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brockclan3

brockclan3

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  1. 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
  2. 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!
  3. 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.
  4. brockclan3

    Peer Review at work...advice please!!

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

    Peer Review at work...advice please!!

    I will look into this for sure and see what is available. Thank you for the advice.
  6. 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.
  7. 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?
  8. 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.
  9. 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!!!
  10. brockclan3

    Med Error Advice...

    Great advice!!! Thank you so much!
  11. brockclan3

    Med Error Advice...

    That is great advice, peachtreednurse. I am nervous as heck. Preparing for the worst, hoping for the best.
  12. brockclan3

    Med Error Advice...

    Just an update: I was asked by my supervisor to not clock in for my regular shift but instead meet with her and HR later in the day. This isn't good...what should I prepare for?
  13. brockclan3

    Med Error Advice...

    Yes, I am IV certified.
  14. brockclan3

    Med Error Advice...

    I spoke with my supervisor today and she told me I would get written up for it which is justified. I will also be meeting with our education coordinator later this week for remediation, which I need. I appreciate you all allowing me to be a sounding board for this as well as all of the great advice you provided. I know this will make me a better nurse.
  15. brockclan3

    Med Error Advice...

    No, psu_213, you are not being preachy at all. You are exactly right in what you wrote. I will not make these mistakes again, I can assure you. Thank you for your encouragement.
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