Marie Bailey

OP: This article has some good metrics/poll questions. Journal Of Nursing Management & Leadership

I have a theory. People who get offended by the word “bully” are legit bullies. What do you think? This affects safety & quality of care. Terrorizing your co-workers just b/c you can affects everyone, including patients. I wish these people would be held accountable, so I can come to work & focus on my actual work, instead of dealing with this behavior. Also, this topic matters & needs to be in the limelight. https://eclecticideations.blogspot.com/2021/03/nurse-managers-who-is-really-running.html?m=1

I had someone accuse me of opiate diversion once. Reality: I have had 1 opiate (lortab) in my entire life. It was prescribed after oral surgery, & it made me puke. Questions: What is this accusation based on? Were you offered a UDS before they went this far? Any pharmacy reports to back up their claims, showing trends in discrepancies or much higher narcotic removal from the Pyxis than nurses with similar patients (on a routine basis)? The people who throw out such accusations with no legit evidence usually have more to hide than anyone else, or are targeting you for an unrelated, likely trivial reason. There should be adequate punitive steps for people who arbitrarily throw around such damaging accusations.

That looks like a perfectly appropriate injection site to me. 2-3 finger breadths below the acromion process, aiming for the center of the muscle = adequate. If you’re skinny, maybe you need a 5/8” needle instead of a 1”. It also helps to bunch up the muscle while administering. Also , it’s never necessary to aspirate with a deltoid IM. Other than that, needles might leave you sore with a bruise (b/c they’re needles), but it’s better than going too low & inadvertently administering it SQ; this could result in reduced serum antibodies. Wanna see my pet peeve? See photo on right. Too low!

Nurse Managers: Who is Really Running your Department?