Orca

I don't recall the exact situation, but a nurse had been making mistakes in medication. The DON called her in, and very calmly explained what the issue was and what issues that it created. There was no yelling, no accusations, no denigration. The employee left the meeting wanting to improver rather than feeling completely torn down.

I have found that psychiatric nursing is held in very low esteem by many employers. You won't see sign-on or relocation bonuses for it - only for critical care or emergency medicine. I also ran into difficulty getting hired elsewhere after working psychiatry. I worked for a freestanding psychiatric facility that was closed by the parent company. I couldn't buy an interview, during a time when hospitals were running full page ads begging for help.

I have never heard of it. Prisons either have their own staff, or they use a contracted agency.

My sister did travel nursing for a while. She said that there is a reason that certain hospitals need travel nurses - mainly because they have such a poor reputation in the community that only people who know nothing about the hospital will work there. This isn't the case with every travel assignment (a buddy got a job at UCLA Medical Center after working there as a traveler), but travel nursing is a minefield.

Very well put. It is very easy to offer advice when you will not be affected by the decision.

Malpractice is a civil charge, with a monetary award if the defendant is found to have engaged in it. The presence of insurance would have no effect on any criminal charge.

The sources that I have read all say that it is a violation of HIPAA. For example, An emergency room employee who snaps a photo and posts it to social media to show how busy it is would represent a HIPAA violation, as people in the photo may be recognizable. The same thing applies here.

So two Wrights made a wrong. Thanks for sharing.

Just a guess, but I believe that I might have noticed the big red ring stating WARNING - PARALYTIC AGENT on the top of the vial when I pulled it. BTW - I noticed that there was an RN and a former RT on the jury that unanimously convicted her.

From what I have been able to tell, this was far from an easy drug error to make. There were multiple warnings along the way, which she apparently ignored. The final straw was that the medicat6ion had to be recostituted, which supposedly would require reading the label, which warned that this medication is a paralytic. There have been a lot of nursing mistakes that I can understand, and can chalk up to maybe the nurse being very busy or distracted. This isn't one of them.

I have had tophi in strange places. About a year and a half ago I had olecranon bursectomies on both elbows (done one at a time about a month apart) because my elbows protruded abnormally. Prior to the surgeries the elbows would periodically become infected and I had to have them drained. I had what appeared to be a cyst on my left Achilles tendon that yielded tophi when drained. I have a deformity in the distal joint of my left index finger that may also be related. And this is with me taking allopurinol. When I have had breakthrough joint pain, indomethacin is my rescue drug of choice. During a period when there was a national shortage, I also had some success with naproxen.

I worked for a place that pushed ANCC certification. Unlike your place, we received nothing for the certification. It just gave the hospital something to brag about, at our expense (literally). I didn't renew it after the initial certification period.

My first injection was given to a patient on an OB-GYN floor. I was nervous enough as it was, but also the ordering physician had written the order in grains. Fortunately, I had my handy-dandy conversion table with me, and I figured out how much that he really wanted given. She was on a mag sulfate drip for preeclampsia, and she couldn't have been more out of it. To this day, I doubt that she even knew that I was in the room, although I explained to her what I was about to do. She never reacted to anything.

The first question that occurred to me is why the employer is insisting that the ID be delivered in person. Mail makes a lot more sense, given that the OP is in the middle of moving, and a 150-mile round trip to turn in an ID badge seems over the top.

I have had several facility tours conducted by medical staff. Officers are only necessary when you are performing a duty that will put you in close proximity to inmates.