pagandeva2000 25,317 Views
Joined: Sep 22, '05;
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Blessed Be to allnurses:
I used to be an active member of allnurses some time ago and reading about this tragedy really hurt my gut. I know that the many faithful participants, guides, moderators and administrators of allnurses MUST be in deep pain while trying to process through all of this. May the Creator embrace ALL OF YOU, the extended families of the Shorts and the AN community and bring peace to this. May this bridge togetherness and love.
love to you all,
LPNs are NURSES. And, I am also darned curious to know what state is insane enough that would actually not allow a nurse to call herself one.
I don't see why hearts and thoughts would have been legally responsible either, especially if the patient was alert and oriented x3. I mean, she, herself did not touch the patient at all. Am also wondering if the patient refused to actually go to the ER via ambulance? How close was the hospital? Maybe this patient has a history of refusing to travel via ambulance, not sure. I think it would have been better to call 911, myself, but, there are patients inside and outside of facilities that do, in fact, refuse to follow protocol that makes sense. It did not seem, however, that the patient was being abandoned to his own devices, that they were planning to get him to help, so, I can't really say their intent was bad if he was not in immediate crisis.
Wow. I knew other people had pen addiction issues like me, but I truly did think i was the ONLY one who was a little weird about index cards! I don't know why, but I love them and use them for notes at my desk like others would use post-its (which I also use, but am not an addict about like pens and index cards....)
Because of this thread, I was able to obtain the pens of my dreams! The uniform stores usually give away contour pens to customers, and I would always go to the ones that would give me more than one. I never knew who they obtained them from until this thread started. National Pen Company makes them! Since I learned that, I have at least 400 of them. I made 4 orders of different designs and sayings since this thread. Many of the nurses love how they write, so, people always come to me for pens. Now, I can get sort of stingy when the supply runs low, but, I am SO happy to have my pens. I carry at least 4 of each design, have some in my (locked) desk, and I am like a pig in cool mud. Not ashamed either!
Sorry Indie, but the behavior she is exhibiting is quite common in home health. The best you can hope for in extended care cases are those where you do not relieve or are relieved by another nurse and/or where the family is intelligent enough not to get caught up in manipulation originating from any of the nurses on a case.
Wonder how my fellow home care nurses would treat this issue in terms of mandatory reporting laws (in California they have increased the liability of nurses who know about something bad going on even if they have no firsthand knowledge of it).
So technically we're not legally required to inform the agency "about" something, but we are legally required to report to CPS or APS, and if we don't we are in the doo-doo. So for example if we know the mother reported it to the school is that where our legal responsibilities end? We don't know in a case like that for sure if it's been reported to law enforcement. Just wondering how you interpret that in a practical situation.
Hospital clinic. I had worked at this same facility and clinic as a Patient Care Associate. Also grabbed side gigs as a flu nurse, med-surg per diem (at my same hospital), and vaccination nurse for the US Army.
When I find out pertinent information, I put it in a communication note and send that to the agency. I have done my job. I do not waste more of my time or effort worrying about what the other nurses may or may not have reported to the agency, to the next nurse on report, wrote in their shift report, or placed in the communication book. Nine and a half times out of ten, when I report something it is the first and only time it has been reported.
I think that the next time something occurs that leaves you in doubt, YOU be the one to report it to your agency-act like it is the first time you were aware of it...this way, it doesn't appear that you were the neglectful one. If the agency already received report on a situation, then, good, if not, then, at least YOU told them. And, whatever happens afterwards regarding those other nurses, let them be the ones to deal with it.
I had a similar situation with pediatric home health. I only worked this case on Saturdays, because I already have a regular fulltime job in a clinic. I came in and the mother told me that her daughter reported to her that while she was in daycare a few days ago, another little girl caressed her vagina. This client has a nurse around her 20 hours a day-including school hours. I am not saying that the nurse had to see it directly (this is pre-kindergarden, where children sit in a circle, drawing, doing other activities). The client did not report it to the mother until the night shift nurse gave her a bath (I guess the bath reminded her of the incident). In any event, the mother went to the school, reported it, got the parent of the other mother involved, etc... Meanwhile, the nurse that reported it and the dayshift nurse did not report it to the agency, nor write a note about it.
I, on the other hand felt this way...if the little girl remembered at the time she received a bath, and she is only 4 years old, what if she then, associated that nurse bathing her as the one that touched her inappropriately? I mean, all nurses have to bathe intimate areas on our clients. And, what if more happened to this little girl that no one decided to report because they weren't really supervising her at the school? So, I called the agency that same day, left a message, and made sure I called back Monday morning again and reported the situation. Now, it was up to those nurses to explain what happened, but I reported as I heard it. Whether those nurses were going to report it or not was one thing, but I was going to make sure that I said it.
I did eventually leave that case, however, it was for other reasons.
I will be an RN after school. I'm going to be very careful about my license and there is an experience nurse there too. The doc is very experienced and credentialed but I will definitely be asking questions and observing before starting to make sure everything is up to par. Thanks everyone =)
As mentioned, there are more battles to contend with than what a person demands they are to be called. What would concern me more is how the staff interact with this person. Is she approachable? Does she address issues effectively? Does she advocate for patients and staff appropriately?
It could be that she wants to establish the "Mrs. Newboss" in order to remind people of the formality. Too much familiarity can undermine authority at times. If you walk in with the demeanor of call me Ms. Newboss, it sets a precedence. As mentioned, calling people by their title, or preferred title doesn't seem like a bad thing, as long as they respect who you are. I have had many supervisors that insist on calling people by their last names. They were rough drill sergents, but, they were available to us, were fair and we trusted them. I'd rather that, then to be treated like an animal and called an animal.
Are you an LPN or RN? I'm only asking because this reminds me of when I attended my best friend's graduation from the same LPN school I went to had an LPN guest speaker that spoke very highly of LPNs working in plastic surgery clinics. In fact, she works for an agency that recruits nurses in such positions.
I think that is a sure win! You will get to see many interesting procedures, and you would get to know as well as practice sterile technique blindfolded. In addition, you'll probably have choice days...no weekends (or maybe Saturdays at best) or holidays. You might meet some influential people that can lead to other similar positions. I say go for it!
These reality shows are staged, anyhow. They hire psychologists to study the profiles of potential reality participants and they try to gauge which personalities are most conflicting-those will be the ones that will be chosen. Can't have a great reality show without the traditional cat fights, you know.
Just last night, I saw that The Learning Channel plans to launch a reality show about polygamy. Comes on in a few weeks. Go figure.
Setting up the meds, signing for them, but expecting you to give is a lot of nerve. Dealing with 70 patients is insane, but unfortunately, that is the experience of most LTC nurses...these facilities almost force them to treat patients like a meat market rather than human beings.
At this stage of the game, at least you know what you don't want to put up with...now, maybe with this experience, you'll be able to make better assessments of the places that you are interviewed for.
This is one of the major frustrations of nursing...so many disgusting situations to have to put up with, and if you don't play the game, you are targeted. Maybe Public Health Nursing is the better deal for you. I think what bothers me the most is that many of the reasons that you are no longer at these previous positions are why most nurses are running as FAR from the bedside that they can go, where they are needed the most.
Tell them when you need a break and take it. Or if you need longer time for your break/lunch, let them know and take it.
I smoke as well, but work in a clinic, where it could be a bit different. There are 'slow points' or down time in our clinics where it is completely slow, and that would be the time that I take the break...not when it is busy. And, I make rounds to each station before I make that announcement to see if there are any lingering situations where another nurse needs assistance before I go.
Those same nurses will also let me know if they have to take an extra break to get coffee, take a breather, need to pay a bill and may need a longer lunch break, etc... and we've always worked it out where everyone gets their bit of downtime if needed or even just desired. Not sure what can be done to change their habit, but I'd make sure that they work with you, too.
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