Nurse Beth MSN

Tele, ICU, Staff Development

Hi! Nice to meet you! I especially love helping new nurses. I am currently a nurse writer with a background in Staff Development, Telemetry and ICU.

Career Columnist / Author

All Content by Nurse Beth

  1. I am completely opposed to RV having her license
  2. No worries. I'm sure we both have plenty of room to improve our
  3. Probably because at the time it was believed that harsh punishment prevented errors...? I did learn from my mistake but it's bc I spent a lot time thinking about why it
  4. Re: policy. I don't absolve/excuse RV at all, not even a bit. I also hold Vanderbilt accountable for their wrongdoings. I've been on this site a long time and I can't say it feels OK to be...
  5. Sounds like a thorough investigation with no answers. Yes, it would have been escalated, I'm sure- too bad they didn't notify law enforcement or self-report to the
  6. I'm sorry about what happened to your friend. I wonder if the PCA malfunctioned somehow. That is a mystery. It seems Vanderbilt did none of
  7. Two separate issues. I do not absolve RV of her actions. I do not absolve Vanderbilt of their
  8. Not what I'm saying. A policy tells the nurse what the metrics (pulse ox, LOC, Aldrette scores, for example), frequency and duration should be and what training, if any, is required. This is...
  9. I'm curious bc their other actions were not transparent. Maybe a risk manager put it in a drawer? What is the normal
  10. Right, not every scenario....but policies governing high-alert medications that cause respiratory depression should be standard
  11. My apologies. They were cited for deficiencies regarding required monitoring of patients receiving administration of high alert medications and also transporting
  12. They did
  13. Dear Nurse Beth, Can an expired California registered nurse license be accepted for endorsement in New York? Or should it be renewed first so it can be accepted for endorsement by in New
  14. Dear Expired License, I have learned never to say never, but I'm 99.99% certain New York does not accept expired licenses for endorsement. Here's what I found on the New York State...
  15. I would not have given it in that setting. At a minimum, she should have been on continuous pulse ox and a heart monitor, with resuscitative equipment, and a reversal agent at hand. Giving...
  16. What is your monitoring nursing practice for Versed 1-2
  17. Versed causes respiratory depression and is a moderate sedation agent that requires standardized monitoring. Monitoring is not based on the intent but on the physical agent administered, and the...
  18. Nurse Beth

    Reasons nurses get fired

    It's easy to fire a traveler bc they're a contract employee, have no union involved, etc. Understandably, the hospital does not want to invest in remediation for a non-employee. A "charting...
  19. Interesting, I wonder who saved the evidence. The hospital did not report the error. CMS did not investigate for
  20. I thought I read somewhere that the warning label was changed after the fact, but I could be mistaken. I think the ADC screen warning and vial shrink wrap sleeves were what were added later. Not sure...
  21. Nurse Beth

    Letter of Rec for Preceptee?

    The suggestion to be specific is good, and especially avoid cliches, or generalizations that are not meaningful. I have always tried to increase their chances of being hired by being personable...
  22. There are different manufacturers for vecuronium; which is that
  23. That would make a difference....is there a source for monitoring differences based on
  24. Exactly. Even the primary nurse on her own unit (ICU) did not seem to know that monitoring is required for procedural
  25. Nurse Beth

    ASN, Hospital Setting

    It depends almost entirely on location. In inland central California, for example, you can land a job with an ASN. Drive two hours west to the coast, and not so much. It also depends on how...