Are my pts "brain dead"? - page 6

I apologize if I am sounding stupid now,but I am just curious. We have all heard about the case in California with the 13 yr old,and how she is brain dead. Of course,she is on a vent,and the family... Read More

  1. by   JustBeachyNurse
    Quote from BuckyBadgerRN
    I'm wondering now long it will be before this child's insurance carrier decides to stop paying. Seriously.
    I am guessing you are all referring to the CA case. Family claims insurance is still paying. No one can refute due to privacy laws and parent won't consent to disclosure.
  2. by   THELIVINGWORST
    Quote from JustBeachyNurse
    I am guessing you are all referring to the CA case. Family claims insurance is still paying. No one can refute due to privacy laws and parent won't consent to disclosure.
    Of course they won't. This case makes me so upset. They are really manipulating public opinion by controlling what the "facts" of the case are. Denial ain't just a river in Egypt.
  3. by   smartnurse1982
    My agency has NEVER,EVER,gave continuing education courses except for new vents. They only require a one yr inservice. I wouldn't even know how to find info on nursing conventions,and I don't have $$$ to pay for them either. Private Duty isn't know for paying out $$$. The agency isn't going to pay for it,I know that for sure.In the original post,I did state that my nursing supervisors didn't know either.....most have said the children mainly have AW/AS cycles,and we are supposed to chart that under activity.In any event,they aren't in a PVS either.
  4. by   OCNRN63
    There is no reason you cannot do CE on your own. Just because your employer doesn't provide it does not excuse you from keeping up to date on nursing issues/practice and remaining current within your specialty. Most states that require CE for license renewal require 20-30h CE every time you renew your license. There are multiple CE providers that will offer +100hrs CEU for ~30-40 dollars a year. Surely you can afford that.

    All I have heard from you is excuses: I didn't know/no one showed me/they never taught me that/I don't have time....The onus is on you to provide safe care and to be up-to-date on your practice. All I needed to do was type a few key words into the search function, and I found several CE courses, some free, some you had to pay for. Several of them dealt directly with brain death.

    At the very least, do you subscribe to a professional journal? (Not "Advance," or "Nursing Spectrum," etc.) Take some responsibility for your learning. It's not just going to fall in your lap from the sky.
  5. by   JustBeachyNurse
    Quote from smartnurse1982
    My agency has NEVER,EVER,gave continuing education courses except for new vents. They only require a one yr inservice. I wouldn't even know how to find info on nursing conventions,and I don't have $$$ to pay for them either. Private Duty isn't know for paying out $$$. The agency isn't going to pay for it,I know that for sure.In the original post,I did state that my nursing supervisors didn't know either.....most have said the children mainly have AW/AS cycles,and we are supposed to chart that under activity.In any event,they aren't in a PVS either.
    Then how have you renewed your nursing license? NJBoN requires 30 hrs/2 years for ALL LPNs& RNs
  6. by   Esme12
    Quote from smartnurse1982
    My agency has NEVER,EVER,gave continuing education courses except for new vents. They only require a one yr inservice. I wouldn't even know how to find info on nursing conventions,and I don't have $$$ to pay for them either. Private Duty isn't know for paying out $$$. The agency isn't going to pay for it,I know that for sure.In the original post,I did state that my nursing supervisors didn't know either.....most have said the children mainly have AW/AS cycles,and we are supposed to chart that under activity.In any event,they aren't in a PVS either.
    That is what sites like this are for...to help you. There are many resources online and free CEU's just Google them.

    PVS is just a term to describe a coma/Level of consciousness....
    Persistent Vegetative State (PVS)

    A vegetative state can be defined as "a clinical condition of unawareness of self and environment, in which the patient breathes spontaneously, has a stable circulation, and shows cycles of eye closure and opening [that] may simulate sleep and waking" [Working Group of Royal College Physicians, "The Permanent Vegetative State," The Journal of the Royal College of Physicians 430 (1996): 119-21]. Since patients in such a state sometimes show behavior that could be interpreted as evidence of consciousness, the diagnosis is not always self-evident. Additionally, the condition of being in a vegetative state is similar to that of other conditions that involve the absence or partial absence of awareness of self and the environment, such as coma, locked-in syndrome and akinetic mutism
    What Is A Coma (comatose)? What Is A Persistent Vegetative State? - Medical News Today
  7. by   OC_An Khe
    Continuing education is the responsibility of each practitioner of the profession. It is a never ending responsibility. It is never the responsibility of the employer.
    If you don't continue your education after graduation from your basic RN program, you are doing yourself, your colleagues, and your patients a grave disservice.
    These are general remarks and are not aimed at any specific poster on this board, but all members of this community should avail themselves of the educational resources found here and elsewhere.
  8. by   JustBeachyNurse
    There are MANY free nursing ceu's at medscape and even nurse.com. Nurse.com had frequent discount codes on their site & Facebook to get a year if unlimited CEUs for less than $30.


    Many PDN agencies in NJ offer CEUs but ONLY if you ask HR for access. Many of the multi state agencies offer free CEUs for their employees from day of hire.
  9. by   KelRN215
    Quote from smartnurse1982
    My agency has NEVER,EVER,gave continuing education courses except for new vents. They only require a one yr inservice. I wouldn't even know how to find info on nursing conventions,and I don't have $$$ to pay for them either. Private Duty isn't know for paying out $$$. The agency isn't going to pay for it,I know that for sure.In the original post,I did state that my nursing supervisors didn't know either.....most have said the children mainly have AW/AS cycles,and we are supposed to chart that under activity.In any event,they aren't in a PVS either.
    You could try Google for information on nursing conferences. I completed all my CEUs for free this year. I collect them as the opportunities arise. My alma mater held a lecture, my agency hosted a few education events and the rest I completed (for free) on medscape. Even if you don't need CEUs for your license, it's your professional responsibility to educate yourself on your patients' conditions and care.
  10. by   OCNRN63
    I use many sites, but one I really like is medpage. All you have to do is read a brief--very brief--article about the topic, then answer two questions. You get ~0.55 CEU for each article. You can bang out an article and quiz in 15 minutes. A half credit doesn't sound like much, but they add up fast. They have CEU for every specialty.
  11. by   JustBeachyNurse
    Just make certain your state accepts 0.5 CEU credits. Not all do and can be an issue if audited.
  12. by   klone
    Quote from smartnurse1982
    My agency has NEVER,EVER,gave continuing education courses except for new vents. They only require a one yr inservice. I wouldn't even know how to find info on nursing conventions,and I don't have $$$ to pay for them either. Private Duty isn't know for paying out $$$. The agency isn't going to pay for it,I know that for sure.In the original post,I did state that my nursing supervisors didn't know either.....most have said the children mainly have AW/AS cycles,and we are supposed to chart that under activity.In any event,they aren't in a PVS either.
    The internet is an amazing thing. There is tons of knowledge right at your fingertips. I can tell you that on a daily basis, I'm researching and reading about things in which my knowledge is lacking in my job and area of nursing. There's no excuse for not being an expert at what you do.
  13. by   OCNRN63
    Quote from JustBeachyNurse
    Just make certain your state accepts 0.5 CEU credits. Not all do and can be an issue if audited.
    I checked the FAQ and the link with information about CEU, and neither has anything stating stating 0.55CEU would be unacceptable. Thanks for the heads up, though.

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