Jump to content
kosmopolitan

kosmopolitan

New New
  • Joined:
  • Last Visited:
  • 4

    Content

  • 0

    Articles

  • 501

    Visitors

  • 0

    Followers

  • 0

    Points

kosmopolitan's Latest Activity

  1. kosmopolitan

    HIPAA Violation, Fired

    Thank you, Been there, done that! My point exactly! I mean, I understand, I have no one to blame but myself. But seriously? I would never do what the charge nurse did to me This event happened a long time ago and I have since moved on to bigger and better opportunities. I just happened to read a few HIPAA questions and thought I would post my experience.
  2. kosmopolitan

    HIPAA Violation, Fired

    Hi, I am curious to know what others think of this. Scenario I took care of a patient on Unit 1 and the patient had a terminal illness. The patient and family were trying to decide whether to implement Hospice care. I transferred the patient later in the day to Unit 2 on another floor of the hospital where I work. (105 bed hospital) The next day I came to work and was walking thought the cafeteria with some fellow co-workers and saw this patients family. It reminded me to go upstairs and see what the patient had decided about Hospice. Later on in the day I had a few minutes and went upstairs to Unit 2. I could not find the chart easily. I asked who the nurse was and spoke with her and asked her if she knew whether the patient chose to go on hospice. She said she didn't know. I asked if I could go visit and the nurse sad she didn't care. I went into the patients room, she was asleep and no visitors where there. I went back into the nurses station and the bedside nurse was still there charting, I told her the patient was sleeping and I did not wake her up. I asked if I could look at her chart and again she said she didn't care. I asked where it was, because I couldn't find it. She said she didn't know. ( I knew this bedside nurse a little better than the charge nurse, because we had worked together when I floated up there and had lunch and chatted a little bit. I considered her a friend and liked her). I stood in the middle of the nurses station, looking around and the charge nurse saw me and asked if she could help me. Know, I know the charge nurse from working at the hospital, through transferring patients to her unit. I had worked there for 1 year and floated on several occasions to her unit. We weren't friends as if eating lunch together. We were definitely not enemies and had never had any issues. It was a cordial, working relationship. We knew each others names in the hallway and said Hi with a smile in passing and thats the extend of our relationship. So when she asked if she could help me, I said yes, I'm looking for ------------ chart. She immediately saw it on a lower rack where the unit secretary was sitting and pointed it out to me. I went to the chart, opened it up to the progress notes....(HIPAA VIOLATION) and was in the chart for maybe 30 seconds, finding the progress notes and reading that they had decided on hospice. I closed the chart, said thank you and put the chart back where I found it. The next day I was informed of my HIPAA violation and placed on leave and terminated 1 week later. Just curious what other nurses responses are. I did the crime, I have learned from it and it was a very costly lesson. Honestly think, how many times has that happened to you in your workday......really think about it before you reply, which I hope you do, because I am just flabbergasted that the nurse would lead me to the chart, and no one EVER said,"Are you sure you want to do that? It all happened so fast......... There was no public sharing of information, there was no gossip, no conversations ever about it. Just my eyes in a chart of a patient I wasn't assigned to that day. Thanks for any responses.....
  3. kosmopolitan

    Who gets the write up?

    Thank you to everyone that commented. I agree, both get the write up. We are a very small community hospital and do not have lots of options or physicians available for central lines. We rely on a PICC line service to do this for us, so it is typical to wait for a few hours for the central line. If needed we do IO's to get us by. I was trying to avoid that. And to smf093, the patient had levo infusing through one site only which had a dual port connector with the main line connected to the other port. To add a little more to the story, the patient was 99 years old, a DNR and ended up passing away later that night on the night shift. It was poor staffing, as usual, with a total of 2 RN's, no free charge nurse. We started with 3 patients , got a floor transfer in, transferred 1 patient out and got an ED admission. Certainly, NO excuse though.... Anyway, I really appreciate all the feedback. Lessons learned by all that day.
  4. kosmopolitan

    Who gets the write up?

    Scenario: your patient is on max dose of Levophed infusing on a pump to a peripheral IV that has a double connector attached. The 2nd connector has a main IV bag infusing on a separate pump, to the same vein. It is a busy day and your co-worker is helping you out and says she hung the vancomycin that was due for you and scans it in the computer and hangs it. You are the nurse assigned to the pt and are waiting for the central line to be put in in a few hours. You decide that you do not want the Vanco and levophed infusing to the same vein in case it is too irritating to the vein and you lose your IV site before the central line, so you turn off the vancomycin by clamping it closed and readjust your IV pump to infuse at the IV rate, not the Abx rate. Several hours later, you have your central line and you remember you need to run the vancomycin. You go in the room, reprogram the main IV pump to infuse the abx and unclamp it and see it dripping. You leave the room. Your shift is over you leave and the pts BP is 115/65 at the end of your shift with the Vancomycin infusing for 1 hour prior to your shift ending. You hear the next day.....the pt coded 2.5 hours into the night shift because the vancomycin was piggybacked into the levophed above the pump. Who gets the write up? The nurse who scanned it and connected it? or the nurse who later on in the day unclamped it, programmed the main IV pump to infuse it? Just curious to other people's thoughts. Thank you.
×