how did they pass theyre boards??

hiddencatRN, BSN, RN · May 11, 2011

Good Samaritan laws don't apply when you practice outside of your scope.

You talk about wanting to keep the patient safe, but your actions could have seriously harmed the patient.

I sincerely hope you are trolling because if not, I fear for the patients you come in contact with.

JWEMT · May 11, 2011

Good samaritan laws don't apply to you because you are not a bystander. You are a employee and a bad one at that cannot follow orders(insubordination). So no you would not be protected. You don't have the rights to make a decision atleast in a hospital setting. And you just don't learn.....

Btw I make my own decisions with collaboration with the doctor. You don't make decisions because professionally speaking you're a nobody. You should learn to do your job correctly as it pertains to adls not medicine.

I feel you are just too arrogant to admit fault and you are not taking any thought to our advice. If you are looking for people agree with you this is not the place because you are 100% wrong especially stepping on our fellow nurses license. You don't even have a license yet and you are trying to mess with others already.

SilentfadesRPA · May 11, 2011

OP seems to have an unteachable attitude.

I hope for the patients safety that this is duly noted and appropriate action taken soon.

IMO it is without benefit to repeatedly coach, explain, or admonish as

it is just not being heard or not able to be heard.

Distinctly possible is that the OP is trolling and enjoying the feedback.

My thoughts are with the patients and their safety.

Marc

Penelope_Pitstop, BSN, RN · May 11, 2011

i have good intentions.

Remember the adage about paving the road to hell?

SilentfadesRPA · May 11, 2011

Dear OP you said "I am just saying i have good intentions"

Did you ever hear that the road to hell is paved with good intentions ?

However if you are real why not respect the collective years of wisdom folks here are trying to share with you.

Clearly you do not have a good sense of the best interest for the patient nor for your position or what your talking about.

Mark Twain once said the following quote :

"It is better to keep your mouth closed and let people think you are a fool than to open it and remove all doubt. "

Please give that serious consideration. I wish you well.

Marc :)

CompleteUnknown · May 11, 2011

reginachanana, you made a mistake. You must know that really. You might have been quite right this time, what you did may have been exactly right for the patient this time, but at this stage you don't have the skills, education or experience to know that for sure. You also don't have the legal right to make a decision like that.

We can all understand that you were worried about the patient and that you thought the nurse wasn't taking any notice of you. This is going to happen time and again if you continue in your career. All nurses have had the experience of notifying the doctor of a concern with a patient and not being taken seriously or not getting the orders we think we should get. Nurses do not handle this by just going ahead and giving treatments and changing medications anyway because we think we know what's best.

Look, anyone can make a mistake, and we have all made mistakes. The thing to do when a mistake is made is to admit it and vow never to make the same one again. People will actually respect you if you can do this, and they may start to trust you again. At the moment, if you really are acting the way you say you are, you're a danger to your patients and to everyone who works with you.

bsyrn, ASN, RN · May 11, 2011

Just a couple thoughts...you were wrong and acting way out of your scope of practice, oxygen is a medication and turning it "all the way up" was incorrect, and no the good samaritan law will not cover you at work. How did you have access to the 'breathing treatment" medication? I would assume it would not just be left in a patients room... As for your spelling, that is the least of my concerns....

LissaLynn · May 11, 2011

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.

Your license would certainly be revoked if anyone in your facility found out you were administering breathing treatments. And as a CNA, you better learn to let your nurses make the decisions as they are the ones that are nurses, not you.

You obviously have no clue as to what you are doing. A breathing treatment doesn't fix everything. Just because a patient "can't breathe," doesn't mean a breathing treatment is a cure all. There could be a lot of underlying things going on.

TonyaM73, ASN, RN · May 11, 2011

Good intentions KILL patients! If this pt had COPD, their respiratory rate would have gone down to 0, then no amount of breathing treatment would bring them back. Good intentions will never stand up in court. What are you going to say.."I really meant to help this patient, so I acted out of my scope of practice and killed them instead."?

You have a long ways to go in your learning, but the only way you will gain that knowledge is to change your attitude. If you were my aid, I would never risk my licence by working with you again. Without the pathophysiology knowledge behind the pt's illness and the history over the last few days, you have no way of knowing the best route to care for this patient. Also, good luck with the maverick attitude about not taking orders. If this is what you are going to stick with you need to spend the time to get your MD, so that you can give the orders. If you choose not to go that route, you need to get used to following orders! They are there for a reason and the people who have given the orders have WAY more learning and skill than you do at this point. You were wrong and there are no two ways about it. The sooner you realize this, the better caregiver you will become one day.

AOx1 · May 11, 2011

Look at the OP's join date- May 2011. Please don't feed the troll.

Katie5 · May 11, 2011

I once was one-not a very high affinity for student nurses right now. Geez, they never seem to let you hear the end of it.

"My instructor did....this"

Keep it down students.

novairene · May 11, 2011

You are right that your first responsibility is the patient. So why would you want to give him a medication that you are not trained or licensed to administer? If he was a diabetic and had a BS of 300 would you just give him insulin? Also, as a nurse we are trained in other techniques to assist with breathing. Calming the patient down, considering ALL vitals, looking for other signs of low O2 (i.e. discolored lips, nail beds), the diagnosis of the patient and a lot of other things. Pulse ox machines are not the "know all" of oxygen levels (I worked at a place that wouldn't even let us have them because of "over reacting" to numbers). Also, a lung assessment and pulse is required prior to all "breathing treatments". You could have truly hurt this person you were trying to help.

Your scope of practice was to report it. You are also welcome to stay at bed side and try to keep him comfortable.

I am concerned if you are going to be nurse. There are scopes of practice with every license and we must respect them. If you are a CNA (STNA) that thinks you know better than the nurse, than you may become a nurse that thinks you know better than the doctor (even though nurses sometimes do know more than doctors, we still have to just report our findings and thoughts, not take matters into our own hands).

I know a nurse that was fired for giving a breathing treatment improperly. Management had her sign a document that explained all of the risks of giving one and then let her go. This is not something casual or not a big deal.

You are lucky you were not reported to state to have your license revoked.

You were wrong, no matter how bad you think the patient was.