessment and apnea test results but not required as they are not always possible depending on the facility and patient condition.
Well,a coworker of mine had to take all of her CEU's in two weeks because she was renewing her license,and they asked her about them. She didn't have any at the time.Its pretty common for nurses to not have them,or take them within a month of renewing their licenses.Now that I remember,Maxim Healthcare's site and those tests we have to take every year count as CEU's.
Yes they require it,but its only if they ask you to present them.They don't ask all the nurses that need to renew to show them.
Oh, OK, so it's just licensure fraud you're committing, and that's not such a big deal. Gotcha. You sure that those tests you have to take every year add up to fifteen hours a year? You realize that employers are not responsible for presenting proof of CE to licensing boards, but you are? They would have given you certificates for the things you earned. Did they? Then I hate to tell you that they are probably not approved CE providers and those "tests" are worthless in terms of continuing education.
Although this assumption of yours does go a long way to explaining a lot of the lack of knowledge in your posts. No real continuing education = (there's no other way to say this) ignorance.
Specializes in Pediatrics, High-Risk L&D, Antepartum, L.
Yes they require itbut its only if they ask you to present them.They don't ask all the nurses that need to renew to show them.[/quote']
No they require them...period. They don't require it only if they ask to see it. It is required. End if story. If you don't do them and renew your license you are committing fraud. Simple.
Specializes in Complex pedi to LTC/SA & now a manager.
The Terri Schiavo Foundation is assisting the family with finding other arrangements.Why can't they send her home on hospice at least?(Of coursewith tubes and vents)What really got me annoyed is that Mom is reporting that some hospital staff,including nurses,are referring to her child as "that body" and "deceased".I really hope that isn't true.[/quote']
She is dead. No cerebral blood flow = death of brain. The death certificate was issued by the county coroner dated 12/12/2013 and is pending cause of death to be determined by autopsy. If you wish to understand the physiology of what happens to a body post brain death find JanFRN's wonderful articulation of what happens to the body and staff forced to take care of such a case in the ICU in the nursing news thread.
The outpatient facility supported by the Schiavo family is no longer an option. Mom reportedly is taking full responsibility and is trying to secure a home vent to bring her home. No trach or PEG to be inserted by or at Children's. She needs to make arrangements by early next week before the TRO expires. Since a death certificate has been issued it's unlikely that any hospice or home health agency will risk their licensing to accept such a case.
Of course the staff cannot refute the horrible claims made by the mother. Amazing how mom fails to mention all the above & beyond accommodations made by children's including on call chaplain, psych & child life specialists for her. & her family.
Specializes in Complex pedi to LTC/SA & now a manager.
I'm also not seeing anything on the Maxim website that says anything about providing CE to employees. You might want to check that.
I've worked for 3 different agencies. Only one multi-state agency was an authorized CE provider and it is clear on their site. This is the only agency that I receive 3-6 CE for annual competences. One agency offers CE through an outside company for eligible employees. Two of the three offer CE-like reviews for annual competences in infection control, confidentiality, mandatory reporting etcetera. But none are worth CE's.
Most of my colleagues complete continuing education throughout the renewal period. The only nurse I know that scrambled to complete all 30 CEUs in 2 weeks was gravely ill and wasn't sure she would be able to renew her license.
Failing to complete CEUs and lying about it when renewing your license is fraud. It's not a matter of if you get caught but when, is it worth permanent discipline on your license that is reportable to any other states you may wish to endorse to?
Specializes in LTC,Hospice/palliative care,acute care.
This family is crazy with grief and maybe guilt....for it is reported that the child had a feeling that something would go wrong and I am sure the mother said as mothers do..."Oh honey everything will be just fine" and it wasn't. My heart aches for this family.
I saw an interview in which the mother stated something along the lines of "she's had a really bad week" ..You think so? I feel so sorry for everyone involved and I pray daily for an ending to the entire mess ....
Oh, OK, so it's just licensure fraud you're committing, and that's not such a big deal. Gotcha. You sure that those tests you have to take every year add up to fifteen hours a year? You realize that employers are not responsible for presenting proof of CE to licensing boards, but you are? They would have given you certificates for the things you earned. Did they? Then I hate to tell you that they are probably not approved CE providers and those "tests" are worthless in terms of continuing education.Although this assumption of yours does go a long way to explaining a lot of the lack of knowledge in your posts. No real continuing education = (there's no other way to say this) ignorance.
Yes,you must be the perfect nurse who never,ever makes mistakes,never drinks alcohol,and is a saint.Yeah,gotcha.
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JustBeachyNurse, LPN
13,957 Posts