oramar

I have been retired for about twelve years, the night mares have finally gone away. But I rememer being a young nurse and dreaming that my manager walked into my bedroom and demanded to know why I was sleeping when evey light was on down the hall. I actually jumped out of bed and ran down the hall trying to answer them. My husband chased me and woke me which I believe saved me from being hurt. Gives you some idea of the sever stress I was under as a new nurse. It has all been over for a while but I still thank God every night when I go to bed at 10pm instead of going to work.

I don't quite agree with part of the point you make. It might be helpful in deflecting a wrongful dismissal suit. However, in the case of a non licensed person giving harmful advice to a patient, I am wondering if you would still be resposible for the serious harm a non-licensed person did to a patient. I can just hear the lawyer making the statement, "my client would still be alive today if this person had been removed from their position at the first hint of trouble". Changes are the jury would be thinking, "yup". PS The person who wrote this is a professional and if they are comfortable dealing with it by issuing a warning it is OK by me. I just have a tendency to think of worst case senarios. Like I said this happens all the time and people for most part get away with it. I just pity the poor patient that suffers serious harm from bad advice.

My experience is that the licensed professionals are the ones held responsible for mistakes made by a person in this position. My feeling is someone needs to show her more than the nurse practice act, perhaps something like the door. PS This is not an isolated incident, I see people who are not properly trained taking way to much responsibility on themselves all the time.

You can bet you are not the only one that has made this mistake but make sure you only make it once, I know I did.

Just to let you know I am not looking for legal advice. All I want to know is if other people get the same "this ain't right" gut reaction to this that I got.

A ltc nursing facility gives 30 days notice that it is closing. Here are some of the demands it is making. Relocate to another facility 120 miles and take a job it is offering there or 1. lose your PTO 2. lose your severence 3. no use applying for unemployment because you were offered another job and you did not take it. This is the short list of the dirty tricks they are pulling but I am wondering if these items can be contested.

http://www.post-gazette.com/pg/11249/1172418-58.stm

This is an excellent question, I find the responses educational and insightful. Thanks for asking. I know I could just hit the kudos button but that doesn't begin to cover how interesting I find this post.

It was always my experience that 3-11 was the busiest shift. Remember I am not saying that because I never worked any other shift. I worked nights and days as well as evenings. All shifts are busy, all shifts work short staffed. But evening shift was not just busy or short staffed, I would have to call it crazy. Even at my mom's personal care home there is plenty of staff from 6a to 6p. However, at 6pm everybody goes home and then it gets very hard to interact with staff. As my mom's POA they send me surveys all the time. I comment all the time that after 6p there is not enough help. Last survey I wrote in RED, at 6p you cut the staffing by 2/3. Just as these people(is is memory care unit) get ready to sundown the staff goes down to bare bones. How does that make sense????? I suspect is due to fact that people who make the decisions to staff light at that time work steady daylight. How can they possibly know what goes on? They honestly think there is nothing to do in the evening.

It just goes to show that in this economy many of the rules everyone swore by in other times just no longer apply. Please excuse this old timer for being slow to "get it". However, I must say that in your case I really respect the way you have taken control of the situation. You did find a job and you did get experience. I know you are impatient and disappointed but still take a second to take stock of your situation and give yourself a pat on the back. I think a lot of the things you have done are quite positive.

Oh goodness I was just going to post in my journal about this. I just came back from traveling out of the country. I totally understand airport security and what they have to do. But I don't really have to leave the country and I doubt if I will be doing it again. The security is just so demeaning but that DOES NOT mean I blame the agents in the airport. It was far worse for the lady I was with. She is disabled and travels by scooter. She made the mistake of wearing a dress because it is easier for her to get in and out a dress. She was just about given a public gyne exam in the middle of an air port. My spouse and I agree that we will travel by car inside the country for our vacations in the future.

My mother's Assisted Living told me at the very beginning that they would allow her to age in place. Right now she is in hospice and they are very co-operative with that. I think if I wanted her moved to another facility because I felt she was over whelming the staff I would have to be the one to bring it up. They like my mom and her family so much we are the last people they would ask to leave.

NP have been listening to this garbage for a long time.

The locked memory unit where my mom resides has very little problem with this sort of thing. The doors have locks on them that require a code punched in to open them. Most the persons on the unit have such advanced memory problems that they can't can carry out a task that complex. It is not a sure things but it makes it so much easier for the staff. Plus everyone wears a leg bands that set off an alarm if the person does get out. I think someone said that the person can be tracked by a signal the band gives off if all else fails. Now someone is going to tell a story about a patient that got past all the safe guards. Like I said it is not a perfect system but nicer than what I always had to deal with. We were always expected to intercept the patient at the door and turn them around. It was a really, really hazardous situation and would result in accidents and injuries for which the nurses were promptly blamed.

The rule for reporting drug diversion that you personally witness is pretty cut and dried. However, what about a situation where you overhear a conversation in which a co-worker tells another co-worker that they think someone is diverting? Or what do you do if the information is third or forth hand, like when someone says, that someone says that someone says that so and so is diverting?

I have to say that my favorite nursing educator left teaching because she felt the quality of the students was declining. Can I point out that was in 1982? I have heard all these complaints before.

By the way, there is currently an issue going on at a hospital in my area. An audit found a particular group of physicians were repeatedly doing unnecessary cardiac stent insertions. It was a all over the newspapers a few weeks ago. The physicians resigned, I was wondering if there will be any actions by the attorney general.

I agree with CCL RN, that is quite a shocking story New1LT tells. It reminds me of an article I read somewhere. It was written by a prominent journalist. It was called, "How a pacemaker destroyed a family". In it she described how a pacemaker had been forced on her 79 year old father after he had repeatedly refused it. The daughter and author of the article had backed her father up in his refusal but did not realize that the surgeon would continue to press him when she left town. The wife had the POA and she and the patient both were confused when he signed the consent. The journalist was extremely bitter against the surgeon and named names. She felt the pacemaker gave her father a couple of horrible years of life that wrecked the family and killed her mother. He most likely would have died much more quickly and peacefully from the heart block the pacemaker was inserted to treat. Everyone was soooo worried about death panels a few years ago. My personal opinion is that the true problem is unnecessary and unwanted treatment that is sometimes forced on a patient and frequently misrepresented in it's ability to help. As previously mentioned the motive is money.

I think that is sweet.

Most people are not aware that if you default and go on Social Security it will be deducted from your check.

Signed up first time I visited in 1998. I have the same name but allnurses was called something else back then.

Pa. leads in high-risk insurance enrollment

My doc's MA has the same thing. It hasn't interfered with her ability but she takes her meds. You know Obamacare is begging for people with pre-existing conditions to sign up. I think the problem with their pleas for people to sign up is that they keep publishing the info in newspapers. No one reads newspapers anymore. Put a video on U2 about it and they would have a million responses.

Very few threads go unanswered here. There is no reason to use deception.

Goes to show how management positions are no bed of roses. Good luck, I think you should get something somewhere due to fact that you have acute care and management experience.