how did they pass theyre boards??

Nurses General Nursing

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im just wonderin how some of these nurses passed theyre boards. i am a stna and i was workin an this guy couldnt breathe he was really nervus and his 02 stat was 92 so i told the nurse he need a breathing treatment. she just looked at me lik i was crazy and kept doin whatever she was doin at the nurse station. so i put it on him and he said thank you thank you and he was better, but the nurse got mad at me!!! she should be the on mad at herself for not caring about her pateints and just sitting at the station when her patience are sick. im glad when i become a nurse i wont be like her :D

I have never heard of a jurisdiction where good samaritan laws cover on the job conduct. Even if they did, good luck finding a medical professional willing to testify in court that a 92% O2 sat justified your action.

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please...please...find another career...

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Specializes in Peds/outpatient FP,derm,allergy/private duty.

I'm beginning to think this is a put-on. You won't make it unless you do a fundamental overhaul on your attitude and gain some understanding of your legal and ethical limitations.

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ok i see how you are comfortable with letting other make decisions but that is not the type of person i am. not that there is anything wrong with that. but if i see my patience like that amd someone fails to make a desicion i will. and i doubt anyone will try to revoke my liscense because of the good samaritan laws.

Seems like you are trying to provoke comments now.

If not, good luck with your short-lived career. If you are really serious about your "good samaritan" comment, it will be that.

(P.S. It is "patients" not patience.)

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im not provoking anything. i am just saying i have good intentions.

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Specializes in Telemetry.

Your good intentions are going to get you in a lot of trouble! Why is it so hard for you to understand that you are NOT the nurse and you have NO business "treating" patients. You are a very dangerous person!

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Just because you have "good intentions" doesn't mean that your "good intentions" won't harm or even kill a patient someday from your lack of assessment skills/not respecting your scope of practice compared to the nurses?

Yes, you might have good intentions but you have to keep those good intentions in check. Do you want to end up killing a patient because of those good intentions?

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you need to get comfortable with letting others make decisions because you clearly do not know yet that there is A LOT you don't know.

It's great that you are looking out for your patients, you noticed a deterioration in the patients condition and alerted the nurse.

BUT as others have said on this thread you have acted outside your scope of practice by medicating/applying oxygen. You do not have the relevant knowledge base to be making those kind of decisions. You told one person, once. If that person doesn't listen and you are still worried about your patient- you tell someone else with the authority to make clinical decisions.

You do realise that when you are a licensed practitioner there is a scope of practice that applies to you? And if you operate outside of your scope then you put your license in jeopardy! Not to mention the facilities own policy/guidelines...

It worries me that you seem so sure you've done the right thing.

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Specializes in er,med surg.

You are the type of person that other medical professionals have to worry about. The kind that thinks they know everyhting and everyone elses job. Did this pt have COPD? You didnt know did you? You could have been the reason that the oxygen level didnt get any better, you could have been driving the O2 down further. Some COPD pt "live" in the neighborhood of high 80's to low 90's and do great. If you were working with me and did that to the patient you would have been sent home and written up!

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Specializes in Critical Care.

If I was the nurse I wouldn't just get mad at you I would make sure you never work under my license again. You practiced medicine with the amount of knowledge you know being a student. Totally unsafe. The nurses duty is patient first your duty is to listen to what you reassigned and report chAnges in condition. If you report to the nurse you don't tell them the client needs a breathing tx you Just tell them the client has difficulty breathing.

My advice

Be humble, know your scope and place. You might turn into one of those nurses that nitpicks and finds faults with everyone's work and then gossip about it looking for approval from other nurses. That's bad team work.

My experience

Being a PA student and former emt. I thought I was so special and knowledgeable when I first started working. There's a fine line between being confident and being cocky. I would challenge everything and thought I knew better than all the other nurses. What I know is textbook medicine and the real world is so different. These nurses know what they are doing. Listen and learn from them. When you do.things like this it shows that you only want to learn what you know and not learn what the other nurses have to offer.

Don't feel so proud of what you have done because it was illgegal. What if he had not gotten better or does have a order for the tx. What if he had died as a result of your tx. Even if the nurse was wrong its her license not yours. Put yourself in her shoes would you like a unlicensed person providing tx for your patients after you said no? You said you wanted to be a good nurse. A good nurse is not only about the patient its about the whole team. You have lost your nurses trust

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Specializes in Paediatrics.

I'm sorry but I agree with the previous posters. Administering oxygen therapy (particulary if you just turned the amount 'right up') is extremely dangerous if you don't know the patient's condition. If they had COPD you may of been putting him in potential harm. Or if he was having an anxiety attack and felt like he couldn't breath, you certainly don't put them on oxygen; as they already have such an imbalance of too much oxygen compared to CO2 due to their hyperventilation.

A part of being a team is working with your supervisor, they are the one accountable for the patients, (you're to be their eyes and ears, and if you're really concerned and they don't listen, you then may go over their head.) However you are not trained in oxygen therapy or breathing treatments so how can you just assume you can just administer it?

This to me is unreasonable, and an 'I know better' moment, which you may need to reflect on, as you have no study to back you. Certainly no registration or license that allows you the right to adminster such a treatment. You would have no protection in a court system for a saturation rate of 92% that I can see.

I do understand you were wanting to help and obviously cared about them, but you just went about it the wrong way this time that's all. A learning experience we all go through it, but don't ignore our advice, learn your scope of practice to heart, you can never go wrong then and you'll be a blessing to the team ^.~

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Specializes in ICU + Infection Prevention.
ok i see how you are comfortable with letting other make decisions but that is not the type of person i am. not that there is anything wrong with that. but if i see my patience like that amd someone fails to make a desicion i will. and i doubt anyone will try to revoke my liscense because of the good samaritan laws.

"Mr. Madison, what you've just said is one of the most insanely idiotic things I have ever heard. At no point in your rambling, incoherent response were you even close to anything that could be considered a rational thought. Everyone in this room is now dumber for having listened to it. I award you no points, and may God have mercy on your soul."

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