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OneRN50

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All Content by OneRN50

  1. Thank you so much for your kind words ...it helps a lot and I'm so glad someone understands
  2. Thank you for your kind words and support
  3. Am I the only older, seasoned nurse that thinks back to my early nursing days and wonder if I caused any serious issues for patients by med errors or practice errors..and what if I caused them further harm that led to serious medical issues or death and I wasn't aware of it....does this sound crazy? Am I overthinking...example: an elderly lady with lesions on her legs that I expressed drainage from a few times (better out than in right?,).. but later thinking expressing the drainage manually can cause deeper infection. I don't know that I caused any issues but I keep thinking about it intermittently be cause I'm kind of a perfectionist and hate having things on my conscience.....anyone that can help ease an old lady's mind
  4. Thank you I appreciate your feedback..I'm finally managing to not let everything get to me. I will run my practice as honestly as I can and move forward
  5. I work in NYSDOCCS and am always stressing over privacy issues. I've read a million things about HIPAA but the Internet gives mixed messages. I've also been told it's different in prison because we are made to have a guard present while conducting medical treatment...but I know I've make numerous errors concerning privacy by talking to inmates too deeply in the presence of other inmates and officers... I made my supervisor aware but I always worry that I should self report further and I hate that stressful feeling...has anyone had experience in this. I'd appreciate feedback because this situation gives me so much anxiety I can barely function
  6. OneRN50 replied to OneRN50's topic in HIPAA Challenges
    Thank you for your response. Yes I did ask the doctor if I needed to do anything else and he states I do not. There is also a piece of HIPAA that is called treatment something where it is considered to fall under incidental. I just want to be sure I've covered all the bases
  7. OneRN50 posted a topic in HIPAA Challenges
    I recently had a situation dealing with an inmate who stated unwitnessed injury from a fall. I began questioning him regarding the situation while he was in the ward with another inmate patient in the same area. I then moved him to a more private area to continue the report. The inmate threatened me with HIPAA. I reported my error to my nurse supervisor and the doctor of said inmate (this Dr is also our Facility Healthcare director) . The Dr said it's a mild) minor HIPAA and not to do it again. My nurse supervisor told me no one is perfect and I had learned from it, which I did. I'm always so careful with privacy. Not sure why I did t just move him to a private area initially. Anyway my question is since I reported internally do I have to self report further??
  8. OneRN50 posted a topic in HIPAA Challenges
    So I work in a correctional facility in NYS and our utilization review nurse is in our offices as well. She does death reports and shares our shredding bin. I intermittently shred on my midnight shift and there were piles of death reports in there I did not read all of it but looked at it briefly. I shredded all of it and would never do anything with the info and don't know the depth of what was there. I alerted my supervisor and she is going to speak with the SURN about either shredding her own documents or not using our bin. I feel so guilty for looking at it however slight it was. I know better. Nothing was breached, shared or utilized for anything
  9. It is done this way in Corrections...I didn't make these rules..it is so highly diverted....these orders came down from the powers that be
  10. I didn't intend on getting a mental health evaluation by posting my dilemma. I'll be deleting my post now. Thank you to those who gave me encouragement
  11. Call it what you want and if you look back I thanked everyone for their kind words and they made me feel better but that person acted like it was a crime to feel bad and judged me saying maybe I should do something about...why do that. I wasnt looking to be judged... I was OK with the words of encouragement... I would not do that to anyone on here
  12. You do not work where I work and can't speak for every situation....please do not comment on my post anymore
  13. I'm a conscientious person and treasure my license and I think it's kind of rude of you to say that..you don't know me...and if you must know I do something about it everyday. I suffer from generalized anxiety disorder and I take medication and I see a counselor when I need to but thanks for your concern
  14. Thank you so much to all who have given me kind words of encouragement...I am so grateful for all of them and you ..I love when Nurses encourage other nurses...and I treasure my title and profession
  15. I hope it passes soon I hate this inner turmoil...I feel like I've done what I should by reporting to my supervisors and if they take it further I guess I'll have to go through it
  16. Thank you for the reassurance...I'm stressed out to the point of tears...I offered to make out an error report.. I have notified my nurse administrator and the doctor
  17. I work in prison and the order is to crush for less chance of diversion....I gave the right med and right dose but I unintentionally added water....I don't know what I was thinking ...other than that's how we do our gabapentin and now I'm stressed out so much because I can't afford to lose my job
  18. I know this ...I was replying to the other nurse who said it's not supposed to be crushed
  19. It is our orders to crush it....so that's in the doctor and facility and it doesn't absorb as well being swallowed...and could cause gastric upset and withdrawal symptoms due to not being all absorbed
  20. I am a seasoned Nurse and feel so stupid for this issue...I worked a midnight recently and was to dose a patient with his Suboxone prior to transfer to another facility. I checked and double checked the dose ....I crushed the sublingual tab which is our practice. For some unknown reason I dissolved it in water prior to giving it to him . I know better...we dissolve our gabapentin in water prior to administration but never a SL Suboxone...oh I'm so upset! And I feel so dumb. I made my NA and the doctor aware. Now I'm extremely worried about the consequences. I have extreme anxiety and can't stop going over and over it in my head
  21. Chicken lady are you meaning this isn't a HIPAA issue?? Hannah banana...not sure what you mean by HIPAA deniers??? I'm very careful about privacy even in prison
  22. So we had one of our doctors call back into our facility(prison) saying he wouldn't be in for two weeks because he had a covid exposure at his office ..I took the call and let the other nurse know the situation..the pharmacist was also present in our office and wondered if the Dr was exposed before he had been at our facility the day before...the other suggested calling the Dr to ask him so the pharmacist phoned the Dr and the Dr let us know his exposure was after he went back to his office at his practice. Now the NA and the Dep are trying to say HIPAA was violated because I let staff know of the doctors call and the pharmacist called the Dr to ask him.....there were no patient names mentioned and it had nothing to do with any of our mutual patients...I don't think this is a violation..I am very conscientious about privacy and would never have said anything if I'd thought I was in violation of it. Any thoughts???
  23. Thank you....your comment eases my mind some..I appreciate it
  24. I guess what I'm really asking is should I self report that I contacted the officer....I no longer work there but this issue is killing me I feel so guilty...it wasnt done maliciously I would never do that . But after I thought shoot I shouldnt have talked to him . What do I do
  25. JadedCPN you sound as if you're mocking me

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