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hherrn

hherrn

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hherrn's Latest Activity

  1. hherrn

    Unsafe Nurse Residency

    I wouldn't worry so much about loosing your license. Check your state BON, and read how licenses are lost. But, you have some legit concerns. Those are legit concerns. Clearly, this is not a good unit. Is getting trained and working on a good unit an option? What Do you see as your options?
  2. hherrn

    Catheterisation

    Firmly. You are welcome.
  3. hherrn

    The Stigma of Men in Nursing

    I am sure that this thread will be long and interesting. For sure, the pay difference debate will come up, as will the idea that men being asked to lift and move things. Gender roles in a hierarchy, men lifting, etc... All hot topics around here. But, I disagree with a lot of the premises. As somebody points out, the sources are nearly nearly 20 years old, meaning that the data used in those sources is likely older. This would be true, if nursing was still considered a purely feminine role. I live in an area that would never be considered progressive. It is simply not viewed that way. People are used to it. Not really. One armed, redheaded, transgender nurses are a miniscule minority. I think we are around 10% The study cited relies on data older than some of my co-workers. Does this come close to anybody's anecdotal experience? Anybody thinking this remains accurate- 85% drop out, yet the remaining 15% excell being paid on average more, more leadership positions, advanced certificatoins, etc...? Does that seem right in 2019? Many? Sure, I'll buy that. Many people in this country also believe in alien abductions. https://www.huffpost.com/entry/new-survey-shows-nearly-half-of-americans-believe-in_b_59824c11e4b03d0624b0abe4 But, in neither case am I affected. Sure, maybe every now and then. As nurses, you will deal with all kinds of weird questions and beliefs- part of the job. Some people believe vaccines cause autism, some believe the earth is 5000 years old. But, if hearing a weird belief causes a man to feel the need to defend his masculinity, that man should get some help, as he has a bit of personal development work to do. As part of a team, I contribute what I can. While I am sure they are out there, I do not work with one woman who can lift as much as me. Realistically, they would have to be my size, or put on a backpack for a total weight of 185 lbs, and be strong enough to do pull ups. So, if you are a guy who is bothered by being asked to help lift and move, just get over it. Similarly, if you are a guy who has a hard time taking direction from women, you picked a spectacularly bad career choice. Again- where are these nurses now? In reality, I believe I benefit from male privilege. Meaning I come into a situation with some positive assumptions about me, simply because I am a guy. Most of the men who have participated in discussions on this topic find they are accepted, and most of the women say they readily accept men. While I believe at some point this was true, I just don't believe it now. We are not a discriminated minority. Beth- I appreciate your providing points for discussion, but I think you are off base here. Gender issues have changed hugely in the past 20 years.
  4. hherrn

    The Stigma of Men in Nursing

    15 years, have not ever experienced anybody linking my being a nurse to my masculinity. I would find it pretty amusing.
  5. hherrn

    All these nurses writing articles

    No. Our nursing station is essentially a row of charting stations that face the PT rooms. We frequently eat and drink at those stations. Bringing over a bit of C-diff would be bad form. Labelling a specimen other than in the PTs room would be bad practice. "employees shall not be allowed to consume food or beverages in any area exposed to a toxic material". A good, common sense rule that applies to multiple industries and professions. In other words, if there is both poop and nachos in the same area, one of them is in the wrong place.
  6. hherrn

    All these nurses writing articles

    I agree with your sentiment 100%. It is a simple mathematical fact: If my time is completely full, and a task is added, a task of equal size will need to be subtracted. My tasks fall into two categories; patient care and charting. If a charting task is added, that time has to come from somewhere. If I don't want to get dinged, that time comes from PT care. No PT has ever benefited from me asking a bizarre selection of inane questions, or me charting response to an icepack. They have suffered if I have to use my limited time doing that, rather than help them download Goodrx on their phone so they can afford the medication and actually be compliant. But- much of what you cited is not from regulatory agencies, but straight from hospital policy as hospital staff misinterpret those regulations. These are unusually mid-level admin who walk around with clipboards, none of whom do bedside care. Take for example water at the nursing station- This is neither a threat to PTs or staff. And, I challenge anybody to find a regulation anywhere that prohibits it.
  7. hherrn

    Home Health Nurse Out of Nursing School?

    It isn't really a question of losing skills. As a new grad what you will have is a license to start developing skills. Home health is field in which the nurse needs the skills and judgement to act independently with limited guidance or supervision. You have no peers around to bounce things off, no resource nurse.... Even with a proper residency or orientation program, the home health nurse will see a fraction of the diversity that a med surg nurse would see. I help make health care decisions for a family member who will likely need home health nursing soon. If they send a new grad off a few months of orientation, I will request a more experienced nurse, or switch agencies, which will be easy in NYC. But, not all families feel that way, and not all patients have educated advocates. I am sure there are home health agencies that hire new grads. And LTCs that put new grads in charge, etc... Maybe I have this wrong, and there are top notch responsible agencies who care about more than money who have figured out some way to responsibly put novice nurses in this position. If so, hope you find that agency. Whichever way you go, best of luck.
  8. hherrn

    Why bedside nursing didn't work for me....

    I am pretty sure that most folks accept "bedside nursing" to mean direct patient care. At least most nurses. Do others really thing of a procedural nurse as not being a "true nurse"? I have never heard that. But, nice that you found a cool job. I am sure your med-surg start helped with that. Probably not a whole lot of your peers moved into it with no bedside nursing experience. As far as whether it is "needed" or not- I think it depends on your goals. A new grad recently posted that she would be starting an oc health department for a company with no nursing experience. This might work out great, but if she ever wants to change fields, it will be a challenge. Hi- welcome to AN. I read your first couple posts. This is going to be interesting.
  9. If having a moron in admin was criteria for leaving a job, there would truly be a nursing shortage.
  10. hherrn

    Is Nursing a Profession?

    Semantics. I work with techs I consider professional. If you are an olympic athlete, you are an amateur, but if you get paid to sit on the bench because you are too drunk to play, you are a professional. So, it depends on which definition of professional you use. But, using your choice of definitions, I disagree: "A calling requiring specialized knowledge and often long and intensive academic preparation. The whole body of persons engaged in a calling. From this definition, I am all that, right?" I did not have long and intensive academic training. I did a 2 year associated degree. While it was time consuming, and annoying, it was not rigorous. Since then I have earned ACLS, PALS, BLS, TNCC, ENPC, CCRN, CEN. I don't think I am less professional than a nurse with a masters and no clinical experience, I don't think I am more professionals than some of my peers who re great nurses without all my alphabet soup. There is a difference between being a professional and being professional. My chimney sweep is extremely professional- Punctual, efficient, knowledgeable, etc.. But you would be hard pressed to call bing a chimney sweep a profession. OTOH, Lawyering is considered a profession. Have you seen Rudy Giuliani?
  11. Home health nurses call 911. Nursing home nurses call 911. School nurses call 911 I am an ER nurse- if I have somebody I can't get out of a car, I call 911. Your manager is FOS.
  12. I just want to be the first to call BS. Told by whom, and with what possible justification? Complete and utter crapola. PT has a cardiac arrest at your facility, and as you initiate ACLS protocols, you call 911. You don't wait for Dr Finnegan to get out of exam room 3 to have a look, do you? There is no scope of practice for using a phone. Now, management might have a case that it is best practice to have a doc see all stable PTs. What do your clinic docs want? I would be surprised that they would want to waste the time seeing PT's beyond the abilities of the clinic- it slows things down and increases their work load with no PT benefit.
  13. hherrn

    Management-initiated fraud?

    The email thing is kind of a passive aggressive thing I sometimes do. It requires the other person to acknowledge something I think they might at some point be reluctant about. I am sometimes subtle to avoid a conflict, but I save the email.
  14. hherrn

    Management-initiated fraud?

    What is the proper course of action for nurses in this position? That depends on the nurse- how bad do they need their job? There is something called "The straight face test". Can you tell me with a straight face that a LTC remembers a sugar from 2 weeks ago, unless it is 6 or 600? Personally, I would email the boss, explaining that it was my mistake, and ask what he/she would like done, as I don't remember the BS. Email at least give you something in writing. If I am going to lie for somebody else's benefit, at least we can share the blame if we get caught. The managers have eluded to the notion that they want these missed chartings fixed by the time state is here, so it feels like they are asking nurses to put their licenses at risk in order to make the facility look better. Of all the things a people here are falsely scared of losing a license for, this one could be legit. Probably not lose it, but certainly some kind of discipline for deliberately and knowingly lying. Would nurses be in as much trouble for administering insulin properly but forgetting to chart it? Probably not. Making a mistake is one thing, falsifying a medical record is another. Well described here. https://www.americannursetoday.com/documentation-youve-got-lot-lose/ “the intentional deception or misrepresentation made by a person with the knowledge that the deception could result in some unauthorized benefit to himself or some other person.” No question, at all, whether or not this would be fraud- other than the argument that a nurse who does hundreds of blood sugars remembers one. If I wanted to shut that person down, I would just pull another chart from the same day, and ask the nurse to recall a few other blood sugars. I was always told that if it wasn't charted, it didn't happen One of those things often repeated, not really examined. If I don't chart putting a foley in, and the PT goes from the ER to the floor, nobody is going to claim there is no foley. Clearly it happened. Or, try slapping a PT in the face and not charting it, then using that as a defense. The truth is that not charting something shows a lack of diligence and professionalism. It altogether feels like an ethical dilemma. No it doesn't. An ethical dilemma is misleading a PT with dementia so she takes medicine you believe will help her. An ethical dilemma is coding somebody you know would not want it, but the doc screwed up and did not put in a DNR. Committing fraud to avoid an inconvenient confrontation with management is a dilemma, but but the ethics are clear. It is a crappy position to be in. Nurses are often faced with dilemma of good patient care, or documentation that makes admin happy. I just worked a critical case with a relatively new nurse, who took notes, then had to piece together 3 hours of full on critical care. Had she stood at the computer and documented in real time, the patient might have died, but she wouldn't be getting annoying memos for the next two weeks. "Is there a stop time for the poresors you stopped on an intubated pt who had a disturbing spike in pressure while in CT....."
  15. hherrn

    Medication order correct or no

    I think it's weird that you are asking whether or not you will get in trouble. How would you get in trouble for giving a patient the correct medication?
  16. hherrn

    Case Study(CSI): Stomach flu? Anxiety? What’s Going on Here?

    Apparently I am bad at following instructions.
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