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Ruby Vee, BSN, RN 163,962 Views

Joined: Jun 28, '02; Posts: 14,134 (73% Liked) ; Likes: 59,081

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  • Aug 9

    You are 100% responsible for this error. You connected the IV and started a medication without checking the bag. There is never a scenario when you don't check a medication before giving it. It takes 2 seconds. It could have been literally anything. You are not owning your mistake if you're saying you are not the only one to blame. You are very lucky your didn't cause any harm, or AKI or anything.

  • Jul 19

    You have to tell them. Since you haven't "seen" him, let him know now. Unprofessional to do otherwise, you were specifically asked to let him know. If he finds out another way, you never know what consequences he may pursue. Seriously, send him an email immediately, follow up in person, and ask to work out your "resignation" time.

    You don't need "lied to your boss" on your work record, you don't want to burn bridges with your current employer even if not planning to stay. You never know what may happen in the future, guard your reputation!!

  • Jul 19

    Not a topic you should be discussing at length with coworkers. Should have invented a fib to tell them. Only responsibility you have here is to your employer and that is all you should have been worrying about. Now you have to consider whether or not coworker gossip will get to the ears of your employer before you bring up the subject on your own.

  • Jul 19

    Quote from jbeaves
    Our nursing program taught us that as RNs, working as a tech was below our scope of practice and recommended that if we continued to work outside of nursing while licensed, that it be outside of the medical field completely.
    Your nursing program is incorrect. Everything that is within the scope of a CNA is within the scope of an RN. It is simply those tasks that can be delegated. It can, however, lead to issues with job description and the expectation that you would act as a prudent licensed nurse would act when involved in patient care.

  • Jul 19

    dilemma
    noun
    a situation in which a difficult choice has to be made between two or more alternatives, especially equally undesirable ones.
    "the people often face the dilemma of feeding themselves or their cattle"
    synonyms: quandary, predicament, Catch-22, vicious circle, plight, mess, muddle;

    I mean, it seems like a dilemma to me. I threw in the ethical part as if you ignore the ethics, there would in fact be no dilemma. That said, I agree about coming forward.

  • Jul 19

    I don't see any dilemma here. Your manager asked that you do not work as a CNA after receiving your RN license, and that most likely is due to hospital policy. It you intentionally withhold that information so you can get more money, you are violating the policy and being dishonest. At best you're being unprofessional. It is not your hospital's responsibility or obligation to ensure your financial survival. I strongly recommend that you be honest so you don't burn bridges or worse.

  • Jul 19

    When you have a problem with a colleague, the first thing to do is to talk to her directly and alone. State specifically what your problem is in factual and not emotional terms, and what she can do to fix it.

    Like this:

    Yesterday when it was time to do vitals, I couldn't find you. I asked Tom where you were and he said you were in the break room. I would like you to be available for vitals, so can you please take your break after or before that time?

    Avoid judgmental and vague words like "slacking" and don't make any assumptions about why she does what she does. Do not generalize. For example, Don't say "Every time we do vitals you are no where to be found". Give one example only at first. If you have more than one specific thing irking you, then bring that thing up too, but don't overwhelm her with your disappointment. In the end, there needs to be three practical things or less she can do to make this better.

    Depending on how she responds, give her a chance to improve. If she does improve, tell her that you really appreciate how she heard you out and made a change. For example, in private "Thanks for being there during vitals. I'm so glad that we worked this problem out together."

    If she responds with arrogance or nastiness then you can bring it up with her supervisor BY YOURSELF. Don't rally up the other nurses and ask them to go with you. If they have a problem they can also go, but you should not be asking them to do it. If they complain to you, you can suggest they go to the supervisor, but again, you should not be trying to find people to get on your side about this. That could very easily turn into a bullying situation.

  • Jul 17

    Another morsel of COB advice:

    When you are off, be OFF. Do not answer work calls. Make ZERO excuse or explanation why you say 'no' if asked to work extra and you don't want to. "No" is a complete sentence.

    (How's this for crusty? I've been a nurse since patients could smoke in bed and doctors and nurses could smoke at the nurses' station!))

  • Jul 17

    I was called a COB by a patient today! I almost asked if that made me a "hateful, biter nurse"...anyone who has been on this site long enough remembers this

  • Jul 15

    I'm wondering - is it just nursing jobs that you think you are slow at? What about the things you do in the rest of your life? I ask this for a reason.

  • Jul 15

    They were doing you a favor by offering you the option of resigning -- since you turned them down, you are now officially fired and that will follow you through your career. You say you have another job lined up now, but, in the future, when you are applying for jobs, you need to be prepared to talk about the termination without saying anything negative about your former employer or blaming the situation on anyone else. People do recover and go on after this kind of thing, all the time. Best wishes!

  • Jul 14

    Story not about a pill I dropped, but that my patient dropped. I was working at the time on the in-patient heart failure floor. The patients were usually young and typically in-house until transplant, many 12-18 months. So the unit's policy unlike most other floors was to leave the pills at the patient's bedside and the patient was allowed to self-administer PO meds they had been educated on once they were awake. The unit's goal in doing this was to allow these patient's to have control over an aspect of their care. Anyways, back to the story. I had left the patient's pills for him to take and a short time later, I went to check in on this patient, he was on his hands and knees and was obviously looking for something. He informed me he had dropped a pill, I told him I would just go get another from the Pyxis. He stated that the cost of the particular pill he had dropped was $750 per dose and that he would take the pill that he had dropped on the floor. It still seems crazy to me that one pill can cost an individual $750.

  • Jul 14

    Quote from Tacomaboy3
    I disagree, both personally and generally. I think I have a realistic idea of what ICU nursing entails, having been a CNA in one for 3 years and having completed my preceptorship in critical care. I'm a new grad, and I think I should specialize.

    And I think the majority of my classmates deserve the chance to do so too. Most have worked in healthcare for years as a CNA, mental health tech, MA, etc. My class was filled with mature people with great and vast life experiences - they have specialty interests and deserve to pursue them right out of school. The idea that new grads should be in med/surg first is becoming increasingly obsolete and outdated, particularly with the number of specialty residency programs out there.

    Similar to what you said, picking a "general area" is also a great way of getting stuck in something you never were interested in to begin with.
    My opinion on this is I think a nurse with generalized experience can more easily specialize than a nurse with specialized experience can change specialties.

    Once you specialize you become competent in a limited area of nursing and are not inclined to want to start over in another specialty. Your experience in one area doesn't necessarily transfer over to another. You generally stay in a smaller network taking classes or going to seminars in your specialty and don't stay current in other areas. You really have to convince an employer that you are willing to start over, possibly taking a pay cut to do so. That's what I mean by getting stuck. Your ego or wallet can't afford to change specialties.

    I will stick with my OPINION that MANY nursing students don't have a clue what a real nurse does in any specialty.

  • Jul 14

    Sure some nursing students through personal experience or by working as a CNA or tech know exactly what speciality they want.

    If you do not have some personal experience or exposeure such as that, a new grad can't know what area they will like.

    As a nursing student and even working a few years acute care I thought L&D nursing was really lame, not "real" acute care nursing.

    I became a house supervisor and learned L& D nursing is the scariest, hardest, most critical care area a nurse can work. This is after 5 years of ICU. I even kind of wished I had gone into L & D nursing.

  • Jul 14

    What made my jaw drop, since you asked, (unless we're still beating the PCA example to death), were the nurses telling each other in report that the patient slept all shift. Different nurses each shift, no continuity of care. Slept all day. Slept all night. For 2 days. One nurse finally did an actual assessment, patient had stroked.


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