I'm a little upset about something I read on Facebook tonight. Let me start by saying, I usually take things with a grain of salt when it comes to Facebook, but something about this has rubbed me the wrong way. This post comes from an "experienced" nurse and self-proclaimed DON. My issue is not with the care the pts loved one received, but how this nurse vented her feelings towards all new nurses.
Let's all save ourselves the aggravation and debate and agree that what happened to the patient is wrong, and does not work in a culture where Zero Harm should be the goal; however, to say "New nurses are coming out with an insufferable, know-it-all attitude, and overconfident in their skills. New nurses, you're pissing this veteran off". Wait what did just read??? Surely ALL new nurses do not fit this mold, and to assume all new nurses are this way is just wrong.
She also goes on to say "You're the reason I won't hire a nurse with less than three years in the field. I would have fired you for this, and the two nurses before you for patient negligence. I've fired people over less. I hold my nurses to my personal standard, and that bar is set high, ladies and gentlemen. Shame on this nurse. I am embarrassed to call her a member of my noble profession. "
I get it, she's upset, her family member was hurt, but to say that she won't hire new nurses and that these three nurses should be embarrassed to nurses is WRONG. She has forgotten what it is like to go to work everyday terrified that because she is a new nurse she might kill someone. WE ARE ALL HUMAN, mistakes will be made; however, we need the experienced nurses to teach, and to guide and mentor the next generation. Maybe that is what is wrong with that ICU unit is that there isn't a good training program. This is not what I want the public to think about nurses. We should be team members, build each other up, because if one of us falls we all should. Shame on her... I am embarrassed to call her a member of my noble profession.
Thank you for your efforts to educate me. However, reading the flow chart you provided, "Does the person, business,or agency furnish, bill orreceive payment for, healthcare in the normal course ofbusiness (1)? --->" You betcha! She claims to be a nurse and a DON. Unless she's doing it for free and really does absolutely nothing, she certainly furnishes, bills or receives payment for healthcare. The flowchart says nothing about the time or facility where the breach happened. But, again, if your interpretation is correct and mine is not, I will stand corrected. And if there is no reason for the board to intervene, they won't. Time will tell.
We are held to the standards of our license when providing nursing care. There is no nursing care relationship between the person who posted the Facebook rant and her sister-in-law, the patient whose care is involved in the Facebook post. Again, there is absolutely no involvement of HIPAA in this situation and no reason to involve the BON. She is not acting as a nursing professional; she is acting as a family member. At most, the effects may involve her job. The only way I can see the BON becoming involved is if her facility terminates her employment and she works in a state where termination must be reported to the board. Sounds like you could use some information on HIPAA and when it is in effect and what constitutes a covered entity. A family member is most certainly not a covered entity.
Does the person, business,or agency furnish, bill orreceive payment for, healthcare in the normal course ofbusiness (1)? ---> No ---> STOP! The person,business, oragency is NOT acovered healthcare provider
Specializes in OR, Nursing Professional Development.
Thank you for your efforts to educate me. However, reading the flow chart you provided, "Does the person, business,or agency furnish, bill orreceive payment for, healthcare in the normal course ofbusiness (1)? --->" You betcha! She claims to be a nurse and a DON. Unless she's doing it for free and really does absolutely nothing, she certainly furnishes, bills or receives payment for healthcare. The flowchart says nothing about the time or facility where the breach happened. But, again, if your interpretation is correct and mine is not, I will stand corrected. And if there is no reason for the board to intervene, they won't. Time will tell.
But she is not a nurse or a DON when it comes to her sister-in-law. She is a sister in law. There is no professional relationship. She is not being paid to provide care to her sister-in-law. She is not providing any care to her sister-in-law. She is no different from any other patient family member. It appears you are having difficulty separating the nurse from the person. I may be a nurse when I work, but when I have a family member in the hospital, I am there as the family member, not as a nurse. HIPAA does not apply to every waking moment of someone's life; it applies when there is a professional relationship of health care/nursing provider to patient. This is not a nurse-patient relationship in any way.
Thank you for your efforts to educate me. However, reading the flow chart you provided, "Does the person, business,or agency furnish, bill orreceive payment for, healthcare in the normal course ofbusiness (1)? --->" You betcha! She claims to be a nurse and a DON. Unless she's doing it for free and really does absolutely nothing, she certainly furnishes, bills or receives payment for healthcare. The flowchart says nothing about the time or facility where the breach happened. But, again, if your interpretation is correct and mine is not, I will stand corrected. And if there is no reason for the board to intervene, they won't. Time will tell.
But she is not a nurse or a DON when it comes to her sister-in-law. She is a sister in law. There is no professional relationship. She is not being paid to provide care to her sister-in-law. She is not providing any care to her sister-in-law. She is no different from any other patient family member. It appears you are having difficulty separating the nurse from the person. I may be a nurse when I work, but when I have a family member in the hospital, I am there as the family member, not as a nurse. HIPAA does not apply to every waking moment of someone's life; it applies when there is a professional relationship of health care/nursing provider to patient. This is not a nurse-patient relationship in any way.
Rose_Queen is correct - beejaycee's interpretation would seem to be that no healthcare worker could ever talk about their loved one's health status to anyone, ever. That certainly wouldn't make sense, or uphold the spirit of HIPAA.
I'll save my comments regarding the post itself because it really makes me mad even thinking about the content, the delivery, and the praise for the rant posted.
I wanted to to post a link to a story about a Saskatchewan nurse who posted a rant/rave about the care her grandfather received before he passed earlier this year. She's facing charges for professional misconduct. Although this instance is outside of the U.S., could this RN, DON face the same charges since she mentioned her licensure and position?
Once upon a time a Director of Nurses told me- She would break me of my tender heart• My virtues got in the way of my real job which was to pass medication• I struggled with my shortcoming and even though I failed her -The amount of families patients and fellow nurses that Thanked me for empathy and compassion was overwhelming- The moral of my story is Having my heart broken, which I've had many times, is quite different than Breaking me of my heart• Which has never happened. Thankfully.
I'll save my comments regarding the post itself because it really makes me mad even thinking about the content, the delivery, and the praise for the rant posted.
I wanted to to post a link to a story about a Saskatchewan nurse who posted a rant/rave about the care her grandfather received before he passed earlier this year. She's facing charges for professional misconduct. Although this instance is outside of the U.S., could this RN, DON face the same charges since she mentioned her licensure and position?
Wow, since I am just a student of nursing I'm probably not qualified to comment, but I have to. Many years ago my Dad was a Directer of Nursing and I can tell you of course face book didn't exist and if it did I'm pretty sure he would not have had the time to socialize on it. Everyone starts at the beginning in nursing school and believe it or not we are all human and the best way to learn is by our mistakes. Veteran nurses rock no doubt and I can't wait to get started and learn for the rest of my life. In a nutshell social media is just that for socializing that's it, with your extra time that you have off spend it with your family not on facebook. We are all different, but I hope you get my drift. Anyway back to studying to become a great nurse!!!
Specializes in LTC,Hospice/palliative care,acute care.
Well,I am a patient today.I don't know what kind of experience some of this crew has but I can tell you most of them are not capable of multitasking.Admittedly I am doing great,going home tomorrow and I don't know what is going on with the other patients or what the staffing is like. ...Here is my list so far-my foley was pulled at 6am,the nurse did not have a chux or paper towel in his hand so he dribbled urine down my leg.I repeatedly asked if I could be repositioned during the night (I know my precautions)No one knew or followed up and assisted me.
When I rang at 8am to void the nurse on days did not know I had not been out of bed.She put me on a fracture pan,that was a no go.I waited an hour for PT and OT to get me up.The commode is sitting in the corner of the room with the urine still in it.Next to my soiled gown.The fracture pan is still sitting in the window sill.Next to what appears to be a plastic bag of someone's meds.I asked to brush my teeth this morning,nurse brought me the big basin with a few inches of warm water in it and toothbrush and paste.No cup.Nurse drew blood at 4am,pushed my bedside table out of the way and had to be called back in to put it where I could reach it.My day nurse came in late morning and started giving me discharge instructions and prescriptions,I stopped her when I saw someone else's name on them! I am dressed and have been up all day,day nurse did not have time to assist me ...I will call soon for assistance to the bathroom and get undressed and get in bed...On my side.My bum hurts.However they are great hand washers and glove donners.My vitals have been taken every shift but since last night ( day one post open.) No one has done any additional assessment except the surgeon who checked my dressing this am...I know people are living longer with multiple co-morbidities,they are much sicker.BUT a lot of this is just common sense.If some one is bleeding out I understand prioritizing but it's quiet as a tomb up in here.I had a good experience pre and post open and I really am doing well but these things are nagging at me
I'll save my comments regarding the post itself because it really makes me mad even thinking about the content, the delivery, and the praise for the rant posted.
I wanted to to post a link to a story about a Saskatchewan nurse who posted a rant/rave about the care her grandfather received before he passed earlier this year. She's facing charges for professional misconduct. Although this instance is outside of the U.S., could this RN, DON face the same charges since she mentioned her licensure and position?
From the article, it sounds like what this woman posted was actually less of an ugly rant. She spoke out about the importance of providing quality care, but without the cussing and vitrol towards entire groups of professionals.
The writer of the article included a quote from the Sask. RN Association which I thought made a very good point:
"In my mind, this is very chilling for any of us practicing in a self-regulating profession because what this stands to do is remove people, professionals, from discussions in various areas in which they are experts," said Davies. "For example, here is a discussion of healthcare – nurses aren't allowed to enter, doctors aren't allowed to enter. What happens to the discussion of health care if you take the people who are experts on that subject and remove them from the discussion?"
When my friend was in the hospital, I took a neutral road. His care could have been better but didn't help he was an obs admit from another ER and he needed the surgeon to round. He had massive headache, nausea, no fluids, and IV was probably going to go bad within 24 hours (it did).
BeeJayCeeYa
237 Posts
Thank you for your efforts to educate me. However, reading the flow chart you provided, "Does the person, business,or agency furnish, bill orreceive payment for, healthcare in the normal course ofbusiness (1)? --->" You betcha! She claims to be a nurse and a DON. Unless she's doing it for free and really does absolutely nothing, she certainly furnishes, bills or receives payment for healthcare. The flowchart says nothing about the time or facility where the breach happened. But, again, if your interpretation is correct and mine is not, I will stand corrected. And if there is no reason for the board to intervene, they won't. Time will tell.