OneRN50

I am on the fence about obtaining my bachelor degree mainly because of money/cost. My passion has always been to teach and I would really like a bachelor then masters degree but I can retire in 2 years and three months or so. What do others recommend?

I know at one time a while back there was legal advice person on this forum who answered nursing questions . Does anyone know who it was or who to contact for free advice

Made them aware is what I meant and everything is on camera along with me saying to the sergeant did she want me to talk to the inmate with the other inmate in the vicinity and she I don't care

I have made the doctor who is the facility health director and my own supervisor of my dilemma. Security doesn't care about privacy. But I feel so guilty now

Do any of my nurse peers have any experience with prison nursing and privacy rules? I was asked to do an OMH evaluation and the sergeant said I could do it at cell side but there was another incarcerated individual in the attached cell. I questioned it but the sergeant didn't offer to move the person being interviewed. So the other incarcerated individual heard the whole exchange. I let made my supervisor and facility health direct aware be cause I didn't feel good about it and wish I had insisted the guy I was interviewing be brought to another area

Thank you so much for your kind words ...it helps a lot and I'm so glad someone understands

Thank you for your kind words and support

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

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

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

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

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??

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

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

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

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

You do not work where I work and can't speak for every situation....please do not comment on my post anymore

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

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

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

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

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

I know this ...I was replying to the other nurse who said it's not supposed to be crushed

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

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