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HiddencatBSN

HiddencatBSN

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Reputation Activity by HiddencatBSN

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Like 7

Reactions Received

Like 32
Thanks 1

  1. Like
    HiddencatBSN got a reaction from NedRN in Too soon to travel?   
    Also you want to consider that experience is not just exposure to different conditions in a state if the art teaching center but also being able to manage complex assignments with poor resources. The place I’m traveling at is like stepping back 25 years in to the past in terms of workflow and infrastructure and if I was only used to state of the art teaching infrastructure this would be very hard.
  2. Like
    HiddencatBSN got a reaction from NedRN in Too soon to travel?   
    Also you want to consider that experience is not just exposure to different conditions in a state if the art teaching center but also being able to manage complex assignments with poor resources. The place I’m traveling at is like stepping back 25 years in to the past in terms of workflow and infrastructure and if I was only used to state of the art teaching infrastructure this would be very hard.
  3. Like
    HiddencatBSN got a reaction from NedRN in Too soon to travel?   
    I’ve been a nurse for 8 years and I just started my first travel assignment and I could not imagine being able to do this if I weren’t more than “competent in my skills.” Like, I’m “frequent preceptor and reaource Nurse” level and think it’ll be ok but just barely. Our orientation is the hospital P&P and 2 days with a preceptor so you really need to know what you don’t know.
  4. Like
    HiddencatBSN reacted to Jedrnurse, BSN, RN in Safe staffing vent   
    Maybe Alexa could be programmed to murmur a constant stream of Press-Ganey positive terms and brainwash the patients into giving y'all outstanding survey scores...🤪
  5. Like
    HiddencatBSN got a reaction from bluebonnetrn, BSN, RN in Is It Possible to Never Make an Error? The Perfect Nurse Fallacy   
    Ooof, a nurse who claims to never have made an error or mistake makes me really worried because they're either not aware of their errors or they're hiding them. No way have 54% of nurses never made an error. 
  6. Like
    HiddencatBSN got a reaction from adventure_rn in Nurse Charged With Homicide   
    I work in the ED and we override ALL the time because we need the med before pharmacy can profile it. Usually by the time I get to a room it’s been profiled and I can scan it but especially for stuff that’s very urgent it might not be. Overrides are blocked on non-emergency meds but not on emergency meds so there’s a built in allowance for the overrides to happen given the way patient care works in the ED. 
  7. Like
    HiddencatBSN got a reaction from adventure_rn in Nurse Charged With Homicide   
    I work in the ED and we override ALL the time because we need the med before pharmacy can profile it. Usually by the time I get to a room it’s been profiled and I can scan it but especially for stuff that’s very urgent it might not be. Overrides are blocked on non-emergency meds but not on emergency meds so there’s a built in allowance for the overrides to happen given the way patient care works in the ED. 
  8. Like
    HiddencatBSN got a reaction from adventure_rn in Nurse Charged With Homicide   
    I work in the ED and we override ALL the time because we need the med before pharmacy can profile it. Usually by the time I get to a room it’s been profiled and I can scan it but especially for stuff that’s very urgent it might not be. Overrides are blocked on non-emergency meds but not on emergency meds so there’s a built in allowance for the overrides to happen given the way patient care works in the ED. 
  9. Like
    HiddencatBSN got a reaction from morelostthanfound, BSN in Nurse Charged With Homicide   
    I just read about this and headed right on over here to talk about it.
    It sounds like the hospital, faced with losing money, threw her under the bus. How many patients did she have? How many shifts in a row had she worked? Was she on her regular unit? Was she properly trained? How was the vecuronium labeled? What distractions did she face while getting the medication, and do they profile meds to patients there (so you’re selecting from a med-list and not all available meds)? If the hospital was in danger of losing Medicaid money over this why is the nurse taking all the blame legally? Did she have a pattern of risky practice or negligence?
  10. Like
    HiddencatBSN got a reaction from morelostthanfound, BSN in Nurse Charged With Homicide   
    I just read about this and headed right on over here to talk about it.
    It sounds like the hospital, faced with losing money, threw her under the bus. How many patients did she have? How many shifts in a row had she worked? Was she on her regular unit? Was she properly trained? How was the vecuronium labeled? What distractions did she face while getting the medication, and do they profile meds to patients there (so you’re selecting from a med-list and not all available meds)? If the hospital was in danger of losing Medicaid money over this why is the nurse taking all the blame legally? Did she have a pattern of risky practice or negligence?
  11. Like
    HiddencatBSN got a reaction from adventure_rn in Nurse Charged With Homicide   
    I work in the ED and we override ALL the time because we need the med before pharmacy can profile it. Usually by the time I get to a room it’s been profiled and I can scan it but especially for stuff that’s very urgent it might not be. Overrides are blocked on non-emergency meds but not on emergency meds so there’s a built in allowance for the overrides to happen given the way patient care works in the ED. 
  12. Like
    HiddencatBSN got a reaction from morelostthanfound, BSN in Nurse Charged With Homicide   
    I just read about this and headed right on over here to talk about it.
    It sounds like the hospital, faced with losing money, threw her under the bus. How many patients did she have? How many shifts in a row had she worked? Was she on her regular unit? Was she properly trained? How was the vecuronium labeled? What distractions did she face while getting the medication, and do they profile meds to patients there (so you’re selecting from a med-list and not all available meds)? If the hospital was in danger of losing Medicaid money over this why is the nurse taking all the blame legally? Did she have a pattern of risky practice or negligence?
  13. Like
    HiddencatBSN got a reaction from Sour Lemon in Associates degree in nursing. BA in English   
    Literally no one has cared about my previous, non-nursing degree since I started down this career path. It’s never counted for anything in terms of degree differential or employment requirements (A BA plus an RN is not a BSN). Idk how it is in Massachusetts but if it’s like my area, you’re a nurse with an associates degree.
    If you’re asking about what it’s like to be an RN with a previous degree in English however, I think the critical thinking, communication, and creativity is super helpful. A lot of people go in to nursing from a very concrete, objective, science-based frame of mind and there’s so much subjectivity and shades of gray and balancing out competing needs that I think having a lit degree has been an asset to me. 
  14. Like
    HiddencatBSN got a reaction from morelostthanfound, BSN in Nurse Charged With Homicide   
    I just read about this and headed right on over here to talk about it.
    It sounds like the hospital, faced with losing money, threw her under the bus. How many patients did she have? How many shifts in a row had she worked? Was she on her regular unit? Was she properly trained? How was the vecuronium labeled? What distractions did she face while getting the medication, and do they profile meds to patients there (so you’re selecting from a med-list and not all available meds)? If the hospital was in danger of losing Medicaid money over this why is the nurse taking all the blame legally? Did she have a pattern of risky practice or negligence?
  15. Like
    HiddencatBSN got a reaction from adventure_rn in Nurse Charged With Homicide   
    I work in the ED and we override ALL the time because we need the med before pharmacy can profile it. Usually by the time I get to a room it’s been profiled and I can scan it but especially for stuff that’s very urgent it might not be. Overrides are blocked on non-emergency meds but not on emergency meds so there’s a built in allowance for the overrides to happen given the way patient care works in the ED. 
  16. Like
    HiddencatBSN got a reaction from morelostthanfound, BSN in Nurse Charged With Homicide   
    I just read about this and headed right on over here to talk about it.
    It sounds like the hospital, faced with losing money, threw her under the bus. How many patients did she have? How many shifts in a row had she worked? Was she on her regular unit? Was she properly trained? How was the vecuronium labeled? What distractions did she face while getting the medication, and do they profile meds to patients there (so you’re selecting from a med-list and not all available meds)? If the hospital was in danger of losing Medicaid money over this why is the nurse taking all the blame legally? Did she have a pattern of risky practice or negligence?
  17. Like
    HiddencatBSN got a reaction from morelostthanfound, BSN in Nurse Charged With Homicide   
    I just read about this and headed right on over here to talk about it.
    It sounds like the hospital, faced with losing money, threw her under the bus. How many patients did she have? How many shifts in a row had she worked? Was she on her regular unit? Was she properly trained? How was the vecuronium labeled? What distractions did she face while getting the medication, and do they profile meds to patients there (so you’re selecting from a med-list and not all available meds)? If the hospital was in danger of losing Medicaid money over this why is the nurse taking all the blame legally? Did she have a pattern of risky practice or negligence?
  18. Like
    HiddencatBSN got a reaction from Sour Lemon in Associates degree in nursing. BA in English   
    Literally no one has cared about my previous, non-nursing degree since I started down this career path. It’s never counted for anything in terms of degree differential or employment requirements (A BA plus an RN is not a BSN). Idk how it is in Massachusetts but if it’s like my area, you’re a nurse with an associates degree.
    If you’re asking about what it’s like to be an RN with a previous degree in English however, I think the critical thinking, communication, and creativity is super helpful. A lot of people go in to nursing from a very concrete, objective, science-based frame of mind and there’s so much subjectivity and shades of gray and balancing out competing needs that I think having a lit degree has been an asset to me. 
  19. Like
    HiddencatBSN got a reaction from morelostthanfound, BSN in Nurse Charged With Homicide   
    I just read about this and headed right on over here to talk about it.
    It sounds like the hospital, faced with losing money, threw her under the bus. How many patients did she have? How many shifts in a row had she worked? Was she on her regular unit? Was she properly trained? How was the vecuronium labeled? What distractions did she face while getting the medication, and do they profile meds to patients there (so you’re selecting from a med-list and not all available meds)? If the hospital was in danger of losing Medicaid money over this why is the nurse taking all the blame legally? Did she have a pattern of risky practice or negligence?
  20. Like
    HiddencatBSN got a reaction from morelostthanfound, BSN in Nurse Charged With Homicide   
    I just read about this and headed right on over here to talk about it.
    It sounds like the hospital, faced with losing money, threw her under the bus. How many patients did she have? How many shifts in a row had she worked? Was she on her regular unit? Was she properly trained? How was the vecuronium labeled? What distractions did she face while getting the medication, and do they profile meds to patients there (so you’re selecting from a med-list and not all available meds)? If the hospital was in danger of losing Medicaid money over this why is the nurse taking all the blame legally? Did she have a pattern of risky practice or negligence?
  21. Like
    HiddencatBSN reacted to cleback in Older Doctor doesn't think nurses should be in charge   
    How is asking a doctor to see a patient over a medication issue acting "above"  doctor?  It's recognizing the doctors expertise in medication ordering... sounds like the doctor didn't like being asked to do something... silly.
  22. Like
    HiddencatBSN reacted to juan de la cruz, MSN, RN, NP in Nurse Charged With Homicide   
    It's not that unusual to order a benzodiazepine drug (Versed or Ativan) to patients undergoing an MRI who are claustrophobic. Hospital procedures and national standards require monitoring of these patients by the nurse who gives the dose. I don't think there is responsibility on the side of the physician. If anything, VUMC should be held liable for not maintaining a system that makes sure patients given a dose of an IV benzodiazepine are monitored by a nurse. 
    I know a colleague who is familiar with the case and tells me the nurse involved bypassed multiple safeguards to prevent this tragedy from happening. VUMC uses vecuronium packaging with a clear warning stating that the drug is a paralytic. She reconstituted vecuronium prior to administration as is usual for that drug yet the fact is Versed never requires reconstitution. 
    Is the treatment she is facing now justified? she is being charged with reckless homicide not cold blooded murder. It's hard to answer that since I don't know her state of mind, what her patient load was, or what her training has been. This is in the hands of lawyers and the courts now. I was told this was an ICU patient (abeit ready for transfer out of the unit) and this was a nurse who has trained in the ICU.
    It is rare for acts of negligence by healthcare professionals to be treated as a criminal case. The physician that gave Michael Jackson propofol faced criminal charges so there has been precedence. My own take home lesson from this is never is the time more right to demand safe nurse staffing, adequate mentorship/training, and Pharmacy checks prior to administration of medications using the override function only in true emergencies. 
    BTW, I answered that she should not have been charged if anyone was wondering.
  23. Like
    HiddencatBSN reacted to Jory, MSN, APRN, CNM in Older Doctor doesn't think nurses should be in charge   
    I'll tell you what I have told other physicians:
    I don't work FOR you, I work WITH you.  I work FOR the hospital.  There is no "above" and "beneath" here.  
  24. Like
    HiddencatBSN got a reaction from bluebonnetrn, BSN, RN in Is It Possible to Never Make an Error? The Perfect Nurse Fallacy   
    Ooof, a nurse who claims to never have made an error or mistake makes me really worried because they're either not aware of their errors or they're hiding them. No way have 54% of nurses never made an error. 
  25. Like
    HiddencatBSN got a reaction from bluebonnetrn, BSN, RN in Is It Possible to Never Make an Error? The Perfect Nurse Fallacy   
    Ooof, a nurse who claims to never have made an error or mistake makes me really worried because they're either not aware of their errors or they're hiding them. No way have 54% of nurses never made an error. 
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