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Nurse Beth MSN

Writer

Hi! Nice to meet you! I love helping new nurses in all my various roles. I work in a hospital in Staff Development, and am a blogger (nursecode.com), author (Your Last Nursing

Reputation Activity by Nurse Beth

Reactions Given

Like 103

Reactions Received

Like 239
Thanks 7
Haha 3
Sad 1

  1. Like
    Nurse Beth, MSN got a reaction from HomeBound in Insulting pay raise   
    It's sad but true, many people get raises by changing jobs every 2 years. 
  2. Like
    Nurse Beth, MSN got a reaction from Julius Seizure in Nurses Call the Governor of Tennessee   
    They are making critical decisions and do have distractions. Pilot Sully is a national hero. So are countless nurses I've worked with.
    The difference is it's not built into a pilot's job description that they are purposely and routinely interrupted while making said decisions. Pilots aren't going to answer the light of the passenger in Row 1C who wants a drink.
    Whereas nurses are expected to mange call lights, push meds, answer their phones, and so on. As if they are not making critical decisions.
  3. Thanks
    Nurse Beth, MSN got a reaction from mtnNurse., BSN in Nurses Call the Governor of Tennessee   
    Guilty as charged, it's me. Apparently I can't be quiet when I'm passionate. The 3 threads are related, but separate.
    The first was an article back on December 1, 2018. Next was a short poll 2 months later when she was arrested. Then a short call to action with contact info for the Governor and DA. Honestly, if she goes to court or is sentenced, I will probably write another article.
  4. Like
    Nurse Beth, MSN got a reaction from Julius Seizure in Nurses Call the Governor of Tennessee   
    We all wish the public would see this for what it is- a layered multi-factorial system problem in addition to one nurse's performance but I don't think that's  how it's going to play out.
    The whole focus is on bypassing the override (as if that's not almost routine in some areas, like ED). Very little to nothing said about staffing and multi-tasking.
  5. Like
    Nurse Beth, MSN got a reaction from Julius Seizure in Nurses Call the Governor of Tennessee   
    I think nurses are often set up to NOT be mindful. To juggle competing distractions. Airline pilots don't carry a phone and manage constant alarms and call lights with lives in their hands.
     
     
  6. Like
    Nurse Beth, MSN got a reaction from mtnNurse., BSN in Nurses Call the Governor of Tennessee   
    I sent the poll link to the DA. I hope nurses who do not think a criminal precedent should be established will speak up. `It's hard to disregard hundreds of voices.
  7. Like
    Nurse Beth, MSN got a reaction from BarrelOfMonkeys, BSN, RN in Nurse Charged With Homicide   
    Breaking news: The Institute for Safe Medicine Practices (ISMP) 
    supports Rodonda Vaught (RV).
    In a statement released today, the ISMP:
    Believes we have an obligation to change the culture of blame, abandonment, and isolation towards second victims States there were no effective systems in place to prevent removing and administering a neuromuscular blockade after override Does not believe criminal action will improve safety Urges leaders to be accountable, avoid the severity bias and establish a Just Culture
  8. Like
    Nurse Beth, MSN reacted to Jory, MSN, APRN, CNM in Are O2 sats a vital sign?   
    O2 Saturation levels or any other vital sign should not need a physician's order.
    Physicians order if they need to be taken less often or more often than the protocol for that floor or not at all, if it is a hospice patient, etc.  
    So if you think your patient doesn't seem right, you are always free to take them more often or spot check at any time.
  9. Like
    Nurse Beth, MSN got a reaction from brownbook in when should i tell my manager i'm pregnant?   
    There's no downside in telling her but there are downsides in waiting. You do not want her to be the last to know, or hear it from others, like @traumaRUs said.
    You'll feel better knowing you don't have to conceal anything.
     
     
  10. Like
    Nurse Beth, MSN got a reaction from brownbook in when should i tell my manager i'm pregnant?   
    There's no downside in telling her but there are downsides in waiting. You do not want her to be the last to know, or hear it from others, like @traumaRUs said.
    You'll feel better knowing you don't have to conceal anything.
     
     
  11. Like
    Nurse Beth, MSN reacted to Horseshoe in Nurses Call the Governor of Tennessee   
    I wish every unit had my nurse manager (she's retired now) from my old ICU unit. She was exacting-you better know your stuff and practice at a high level. But respected us-self schedule and don't make me have to get involved or you might not like the schedule. She went to battle for us vs. no matter who or what position they held if we were in the right and she never lost. I saw her put a top jerk surgeon in his place when he abused one of our nurses-she had him groveling and apologizing within a couple of minutes. She jumped into patient care if we were sinking in order to help and in order to keep her skills up. She came in for an entire shift occasionally if she couldn't get an agency nurse in. She NEVER asked us to go over the established ICU and stepdown accepted ratios. Not once ever.  She provided an environment that made you want to be the best nurse ever, not just because the patients deserved it, but because you didn't want to let her down. Docs fought to get their patients in our unit because they knew about that culture of excellence and the positive outcomes that kind of environment produces. Medication errors were dealt with not punitively, but with an eye to figuring out what factors contributed to it.
    I wish there were a million of her out there...
  12. Like
    Nurse Beth, MSN reacted to BarrelOfMonkeys, BSN, RN in Nurses Call the Governor of Tennessee   
    I must say with all the passion, professionalism, experience, and thought provided on this topic - thank you!
    It’s been eye opening, thought provoking, and making me question how I perceive things. You’ve all contributed such value to this profession. It’s because of your passion for nursing that this is so polarizing and clearly why you’re all in the right field.  To make changes and provide better outcomes for our patients. I don’t doubt for a moment you all want that same thing. 
    I hope with this case changes will be made that we can all stand behind. 
  13. Like
    Nurse Beth, MSN reacted to Davey Do in Nurses Call the Governor of Tennessee   
    Hey TriciaJ! I like that idea!

  14. Like
    Nurse Beth, MSN reacted to ruby_jane, BSN, RN in What is Abandonment?   
    You have to have assumed care in order to abandon a patient. If you don't take assignment you cannot abandon a patient. Although I've heard managers use the term "abandonment" to mean something different. Your BON will have a full definition.
  15. Like
  16. Like
    Nurse Beth, MSN got a reaction from BarrelOfMonkeys, BSN, RN in Nurse Charged With Homicide   
    Breaking news: The Institute for Safe Medicine Practices (ISMP) 
    supports Rodonda Vaught (RV).
    In a statement released today, the ISMP:
    Believes we have an obligation to change the culture of blame, abandonment, and isolation towards second victims States there were no effective systems in place to prevent removing and administering a neuromuscular blockade after override Does not believe criminal action will improve safety Urges leaders to be accountable, avoid the severity bias and establish a Just Culture
  17. Like
    Nurse Beth, MSN reacted to juan de la cruz, MSN, RN, NP in Nurses Call the Governor of Tennessee   
    That's just a term used to describe the after-effects of a serious medical error (including medication errors) on the healthcare provider involved. It is well studied and some of these providers do go through traumatic feelings, guilt, depression, etc. That does not minimize the loss that the family of Nurse RV's victim is experiencing.
  18. Like
    Nurse Beth, MSN reacted to Ruby Vee, BSN in Nurse Charged With Homicide   
    At last -- a voice of reason!
  19. Like
    Nurse Beth, MSN got a reaction from BarrelOfMonkeys, BSN, RN in Nurse Charged With Homicide   
    Breaking news: The Institute for Safe Medicine Practices (ISMP) 
    supports Rodonda Vaught (RV).
    In a statement released today, the ISMP:
    Believes we have an obligation to change the culture of blame, abandonment, and isolation towards second victims States there were no effective systems in place to prevent removing and administering a neuromuscular blockade after override Does not believe criminal action will improve safety Urges leaders to be accountable, avoid the severity bias and establish a Just Culture
  20. Like
    Nurse Beth, MSN got a reaction from BarrelOfMonkeys, BSN, RN in Nurse Charged With Homicide   
    Breaking news: The Institute for Safe Medicine Practices (ISMP) 
    supports Rodonda Vaught (RV).
    In a statement released today, the ISMP:
    Believes we have an obligation to change the culture of blame, abandonment, and isolation towards second victims States there were no effective systems in place to prevent removing and administering a neuromuscular blockade after override Does not believe criminal action will improve safety Urges leaders to be accountable, avoid the severity bias and establish a Just Culture
  21. Like
    Nurse Beth, MSN got a reaction from BarrelOfMonkeys, BSN, RN in Nurse Charged With Homicide   
    Breaking news: The Institute for Safe Medicine Practices (ISMP) 
    supports Rodonda Vaught (RV).
    In a statement released today, the ISMP:
    Believes we have an obligation to change the culture of blame, abandonment, and isolation towards second victims States there were no effective systems in place to prevent removing and administering a neuromuscular blockade after override Does not believe criminal action will improve safety Urges leaders to be accountable, avoid the severity bias and establish a Just Culture
  22. Like
    Nurse Beth, MSN got a reaction from mobaby in Nurse Gives Lethal Dose of Vecuronium Instead of Versed   
    It's really clear what the nurse did was unthinkably wrong. But there were also missteps made in staffing and delegation.
    Doing a root cause analysis doesn't mean absolving the nurse.
  23. Like
    Nurse Beth, MSN got a reaction from Julius Seizure in Nurses Call the Governor of Tennessee   
    They are making critical decisions and do have distractions. Pilot Sully is a national hero. So are countless nurses I've worked with.
    The difference is it's not built into a pilot's job description that they are purposely and routinely interrupted while making said decisions. Pilots aren't going to answer the light of the passenger in Row 1C who wants a drink.
    Whereas nurses are expected to mange call lights, push meds, answer their phones, and so on. As if they are not making critical decisions.
  24. Like
    Nurse Beth, MSN got a reaction from Julius Seizure in Nurses Call the Governor of Tennessee   
    We all wish the public would see this for what it is- a layered multi-factorial system problem in addition to one nurse's performance but I don't think that's  how it's going to play out.
    The whole focus is on bypassing the override (as if that's not almost routine in some areas, like ED). Very little to nothing said about staffing and multi-tasking.
  25. Like
    Nurse Beth, MSN got a reaction from Julius Seizure in Nurses Call the Governor of Tennessee   
    I think nurses are often set up to NOT be mindful. To juggle competing distractions. Airline pilots don't carry a phone and manage constant alarms and call lights with lives in their hands.
     
     
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