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ilhamtony

ilhamtony MSN

Regulatory Nurse Specialist, State Government

Leadership and Management, Quality Assurance nurse.

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ilhamtony has 13 years experience as a MSN and specializes in Regulatory Nurse Specialist, State Government.

Registered Nurse since 2007, Worked in Progressive Care Units, Surgery, Clinical/Charge Nurse, Quality Nurse and Regulatory working for State Government. 

ilhamtony's Latest Activity

  1. ilhamtony

    It Is Not Just Nursing 101

    Why a Career as a Nurse? Did you plan on nursing from: Your first hospital experience, visiting an ill family member? Watching television shows that portrayed nursing as glamorous? Having had a procedure performed? Perhaps your decision to enter nursing evolved through a series of life changes that guided your path to nursing school. No matter the journey, there will be anxiety, excitement, hesitation, and overall awe-inspiring first days of nursing school that will help build the type of nurse you will become. Perseverance: Effective Tool #1 One of the most surprising revelations identified in your journey includes the diversity of people who enter nursing school to become that individual who engages people, sometimes at their worse stage in life. They will be in need of the most compassion, empathy, and critical thinking a person can provide. Through the first months of nursing school, based on personal experience in healthcare, some activities may appear simple and pointless to detail. However, you will learn the importance of finer detail throughout your education. The critical attribute of the nursing student is perseverance. Listen to the details of the educator and understand the experience each preceptor, proctor, and clinical leader brings to you. The anecdote was the most effective tool used in each of the lectures my instructors provided. If there was ever an experience that would best implant the most important lessons in nursing 101, it was provided in a gloriously told story of nursing shifts and outcomes. Nursing is surprising, always a moving target, and requires a thoughtful reproach, knowledge, and most certainly a team effort. Study Groups: Effective Tool #2 The second tool in successful nursing education was to develop study groups which served as check and balance in progress that must move very rapidly; and most certainly if you wound up in nursing from a background that was not related to previous healthcare experience, the study group will align you for success. For example, I went to nursing school with graphic designers, bartenders, high school graduates, and retirees who were seeking a new path in life. When the study group met, the diversity of each person and their experiences provided a shared knowledge base that completed all tasks and activities necessary to be successful during each semester. This included presentations, projects, worksheets, and test preparation. The study group strikes a very nice balance in preparing for the challenges in nursing exams and eventually this will lead to your success in the National Council Licensure Examination (NCLEX-RN exam) which is designed to identify the entry-level nursing candidate, and this is just the beginning. Life Lessons: Opportunities The fact is not everyone succeeds and there will be a casualty along the way. You cannot let this disrupt your focus on the nursing school you attend. It is not for a loss. You pick up on lessons every day and during clinicals which are combined nursing hands-on practice with debriefing sessions lead by a clinical instructor. It is important to seek opportunities and do not be shy about this. The more hands-on you are, the greater proficiency you gain at every new nursing task that you will be introduced to. It is also vital that you remember that nursing school creates a life lesson about health and well-being no matter what career you find. Not everyone can be a nurse as evidenced by the very few that were not successful from my classmates. However, everyone takes with them a life lesson in compassion, health awareness, and the human condition. In Retrospect ... Given the opportunity to relive my days as a student nurse, while on clinical rounds, I would have: Sought out more opportunities Asked more questions Participated in NCLEX-RN exam study courses Nursing is hard, be prepared for this reality. Confide in the partnerships that you develop early on in nursing school, remember no question should be left unanswered, even if the answer is, the outcome is uncertain. This is reality. Another very important thing to remember is that you must trust the information you are receiving whether it is a lab, an order, or information provided to you by the patient or family member. Once you understand the information provided, you must then verify everything you do based on your education and your experience in nursing, talk to more seasoned peers, and join supportive, collegial networks to seek informative conversations when you cannot seem to get the right answers. You may second guess your intuition, but there will never be cause for alarm to take a pause and ask for help. Most of all, you will need to plan time to relax and understand that as a nurse, you must take care of your own mind, body, and soul to properly care for others because you are nursing for life.
  2. ilhamtony

    Did we/she violate HIPAA?

    Since there is only one reply, I would like to add to the reality of the corporate compliance officer availability. There are additional resources; but none better than a direct communication with the Corporate Compliance Officer, facility Risk Management and/or a seasoned and friendly staff member that can help guide you in Policy and Procedure review. Often times moving from the charge nurse to the floor nurse role can be tricky. Most Information Technology Policies and ( HIPAA) https://www.hhs.gov/HIPAA/for-professionals/privacy/laws-regulations/index.html have strict guidance about accessing electronic and or physical medical records that are patients for whom you as the staff member have a direct care interest in while on shift and providing that care. There are no gray areas/except in print when it comes to patient privacy. The requirement is that she should not be discovering her neighbor is in the ED, or her Teacher, or any friend or family unless they had provided the information personally. Sure there is the reality of chance meetings on the unit or throughout the facility - but, only the patient (with some additional circumstances) should ever be the one to disclose that a patient is in the hospital. Good luck; using the link above you have to copy and past the whole thing, I messed it up. Hospital Policy and Procedure cannot be less strict then HIPAA laws; but can be more restrictive. Happy Nursing! You could just have the conversation with the nurse openly to understand if she knows what is right and wrong.
  3. ilhamtony

    Reflection: Healthcare Quality and Safety

    Interestingly enough; airline travel remains quite safe with a 97% plus survival rate in regard to an aircraft crash; as demonstrated recently; it was the exact people who are charged with the responsibility of saving people; who actually ran over and killed one of the survivors during the rescue events of a most recent aircraft crash success stories with most of the passengers surviving; however, no tragedy should go un challenged! I recently finished up with a Masters degree; and air travel is exactly what is quoted as being one of the investigated tools (How the cockpit works and communication) among airline crews as being a "fix" for the health care system. I have worked as an RN for multiple years Greater than 7; at many facilities in my state; the confounding factor related to all of the safety issues I have experienced is the leadership and how the facility runs. I have been amazed at how sister hospitals in the same ownership ring can vary so greatly in the approach to patient care; between patient safety; patient acuity and staffing-registered nurses continue to be under fire as hospitals continue to perplex and fool communities into believing that their facility is performing and outperforming the competition by announcing multiple initiatives that are designed to "deceive" the patron for the wrong reasons; attached is the reference to a two part article that I think every RN and hospital worker should be well studied on; and perhaps the more people who read these articles; and the better informed Nursing is on the plight hospitals are taking against nursing; then we will have the realization that Knowledge truly is power! "Scripting and Rounding: Impact of the Corporate Care Model" Home Study Course. Okay I tried to link my personal PDF of the articles; I could not do this easily so you will have to look this up at your school library ect.. www.nationalnursesunited.org October 2010, CE home study course Scripting and Rounding Impact of the Corporate Care Model on RN Autonomy and Patient Advocacy Part I and Part II (Two part paper) Second Part came out in November of 2010... (I am not in support of Labor organizations for nursing in one way or the other) Just a very good article review! Interesting to see the historical content as it unfolds in hospitals around my state and perhaps yours as well....
  4. ilhamtony

    Standing up to my charge nurse prevented a mistake

    Without doubt; part of investigating the "order to not draw" would be to contact the physician and re-visit that order to have it changed for the "emergent"; or perhaps not so emergent need depending on the reference of the order to not draw: absolutely the physician must be contacted under all circumstances of patient status change!
  5. ilhamtony

    Standing up to my charge nurse prevented a mistake

    Agreeable with any comment that reflects that the charge nurse has a responsibility to step up to the plate, make the draw him or herself; especially with your reflection of being a new nurse-these are all circumstances that under strong leadership; the leader will take the responsibility to get the patient what the patient needs, and then provide further education through demonstration as to how a circumstance plays out in real life-"For example" encouraging proper investigation as to why the line was ordered to not be drawn from; and then determining if this guideline was fit enough to allow the patient to "metaphorically" and "physiologically" crash. Lateral bullying, interdepartmental bullying and hierarchical bulling has no place in any environment-tone and stress from the charge nurse does reflect a rather appearance of a lack of confidence on part of the charge; however, as reflected in earlier comments these should be circumstances that each person involved can learn from. Good Luck! Hope the patient did fair well following this episode!
  6. ilhamtony

    staffing issues...any suggestions?

    Wow, When I first heard of the Nurse Patient ratio's for labor and delivery-considering that for every Mom, there is a baby to care for as well-3=6 patients that need various interventions throughout any shift. Yes, Over 6 patients to one nurse, your facility is harming patients at a ratio of 7% for every patient over 4:1 on a PCU; for example. I am a strong advocate of patient safety demonstrated by excellent care delivered with ancillary as well as nursing staff alike. Aikens, in a Pennsylvania study reflects ratios-Hospital administrators bury this study every time it begins to circulate at a facility-budget! http://www.protectmasspatients.org/docs/IOM%20Nurse%20Rpt%20Executive%20Summary.pdf http://blog.aflcio.org/2010/04/20/nurse-patient-ratio-laws-save-lives-new-study-shows/ just a few of the research supported issues regarding Ratio's and the importance of good staffing practices at our nations healthcare facilities for the safety of all of us!
  7. ilhamtony

    Dear preceptor

    As a preceptor, my empathy goes out to you for having to deal with less than an ideal situation for learning, and becoming a new staff member. TO all who read these, if you are ever placed with a preceptor with whom you are not satisfied: 1. Tell your immediate supervisor or training department, this is not a sign of weakness; but a yearning for a true, healthy experience. 2. If the organization leaders have no understanding of your circumstance, then perhaps that is not the optimum work environment; although you will encounter a bumpy day every now and again, your preceptor should be setting you up for success! Remember, that organization is looking for staff for a reason, it may be that the organizations supports a lack of team association and enables isolation of its professionals, that is one reason why people leave an organization! Find a place that truely embraces your talent, as you demonstrate the appropriate compassion and approach to nursing that deserves embracing!