passionate

Good Luck Good Luck

When the dr. starts signing my check then he/she can fire me. I have never been kicked out of a room but I have asked to be relieved from a room for various reasons.

I am an RN in the state or ORegon. My husband is a RPh. The law states that a doctor or nurse must call in prescriptions. Pharmacists only take new prescriptions. Often pharmacists don't know what credentialing a person has so it is good if the office sends out a list of employees for the various pharmacies. Then the pharmacist can be the bad guy and ask for the doctor or nurse.:trout:

We use a timeclock too--the hospital has found that when we didn't they probably paid us less because we didn't charge for and all of the missed lunches. Don't perform any task that you have not been certified on and done a return demonstration for competencies, Staff needs to stick together on this, especially if it takes away from your circulating duties.

As a nurse it is a luxury to have families that are so engaged and advocating so well. We appreciate daughters like you. Thanks.

Zofran is great but if you use it once and no relief doesn't do any good to remedicate. I hate the phenergan side effects too. Fluid is still one of the best anitemetics around.!!!!!!!

At the time of a section and we see red of any color in the foley bag we assume we have nicked the bladder and rectify that. During labor blood vessels in the bladder can break and there you have it, blood.

Follow the policy of your hospital. We don't have one so I request they take off all metal jewelry. If a ring is too tight I help them with lotion, dental floss to remove or whatever. We have a ring cutter as well. It is amazing how that ring which never before budges is easily removed when the cutter is presented. This is a safety issue--metal is bad and burns do occur. A burn can lead to a spark which can lead to fire which causes death for not just my pt. but me. I love my patients but die for them? Hypothetical and dramaatic I know but..sigh............ Taping jewelry give you peace that the stone won't be damaged, etc. but bottom line, metal still touches the skin. Patients should be requested to leave all jewelry including watches at home. Our day surgery nurses are wonderful enforcing this at the time of the pre-op call. Stand up for this practice because you are standing up for the pt. If they choose to not comply then do get a waiver. I have even switched assignments. Dramatic--yes. Have I seen bad things happen when jewelry is left on? Yes, a religious medal was left on and taped to a pt. chest once and there was a burn and blistering under the tape. The tape?---maybe but still an incident report was filled out and the outcome indicated the nurse who worked up the pt. was responsible.

Good information has no expiration date. I am glad I came across this information. :monkeydance:

You make a good point. I am sure there are people that would use a clinic for the uninsured. I might even state it more strongly--"our medical and nursing communities support clinics in this city for the under and non-insured. Here are there numbersxxxxxxxx. We have had our secs make appts. for those pts. and often know the name of the receptionist and we put that on the card with the number of the clinic as well. I know this sounds like maybe going too far but it does pay off with one or two diversions. Understand that we don't turn our patients away but we are happy to give them options if they are unwilling to stay.

Of course it hurts--you are a member of the human race. I am so sorry you are going through this. Good luck and don't let it keep you from taking care of the majority of your patients.

I have long thought that the term that is used in my hospital of "customer service" just doesn't compute for me--I don't think in those terms. Dammit, I provide patient care. If I had wanted to be in customer service I would be working in my bank helping people pick out their checks. (that is what my bank boasts--not me). I believe that the public has bought into that "customer service" lingo and we are looked at as just another service. Somedays I really feel fed up with the "all you can eat $5.95 world" we have come to live in. What we do is valuable. People take better care of their pets and cars, think long and hard before buying a tomato but don't think twice about that pill they are about to take that someone somewhere told them would help with this and that.........................sigh. Thanks.:trout::angryfire:nono::uhoh3:

I don't think your thinking was out of line. I may have wanted to chart the exact Dr. response as well but I have found that I can chart to the intent and not tick anyone off and be true to the pt. I wouldn't apologize per se' I would talk with that physician however and make sure that you are good to work together in the future. Express to him why you did what you did and then listen to what he says. In the future you can expect that he listen to you. Good luck, nursing is a slippery slope.

People don't go into nursing for the money. The career of nursing offers so many paths. When I was making decisions about a career I looked at alot of disciplines. Here is what I discovered: There is a need for a nurse no matter where you live. There are so many kinds of nurses and arenas to work in. Nurses work hard and yes, there can be alot of complaining but it is a love/hate thing. I don't know of anyone who choose nursing and then didn't feel good about what they had done with their adult lives. Like anything it can be what you personally make it. Don't give up on nursing because of what you read or hear. Experience it and then decide. A nursing education would never be wasted and like any undergraduate endeavor could lead to many disciplines in the future. I wish you luck. I have never regretted my career choice. I do sometimes feel overwhelmed and tired but I put my head on my pillow every night and know that I impacted someone's surgical experience.

Southwest Medical Ctr. is in Vancouver, Washington and has a very good reputation. I have friends who work in the open heart program there. It is a "Legacy" system hospital and I am sure that education would be no problem. You should google it and take a look. Good luck and welcome to the NW.

What do you use when your patient has an iodine allergy? Also: Berry & Kohn has excellent hx. on the prep technique including timed preps/mechanics & chemical effectiveness.

I am so glad things turned out well for you. I too enjoy this website in order to vent my thoughts. Like you, I know better than to share those professionally. This is a good place to have my thoughts edited. Thanks to all who participate.

Dear WitcheyRN-- The "don't waste your time" is the place I have been visiting in my sleep. I really wanted this to work because I believe that the surgical experience should be equal in the OR or OB. Gosh, this is hard to swallow!!!

Congratulations. Scurb and Circulate? I am soooooooooo jealous. Good luck!!! Have FUN:lol2::biggringi:Melody::biere::smiley_aa:yelclap:

My opinion? You are a nurse. An advanced practice NP may provide you with the credentials you need to practice the skills you desire. Good luck, personally I hope you stay in nursing--PA is medicine.

:nono:Use anything at your disposal. If your institution does not have a policy directly addressing this then find out from HR what is appropriate. Their are laws, local, state and federal that all employers answer to. These surgeons do not have the last word. I have had professional experience dealing with this topic and as hard as it was I know that I was supported by the other nurses, anesthesia, etc. that experienced it as well. You don't have to accept this behavior. Move forward for the sake of all of the people who in the future take care of our patients. We only have rights because someone before us fought very hard, long and sometimes without realizing those rights themselves so that we would have it better. I never cast a vote without thinking of all of the women who worked so hard, many dying before casting their vote, or thinking of those who still have no rights in the running of their government Often we take the rights we have for granted but someone before us worked very hard and felt the way you do so that we could carry on the torch of justice. We have a choice to do something--find the courage.

Use anything at your disposal. If your institution does not have a policy directly addressing this then find out from HR what is appropriate. Their are laws, local, state and federal that all employers answer to. These surgeons do not have the last word. I have had professional experience dealing with this topic and as hard as it was I know that I was supported by the other nurses, anesthesia, etc. that experienced it as well. You don't have to accept this behavior. Move forward for the sake of all of the people who in the future take care of our patients. We only have rights because someone before us fought very hard, long and sometimes without realizing those rights themselves so that we would have it better. I never cast a vote without thinking of all of the women who worked so hard, many dying before casting their vote, or thinking of those who still have no rights in the running of their government Often we take the rights we have for granted but someone before us worked very hard and felt the way you do so that we could carry on the torch of justice.

GOOD FOR YOU--YOU ARE A CREDIT TO YOUR PROFESSION AND THE HUMAN RACE. Be sure to let those within your administration who embraced this know that you appreciated their support. You had the opportunity to witness something rare--the chain of command at work. I hope you never beat yourself up over making this choice for it WAS and ALWAYS will be the right thing.

:nono::nono::nono::nono::nono::nono::nono::nono::nono::nono::nono:Document--chart & a personal record. Fill out an incident report. Call the charge RN, include the appropriate ER Chief and Chief of Medicine. You didn't just witness abuse, you witnessed a crime and without going forward it would seem you would be part of that crime. Have you thought that your situation may be a gift for not only that patient but for anyone in the future who would be at the hands of this criminal who likes to call himself a doctor, a healer, a person who has taken an oath first do no harm? He had options--it was not just her way or his way. There was the right way and obviously he has lost sight of that. I wish you all of the strength in the world. I was always taught that as a nurse I may be the only person that an abused patient may have the opportunity to reach out to. Do it, it is the right thing to do. Perhaps you couldn't find the strength to do it at the time but ADVOCATE on behalf of that patient now. You are not in trouble a a nurse but your ethical and moral conscience is screaming out to you. Listen to your gift--your heart. You will do the right thing. Please, please post again and let us know if this website has any words of support for you. Download your responses you have received and read them over and over and over as you make your decision from today forward. The best, really, all of the best.

What a unique position we often find ourselves in--advocating for our patient while following doctor's orders and the "wishes" of patient and family. I know that the Advanced Directive was created to help sort out this interaction but when you are in the midst of a dying patient, surrounded by family and friends.....................sigh, I really admire and hurt for those nurses experiencing this nursing practice. I work in the OR where I don't deal with death on a daily basis or even 1:1 when it is the outcome. Gosh, what a tough job. Give yourself a hug for choosing to help your patient in this way. It sounds like you are trying to honor the memory of your grandmother, which in itself is admirable. It also sounds to me like you would honor her no matter what you choose to do in nursing--for you think of her often and that appears to be the driving force for you. She would not want you to "suffer" by memorializing her so try very hard to "have a conversation" with her and see if you can feel her speaking to your heart. I wish you well.