Jump to content
sistrmoon

sistrmoon

Oncology
Member Member Nurse
  • Joined:
  • Last Visited:
  • 805

    Content

  • 0

    Articles

  • 12,952

    Visitors

  • 0

    Followers

  • 0

    Points

sistrmoon specializes in Oncology.

sistrmoon's Latest Activity

  1. sistrmoon

    BIOPATCH

    We have never needed a script for a bio patch, it's a standard part of our central line dressing change protocol.
  2. sistrmoon

    Doctor's lying about telephone order

    I had an MD write a note in a chart outright lying about the calls I made to him and the communications between us. Basically a patient threatened to leave AMA, I called the MD, MD didn't come to the floor right away to see the pt, just said "call me back if he's serious." PT was serious and said he was leaving, paged the dr again and didn't get a call back. Finally got a callback from the Md long after the PT was gone, MD was mad, came up and wrote in the chart that I'd not called him at all until 30 minutes after the PT left(lie.) I'd written my own note and had several witnesses to my initial call, also told the nursing supervisor about it. Nothing came of it but it was infuriating. There's a big push for us to only take phone orders for emergencies(pain meds are included in this.) The doctors are very resistant to inputting their own orders though, especially the hospitalist attendings who never seem to be near a computer.
  3. sistrmoon

    Pure Wick

    Oh the education said it stays damp. That's good it's mostly dry.
  4. sistrmoon

    Pure Wick

    Thanks for the feedback! The training did say it can't be used on a confused/agitated patient which is a downside. I did also wonder how it didn't cause skin breakdown since it stays damp. Nice to hear opinions from both sides.
  5. sistrmoon

    Pure Wick

    Does anyone use the Pure Wick system at their facility? We are about to start using it. I'm intrigued but am wondering how well it really works in practice. For those wondering, it's a female incontinence wicking system that you attach to wall suction, like an external catheter for a female. You can use the collected urine for a UA as well.
  6. sistrmoon

    Pure Wick

    Does anyone use the Pure Wick system at their facility? We are about to start using it. I'm intrigued but am wondering how well it really works in practice. For those wondering, it's a female incontinence wicking system that you attach to wall suction, like an external catheter for a female. You can use the collected urine for a UA as well.
  7. sistrmoon

    Patient threat and HIPAA

    So I wondered if this counted as an actual crime(threatening to harm) and my attorney husband said probably not. I guess probably after the manager blew him/her off next step would be our security, maybe the manager's boss and/or HR? But the pt said someone would be waiting when the nurse got out of work so were it me, I wouldn't be wasting a bunch of time. And sorry to any hospital security folks out there but one escorting me out and maybe encountering a gang person wouldn't really make me feel protected.
  8. sistrmoon

    Patient threat and HIPAA

    "45 CFR § 164.512 Uses and disclosures for which an authorization or opportunity to agree or object is not required... (2) Permitted disclosures: Limited information for identification and location purposes. Except for disclosures required by law as permitted by paragraph (f)(1) of this section, a covered entity may disclose protected health information in response to a law enforcement official's request for such information for the purpose of identifying or locating a suspect, fugitive, material witness, or missing person, provided that: (i) The covered entity may disclose only the following information: (A) Name and address; (B) Date and place of birth; © Social security number; (D) ABO blood type and rh factor; (E) Type of injury; (F) Date and time of treatment; (G) Date and time of death, if applicable; and (H) A description of distinguishing physical characteristics, including height, weight, gender, race, hair and eye color, presence or absence of facial hair (beard or moustache), scars, and tattoos. (5) Permitted disclosure: Crime on premises. A covered entity may disclose to a law enforcement official protected health information that the covered entity believes in good faith constitutes evidence of criminal conduct that occurred on the premises of the covered entity."
  9. sistrmoon

    Patient threat and HIPAA

    "© Acknowledging the presence of patients: Responding to requests. (1) The presence of an identified patient in a facility or component of a facility which is publicly identified as a place where only alcohol or drug abuse diagnosis, treatment, or referral is provided may be acknowledged only if the patient's written consent is obtained in accordance with subpart C of these regulations or if an authorizing court order is entered in accordance with subpart E of these regulations. The regulations permit acknowledgement of the presence of an identified patient in a facility or part of a facility if the facility is not publicly identified as only an alcohol or drug abuse diagnosis, treatment or referral facility, and if the acknowledgement does not reveal that the patient is an alcohol or drug abuser."
  10. sistrmoon

    Patient threat and HIPAA

    Well, she shared the patient's name and that he was there. I've always been told any identifying information at all even without names was subject to it. I had the same reaction as you, but another person aware of the situation said she should be fired(wow.) and that if she had called the police directly, it wouldn't have violated it. I'll post the parts I found that were pertinent.
  11. sistrmoon

    Patient threat and HIPAA

    Based on a true story but I'll try to vague it up. Patient gets angry at a nurse, threatens his/her life(specific believable threat. Calls gang friend on phone and describes nurse.) Nurse is freaked out, talks to manager, manager says she/he doesn't think the patient is serious, does nothing. Nurse calls their(the nurse's) family member. Family member calls police. Police had warrants anyway for past violent crime, come and arrest him. Did the nurse violate HIPAA in this situation?
  12. sistrmoon

    Do you disconnect lipids from TPN when complete

    From cdc's recommendations: "Replace tubing used to administer blood, blood products, or fat emulsions (those combined with amino acids and glucose in a 3-in-1 admixture or infused separately) within 24 hours of initiating the infusion [182–185]. Category IB" That's from 2011, maybe I'm missing a more recent doc that addresses it. Same doc says no rec can be made regarding how often to change port needles, which is interesting.
  13. sistrmoon

    Do you disconnect lipids from TPN when complete

    The lipids are connected into the tpn tubing so it would all be discarded at the 24 hour mark anyway. The lipids are not connected with a normal leur lock connection that is easily disconnected. It often takes clamps and then you have to use a cap creatively on the tpn tubing to close the system. I'll see if I can find a picture. I guess my point is if the lipids do not grow bacteria faster, why remove them as you're opening the line up and it doesn't seem designed to be removed anyway.
  14. sistrmoon

    Patient to nurse ratios

    I work nights, we typically have 4-6 patients. I've never had more than 6 at this hospital but at my prior hospital we took up to 8 and it was awful.
  15. sistrmoon

    Nurses turn to pet therapy

    Kubla Khan: Tasha: Puddy: And in Memorium, my beautiful Sterling I had 14 years, who I lost in May to cancer:
  16. sistrmoon

    This week, I learned (7/18).....

    That we have a bed bug protocol and it involves some nifty looking suits.
×