Good day everyone, I feel so inclined to warn all fellow nurses and aspiring nurses to be careful of fraudulent activity... I have worked in home-care for some time and I have witnessed some awful things. Most recently, I have witnessed my hiring manager and RN supervisor give some emergency protocol information that was way off and potentially fatal! I had such a bad feeling from that orientation that I walked out of the office. Can you believe that she was teaching us all to follow bogus procedures regarding tracheostomy care? She was teaching us that if the regular size tracheostomy cuff does not fit, then it is okay to use a smaller one and then she gave some cards that were to be used as a " reminder" of how to perform CPR on a patient but the numbers were way off. I was appalled at what I saw so I tried to notify the Board of Nursing. It turns out that the facility was penalized several times in the past for problems.
In addition to that catastrophe, I looked up how to perform certain nursing procedures online -Youtube- only to see that there are videos showing the wrong procedures being performed. The videos do not appear to be a joke. They appear to be the same style and quality of what you would see in nursing school. Can you believe that I saw a video where a nurse poured normal saline in the tracheostomy of a patient during routine tracheostomy care? Forget that she was not performing using the sterile technique.
Bottom Line... BEWARE OF FRAUDS WHO AIM TO HARM AND ALWAYS CHECK THAT THE FACILITY WHERE YOU WISH TO WORK AT HAS AN UP -TO -DATE LICENSE/CERTIFICATE TO OPERATE... You may even want to think twice if the company has been penalized in the past....
If you think that your employer should update their procedures, why don't you speak to your supervisor about it? The BON does not oversee healthcare organizations or review their P & P, so you may be barking up the wrong tree there.
And in an emergency situation or when changing the trach, it is totally ok to insert a smaller trach if the size ordered by the MD is met with resistance.
Exactly... As Golden_RN stated. Find the evidence in journals or other practice guidelines that support your claims. If you think a change is needed, create a team and work with others to rework your practice guidelines. As long as you have evidence to support your claims, maybe some practices have been outdated or need updated with new current knowledge.
For example current guidelines for trach emergencies.
RNNPICU, BSN, RN
1,310 Posts
Exactly... As Golden_RN stated. Find the evidence in journals or other practice guidelines that support your claims. If you think a change is needed, create a team and work with others to rework your practice guidelines. As long as you have evidence to support your claims, maybe some practices have been outdated or need updated with new current knowledge.
For example current guidelines for trach emergencies.
https://www.hopkinsmedicine.org/tracheostomy/living/change_problem.html
https://opentextbc.ca/clinicalskills/chapter/10-6-tracheostomies/
https://www.aacn.org/docs/cemedia/C135.pdf
Loving life, and Divine LPN,BSN.
If you have information to the contrary, please let me know.