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brockclan3

brockclan3 LVN

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brockclan3 has <1 years experience as a LVN.

brockclan3's Latest Activity

  1. brockclan3

    Psychedelic Nursing

    I am involved with several psychedelic therapy groups on FB, MAPS, and a member of Cannabis Nurses Network. I have watched several great lectures on the subject - how psychedelics reset the brain, ect. I just think of so many patients who have had deep, life altering trauma in their lives who this could help them by allowing themselves to step back from the trauma and view it from the outside looking in. The trauma becomes so ingrained in who we are, just like the ego, we have to separate the two to have clarity and healing. This is a job for psychedelics! I have got my feelers out there for sure. I know in order to pursue what I really want to do I will need to leave where I am living right now and the thought of that gets me excited. Thank you for all of your advice, I will keep on the path that I am on now.
  2. brockclan3

    Psychedelic Nursing

    Girl, this is so encouraging and gets me fired up! Thank you so much for your post! How do we get involved at this point? I am in school right now for my ADN and will graduate in May with my eye on psych. I am doing my preceptership later this semester with the director of geriatric psyche at my local hospital. I live in rual Texas and when I talk about psychedelic therapies in a mental health setting most other nurses give me a dear in the headlights look lol. These therapies are helping patients to HEAL not just manage symptoms. One avenue I thought about pursing after graduation is becoming a nurse psychotherapist? Do you see a future for this? ADN to BSN to NP? What about PA's...do you see a model for this? This is a field I feel really pulled to but other than just continuing my education I am not sure how to get my foot in the door when I graduate. Should I just continue pursing psyche nursing for now while I get my ducks in a row as far as advanced schooling (so to speak)? I believe 100% this is the future of mental health I just feel lost in podunk Texas lol.
  3. brockclan3

    Psychedelic Nursing

    I know this post is from August, but I am highly interested in psychedelic therapies as well. I will graduate with my RN in May and I am looking to branch out in alternative therapies. I have been watching TED talks from psychiatrists and physicians that are making breakthroughs in patient trials. But, just as you guys, I have no idea how to start. But just knowing there are others that are interested in this makes me excited!
  4. brockclan3

    Joint Commission Citing & Employee Files

    My supervisor told me that JC would be reviewing my file and she had concerns in regards of my past mistakes/write-ups. I asked her if there was a possibility that I would lose my job and she said she didn't think so. But I know that might be a possibility. Since I changed departments everything has been REALLY good. I haven't made any errors and everyone says I am doing great.
  5. brockclan3

    Joint Commission Citing & Employee Files

    Well, in all actuality, when I was trained and in clinicals I was just handed a glucometer and asked to go check the blood sugar. I don't know of any co-workers that check blood sugars like joint commission says we need to. But now we will be wiser.
  6. Joint commission has been at our facility this week and watched me do a blood glucose check on a patient. I failed to wipe the first drop of blood before obtaining the sample for the stick so our department was cited. My supervisor told me about the citing and that Joint Commission would be reviewing my personnel file. I am a newer nurse (a year and a half) and while working in the department I started in I received several write ups for errors I have made. My question is, given my previous write ups, what does this mean for me and the facility I work at given this error?
  7. brockclan3

    Are you a hospice nurse?

    Hello guys! Just reaching out to any hospice nurses out there. I am currently an LVN and working my way toward RN. I have been considering hospice nursing (I am currently a tech at an ER) and was wondering how you got into hospice care? As in, what type of education, work history, special training, etc. one would need to get into hospice care. I am currently in the process of becoming a volunteer for a hospice home health agency where I live. I just wanted some pointers of how to get me in this line of nursing. TIA
  8. brockclan3

    Peer Review at work...advice please!!

    This is all so helpful. This is great insight here and I appreciate the information and your encouragement!
  9. brockclan3

    Peer Review at work...advice please!!

    Here is the list unsafe practices that is up for my peer review (it is alot): 1) When I first started work (ED) I was assisting another nurse in starting an IV and NS fluids. The nurse asked for a J-loop; I attached it to the saline flush but I did not flush it because I assumed she would do it. Same with IV tubing and the bag of fluids. One of the first things I learned in school is to prime the line and the flush. I knew how dangerous air in the line is. My mistake is assuming the other nurse would do that. 2) order for a patient was for fentanyl and I gave morphine (morphine had already administered previously). My mistake was not double checking the order. 3) I had inserted a foley and withdrew a urine sample from the port. My mistake is that I withdrew from the bulb inflation port instead. I placed it in a cup ready to send to the lab and another nurse commented how clear it was. When she said that, I realized what I had done. I threw out the sample, re-inflated the bulb, and collected the urine correctly. 4) the vanc incident (read my last post about this because there were other factors involved). My mistake was was not checking with the nurse and the order to verify what was in the bag before I attached tubing. 5) I figured a pediatric dose of Benadryl incorrectly and another nurse caught it before I administered it. I was going too fast and did not recheck the dose. 6) I used the wrong syringe to draw up insulin...I used a TB syringe instead. Thankfully my supervisor was there when I drew it up hoping I would realize what I had done. I did not and she pointed it out. I injected the insulin back into the vial, discarded the wrong syringe, and drew it up with the insulin syringe. I have gone through a second orientation with a preceptor on med administration and it was great. I am a LVN/Tech in the ED. I received adequate orientation on the tech side when I started but minimal orientation on the nursing side. That 6 weeks I did on re-orientation with meds was what I needed and it went very well. But obviously I have a pattern here that scares me about patient safety. Using the 5 (6,7,8) is obviously where I missed the mark.
  10. brockclan3

    Peer Review at work...advice please!!

    I found an online pharmacology certification course through NAPNES.ORG. I am looking into this.
  11. brockclan3

    Peer Review at work...advice please!!

    I will look into this for sure and see what is available. Thank you for the advice.
  12. brockclan3

    Peer Review at work...advice please!!

    hherrn, this is great advice. My supervisor went over the fact that I graduated with honors, 3.5GPA, excelled in clinicals (several of rotations were in this department) and she wondered where the disconnect is. I honestly don't have an answer to give her. I have been very forthcoming with the errors I have made, self reported, etc. I want to further my career to be an RN but this pattern of unsafe practice has me shook. I want to be a good nurse, a safe nurse. I want my patients and my co-workers to be able to trust me. I am thankful for my supervisor 'going to bat' for me...the hospital could have fired me but instead she knows I am trying to better my life for me and my kids and said she doesn't want these incidents to affect my career. This will be a difficult time but if it gets me to where I want to be then so be it. I am so thankful for the opportunity but I know it won't be easy.
  13. brockclan3

    Peer Review at work...advice please!!

    I have been a nurse since January and working since February. Since then I have had 5 med errors since beginning my hospital job. Two errors that were administered to two patients but, fortunately, did not result in patient harm. The other three were errors that were caught by other nurses before administered. I don't want to go into alot of detail, obviously for privacy. I have been informed that for the time being, because of the 'trend' of mistakes, I am not allowed to give any meds and that I will go before a peer review in the near future. I was told the purpose for this was to determine if I can continue nursing, as in giving meds, or start fresh in another department, ect. But in my research, most of the time peer reviews are performed to decide if I will be reported to the BON for unsafe practice. Has anyone else experienced a similar situation? What can I expect? Will this be as brutal as I am expecting it to be?
  14. brockclan3

    Beaten down newer nurse please help!

    I can absolutely understand where you are coming from. I, too, am a new nurse (LVN/Tech) and have felt the very same way as you are feeling now. I have felt as though I don't fit in, that the other nurses isolated me, 'made' me feel inferior, disrespected, talked down to, and they spoke bad about me. I felt as though I had a rock in the pit of my stomach going into work when I was on shift with certain co-workers. I honestly felt that I couldn't do anything right. But then God tapped on my shoulder one day saying, "Let's take a look at the bigger picture here". Being a new nurse, you want to prove yourself; you want to prove to your co-workers that you are competent and knowledgeable. You are eager to 'get in there' and get things done. But my pride and ego got in the way of that. Was I teachable? Hmmm...some of the time. Sometimes I have not been and became defensive instead (being defensive is a big deal for me here). And along the line I made med errors because I was so busy trying to prove myself I didn't double check what I was doing. I had gone to the doctor (in house) directly in regards to patient care instead of going to the patient's RN because I felt as though I knew better what the patient needed (DO NOT EVER DO THIS). Very egotistical and prideful behavior on my part. I isolated MYSELF from my co-workers because I didn't want to participate in general drama instead of reaching out to them in a personal way. I complained about another nurse for being lazy while I was doing her work. In short, I created the problems I was having with my co-workers due to pride and ego. I have taken all of this in, realized the errors I have made, and am putting a shift on the way I do my job as well as how I interact with the other nurses. All I have control over is the way I react to any situation...I can not control anyone else. I have learned a very difficult lesson. I am not saying by any means this is YOUR situation. All I am saying is what happened to me and what I have learned.
  15. brockclan3

    Med Error Advice...

    The meeting with HR went VERY well! I will have an RN preceptor (she is my favorite to work with) for 4 weeks in doing all her med administration while I shadow her. My supervisor, HR director, and nurse educator told me over and over that they want to see me succeed. And I want to succeed so my patients and fellow nurses trust me. I honestly thought I would no longer have a job. I feel so relieved that I still have my job but more so in the fact I will also be getting the remediation that I need to keep from making mistakes in the future. The only issue we discussed (that was offered up to me) about the other nurse was not only was the bag not labeled but that it was only diffused in 250ml of NS when it should have been diffused in 500ml NS. I did not ask any questions as to any repercussions of the incident other than what I was responsible for. Thank you guys for all of your advice and support!! I really appreciate all of you!!!
  16. brockclan3

    Med Error Advice...

    Great advice!!! Thank you so much!
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