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Vito Andolini

Vito Andolini

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Vito Andolini's Latest Activity

  1. Vito Andolini

    I Just Have To Say

    A bleeding pregnant woman who had stopped to explain her problem, who was not behaving in a violent or threatening manner toward police or anyone else (assuming she wasn't, don't know for sure), did not deserve to be tackled by 2 grown men in uniform. I know cops have a tough job and am generally pro cop. This case is really scary, though. For God's sake - she had explained her problem and, reasonably, driven on to the ER. They could so easily just have followed her there and let her get care and then dealt with whatever legal matters needed to be dealth with. So simple, so reasonable. What in the world were they thinking?
  2. Vito Andolini

    Abandonment?

    I guess you need to ask a lawyer and/or the state BON. Was any harm done?
  3. Vito Andolini

    Are these grounds for termination legitimate

    Just a reaction to having to go to Gram's funeral - while I certainly understand the sentiment, it was not totally essential to go. I have had relatives, close ones, pass while I was working out of state and it would have been way too costly to go to their funerals. I could not spend the money or risk losing my job. I had a family to support. If someone disagreed with my decision, they could have offered to pay my airfare. I hated that I had to choose between being there to mourn and to support my family in their mourning and keeping a job/staying within budget. Being absent made me very sad, very angry, very everything negative. A hardness, a bitterness came into my personality for a while, until I realized how many other people have also had to miss many events - weddings, funerals, graduations, christenings, baptisms, bar mitzvahs, award ceremonies, their childrens' concerts and sports gamrs, on and on - because they had to work. It was somewhat easier to bear knowing that I was not the only one who ever missed an event. It made me really stop and think about life and why some seem to always be in 1st class and others in tourist. It made me hate being poor and it made me hate those rich, evil, conscienceless rip-off artists and con men/women who make so much more than I do - financiers, insurance people, college presidents, and many, many others who can say, "I won't be in. I'll be at my grandma's funeral today." But, even they have to perform and have good relationships at work or else. Life is hard sometimes, very lonely and painful. But attending the funeral was not totally unavoidable and if your job was on the line, well, you probably should have skipped it. I know my view here will be totally unpopular.
  4. Vito Andolini

    Are these grounds for termination legitimate

    Get a lawyer and sue them for whatever you can. They sound like they don't appreciate you at all. They sound like evil, idiotic jerks. Of course, I have only heard your side of this - have there been other problems? Not trying to stir a hornet's nest, just wondering why they are picking on you? I doubt they fire everyone who has absences. Let them know you are not a doormat and don't appreciate being thrown away like garbage for such ridiculous reasons.
  5. Vito Andolini

    Medication Errors and Write-ups

    In a non-punitive environment, yes. When punitive conditions prevail, staff are forced to survive and protect themselves. Also, does timeline matter? A vit can be taken any time. It's not critical. And lots of meds fall into that territory. Also, how about when you have too many pts to pass meds for and there's no way you can give all your meds within the 2 hour framework most of us are familiar with? You'd be writing incident reports all day long. And please note: I said HARMLESS errors. If the pt is harmed, it's another story. Salvaging the patient absolutely comes first. And Skittlebear's post above sums it up so well - some get punished, some don't. Selective enforcement of the rules. It stinks and should stop but will always be with us. It's just human nature. Another reason to get Doc to cover you for harmless errors.
  6. Vito Andolini

    Would this be a moral dilemma between autonomy and beneficence

    Unless there is a risk of passing HIV on to the patient, such as via surgery, why does a patient need to know that the doctor is +?
  7. Vito Andolini

    Medication Errors and Write-ups

    Punitive is wrong. A good way to handle an error is to ask the doc to give you an order to cover what you gave or didn't give. "Hold multivit today" "Give multivit at 2100 with food" (some people get nausea if taking meds on upset stomach) See? That will cover a lot of errors and is often used when the error caused no harm.
  8. Vito Andolini

    Gagging a Drunk

    Nurses deserve to be safe and we are responsible for patients' safety, too. Any restraint of patients must be done humanely, respecting the patients' dignity and safety. It should be the least restrictive yet effective restraint, for the briefest necessary time. It may not be used punitively. If a nurse is getting carried away, he or she needs to get help, re-assess, maybe remove him or herself from this patient's presence, and start reciting the Serenity Prayer - while ducking projectiles. Tough call sometimes but we can't take out our anger on patients, under the guise of protecting ourselves and them. I know, it's easy to say, hard to do. God bless those on the front lines.
  9. Vito Andolini

    We're out of ideas.....can you help?

    Maybe he needs higher doses. Maybe a full psych eval, med changes. Maybe he will go into tub or shower with his clothes on and get into dry clothes afterwards. not ideal, better than nothing? Maybe you can tell the family he will have to leave if the man won't get to smelling better. How about a tub? Bed bath? Two big dudes to hold him/carry him/whatever you can get Doc to order. If your facility is so big on no restraint, ask them (DON, Admin, Risk Manager, Owner) what to do. Try singing or playing Sinatra songs - or whoever he likes to listen to - maybe Loretta Lynn or The Gloved One. Good luck.
  10. Vito Andolini

    pro life to work in ER OR OB

    I must beg to differ, with all respect to your statements. Any religion, Catholic, the many Protestant denominations, the various Jewish denominations, and any other religion you choose must have some basic, fundamental beliefs or it's not really a religion. What individuals do with the religion as a whole certainly varies but I do not comprehend how one can say "I am a ________" if one does not accept the basic views and tenets of that religion.
  11. Today, yes. What about tomorrow, as more and more jobs are lost, and more and more new nurses enter the market here?
  12. Vito Andolini

    OR Pet peeves

    boarding pass?
  13. Vito Andolini

    Too Uptight?

    There are some things we learn in school that are not done the same way in the real world, right? We learn as we gain experience that some shortcuts are safe, even though different than what we were taught. We even design new procedures that are better in terms of patient comfort, cost, speed, etc. than what we were originally taught. One thing most nurses I know never deviate on, though, is giving meds we did not pour. Well, the other day, a nurse did just that. She was at work unexpectedly. Another nurse had agreed to pour and pass meds and had set up about half the meds already, when in came the unexpected nurse. The new arrival said she didn't mind giving the meds the other nurse had prepared! Well, it's a compliment to the one who poured, but I think it is really risky to trust someone to that extent. The pills were opened, the liquids were poured, the new arrival wasn't verifying the pills, she just gave all the stuff. Nothing happened amiss that I am aware of. All the patients are fine. Probably no pouring errors were made. But this just seemed so wrong to me. I just keep thinking what if the pourer put the wrong meds in the cup? Or the cup in the wrong patient's name slot? Or whatever other error you can think of. Would you ever do that? Under what circumstances? Am I too uptight and old fashioned? :vlin::smiley_ab
  14. Vito Andolini

    HELP! the adon stealing out of the med cart?

    Not using the MAR is a good way to miss new orders. If the DON and Admin won't take action, your next step is the owner, assuming he or she is not also the Admin, DON, or ADON. Right? Please take to heart what I said about getting in trouble for giving OTC meds to anyone other than patients with whom you have a nurse-patient relationship. You must stop giving anything to coworkers, for your own protection.
  15. Vito Andolini

    Registered Practical Nurse Vs a Personal Support Worker

    Is an RPN in Canada the equivalent of an RN in the USA? Dang, it would have saved me a lot of time if I had known she was not in America!! My bad, I should have asked. Is there a Canadian equivalent of an LPN?
  16. Vito Andolini

    Registered Practical Nurse Vs a Personal Support Worker

    There are Registered Professional Nurses = Registered Nurse = RN and there are Licensed Practical Nurses = Licensed Vocational Nurses (depends on what state you are in) = LPN or LVN RN's can do everything for patients, LPN's usually do not give injections into veins or call doctors for orders for the patients. Again, it depends on where you work (the state, the employer), also on whether or not the LPN has received special advanced training in certain procedures and thus is authorized to, for example, give shots into veins. (That particular procedure is called "pushing" IV (intravenous) meds. A personal support worker would not be passing out medications or be responsible for examining (asssessing) the patient's heart, lungs, abdomen, and other body parts for normalcy or lack of it. The support worker would be doing what is known today as direct care or bedside care. It means things like bathing the patient, changing the bed, helping the patient to the bathroom, brushing teeth and hair, helping the person be comfortable in bed by turning and repositioning him or her, feeding or helping the person to feed himself - this type of thing. This is demanding physical labor. You will be on your feet, you will be working with very heavy (obese) patients and might hurt your back and arms if you don't use what's called lifting devices and good body mechanics. School will teach you how to minimize the risk of hurting yourself. Vitally important is for the worker to inform the nurses immediately of any problems the patient has - like shortness of breath, pain, bleeding, weakness, falling, and things like this. The support worker is there to support the nurse, to aide the nurse, to be the nurse's eyes and ears. The nurse is in charge, is the leader of the team, the nurse has the most legal liability and responsibility, therefore, must be respected and trusted as the leader. In an emergency, such as a patient having a heart attack or stroke in a nursing home, the nurse will need to worker to drop everything and help prepare the patient for transport to the Emergency room. That means paperwork, phone calls, staying with the patient and making sure the oxygen is on, checking the blook pressure every few minutes, and whatever else the nurse might say to do. You can be a great source of help for the nurse and reassurance for the terrified patient. Workers with advanced training might draw blood, pass medications in some settings, administer feedings into stomach tubes if the patient cannot eat normally, adminster breathing treatments, and things of this nature. They might take blood pressure and temperatures, measure blood glucose levels and blood oxygen levels and chart these in the chart. They would immediately give to the nurse the written results of these tests, whether the results are normal or abnormal. A support worker might word as a private duty sitter or home helper, might help with laundry, light housekeeping and meal preparation for the patient, might run errands, such as to the grocery,doctor's office, beauty or barber shop, might drive the patient in his own car or the workers's car if properly insured and approved by the employer (not advisable in case there is a car accident). Why not speak to someone at a local school of RN nursing, LPN nursing, and a local school for support workers? I hope this helps some and wish you good luck in whatever path you wish to pursue. Right now, the job market is very tight for new nurses. Also, all of these jobs require that you love people and care about people, and that you be very patient with them when they're sick, scared, and not at their best. Some patients and their family members can be extremely rude and disrespectful. Some might be violent (like in psychiatry). It means that you will have to work on holidays, weekends, in the evening or night hours. You will not have Christmas, Thanksgiving, etc. off to be with your family too often. You will miss your kids' concerts, sports events, meal times, and bedtimes. That's really hard. These professions aren't very well respected by everyone, like a doctor is respected. Also, the pay isn't very good. And you can pick up nasty illnesses, get stuck with needles that are contaminated with AiDS and other illnesses. So be aware of everything before you enter into this type of work. Oh, and if you can't deal with urine, BM, vomit, pus, blood, nudity, mucous, and bad smells, health care is not the line of work for you. Good luck, keep us posted.
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