Molly90210

move on. Nurses resign all of the time employers get mad that you quit then fire folks. Been going on a very long time. MOVE ON. If you get reported to the BON get a lawyer, if ocr or hhs get a lawyer. just say the pt was in the ER. I thought he would be assigned to me, I wanted to be prepared to take care of him, I ended up not getting assigned the patient. It was only for a few seconds and you have no recollection of the patients name or condition. THE END. She may have ticked off the wrong person somewhere and they were looking, she might have been a few months shy of being vested (common). Or they might be able to find someone cheaper. Charge nurses get alerted to possible admits all of the time and we usually tell our nurses. Hey there is MR £€>#% in the ER that might get admitted. They will go in room &$) and will need a sitter Or not the nurse usually looks this up. And sometimes the patient gets sent to step down instead. Always guard the passwords. Always lock the computer if you have to leave it. Do not look over anyone’s shoulder at a patient file when someone else is logged in. Do not leave your computer unlocked for a second. Do not ever use a company computer to do anything personal EVER not even a simple google search that you can’t justify. Do not use hospital WiFi on your smartphone always use cellular data. Never use company email for personal business ever. Never comment anything on Facebook during working hours and lock up your Facebook so tight it squeaks. Don’t discuss anybody’s names This includes places that sound like names. while in the work place. I almost had a hipaa violation. Sometimes it is not what actually happened but what it looks like happened. I went on vacation to London in 2013. I was excited to get back and tell everyone about the trip. I was in the elevator and told a coworker “London was great but I thought buckingham palace was a little run down and the city smelled like diesel. A little old lady heard “buckingham rundown smelled”and thought I was talking about a patient. She filed a Well meaning complaint for mr buckingham. I had to sit before a board of about 7 administrators and hipaa compliance people (That flew in)(they were there for other stuff too I hope ) sitting around a very nice conference table drilling me about violating the patients trust and family members trust. I was able to prove I was talking about buckingham palace, the nurse I told backed me up and I had pictures of the palace date stamped the week before the complaint, Passport stamps and travel documents. There were no patients named With a first or last name buckingham Or a first or last name of palace in our entire computer database. That was my saving grace. They asked we not discuss any names of ANY persons or places while in the elevator. These were federal investigators drilling me and they were very intimidating, this went on for What seemed like hours before they let me explain. So if I could get in this much trouble for this and the stress associated with it. I can only imagine how bad it could have been if there had been an inkling of a violation. They never did punish me for it. It was never put in my personnel file. And I haven’t thought of this in 6 years. Move on....... I retired from there 5 years later.

A person above said we had the same standards as pilots. I know for a fact that pilots aren’t allowed to take diamox or have any intracranial pressure issues. I will be on diamox for life. I wasn’t aware the BON AND FAA had the same rules. But I guess it is the safest. When I am in a plane I can certainly tell the barometric pressure changes. I could never work where there were rapidly changing barometric pressures.

I was inpatient at a World renowned quaternary Medical center that was not in my state of licensure. My intracranial pressure was dangerously high to the point where I was losing my vision. I was referred emergently out of state. I was given oxygen, close monitoring, iv lasix, iv acetazolamide, iv Zofran, iv phenergan and marinol as well as other non scheduled meds. I was off work for months while my ICP was getting stabilized on the fluid restriction, high dose lasix and very high dose diamox and very high dose toprol xl. I am normal weight so the high icp isn’t my fault. I am not a candidate for a shunt due to a connective tissue disorder. If I thought, for a minute that medication they gave me while inpatient was against board rules I certainly would have refused it. It was only 2 doses and I didn’t find out until I was discharged. They poked a hole in it and it was given sublingual. I’m not sure if they were using it for the high pressure or to help stop the 3 days of continuous projectile vomiting. this was In august of 2018. It’s on my permanent medical record that I willingly took it. I wasn’t in the position to question anyone’s expertise. At the time I didn’t even question it. I guess I should have. Should I self report those 2 doses Of THC MARINOL and send the MAR records to the BON? What kind of discipline should I expect? How will they hold me accountable for this lapse in judgement. Would they want me to stop the DIAMOX? I know pilots are not allowed to take diamox unless they have specific permission from the FAA, pilots also lose their license if they have any diagnosis that affects intracranial pressure. Do I need to see an attorney first ? molly

Anyone with pots also needs to be evaluated for a spinal csf leak. Especially in patients with ehlers danlos syndrome. The symptoms of pots and leaks are very similar.

nevermind, old post

They are testing for illegal drugs and controlled drugs. The initial screen may indicate a positive result but that is only preliminary as many things cause false positives. They will do a gas chromatography mass spec of the sample and see that it is negative for drugs of abuse, and report it as such. They will not test specifically for lamictal and they will not test specifically for buspar. They cannot test for every medication under the sun, that would be very expensive, in other words, if you are functioning fine, why would they Even care. I think you are worrying about nothing and you will be fine. Study hard, and be the best nurse you can.

Thc is the active ingredient in marinol generic dronabinol. It is fda approved and you can get it at walgreens. It is sometimes used in Severe cases of intracranial hypertension with diamox and lasix if you are trying to avoid a shunt. A lot of people use cbd from companies like charlottes web or haleighs hope, these are over the counter hemp oils high in cbd that have traces of thc in them and the thc is enough to register on a drug screen but not enough to impair.