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Nursing Professional Standards Board review

Nurses   (721 Views | 11 Replies)
by nurse4646 nurse4646 (New) New Nurse

108 Profile Views; 4 Posts

Does anyone have any experience going up for a review with the Nursing Professional Standards Board? I may loose my job because of an error I had made with a dressing that ended up bleeding when the patient went home.  

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BAN specializes in ER/UCC, ICU.

8 Posts; 30 Profile Views

Ok are you speaking of the nurse professional standards board(NPSB) VA hospital ? 

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BAN specializes in ER/UCC, ICU.

8 Posts; 30 Profile Views

The NPSB has nothing to do with disciplinary action. The board is there to appoint, promote and award.  Don't worry yourself and that should be on a unit level/possible reeducation. patient harmed? 

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4 Posts; 108 Profile Views

I'm in my probationary period and the review is aimed at deciding my retainment or separation. I'm wondering if anyone has had experience related to this. The patient had to get a new dressing put on in the ED. I would think that is some level of patient harm.

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1 Follower; 3,285 Posts; 45,381 Profile Views

Let us know what happens. It is certainly not unusual for a wound, surgical incision, etc., to bleed after the dressing is on?

Standard discharge post -op instructions advise a patient what to do if their incision starts to bleed at home.

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BAN specializes in ER/UCC, ICU.

8 Posts; 30 Profile Views

1 hour ago, nurse4646 said:

I'm in my probationary period and the review is aimed at deciding my retainment or separation. I'm wondering if anyone has had experience related to this. The patient had to get a new dressing put on in the ED. I would think that is some level of patient harm.

You will be ok ! I’ve been on the NSPB since 2015 and been working at VA since 2011. The probation period falls under your managers recommendation and the associate chief nurse. However , do let us know and this is learning lesson now that wound care of yours will be top notch 🙂

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12 Followers; 3,819 Posts; 28,819 Profile Views

11 hours ago, nurse4646 said:

The patient had to get a new dressing put on in the ED. I would think that is some level of patient harm. 

No it isn't. Well that can't be assumed to be a given, anyway.

I'm not asking questions because it's probably best if you just don't share too many details. But, you probably have an idea whether you did something that was negligent or very questionable. If you didn't, I suggest not acting like you did. Needing a new dressing is neither suggestion nor proof that some kind of wrong was done.

Good luck

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4 Posts; 108 Profile Views

The original dressing fell off when the patient was getting dressed. A new dressing was placed without notifying surgery. That was the error. There were no dressing care orders. I have never had an issue with patient care.

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CrunchRN has 25 years experience as a ADN, RN and specializes in Clinical Research, Outpt Women's Health.

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What type of dressing? Do not answer if it is not prudent. I am just having trouble imagining a simple dressing causing such a big issue.

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12 Followers; 3,819 Posts; 28,819 Profile Views

7 hours ago, nurse4646 said:

The original dressing fell off when the patient was getting dressed. A new dressing was placed without notifying surgery. That was the error. There were no dressing care orders. I have never had an issue with patient care.

Oh for goodness' sake.

Well, get things straight in your head before talking with whomever you're going to need to. This isn't about damages incurred by a patient d/t a problem with the dressing you applied (after all, surgery's dressing fell off); this is solely about not informing surgery and getting their orders for preferred dressing. Sounds pretty weak to me, but take responsibility for what you will do differently next time. 

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Glycerine82 has 4 years experience as a ASN, LPN and specializes in SNF/Rehab/Geri.

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how did this even get reported?  Who would take the time to trace it all the way back to you?

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