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  1. DeLana_RN

    Tennessee Nurse RaDonda Vaught - Legal Perspectives of Fatal Medication Error

    It just occurred to me... RV had an orientee with her. Didn't the orientee notice something? If I saw my preceptor reconstituting a drug, I would certainly pay attention to what drug it was. In fact, RV demonstrated the override process when selecting the drug. So neither of them had a clue that this wasn't Versed or noticed the "paralytic" warning?! Am I'm missing something?
  2. DeLana_RN


    That's nice, and how it should be. But you may also end up like my best friend, who was terminated for her only med error in 5 years, self-reported, no harm came to the patient... the real reason was of course that the manager wanted to get rid of her and took advantage of this opportunity. Just saying, this can happen in an at-will employment state with no union protection. My friend knew that she could have easily covered the mistake up, but even knowing the outcome (which she would have never expected), she would do exactly the same thing again. Because a clear conscience is more important than even the worst (unfair) punishment. OP, please do what my friend ultimately did - get counseling. If you do, you will be fine. Wishing you all the best.
  3. DeLana_RN

    The Wrong Dose - A True Story of Medication Error

    You're very lucky, but I think the way your error was handled is the correct way. Sadly, many nurses are severely disciplined or even terminated for even minor medication errors. This punitive mentality can only lead to cover-ups and harm to patients due to non-reporting. Thank you for being an advocate... but there's a long way to go for the profession as a whole.
  4. DeLana_RN

    Nurse Sick and FIRED: Exploring Nursing Absenteeism

    I can't believe what I'm reading here. I feel for you, really, this should have never happened. Agree with pp, you should get a laywer. I wish you well in your ongoing treatment and recovery. Warning to others: No job is worth ruining your health. If your supervisor is unreasonable, take it to the next higher level and so on.
  5. DeLana_RN

    Nurse Sick and FIRED: Exploring Nursing Absenteeism

    This is the only first world country where these punitive sick policies are allowed. Why? The work force in Europe and other advanced nations is overwhelmingly unionized. In the US, if you say the word "union" (at least in the South) you might as well consider yourself soon to be fired (they can always find a reason in nursing; again, no union protection) and unemployable. Sad state of affairs... but it won't change until nurses become unionized (maybe next century?)
  6. DeLana_RN

    Never wanna take students again.

    Just to add one more comment... When I worked med/surg-PCU years ago, I welcomed students - they eased my workload (8 patients!) and were under the supervision of their clinical instructor when giving meds. Now, however, my workload is still very intense (just in a different way) and having a student may result in my having to stay another hour just to finish my charting. So I consider it a burden. Also, students can certainly tell when they're not welcome (I used to be one!) and this is not fair to either them or the nurses they are assigned to.
  7. DeLana_RN

    Never wanna take students again.

    I am also tired of having students dumped on me... I just don't have the time, and if I wanted to be a clinical instructor I would have become one. Assign students to nurses who are willing to take them (this will probably require an incentive, so offer it!) and leave the rest of us alone.
  8. DeLana_RN

    Job Offer, but need advice! Manager has bad rep.

    Be very careful. Have you applied elsewhere? Just because a unit has long-term staff does not mean the manager is good or even tolerable; they may have learned to cope in various ways, including brown nosing. It is very easy to get fired as a new grad (or in nursing in general; much is subjective, the work load so heavy that they can find a reason if they want to.) They may not fire you, but force you to resign or claim you failed your orientation. Most likely, it would not be your fault... but might just be devastating to you anyway. But everyone is different, you may have no problems at all with this manager - perhaps she'll just like you (and not others). Is it a chance you are willing to take? Only you can answer this. Good managers don't normally have a bad reputation. Best of luck to you, please keep us posted.
  9. DeLana_RN

    Esme Needs Your Prayers

    ((( Esme ))) All the best! P.S. Thanks for sharing your great advice and wisdom; looking forward to more!
  10. DeLana_RN

    65 year old woman pregnant with quadruplets

    I have done a lot of research on this subject. This does not mean that most pregnancies after age 40 (actually, after age 37 according to my sources) will result in children born with Down Syndrome or other chromosomal problems; instead, most "old eggs" are never able to be fertilized at all, resulting in "failed cycles" or miscarriages. At age 45, there is a 1 in 12 chance of having a pregnancy with a child with Down Syndrome - not bad odds, I agree. However - most are never able to conceive AT ALL. I have a friend who had several failed IVF cycles and was told by her fertility specialist that "old eggs" become a serious problem starting in the late thirties. She was 39, and he advised her to use donor eggs to increase her chances! Therefore I DON'T believe for a minute that this 65-year-old quad mother-to-be had her youngest daughter at age 55 "naturally", i.e., without using IVF with donor eggs. Especially after watching the "exclusive interview" with the TV station RTL; she never admits it, of course, but the child does not resemble her at all. (See for yourself.) In addition, it's striking how naive the woman appears to be... and clueless regarding the responsibility of raising quads - by herself. She had better hope the media circus continues and finances it for her (Octomom had hoped for the same, and we know how that turned out).
  11. DeLana_RN

    65 year old woman pregnant with quadruplets

    Well, yes... but what are the odds (extremely low. Most eggs after age 42 or so are chromosomally damaged and unable to lead to pregnancy, it does not matter when menopause occurs. And the odds that a woman this obsessed with having a huge number of kids would "happen" to have one of these rare pregnancies - well, I think the odds of winning the lottery would be much greater.) More likely she used donor eggs with the pregnancy at age 55 as well. A decade ago (when her youngest child was born) IVF with donor eggs was still "underground" in Germany and no one admitted to having used them. Apparently, this has changed and it is now condoned (although couples still have to go abroad for treatment, usually in Eastern Europe. This woman had IVF treatments in Ukraine).
  12. DeLana_RN

    65 year old woman pregnant with quadruplets

    The BILD article states that she is a single mother ("none of the 5 fathers [of her other 13 children] stuck around for long") and the quads were conceived abroad after multiple IVF cycles with donor eggs and embryos (using donor eggs is illegal in Germany). At least it acknowledges that there is no way someone that old and long after menopause could possibly conceive naturally (although she claims that's what happened with her currently youngest daughter who was born when she was 55; highly unlikely, but remotely possible). I think it's clear the woman - and her doctor - have some serious issues (yes, Octomom and her irresponsible doctor come to mind...). Even if she lied about her age... well, she clearly looks 65. But I guess she passed the wallet biopsy.
  13. I can relate. My mother thought I was too introverted to be a nurse, that I should work "in a lab or something - by myself" instead. Never mind that I absolutely hated the clerical jobs I had before becoming a nurse (which she thought would be appropriate or adequate/good enough for me). And never mind that I was in my thirties when I started nursing school! Sigh... I can only hope I'll be more supportive of my own kids when the time comes.
  14. DeLana_RN

    Scheduled overtime

    Oh, yes, years ago when I was a new grad working on a med/tele-PCU with an 1:8 nurse/pt ratio our staffing at this for-profit hospital was so poor (few lasted long in that hellhole) that everyone was put on a mandatory "call" shift very other week - except you could "consider yourself called". Of course, they did not pay call pay; the basic pay rate was so poor (I would be too embarrassed to tell) that it certainly wasn't worth it; and of course we had no union. But in this day and age? I'm shocked mandatory OT/call still exists. Run for the hills!!!
  15. DeLana_RN

    How can I tell if I'm cut out for night shift

    Just because you're nocturnal (an "owl") does not mean that you will do well working nights. I should know; staying up all night - no problem (I have to force myself to go to bed before midnight when I work the next day - day shift). But I found night shift much too disruptive for a "normal" life. Especially if you have kids... sorry, it didn't work for me at all. It felt wrong from the start - and I got in line for day shift just as soon as I could. It's hard getting up at 5:30 a.m. - I hate it, really - but at least I feel like I have a life now. On nights, one shift really "ruins" two days, which the differential (not much in my case anyway) can never compensate for. To each their own! But this owl will stay on day shift.