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BabyLady

BabyLady

RN
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  1. It is a lack of practice. Seriously....this is probably the #1 mistake that people make in math...they rush through their homework, don't do enough of it, etc. I am not a strong math student, however, I have never seen math that I cannot eventually master if I practice at a particular problem enough times.
  2. We had one that was charged with a violent crime and she wasn't allowed to come back to clinical (she could attend class) until it was resolved. She was ultimately convicted, dropped out of the program and will probably never be a nurse...b/c she had previously had a felony expunged...and the judge agreed to the expungement so she could attend nursing school. No loss to the nursing profession...that's for sure.
  3. BabyLady

    Lab Values on NCLEX

    If you get a copy of an NCLEX study guide, they should be in there. Don't obsess with minute measurements of start and end values...these will always vary slightly by text. We were told that on the NCLEX the value will be VERY out of range...not borderline. The instructors were correct.
  4. I would really like to see your source if I am an RN that assists at a scene and Mr. Ego Paramedic can't seen to get it in his thick skull that a patient is having a possible MI and needs O2 NOW because he is fiddling with non-essential things (Which I have personally witnessed, by the way)...that as an RN that has been trained in BLS, ACLS, PALS and NRP, I can assure you that I would be WELL WITHIN my scope to apply O2 if available in an EMERGENCY. I also saw a Mr. Ego Paramedic refuse to drive a conscious victim 8 miles to the hospital while he tried to start an IV (which was not emergent at the time) and he didn't have the skills to start one....and she was having early stroke symptoms and he got mad when I said the IV could wait that he needed to get on to the hospital NOW because he was taking so long he could have already been there. The husband was getting ready to pull her off the ambulance and take her to the hospital himself before Mr. Ego finally figured out he couldn't start the IV and had the driver pull out. Oh yeah, then there was the other case where RN's told EMTs not to lay a COPD patient supine because he couldn't breathe when transporting him to another facility, because he was in a crisis..that he needed to stay in high-fowlers. They argued with the RN's about it...well, they killed the guy by the time they got to the receiving hospital and when the RN's from the first hospital called the other one to find out HOW the patient was positioned upon arrival? Supine. I mean, darn those RN's.
  5. BabyLady

    Biopsy and Ablation the week before school starts???

    I had this same procedure done under general anesthesia and I was shocked at how fast the recovery was. I never even took a Tylenol.
  6. yes, but you have to read the fine print. to borrow an example from minnesota: "a person at the scene of an emergency who knows that another person is exposed to or has suffered grave physical harm shall, to the extent that the person can do so without danger or peril to self or others, give reasonable assistance to the exposed person. reasonable assistance may include obtaining or attempting to obtain aid from law enforcement or medical personnel. a person who violates this subdivision is guilty of a petty misdemeanor. " notice that nowhere in this statute does it say that you have to directly render aid...in other words, it does not require you to touch the victim. it simply requires you to contact a medic or law enforcement. it does not require you put yourself in danger in the process of attempting to obtain aid. if you sit in your car and call 911...you have fulfilled your obligation under this statute. i see nothing wrong with this law...as any medical professional or layperson with a cell phone can comply with it easily.
  7. Maybe to you and in your opinion...but not in mine. There is so much myth going around on this message board about the legalities of people that respond first on the scene, I could write a book if I drew them all out.
  8. Please go back and read the post I responded to....that is important. When somene says that they "would not reveal" that they were an RN if responding to an emergency situation because they think it would set them up somehow....how can RN's claim to want to be treated as educated professionals if we make decisions like that? Nobody said anything about administering drugs or anything without an MD present...where did you get that I suggested that? When I said that you had to function to your highest level of training.....think about that statement. Different RN's have different certifications depending on where they work...if you touch a victim as a first responder, an RN that also has paramedic training is going to be held to a different standard than someone like me, who works with babies. If I perform CPR on someone, I am going to be required to perform that CPR on a healthcare provider level...not as a layperson. If a layperson moves a person with a spinal injury and causes further damage....chances are they are not going to be held liable because a layperson may not be fully aware of the danger...IF I MADE that same decision, I would probably be in serious trouble because as an RN, I should have known better. That is the point I am trying to make.
  9. It makes no difference if you hand off someone and identify yourself as an RN. This is why... An RN has a scope of practice and you are only responsibile for legally performing to your highest level of training...so that would differ in NO WAY from any layperson that would sit with a victim until EMS arrives to explain what you know so far and what has been done so far. Unless you have SPECIFIC training in trauma you are not trained to render that type of aid...so you are not going to be obligated to splint, remove a victim from a crash area....RN or not, unless you have been trained to do so and have the certifications to back it up. Seriously...you don't have to be a nurse to know that is information that is needed. An RN wouldn't leave someone until EMS arrived anyway. Not identifying yourself as an RN, for professional and moral reasons I would NEVER render aid to start with and hide who I was...to me, that is wrong on 300 levels.
  10. Don't confuse RENDERING aid with CALLING for aid. No state wants someone with zero training to try to pull someone from a crashed car only to find out that had they been stablized properly, that their broken back probably wouldn't have severed their spinal cord. No state wants a mother to stop with babies and toddlers in the car and leave them unattended to RENDER aid. Those laws are designed to make sure that people don't drive by and totally ignore them without even calling 911...I agree with those laws. But you are not required to TOUCH anyone.
  11. In my state, it is MY decision, whether or not to become involved if I am not at work. When I touch a victim, I am legally required to perform "to my highest level of training" and you are legally responsible if you do anything that is OUTSIDE of your scope of training/practice. Before I became an RN and was a student, I did not realize that trauma care required very specialized training to do this out in the field. You will typically not have the equipment if you respond by yourself. Don't think that you have a secret "super RN" cape flapping behind you. People go 190% of the deep end (with no legal case to back it up) that you have anything nurse related ie. bumper stickers on your car and drive by an accident and do not stop that you can be sued....that is about as big of a myth as the Easter Bunny. You could have a child in the car, you could be on your way to another emergency, or even better, it may not even be YOU driving the car. Now, some states do require that if you are the first to come upon an accident that APPEARS to have injury, you are required to GET assistance, not necessarily RENDER assistance...but I don't live in one of those states. Use your head....did you learn anything in school regarding your LEGAL REQUIREMENT to respond outside fo the facility? Of course you didn't....there is a reason for that.
  12. BabyLady

    Posting your Exam Grades on Facebook

    Why are you concerned about what someone else posts on their OWN Facebook account? Would you want someone monitoring the information you post on yours? Sounds like the only people that find it irritating are probably jealous.
  13. BabyLady

    HIPPA question

    Court order overrules HIPAA...all day long. Think about it....a biological mother loses custody of her child due to a COURT ORDER...does that STILL entitle her to medical information? Absolutely not. Follow the court order and tell her she needs to check with the legal department before the family files a complaint with the court and your boss ends up IN court.
  14. BabyLady

    pt. called in narcotics under MY name...now what

    But seriously folks...is this situation even that unusual that the OP described? I would think that pharmacies would very savvy at picking up these fake call-ins and to me, it wouldn't take but rattling off a little pharmaceutical jargon before you could trip up easily to someone that did not have medical training...might be harder with a former nurse. However, I think that this probably happens all the time..more than we know. I am sure those that have worked in a pharmacy would know.
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