HarleyvQuinn MSN, RN, NP

Primary Care, Military

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All Content by HarleyvQuinn

  1. HarleyvQuinn

    Did I make the wrong call?

    Yeah, don't feel too bad. I've had patients literally bite their pill in half and throw the other half in the trash, in front of me. Had to document that half dose, but what else can you do in that...
  2. HarleyvQuinn

    Just Say “NO” to Nurse Staffing Laws

    I also work for the same Emperor Palpatine as you and wish I could like this 3,000 times. Presently, our workload on an acute inpatient psych unit is being overhauled into a situation where one nurse...
  3. HarleyvQuinn

    Code Green and Emotional Trauma: How Nurses Help

    I completely agree. Several of our staff have pointed out the weaknesses in the CPI basic techniques, which are only directed at defensive maneuvers for staff and provide absolutely no training for...
  4. HarleyvQuinn

    Code Green and Emotional Trauma: How Nurses Help

    As someone trained and working in the inpatient psychiatric realm, I want to caution that there is a stark contrast in how you respond to a person who is agitated and acting out and a person who has...
  5. HarleyvQuinn

    What's Happening at the VA Hospitals?

    A great example I have for you occurred after my subtalar joint fusion. The surgeon wanted to keep me for a week, but I had talked him down to only overnight so long as I was doing well. During that...
  6. HarleyvQuinn

    Documentation

    Yep. Always a blast when my patients are banging on the nursing station windows demanding attention while I'm trying to complete the mountains of documentation about them. Take a worksheet for group...
  7. HarleyvQuinn

    Unfair Clinical Evaluations

    Just a side note - When you're the nurse on your own, you don't want to leave the patient in the bathroom by him or herself. Especially if this is a patient you need to assist to the bathroom in the...
  8. HarleyvQuinn

    When Police and Nurses Disagree Over Blood Draw Consent - Know What to Do

    Actually, refusal wasn't common at all. These blood draws are generally for patients brought in for allegations of DUI/DWI. For the patients I cared for, I never had one refuse the legal blood draw....
  9. HarleyvQuinn

    When Police and Nurses Disagree Over Blood Draw Consent - Know What to Do

    The ER I worked out informed us we were not permitted to refuse to draw for the police, that it was part of our duties as staff in the ER, unless the patient refused consent/was unable to consent and...
  10. HarleyvQuinn

    Legal obligation for disaster relief

    You'd think they would at least find a way to have arrangements for people to have their pets safely somewhere with them, even if crated. I would not leave my dog alone in a house knowing she was...
  11. HarleyvQuinn

    Unfair Clinical Evaluations

    This is not the staff nurse's problem nor responsibility, though. They do not work for your University or program. They are not compensated for teaching you. They are employed by the hospital and...
  12. HarleyvQuinn

    BON - Pending Case Review?

    Did you still submit that documentation and check "yes"? They have access to expunged records in their background checks. The BON even has access to Article 15s from military service and counts that...
  13. We did that in the ER, too. We changed everything out with each turnover of the room after the patient was admitted/transferred/discharged, though. I do admit it was wasteful if the suction wasn't...
  14. HarleyvQuinn

    Murder-Suicide of Elderly Couple Worried About Healthcare Bills

    This is becoming increasingly out of reach in our society. Even for those who spent their working lives at one company and were lucky to retire with a vested pension - all the company has to do is...
  15. HarleyvQuinn

    Scared RN ?

    It's going to depend on your program, too. You need to be a disciplined student and able to proactively manage your studies so that you set yourself up for success. Keep on top of your reading...
  16. HarleyvQuinn

    pre-employment

    Some hospitals in Virginia. It
  17. Not shocked. Not the only HCA facility this is happening it. They'll retaliate in a
  18. HarleyvQuinn

    Help with Staffing Incentives?

    This. Even if it's for extra money, picking up extra time isn't always worth it if you know you're going to still be very short staffed and just end up feeling like you played chicken with an...
  19. HarleyvQuinn

    ICU Nurse Fired For Refusing 3rd Patient

    Haha. God bless Cali. On the opposite coast we aren't having luck with unions. Same situation with high turnover,
  20. HarleyvQuinn

    ICU Nurse Fired For Refusing 3rd Patient

    If your sneeze or fart so much as sound like the word union in an HCA facility, their alarms in HR go off and you will be terminated immediately. HCA describes their staffing as "FTE neutral," which...
  21. HarleyvQuinn

    Did I do the right thing in this code situation?

    Not my first loss, as I'd worked ER/Trauma and Military prior. Just my first loss that young (<1 mo). I did speak to the NP and a couple others involved and provided updates about the outcome as we...
  22. BON would have revoked license to practice
  23. I don't recommend psych nursing. It can be very physically demanding in its own way and is frequently requiring more and more lifting,
  24. HarleyvQuinn

    Options for Family Nurse Practitioners?

    My Podiatrist recently hired an FNP to work in his office seeing patients. I'm currently in FNP school and plan on specializing ortho. Duke offers a post-masters one year program for ortho to prepare...
  25. HarleyvQuinn

    Did I do the right thing in this code situation?

    I second the debriefing. It's absolutely necessary and it gets completely disregarded in clinic settings. We had a code when I was the only RN in a Peds clinic and management disregarded my request...