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  1. SherPCCN

    Ripe for Exploitation

    Our sentinel event was when a heart flight transporter helped a patient to the bathroom when nurses were too busy to come. They accidentally opened a lidocaine drip wide open, which caused the patient to seizure and code, but he eventually recovered.
  2. SherPCCN

    Just Wrong: Three Simple Fallacies

    Thought provoking article! As for charting, I try to prioritize charting items more thoroughly that could ever be called into question in the future. I absolutely can not chart it all... I got a kick out of your true to life charting scenario! In 38 years, I have never been called to testify, although 2 cases I was involved in were settled out of court, neither my fault. Patient satisfaction has gotten out of control for some! Yes, we all would like to do our best to help ease the stress and pain of a hospital experience, but the expectations seem to have increased over the years and our ability to meet them is stifled by work demands and issues out of our control at times. Our hospital signs advertising patient rights have been replaced by signs saying "we will not tolerate aggressive behavior" and "code grey" security overhead paging is at an all time high. The questions determining patient satisfaction don't get to the heart of true success in nursing care, I don't feel.
  3. SherPCCN

    Knaves, Fools, and the Pitfalls of Micromanagement

    Seriously, about IV drip checks, for example, it has been decided it is safer to have every off going RN and oncoming RN check the drip together and then individually log into EPIC and verify the rate of our Milrinone drips. Within an hour, the charge RN must also log in and verify the rate. In all my double checking and being double and tripled checked on any meds or procedures, we have never caught an error or found out later we missed an error. The computer scan also verifies all needed identifiers.
  4. SherPCCN

    Knaves, Fools, and the Pitfalls of Micromanagement

    You really got to the core of what is driving the madness of modern medicine! I feel guilty for valuing my patients' outcomes over the clicking clocks and unchecked boxes, but I do it every time that I can't do it all, and I can sleep at night. Add to the increased acuity of hospital patients, we also must make sure we never have a "never event" such as a fall, HAPI, CAUTI,CLABSI, etc. And we must recheck by 3 people logging in separately every 8 hours certain medication drip rates and double check a wide variety of meds and changes. We are not to stay overtime and are to certify 3 times on our timeclock and once on our time sheet that we did not miss our dinner breaks, which most of us never take. Continuing ed is posted in bathrooms, the nurse lounge, the report room, the kitchen, the nurses' station, in folders on our report room table, on our emails, our healthstream, and required classes and courses. The speed only speeds up, as do the ticking clocks and boxes to check! Thank you, Robbi, for being a voice of reason!