JKL33

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All Content by JKL33

  1. JKL33

    New Grad Just Want to Throw Up: Should I quit?

    That is not enough time. And are you getting any instruction in your specialty? What kind of supports and education are in place on this unit? Yes, that's a very common feeling. One thing...
  2. JKL33

    Suicide Risk Assessment

    Doing it in the ED was terrible for different reasons, just out of context and inappropriate. And I know for a fact that people high up in our system's care management/social work service line told...
  3. JKL33

    Suicide Risk Assessment

    I have read the breakdown of the NPSG on various occasions and have not come across evidence that they mean for everyone to be screened. In fact, it seems that it specifically says that screening...
  4. JKL33

    Signs of Toxic/Unhealthy Workplaces

    I think healthcare corporations create toxic environments for nurses, period. Some of the places I've worked were overall generally good. Coworkers generally good. Yet staff meetings would...
  5. You could always choose to accept charge assignment and then keep things well organized and actively help others. You could choose to take an assignment or partial assignment if you think that's the...
  6. JKL33

    Reinstated to Nursing school letter

    Sorry to hear what you have been going through. My personal opinion is that your letter does include more detail than necessary. Your short, introductory paragraph is fine. Second paragraph needs...
  7. JKL33

    Hallway conversation with family too public?

    Try not to be too hard on yourself in general. And try to keep things in perspective. There are plenty of others delivering a beating to nursing, we don't need do it to ourselves! ? We hear so...
  8. JKL33

    Hallway conversation with family too public?

    No need to feel bad. I assume this conversation was rather incidental, as in it began in the hall while you were engaged in other general nursing duties or doing something for another patient. That's...
  9. I don't give a rat's behind about Jake-o, that's a game hospitals play and they are the main ones who need to worry about it. What I care about is the other number of ways this could go wrong....
  10. What, seriously, are you talking about. You're just shooting back with things that don't make any sense. What in the world do you mean "they see them to refer them?" Is that your contention,...
  11. (Numbering for clarity) 1. That is only very partially true. There are plenty of NPs who are indeed seeing patients that MDs in their same population focus would see, and referring what MDs in...
  12. JKL33

    Did She Violate Patient Confidentiality?

    It kind of is, though. Anyone can sue anyone for pretty much anything. Just my experience, but the ONLY people I (or any nurse I know personally) have had questions from re HIPAA/privacy...
  13. Can you clarify? NPs are clearly being hired into roles once restricted to MD/DO, but MD space has a lot more to worry about and their brains are full of way more information and the NP is...
  14. JKL33

    Did She Violate Patient Confidentiality?

    Do you feel that not giving relevant information is protecting the patient in question? Consent is not needed for this type of disclosure. The patient didn't give consent for that...
  15. JKL33

    LPN Supervisor Would Not Let Me Call Doctor

    I disagree that ignoring others' gossip has any more likelihood of those outcomes than engaging them does. And I personally have found it to be less likely, that's why I choose that option. With the...
  16. JKL33

    LPN Supervisor Would Not Let Me Call Doctor

    Just be kind to all as much as possible and avoid conversations like this. It's possible that you even being within earshot was motivation for them, given the topic of conversation. There is more...
  17. JKL33

    LPN Supervisor Would Not Let Me Call Doctor

    NEVER make decisions about what is best for an individual patient's situation based on things like this. The above directive is directly related to a business interest of administration. Your duty is...
  18. JKL33

    Did She Violate Patient Confidentiality?

    Agree. I think in this scenario there is a legal avenue. However, when officers are just standing around in the ED or even the nurse's station asking questions about someone they've brought in,...
  19. JKL33

    New Nurse Graduate

    As mentioned above, it might work out well if you are realistic about what to expect and you take some basic measures to protect yourself. 1. If this involves any kind of agreement that you will...
  20. JKL33

    Did She Violate Patient Confidentiality?

    What do you
  21. JKL33

    Guilt About A Med Error

    It is possible that at least some of your guilt is because you did not do what you knew you should have done when you recognized your error. And you know what? This is strictly my opinion but I...
  22. JKL33

    Good vs Bad Handoff Report

    Devil's advocate and a bit of technicality here for a minute: Last BM is not really basic information, and anyway you aren't actually asking the info in a way that would elicit an answer to the...
  23. ...sounds about right. Would there be a particular reason that the manager doesn't put a stop to the homework
  24. JKL33

    LPN Supervisor Would Not Let Me Call Doctor

    Among the things you learn in nursing school is the idea of questioning things and making good nursing choices when something doesn't seem right. It's an idea that is often taught through the use...
  25. JKL33

    Verbal orders

    Why would another nurse enter verbal orders that you received? Neither verbal nor telephone orders are illegal. The situation at your place is likely due to a combination of...