billssisbeth

NO WAY!!!!!! I would RUN from that place!!!!! They are violating multiple Nursing Practice Standards and Federal Laws! Narcs are serious business hence the fact we must sign our lives away when using them. Narcs are tracked and I for one know too many DEA and FBI officers to mess with "borrowing" a narc from another location or patient! "Oh btw Agent Joe what are the federal standards for using one person's meds on another....?" YEAH RIIIIIIIGHT! There'd be a black SUV in my driveway the next morning... LOL I would sign and circle the MAR with a note stating med unavailable at this time. THen write in the nurses narrative note the same thing documenting how much was in the elixr bottle. I might even call the Dr. for a one time order to give the patent a reduced dose until the new bottle of elixr was obtained. or an order for the narc stock box to be opened and the right dose removed. But I suppose the DON or the ADON has the key... LOL Let the ADON get her toosh out of bed and come put HER license on the line! I'd be fired the next day, but would still have my license!

I have a Documentation Ethics question.... I have been asked multiple times to rewrite signed nurses notes that were perfectly legible... either a water "spot" or stray pen mark was the reason I was asked to "rewrite" it. Nothing was unreadable or omitted. My employer wanted to destroy the original. I kept them from doing so by saying "see original document" on the signature line of the regenerated note. I have looked into this per my State Board of Nursing...but there is no definite outline as to whe a Note should be "redone" if soiled, obliterated or marked on AFTER the authorized signature is in place. Does anyone have ANY ideas about this? And I need resources to back me up.... Thanks. Beth.

Where I work we refer to-- http://rncentral.com They have care plans that you can print up and use. We use these because they are standardized and simple. Also, there are MANY valuble resorces at Barnes and Nobel Book Sellars and Borders Book Stores in the Medical Reference section.. granted some of these will cost you 35 to 50 bucks but they are well worth it if you do allot of different care plans. Good Luck! Beth.

SOME DAY I'll learn to type!

I must have it great.... I work in an upscale CLEAN home in a NICE St. Louis neighborhood.... BUT A couple of years ago I worked for an agency that sent me to a tennement apt downtown... in the room of the baby I cared for an outer wall was missing covered by a BLANKET and ceiling was supported by 4 4x4 posts....... mind you we were on the SECOND FLOOR!!! On my arrival the family ROTWILER charged me with a slathering grin and a deep throaty Grrrr.... I backed away from the dog and stepped on a pile of discarded taco bell and burger king bags which a ZILLION Mark McGwire baseball bat holding-- home run hitting sized roaches jogged out of.... Then th ekicker.. the baby roaches were platint "tag" IN and ON the vent and it's tubing circuit! I stayed long enough to call my supervisor and tell her to call Rankin Jordan Children's home for IMMEDIATE transport of this child to their facility for it's own protection. She refused. I called Social Services next.. waited an hour for them to show up. They saw the house af\greed with me and then they removed the child and I went home. three days later the baby was BACK in that hell hole.... :confused And get this..I got a write up for insubordination and I got removed from the case for being too "uppity". :chuckle Go Figure. :chuckle :