Placebo's & Trust

Nurses General Nursing

Published

A new grad RN started on our med/surg unit approx 4 months ago. Her goal for the unit, as she stated @ at our last unit meeting, is to change the unit by reorganizing supplies as "SHE" feels would best promote efficiency on the unit. I think that that would be great...but her ideas aren't practicle. Our nurse manager thinks she is the "ideal" role model for the unit. I have come to live by the belief "I trust everyone 100% until they give me a reason not to". After being an RN for 15 years, you just get the intuition that "something just is right"

She (Allison) informed us at the last meeting, that she recently had a patient, who was on a cardiac diet, where her family brought her in a Cheeseburger from McDonalds. Allison did not hesitate to throw the meal the meal in the garbage and told the family that she would reimburse them for the cost of the meal, but as long as she was ordered to be on cardiac diet, the patient will comply with orders whether she liked it or not.

Secondly, I was informed by allison that one of her patients were c/o pain & nausea, however Allison did not feel that the patient's was having as much discomfort as she wanted staff to believe. She told the pat. that she was giving her zofran IV to help treat the nausea, but instead only gave her an injection of normal saline. 15 minutes later the nausea was gone . Are placebos legal especially when a patient is aware that they are receiving it?

my goodness, she's a feisty one, isn't she...

seriously, report it (in writing) to nm.

if nothing done, go up the chain.

i might even put it on an incident report, as a legal document in the system.

oh allison, allison, allison...what are we going to do with you.:coollook:

leslie

A new grad RN started on our med/surg unit approx 4 months ago. Her goal for the unit, as she stated @ at our last unit meeting, is to change the unit by reorganizing supplies as "SHE" feels would best promote efficiency on the unit. I think that that would be great...but her ideas aren't practicle. Our nurse manager thinks she is the "ideal" role model for the unit. I have come to live by the belief "I trust everyone 100% until they give me a reason not to". After being an RN for 15 years, you just get the intuition that "something just is right"

She (Allison) informed us at the last meeting, that she recently had a patient, who was on a cardiac diet, where her family brought her in a Cheeseburger from McDonalds. Allison did not hesitate to throw the meal the meal in the garbage and told the family that she would reimburse them for the cost of the meal, but as long as she was ordered to be on cardiac diet, the patient will comply with orders whether she liked it or not.

Secondly, I was informed by allison that one of her patients were c/o pain & nausea, however Allison did not feel that the patient's was having as much discomfort as she wanted staff to believe. She told the pat. that she was giving her zofran IV to help treat the nausea, but instead only gave her an injection of normal saline. 15 minutes later the nausea was gone . Are placebos legal especially when a patient is aware that they are receiving it?

:down:I find it funny that nurses come to this site and post cases of patient abuse one after the other. Why dont you report her (Allison) to the BON for administering placebo(s) and enforcing force. I bet her licence would be pulled in an instance (provided you have sufficient evidence), i have seen people getting suspended licences for minor offences. A patient does not have to comply with diet, its their own life, there is a thing called quality or life and quantity of life, if a cheese burger will make this patient happy, then do patient education, teach the family, patient etc about importance of followint the recomemded diet, and concequences of going against medical advice which can lead to them being discharged etc etc

Specializes in Critical Care, Nsg QA.
did she chart that she administered NS instead of the ordered medication? If not, she's also falsifying medical records. Wow! She's certainly off to a great start with her career ... :uhoh3:

As for throwing away the client's McDonald's meal, clients have the right to refuse a special diet order, just as they have the right to refuse any other treatment. While I would never go out, myself, and get a client something like fast food that was contrary to the ordered diet, if someone else brings it in to her/him and s/he chooses to eat it, we can't legally stop them. Your colleague was way out of line in that situation, also. You say that she talked about this at a "meeting" -- did anyone point this out to her in the meeting?

If she charted the ordered medication and administered NS, there is a problem. If she charted the administration of NS *which was not ordered* rather than the ordered medication there is still a problem! You could report it, but you would probably need to provide some kind of proof (if she brags about her "great" care, that may be your evidence).

I guess the family was okay with her tossing out the food?? I'm growling, and I wasn't there (don't touch my food!!)

A new grad RN started on our med/surg unit approx 4 months ago. Her goal for the unit, as she stated @ at our last unit meeting, is to change the unit by reorganizing supplies as "SHE" feels would best promote efficiency on the unit. I think that that would be great...but her ideas aren't practicle. Our nurse manager thinks she is the "ideal" role model for the unit. I have come to live by the belief "I trust everyone 100% until they give me a reason not to". After being an RN for 15 years, you just get the intuition that "something just is right"

She (Allison) informed us at the last meeting, that she recently had a patient, who was on a cardiac diet, where her family brought her in a Cheeseburger from McDonalds. Allison did not hesitate to throw the meal the meal in the garbage and told the family that she would reimburse them for the cost of the meal, but as long as she was ordered to be on cardiac diet, the patient will comply with orders whether she liked it or not.

Secondly, I was informed by allison that one of her patients were c/o pain & nausea, however Allison did not feel that the patient's was having as much discomfort as she wanted staff to believe. She told the pat. that she was giving her zofran IV to help treat the nausea, but instead only gave her an injection of normal saline. 15 minutes later the nausea was gone . Are placebos legal especially when a patient is aware that they are receiving it?

I stopped and read this post again, more carefully...this nurse, Allison, told you she did this? Do you think she may have been embellishing to make herself look "like she took no prisoners"? I think she may have stretched the truth. Why is she working with you at your facility? Did she get fired from her last job? Sounds like she thinks way too much of herself. I wouldn't trust her...just my :twocents:!

Specializes in Home health was tops, 2nd was L&D.

OP said Allison was a new Grad.. that is the part that amazes me!! So many can not get jobs and this one has job and seems to run the unit??

And if she has stated all of the things she does in an unit meeting.. what do others say?? I would stay far away from her for sure.

But are we really getting the whole story??

OP said Allison was a new Grad.. that is the part that amazes me!! So many can not get jobs and this one has job and seems to run the unit??

And if she has stated all of the things she does in an unit meeting.. what do others say?? I would stay far away from her for sure.

But are we really getting the whole story??

If she's a new grad, then she is lying! And if she's not, she dangerous and should lose her license. Just sayin'. :smokin:

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