Kooky Korky 32,903 Views
Joined: Feb 12, '10;
Posts: 4,255 (55% Liked)
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I hope he gets jail time.
maybe it was all the gases.
You can do 99 things right. But just 1 wrong outweighs all of them in some settings. I don't know what to say except that I hope you also get some cheers from time to time, some appreciation.
I guess try to be invisible for a while and this will soon be behind you.
When a doc used to give us a hard time back in the olden days, someone would remind us that we should imagine him with his pants off. If your coworkers or your boss give you too much grief, try doing that. Do not LOL.
My biggest accomplishment is having survived the meat grinder of working with prejudiced, hateful coworkers for more than 40 years. And getting to retirement!
there have also been plenty of joys and wonderful coworkers. Somehow the negative happenings tend to stand out. I have to work on that.
Sprinkle some wisdom on me wise school nurses!
I had a parent contact me because the teacher is limiting them to one bathroom break a day. Poor kid ended up having an accident due to this policy, and the teacher didn't bother to let me know. Student doesn't have any kidney/urinary issues, not diabetic, no underlying medical conditions. Mom wants the child to be able to drink water throughout the day which of course means multiple bathroom trips.
So, I need to reach out to the teacher and I'm not sure what to say. No other teacher limits bathroom breaks. In fact, most my teachers are very free with the bathroom breaks.
Also, I'm elementary and this is 3rd grade.
You should have chased down those trash bags and found that pill. Not kidding.
"Occurence report for RR" can be, for example, about making several calls to covering provider in escalating clinical situation which were either not answered, or response was clearly outside of "common practice" (like not ordering "septic set" for patient with crushing BP, fever and tachycardia/tachypnea, ignoring deteriorating viral signs, not ordering ICU transfer when it was clearly indicated, etc).
I do not understand the second part. Things, including drugs, devices, monitors and everything else, are used "off label" all the time simply because it is not possible to push every single thing through the multiple steps of EBM. If one "never saw using this thing like that" in X+1 years, it doesn't mean doing so is unsafe or illegal. Policies also cannot encompass everything, and they are changed all the time. Unless you are a specialist, making conclusions of some devise being used in a certain way may easily cross scope of practice line.
And, yeah, hospitals are not required to "report complications". With "compliance line" or without it.
I understand that you probably were just thinking along the line of "iamjustdoingmyjob, iamjustsoooomuchconcernedaboutsafety", but at least with the second part you hit where it hurts most. This "guardian angel" nursing behavior is what irritates physicians beyond means because it affects their function, their decision making and their sense of power. They are picked on by insurance companies, sales, contracts, etc., etc., WAY beyond normal human tolerance level, and "report" of some bedside RN voicing her "concerns" just because she never saw something done can be that last straw.
If I were you, I would run out of there ASAP unless you agree to become a walking target. It may not be "just" but it is what it is. Physicians, and especially surgeons, bring $$$$$ in hospital, nurses bring little to nothing. Fact of life, love it or hate it.
found a 2 foot long turd in the nurses lounge bathroom once. Was the only guy on the floor and it was not mine
I have no idea what kind of vitriolic conversation you may have become engaged in. You and I have vastly different viewpoints with respect to the worth of these programs and 12 step programs. However, you are a thoughtful and respectful person who sees some of the shortcomings of these programs and are actively seeking to reform them for which you have earned my respect.
As you know, feelings run hot with respect to these programs. I have a well documented white-hot hatred for them and feel they have nothing to do with any sort of rehabilitation and very little to do with protecting the public, Honestly from what I've seen a very small percentage of nurses caught up in these purgatories have ever been impaired at work nor were they diverting drugs thus having no impact on the patients in their care. Further the idea of sucking nurses with non-substance abuse issues into these things is simply absurd and would be silly if the implications weren't so deadly serious.
My feelings for the money-sucking vampires in the rehab industry is even worse. I believe their success rate is in the single digits (similar to folks quitting without their "professional" help) and the only real interest they have is maximizing return for their business which is largely manned by completed unqualified, minimum wage people with a history of substance abuse who may or may not be presently clean. Any dime they squeeze from individuals or insurance companies should be prosecutable fraud.
Having said that, we agree on a basic point. Whether just or unjust (and its almost always unjust) the nurse sucked into this morass of fecal matter has a simple choice to make. They can either follow the senseless rules to the "t" or they can lose their ability to practice. I give the program everything that is required and not one thing more. Like it? No. Respect it? NEVER!!!! As far as the BONs monitoring our conversations I say let em. We have to conform. We don't have to concur or even offer a morsel of respect as they have earned none.
No one was cooling him down. And I agree Horseshoe - it's not up to the docs. Hospital admin are usually so far removed, that seems unlikely. He WAS cautioned. There wasn't going to be a "cooling off" - Officer (Detective?!) Angry had been there THREE HOURS and he arrived to do one thing. Get blood evidence that could hopefully be twisted into making an innocent victim (Wubbels patient) somehow responsible for a police chase.
He was there to help out another cop. Find a way to "blame a victim".
He was stopped by Nurse Wubbels and the fact she knew LAW. She was superb as she advocated for and protected her patient.
Thankfully, she involved admin and was clear on what was needed for her patient to give consent. Officer Detective Angry didn't get his blood evidence and that made his blood boil. Prolly thought "I will show them". Deep down he had to know he was stepping in the doodie. Leaping into the abyss. He didn't care - his blood was boiling.
I don't think a fire hose opened up on him would have cooled him off.
Although, I've got to admit that the thought of a 2 1/2" hose line trained on his chest aiming 300+ gallons per minute of some nice cold Salt Lake City water on him has made me smile.
He'd have just gotten up dried off and still flipped the switch on that career dissipation light.
Some folks just need to be hosed!
Sorry. That sucks. It's happened to all of us. I'd ask for OT pay and look for another job.
My in-laws refer to each other as "Mommy" and "Daddy." It's so weird.
Threads like this make me so happy I'm a pediatric nurse.
I totally feel you. Today I cared for a patient who has been in a SNF for years, nonverbal and immobile, totally contracted. Came in for urosepsis and hypothermia. They discussed quality of life issues with his wife and recommended making him a DNR but she wanted full code and aggressive treatment. Now in addition to his long-term PEG tube he has a Foley, a wound vac (for the stage 4 decub he got in the SNF), around the clock blood draws, IVs, antibiotics. Everything we do to him causes him pain. It's hard to turn him, hard to draw blood because he can't bend his arms, he has a rectal tube because he was having so much diarrhea... just awful. I don't think anyone would want to live like this. I understand it's very hard to let loved ones go but it's also very difficult to feel like you're torturing someone to keep them alive against their will. I think all we can do is try to provide compassionate care, continue to advocate, and show some compassion to the patient's family even when we do not agree with their choices. Good luck to you with your situation; it sounds really tough.
I hear you, I do, and I get that piece of it. In most cases I do see it that way and understand, and I tried to flip my persepctive with this case as well. However, I truly believe her "care" is to the point of diminishing his quality of life. When I talked to the hospice nurse she said that when therapy came to the home to evaluate him the wife was pushing him out of bed, he did not want to/was not able to participate.
I know that she loves him and doesn't want him to die and I get that, but I also feel that he has the right to refuse treatments that make him uncomfortable, which is most things at this point.
I know I probably sound heartless but I truly do understand why she feels the way she does. It is just frustrating to feel like I am not giving my patient the best care for him because his wife is unreceptive to education.
Tread very lightly from now on if you want to keep your job.
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