jadelpn LPN, EMT-B

Member

All Content by jadelpn

  1. jadelpn

    NEED HELP

    None of this meant as legal advice, per TOS. Just some advice from a really, really old bat. This is quite a story. The ethical boundries that have been crossed are mind boggling. This is why it is...
  2. jadelpn

    Defensive/CYA charting

    IF your hospital policy states that you are bound to make a charge nurse aware of something (ie: when your patient is to be transferred off of the floor, for instance) then make sure you document when...
  3. jadelpn

    Searching for a study

    http://www.ncea.aoa.gov/Resources/Publication/docs/caregiver.pdf When caregivers continue to change, it can set off a red
  4. jadelpn

    Pt's FB pictures of me

    I beg to differ. A person's name is PHI. That one would have no way of knowing if they were not in the facility. And if we look up socially prominent PATIENTS in a search engine we get fired....
  5. jadelpn

    Pt's FB pictures of me

    But again, and i can not stress this enough, you could be disciplined for this. You do not, did not know this patient outside of the facility. You searched this person after the fact, based on...
  6. jadelpn

    Aggressive patients?

    Hopefully, the patient would be assessed and have medication changes that could help with aggressive behaviors. Perhaps the patient has a UTI or other infectious process when brought under control,...
  7. jadelpn

    What do Nurses think about CNA's

    CNA's rock! The work that they do is back breaking. Couldn't do what I do without them. And I tell them that every chance I
  8. jadelpn

    Calling the Warden on Inappropriate Inmates

    I wouldn't think so. I would think that would be a privacy violation. Good opportunity to have an inservice regarding taking care of inmates. The lewd motions would be met with "I am here to take...
  9. jadelpn

    Pt's FB pictures of me

    YIKES don't do this. THIS could be considered the HIPAA
  10. jadelpn

    Pt's FB pictures of me

    Be careful in general with this. Many, many facility policies strongly discourage the use of pictures such as this--as really, social media can use the pictures with whatever they choose to, and a...
  11. jadelpn

    Team leader "helping me find a new job"

    Could be my story. And it stinks. Here's the thing that I had to learn and quickly. Loyalty doesn't matter. Your performance as a nurse doesn't matter. What does matter is that they can get 2 of...
  12. jadelpn

    Talk down to no one...please!

    Many congrats on your journey!! Construction is a hard gig. That you made it work for you for so long even more difficult. Sometimes, newer nurses are jumpy, and can perceive things as threats...
  13. jadelpn

    No Call/No Show at Work?

    Send an email with your availability. If you can only do Friday evenings, then indicate that. I would also ask for an email back with your scheduled dates. cc your supervisor, so that everyone is in...
  14. jadelpn

    Quit without Notice or Risk Being Fired?

    Have a conversation with your union rep. That is why you pay union dues. They represent you and your best interests. The "don't **** off the boss" tactic is quite something--perhaps because these...
  15. jadelpn

    Quit without Notice or Risk Being Fired?

    Ok, so here's the first thing--If you are a union hospital, do not, under any circumstances go into this meeting without a union rep. If you are not a union hospital, here's the thing. Go into the...
  16. jadelpn

    Prior HM with a few questions

    I would look on the California BON website, I would call them to clarify if there is a
  17. "Gosh, I am soooo sorry!! I meant to call you at 2am for an order.....that apparently you
  18. jadelpn

    The Childish "I Wuv You" Act

    And I would also say be careful that you are not within a personal space of the patient, unless it is to attach them to equiptment, do your assessment, that type of thing. When you are in a place...
  19. jadelpn

    Physicians order

    Unless you are familiar with the policy and/or look up the policy, I also would get a clarification from the MD. Not to mention the fact that if your patient doesn't produce much urine, it may take...
  20. A procedure is the clinical skill that is evidence based practice on how it is something is to be done. A protocol is the rules under which the procedure should be done. So in other words, procedures...
  21. jadelpn

    WHY do I need a BSN?

    In my experience, Paramedics are taught there scope is an MD's right hand. Which is wrong and dangerous on a number of levels. In my state, it is against the nurse practice act for an RN to direct a...
  22. jadelpn

    WHY do I need a BSN?

    And in my neck of the woods, your BSN gets ya 25 more CENTS an hour. Tuition can be reimbursed, but that means $$ up front. Then comes the "we WILL pay for this and not that" debate. And most are...
  23. jadelpn

    PRN hours decreased because of the ACA

    Unfortunetely, there are many, many facilites that are staffed primarily by temporary or travel staff. It is cheaper than nurses who have been with the facility for years, therefore are on a higher...
  24. jadelpn

    Nurses who hate patients - advice

    If a nurse is being neglectful and dangerous, then you need to report this. If you get no where, there are ethic hotlines of parent companies, employee relations that are part of parent company HR...
  25. jadelpn

    PRN hours decreased because of the ACA

    Look at it this way. If an employer says "I am putting in $100 a week per employee into a health savings account, it is up to you to go onto the website and apply for coverage within 60 days". $400...