JKL33

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All Content by JKL33

  1. JKL33

    A Sticky Wicket

    I wrote out an answer but erased and have a question instead. Are these two fine specimens of humanity actually employed by or affiliated with a covered
  2. JKL33

    Charting Inquiry

    Tough situation. No specific recommendations but you could consider carefully choosing an appropriate nursing diagnosis (yes, I just said that ??) and documenting your assessments and...
  3. JKL33

    Feeling Unvalued

    Don't forget to make sure your legislators know that your hospital routinely makes decisions that encourage RN turn-over while hospital systems are spontaneously complaining about the cost of...
  4. They work under the direction and supervision of the provider. They are not nursing assistants so it's different than inpatient/ED where everything a tech/NA does has supposedly been delegated by an...
  5. JKL33

    Will I Lose My License?

    I understand this has been a chronic concern and the idea that one could lose one's license, in theory, is not always realistic as applied to scenarios people are worried about. That said, no one...
  6. I think people would like to believe what is in your last paragraph. That's what we want to believe, we want to see justice being served and people being protected. I don't think it's realistic. I do...
  7. I went back and am going through the CMS report again. You are right. I think what stuck in my mind was a few little things like the regulatory officer telling the CMS investigators, when asked...
  8. I listened to a good deal of it (using fast forward PRN so I'm sure I missed a bit) and I think one or both of them are nurses. I heard the female relating some blah, blah, blah about a physician with...
  9. I do. Keep in mind both things can be true at the same time, I.e. feeling that this is playing out the way it is because it best serves the interest of another party that also did wrong doesn't mean...
  10. Separate--and cannot excuse RVs actions--but relevant if you need a defense. If I were her lawyer I would aggressively present information about the culture of that corporation, especially in a...
  11. No...I think they were there to investigate what happened. But the way those elements were portrayed by VUMC was ridiculous. They were the ones with the agenda. I'd have to review, too, but I had the...
  12. Agreed. But the statements in the CMS investigation regarding the override (and the help-all nurse) were so ridiculous, basically just broadcasting that there was an agenda and they were straight up...
  13. I have no idea what kind of/how large an audience this podcast really reaches, but with angles addressed in the podcast it might not be a bad move at all from the standpoint of defense and public...
  14. Yes, that's definitely problematic too. My opinion on that is pay or
  15. I think you asked one fair question (do contracts mean anything any more) and failed to ask and equally fair question that would apply more evenly to both entities involved: Does anyone's word mean...
  16. JKL33

    Have you ever given a ride to and from work for your colleagues?

    Not to get too serious but...I think it's complicated. If I had to make a general guess (not specific to OP), I think we do weird things when life and/or genetics has saddled us with self-esteem...
  17. JKL33

    Have you ever given a ride to and from work for your colleagues?

    You recently had trouble getting your own self to work with your Civic, you don't like to get involved in others' personal problems, and you have been tapped as the public transport guy? It...
  18. JKL33

    Pushing IV Meds Without Scrubbing Hub

    Random thoughts: - Wouldn't worry about others' outbursts - If remotely feasible yes I do the scrub (so that would be almost always), but.... - What I rarely see anyone do and I myself...
  19. PS: And you say it just like that. Standing up straight, making good eye contact and using a confident, appropriately professional
  20. For others reading this, remember that you can say no just as easily as they say no. The more that you take it all upon yourself and sit at home feeling anxious, nauseated, scared, crying, etc.,...
  21. JKL33

    New Nurses - DON'T TRAVEL

    Well they did it for some reason; they're either desperate or just have no scruples. Maybe both. Maybe they're in a desperate situation because they have no scruples. Maybe they aren't really...
  22. JKL33

    Sign On Bonus

    Wouldn't take them up on it personally. For what amounts to $2.89/hr it isn't worth the additional entanglement. I wouldn't assume they won't come after sign-on bonus money. If you do want...
  23. JKL33

    Should I take a chance?

    Strictly an opinion here: I think this question would be much more easily answered if you were being treated poorly at your first job, not given proper training, poor work culture or the...
  24. Not in my last place. Special rounds were made periodically specifically to solicit reports about doctors whose words did not fall perfectly upon the particular listener's ears. All part of the game....
  25. It was serious; I should be clear that no one died. It was a completely unnecessary scenario that did involve the need for resuscitation and higher level