JaredCNA

For my own reference information, can you find this policy online for me? I'm totally not comfortable with doing it, as I said earlier. But if need be, and it is acceptable in the eyes of both the BON and the facility, then I guess I would have to do it?

Pagandeva, I understand what you are saying. I was confused because I know that the nurse who delegates a task or asks a CNA to assist with a task is held ultimately responsible for the outcome and accepts responsibility since we are, in a sense, acting under their license. There's a gray area, and I will probably be better off asking the BON if it is okay, then checking facility policy. I am not very comfortable with doing it, even if it is allowed, because I do not know anything about discrepancies or how to resolve them, or even if they are resolved properly against the system count. However, if it is allowed by the BON and my facility, I also don't feel comfortable refusing a task that is delegated to me.

It has always been my understanding that narc counts are done by two RN's or an RN and an LVN in the hospital setting. Of course, this may be only my understanding because I've never seen it done differently. At 0400 the charge nurse told me to help her count the Omnicell. She's been a nurse for 29 years and worked at this particular hospital for the past 17, so I assumed she was aware of policies and what-not. However, she asked me because the other nurses were busy with admits, so when one of them showed up at the desk, she told me nevermind and had one of them do it. Does the policy on narc counts vary from facility-to-facility, or is there an organization or policy (Nurse Practice Act or state BON, for example)? If it is a facility policy, then I can find it. But I'm not comfortable counting with a nurse if there are state policies against or if it is a violation of the nurse practice act.

I used a tape recorder as well. It really helped out.

In my profile, there is a link to my blog. I have some other RT bloggers listed on the right-hand side of my page. If you read their blogs you can learn a lot about RT.

Last night I moved a very combative (and very confused) pt up in bed. He apparently thought we jerked him up in bed really hard, and he got in my face and told me that next time he would shake a salt shaker in my face if I wasn't more gentle. :uhoh21: :chuckle

I'm assuming this was directed toward me, because the two posts above your post don't talk about grades. I'm not sure what you are trying to say, so I'll just leave it alone. If I feel compelled to talk about my grades on the internet, I'll do so. It's not like it violates TOS or anything.

No, no one saw him go in there. He didn't have a friend working on the floor. It's still confusing to me. The only thing I could think is that someone was trying to start an IV on him and left the supplies in there when they couldn't get it. They probably called ER or the supervisor to start it and they never came. I don't know.

Oh, I'm reluctant to share this one, but... Never prostitute yourself out to homeless folks, and definitely don't let them stick their member in your colostomy. No matter how I try to forget that one...

Exactly. Like the patient we had S/P Shoulder Hemiarthoplasty, getting 3mg Dilaudid (I wanna say q2h), with an On-Q Pump, who I found shooting up in the bathroom... We searched his room and he had about four of our IV start kits, and three 20g IV caths in his suitcase...from our clean utility room. Somehow he figured out the code to get into our supply room. It's very sad.

Never let your s/o place a cucumber in your rectum during sex. I kid you not. We once got a post-op cucumber removal surgery at 3am. A 44-year-old male whose wife said she "did it to him all the time with no problems."

All I have left to do is the final exam, which is this Monday. It's 100 questions (worth a point each) and all I need is an 86 to get an "A". Oh, the suspense...

Also, here are some additional certifications for respiratory therapists: Neonatal/Pediatric Specialist (NPS). Certified in Asthma Education (AE-C) Polysomnography Certified (RPSGT) Respiratory Care Case Management (CCM); Not exclusive to RTs Registered Pulmonary Function Technologist (RPFT) Cardiac Pulmonary Function Technologist (CPFT) Certified Tobacco Cessation Treatment Specialist (CTCTS); Not exclusive to RTs

What does "RN, APR" mean? Is this homologous (sorry, I've got A&P on my brain :chuckle) with "APRN" or "APRN-BC"? Does anyone know if there are any additional certifications for CNA's?

I wonder how this scope compares to the Littmann Cardio III or Master Cardiology. Does anyone know?