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xoemmylouox

xoemmylouox

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Reputation Activity by xoemmylouox

Reactions Given

Like 49
Haha 1

Reactions Received

Like 14

  1. Like
    xoemmylouox got a reaction from gcupid in Where are the Nurses? Patient takes his inquiry about lack of nurses in the hospital to Heloise.   
    The patient is right. They aren't enough of us at the bedside. Before I start hearing the nonsense of a nursing shortage, I'll shut it down. There isn't a true nursing shortage. There is just a shortage of nurses willing to be at the bedside. The reluctance is for good reason. It's physically and emotionally draining in ways those who aren't nurses can't understand.
    EVERYTHING is on your shoulders. A physician makes a mistake and orders the wrong thing - you better catch it. The pharmacy sends you the wrong dose - you better catch it. The demands are impossible and then you add the large number of patients we are responsible for.. It's simply not safe.
    Then add the fact that we are exhausted. We work "12" hour shifts, which often become 13-14 easily. We are picking up extra shifts to help cover the gaps as well. So that means your nurse, who is responsible for every single aspect of your care, may not have had more than 4-5 hours of sleep in the last 4-5 days.
    Then lets discuss the abuse we receive from patients and their families. I have been hit, kicked, screamed at, and sexually harassed. I understand patients are hurt, sick, and are at their worst - but that doesn't mean I deserve to be treated like trash. Rarely does an employer support you pressing charges.
    Don't forget the charting.. We spend HOURS of our shift clicking and typing. With everything we are expected to accomplish each shift it's amazing we have anyone working at the bedside.
  2. Like
    xoemmylouox got a reaction from gcupid in Where are the Nurses? Patient takes his inquiry about lack of nurses in the hospital to Heloise.   
    The patient is right. They aren't enough of us at the bedside. Before I start hearing the nonsense of a nursing shortage, I'll shut it down. There isn't a true nursing shortage. There is just a shortage of nurses willing to be at the bedside. The reluctance is for good reason. It's physically and emotionally draining in ways those who aren't nurses can't understand.
    EVERYTHING is on your shoulders. A physician makes a mistake and orders the wrong thing - you better catch it. The pharmacy sends you the wrong dose - you better catch it. The demands are impossible and then you add the large number of patients we are responsible for.. It's simply not safe.
    Then add the fact that we are exhausted. We work "12" hour shifts, which often become 13-14 easily. We are picking up extra shifts to help cover the gaps as well. So that means your nurse, who is responsible for every single aspect of your care, may not have had more than 4-5 hours of sleep in the last 4-5 days.
    Then lets discuss the abuse we receive from patients and their families. I have been hit, kicked, screamed at, and sexually harassed. I understand patients are hurt, sick, and are at their worst - but that doesn't mean I deserve to be treated like trash. Rarely does an employer support you pressing charges.
    Don't forget the charting.. We spend HOURS of our shift clicking and typing. With everything we are expected to accomplish each shift it's amazing we have anyone working at the bedside.
  3. Like
    xoemmylouox got a reaction from gcupid in Where are the Nurses? Patient takes his inquiry about lack of nurses in the hospital to Heloise.   
    The patient is right. They aren't enough of us at the bedside. Before I start hearing the nonsense of a nursing shortage, I'll shut it down. There isn't a true nursing shortage. There is just a shortage of nurses willing to be at the bedside. The reluctance is for good reason. It's physically and emotionally draining in ways those who aren't nurses can't understand.
    EVERYTHING is on your shoulders. A physician makes a mistake and orders the wrong thing - you better catch it. The pharmacy sends you the wrong dose - you better catch it. The demands are impossible and then you add the large number of patients we are responsible for.. It's simply not safe.
    Then add the fact that we are exhausted. We work "12" hour shifts, which often become 13-14 easily. We are picking up extra shifts to help cover the gaps as well. So that means your nurse, who is responsible for every single aspect of your care, may not have had more than 4-5 hours of sleep in the last 4-5 days.
    Then lets discuss the abuse we receive from patients and their families. I have been hit, kicked, screamed at, and sexually harassed. I understand patients are hurt, sick, and are at their worst - but that doesn't mean I deserve to be treated like trash. Rarely does an employer support you pressing charges.
    Don't forget the charting.. We spend HOURS of our shift clicking and typing. With everything we are expected to accomplish each shift it's amazing we have anyone working at the bedside.
  4. Like
    xoemmylouox got a reaction from gcupid in Where are the Nurses? Patient takes his inquiry about lack of nurses in the hospital to Heloise.   
    The patient is right. They aren't enough of us at the bedside. Before I start hearing the nonsense of a nursing shortage, I'll shut it down. There isn't a true nursing shortage. There is just a shortage of nurses willing to be at the bedside. The reluctance is for good reason. It's physically and emotionally draining in ways those who aren't nurses can't understand.
    EVERYTHING is on your shoulders. A physician makes a mistake and orders the wrong thing - you better catch it. The pharmacy sends you the wrong dose - you better catch it. The demands are impossible and then you add the large number of patients we are responsible for.. It's simply not safe.
    Then add the fact that we are exhausted. We work "12" hour shifts, which often become 13-14 easily. We are picking up extra shifts to help cover the gaps as well. So that means your nurse, who is responsible for every single aspect of your care, may not have had more than 4-5 hours of sleep in the last 4-5 days.
    Then lets discuss the abuse we receive from patients and their families. I have been hit, kicked, screamed at, and sexually harassed. I understand patients are hurt, sick, and are at their worst - but that doesn't mean I deserve to be treated like trash. Rarely does an employer support you pressing charges.
    Don't forget the charting.. We spend HOURS of our shift clicking and typing. With everything we are expected to accomplish each shift it's amazing we have anyone working at the bedside.
  5. Like
    xoemmylouox got a reaction from gcupid in Where are the Nurses? Patient takes his inquiry about lack of nurses in the hospital to Heloise.   
    The patient is right. They aren't enough of us at the bedside. Before I start hearing the nonsense of a nursing shortage, I'll shut it down. There isn't a true nursing shortage. There is just a shortage of nurses willing to be at the bedside. The reluctance is for good reason. It's physically and emotionally draining in ways those who aren't nurses can't understand.
    EVERYTHING is on your shoulders. A physician makes a mistake and orders the wrong thing - you better catch it. The pharmacy sends you the wrong dose - you better catch it. The demands are impossible and then you add the large number of patients we are responsible for.. It's simply not safe.
    Then add the fact that we are exhausted. We work "12" hour shifts, which often become 13-14 easily. We are picking up extra shifts to help cover the gaps as well. So that means your nurse, who is responsible for every single aspect of your care, may not have had more than 4-5 hours of sleep in the last 4-5 days.
    Then lets discuss the abuse we receive from patients and their families. I have been hit, kicked, screamed at, and sexually harassed. I understand patients are hurt, sick, and are at their worst - but that doesn't mean I deserve to be treated like trash. Rarely does an employer support you pressing charges.
    Don't forget the charting.. We spend HOURS of our shift clicking and typing. With everything we are expected to accomplish each shift it's amazing we have anyone working at the bedside.
  6. Like
    xoemmylouox got a reaction from gcupid in Where are the Nurses? Patient takes his inquiry about lack of nurses in the hospital to Heloise.   
    The patient is right. They aren't enough of us at the bedside. Before I start hearing the nonsense of a nursing shortage, I'll shut it down. There isn't a true nursing shortage. There is just a shortage of nurses willing to be at the bedside. The reluctance is for good reason. It's physically and emotionally draining in ways those who aren't nurses can't understand.
    EVERYTHING is on your shoulders. A physician makes a mistake and orders the wrong thing - you better catch it. The pharmacy sends you the wrong dose - you better catch it. The demands are impossible and then you add the large number of patients we are responsible for.. It's simply not safe.
    Then add the fact that we are exhausted. We work "12" hour shifts, which often become 13-14 easily. We are picking up extra shifts to help cover the gaps as well. So that means your nurse, who is responsible for every single aspect of your care, may not have had more than 4-5 hours of sleep in the last 4-5 days.
    Then lets discuss the abuse we receive from patients and their families. I have been hit, kicked, screamed at, and sexually harassed. I understand patients are hurt, sick, and are at their worst - but that doesn't mean I deserve to be treated like trash. Rarely does an employer support you pressing charges.
    Don't forget the charting.. We spend HOURS of our shift clicking and typing. With everything we are expected to accomplish each shift it's amazing we have anyone working at the bedside.
  7. Like
    xoemmylouox got a reaction from gcupid in Where are the Nurses? Patient takes his inquiry about lack of nurses in the hospital to Heloise.   
    The patient is right. They aren't enough of us at the bedside. Before I start hearing the nonsense of a nursing shortage, I'll shut it down. There isn't a true nursing shortage. There is just a shortage of nurses willing to be at the bedside. The reluctance is for good reason. It's physically and emotionally draining in ways those who aren't nurses can't understand.
    EVERYTHING is on your shoulders. A physician makes a mistake and orders the wrong thing - you better catch it. The pharmacy sends you the wrong dose - you better catch it. The demands are impossible and then you add the large number of patients we are responsible for.. It's simply not safe.
    Then add the fact that we are exhausted. We work "12" hour shifts, which often become 13-14 easily. We are picking up extra shifts to help cover the gaps as well. So that means your nurse, who is responsible for every single aspect of your care, may not have had more than 4-5 hours of sleep in the last 4-5 days.
    Then lets discuss the abuse we receive from patients and their families. I have been hit, kicked, screamed at, and sexually harassed. I understand patients are hurt, sick, and are at their worst - but that doesn't mean I deserve to be treated like trash. Rarely does an employer support you pressing charges.
    Don't forget the charting.. We spend HOURS of our shift clicking and typing. With everything we are expected to accomplish each shift it's amazing we have anyone working at the bedside.
  8. Like
    xoemmylouox reacted to Blue_Moon, BSN in Can they just switch me from days to nights?   
    They can usually do whatever they want to meet their needs. Did your contract specifically say nights? Maybe she just assumes you'd rather have days. I'd let her know you need nights and maybe she'll work with you. 
  9. Like
    xoemmylouox reacted to Sour Lemon in Written Up   
    I'm not sure about the write up since there was no technical fault, at least as I see it. I would have spaced them out a little bit, though. Maybe the patient couldn't sleep because she was anxious ...or maybe she was anxious because she couldn't sleep. Giving the second dose after the first has had a chance to onset will help you avoid controversy in the future.
  10. Like
    xoemmylouox reacted to morelostthanfound, BSN in Written Up   
    I wouldn't have given both either, but I absolutely agree that this a confusing, poorly written order.  A clearer order would have been something like; Xanax 0.5 Mg by mouth, every 8 hours, as needed for anxiety/sleep.  
  11. Like
    xoemmylouox got a reaction from gcupid in Where are the Nurses? Patient takes his inquiry about lack of nurses in the hospital to Heloise.   
    The patient is right. They aren't enough of us at the bedside. Before I start hearing the nonsense of a nursing shortage, I'll shut it down. There isn't a true nursing shortage. There is just a shortage of nurses willing to be at the bedside. The reluctance is for good reason. It's physically and emotionally draining in ways those who aren't nurses can't understand.
    EVERYTHING is on your shoulders. A physician makes a mistake and orders the wrong thing - you better catch it. The pharmacy sends you the wrong dose - you better catch it. The demands are impossible and then you add the large number of patients we are responsible for.. It's simply not safe.
    Then add the fact that we are exhausted. We work "12" hour shifts, which often become 13-14 easily. We are picking up extra shifts to help cover the gaps as well. So that means your nurse, who is responsible for every single aspect of your care, may not have had more than 4-5 hours of sleep in the last 4-5 days.
    Then lets discuss the abuse we receive from patients and their families. I have been hit, kicked, screamed at, and sexually harassed. I understand patients are hurt, sick, and are at their worst - but that doesn't mean I deserve to be treated like trash. Rarely does an employer support you pressing charges.
    Don't forget the charting.. We spend HOURS of our shift clicking and typing. With everything we are expected to accomplish each shift it's amazing we have anyone working at the bedside.
  12. Like
    xoemmylouox reacted to Davey Do in Pyxis Problems   
    Very, very good, JKL!
    One you missed was understandable, since you couldn't see how the nurse's behavior was inappropriate.
    While waiting in the pyxis line, one nurse was choking his chicken:

  13. Like
    xoemmylouox reacted to Davey Do in Pyxis Problems   
  14. Like
    xoemmylouox reacted to Davey Do in Pyxis Problems   
  15. Like
    xoemmylouox reacted to nursej22, MSN, RN in Pyxis Problems   
    Looking for someone to observe your waste of narcotics is a big time suck, especially if there is no one around, and you need to give your CIWA patient their wee dose of Ativan. 
  16. Like
    xoemmylouox reacted to pixierose in Pyxis Problems   
    Two words: “Failed drawer” ...
    ... every time someone needs that IM of Ativan.
    Yelling and banging sounds out in the milieu. Yelling and banging sounds in the med room.
     
  17. Like
    xoemmylouox reacted to Davey Do in Pyxis Problems   
    There's a current thread polling about waiting in a line at the pyxis, the time it takes to pull meds, etc. 
    I don't get interrupted too often by staff when I'm using the pyxis. The occasional RT to pull meds for breathing treatments or the pharmacy tech to fill some med(s), but usually it's the patients who'll interrupt. They start lining up outside the med room right before med time like Wal-Mart campers on Black Friday.
    I refused to open the med room door even though they knock and scratch on it like crazed zombies.
    I also refuse to answer the phone when I'm setting up meds. I figure if it's really important, they can call 911.
    The Pyxis has its own personality. It's very anal and moves at its own pace. Cubies take forever to open, especially the ones containing acetylcholinesterase inhibitors. I may be wrong but I don't hold a lot of faith in them improving a patient's memory or reminding the cubie to open. I swear! The cubie that contains Aricept takes forever to open!
    Okay. That's a start. What kind of Pyxis Problems have you experienced?
     
     
  18. Like
    xoemmylouox reacted to Davey Do in BLS renewal—ouch   
    With all due respect, T-Bird, you are out of shape. Being sore after doing compressions for BLS recertification needs to be a wake up call.
    I have always been active, but now work out every day for at least 20 minutes because, if I don't, I feel all stove up and am more more prone to injury.
    I  am 62 years old, recertified for BLS last year and the process was no more than a little workout.
    "Atrophy through disuse- If you don't use it, you lose it."
    And it doesn't get any better as we age.
  19. Like
    xoemmylouox reacted to ruby_jane, BSN, RN in BLS renewal—ouch   
    You feel like a truck hit you? GOOD! You did it right.
    That's what Mr. Ruby Jane (who's also a nurse) said to me when I got retrained this summer.
  20. Like
    xoemmylouox reacted to murseman24, BSN, RN in BLS renewal—ouch   
    Whenever I did a code I always eventually jumped on the chest because, well, I'm a dude and it's hard work.  I always bounce on my toes and get a good rhythm, letting my legs do most of the work, but yes, my abs always feel like they got a workout after.
  21. Like
    xoemmylouox reacted to prmenrs in BLS renewal—ouch   
    When I got certified as an instructor, we used a manikin w/a strip that printed out the side. They checked that all your compressions, and breaths were correct. After a few tries, I passed. Then we had 2 person. My partner could NOT get it right. I couldn't pass till she passed. I was determined to not come back another day. So we went for who knows how long. Finally, one of the instructors had mercy on me and partnered w/me to pass. I went home. The next day, I was sore from my neck, wrists, arms, abs, to my knees. And, don't forget my glutes and shoulders. Oh, ouch. It was the next week before I was normal. 
  22. Like
    xoemmylouox reacted to AceOfHearts<3 in BLS renewal—ouch   
    I avoid doing compressions if at all possible because it exacerbates an old injury. I can do them and certainly jump in and do my share when needed, but I tend to pick other roles otherwise I tend to be in severe pain for several days.
    Daisy- I feel like the in-person renewal portion for BLS is way worse than ACLS.
  23. Like
    xoemmylouox reacted to Daisy4RN in BLS renewal—ouch   
    When I saw your title my first though was you meant it was a (figurative) pain in the butt. Before I got my ACLS synchronized with my BLS I had been to BLS renewals that were harder than ACLS renewal (maybe bc I didn't study that much for BLS). One I remember was when the AED first became part of BLS. The class was through the hospital so (mostly) everyone was a nurse/ employee. The instructor knew that this was new to everyone so he went over how it worked (verbally) and then told us to now "do it". We are all looking at each other (because viewing is obviously different than hands on) and started stumbling around the equipment. Next thing you know this guy starts going off and telling everyone he is going to fail us because we should know how to do this and this is our "test". Someone spoke up and told him we thought this was the practice session. Well, a back and forth ensued and after that someone else came into to finish the class. My thought was this is the type of person that needs to feel self important by making others feel like they are stupid. 
    Anyway, I have never experienced the type of BLS you did. I guess you could look at it like you got your work-out at the same time, killed two birds with one stone. I probably would have been sore too, lol.
  24. Like
    xoemmylouox reacted to Lorie Brown RN, MN, JD in Curiosity Killed the Cat and Got 50 Hospital Employees Fired   
    You're Fired!
    Out of curiosity, over 50 hospital employees, including nurses, decided to check the celebrity’s medical records.  Many said they didn’t go past the name screen but that was enough to be a HIPAA violation. Those individuals lost their jobs.
    Anything that you do online in the hospital is trackable.  You cannot access the medical records of anyone unless you are involved in that patient’s care.  Even being only on the face page for any amount of time as little as 17 seconds is a HIPAA violation if you are not involved in the care for that patient.
    Audit Trails
    Authorities can find your path if you wrongfully access a record because of what’s called “audit trails.”  The same rules apply if you are changing a medical record such as making a late entry and you will need to properly identify the late entry.  Although you may be able to simply replace or add to your prior charting, this can be discovered.
    Your employer or an attorney can go through the audit trails to see exactly how the records may have been changed.  Cases which might pique an attorney’s curiosity, such as a heel ulcer developed overnight and yet all the proper preventative records were checked that they were done in the medical record and sudden changes in condition.  In these situations, an attorney may get the audit trail to show that the entries placed in the record were entered late after they knew of the heel ulcer or the change in condition.
    Also, be careful when copying and pasting previous notes.  Again, those actions can be tracked and the attorney may question whether you actually performed a new assessment.
    What is HIPAA?
    HIPAA established national standards to protect an individual’s medical record as well as other personal health information.  Patients’ have the right to privacy for their medical records. Any intrusion into the medical records can result in a significant fine to the hospital.  Therefore, most facilities have a zero tolerance policy if the privacy rights of any patient are violated. Improperly accessing records could result in termination as this is what happened to more the 50 health care workers at Northwestern.
    With medical records and portability information, it is even more important nowadays to be aware of the rules to protect patients’ privacy as well as protecting your license.
    Privacy and confidentiality also are important when you are conversing with another health care professional outside of the medical area such as in elevators or while having lunch.  You never know who may be listening. Even if you avoid using the patient’s name, there may enough information revealed to identify the patient.
    This is not the first time that a celebrity’s medical information has been improperly accessed.  Brittany Spears was hospitalized in a psychiatric unit when several employees improperly accessed her records.  They were all terminated.
    Social media is another big issue.  All attorneys advise not to post anything, zilch, about work on any of the social media.  Again, you can never know all who may be reading your posts or who may even forward that information to other pages.
    Violation of HIPAA may result in fines of from $100 to $50,000 per violations and up to $1,500,000.00 a year.  Hospitals must designate a HIPAA officer to make sure that the hospital is in compliance.
    According to the HIPAA Journal, the average HIPAA data breach costs an organization $5,900,000.00.  This is astronomical! No wonder hospitals take this so seriously.
    Do your part by never accessing patient information for which you are not authorized to do.
  25. Like
    xoemmylouox got a reaction from gcupid in Where are the Nurses? Patient takes his inquiry about lack of nurses in the hospital to Heloise.   
    The patient is right. They aren't enough of us at the bedside. Before I start hearing the nonsense of a nursing shortage, I'll shut it down. There isn't a true nursing shortage. There is just a shortage of nurses willing to be at the bedside. The reluctance is for good reason. It's physically and emotionally draining in ways those who aren't nurses can't understand.
    EVERYTHING is on your shoulders. A physician makes a mistake and orders the wrong thing - you better catch it. The pharmacy sends you the wrong dose - you better catch it. The demands are impossible and then you add the large number of patients we are responsible for.. It's simply not safe.
    Then add the fact that we are exhausted. We work "12" hour shifts, which often become 13-14 easily. We are picking up extra shifts to help cover the gaps as well. So that means your nurse, who is responsible for every single aspect of your care, may not have had more than 4-5 hours of sleep in the last 4-5 days.
    Then lets discuss the abuse we receive from patients and their families. I have been hit, kicked, screamed at, and sexually harassed. I understand patients are hurt, sick, and are at their worst - but that doesn't mean I deserve to be treated like trash. Rarely does an employer support you pressing charges.
    Don't forget the charting.. We spend HOURS of our shift clicking and typing. With everything we are expected to accomplish each shift it's amazing we have anyone working at the bedside.
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