youngheartoldhead

Sure a med pass can be done in that time frame. if the nurse doesnt get distracted and she is organized. And NO she shouldn't be expected to help anyone when she's done. why should someone get punished for being efficient?

thats hardly something to brag about. talk about the punishment not fitting the crime, thats just vindictive.

trying to get inmates to behave and act normal ? good luck. Most of the CO's I know would just look the other way, nurses too. CO's have to pick their battles, and battling over inmates sexually relieving themselves is low on the totem pole. Expecting them to make an issue out of these things actually causes more disruption and problems than the actual jacking off. and censoring inmates language? good luck with that too. I understand that people don't want to be subjected to these types of behaviors, but the operations can't revolve around making sure that the nurse is not offended. It makes more sense for the nurse to find another job.

it's very important that you use a new syringe to collect your sample. (dont use the one you flushed with). there should be caps on the end of the picc (nurse side). hopefully your pt was given a package of picc line supplies , if so they will be in there. but before you do that or anything else with a picc line, please spend some time going over picc line care and management. (google). even though i've had several pts with piccs over the years, I still review the material if its been a while. go over changing caps, securing the tubing, correct flushing tech (some piccs have specific directions on how much, how fast and at what point to disconnect the syringe: after clamping , or before) piccs can be a big deal if not managed well. Good luck to you

If a nurse is counting pills and writing folks up over one dose, perhaps she needs that senna more than anyone else does. Other than serious or willfull infractions, writing a nurse up does nothing but cause additional stress and hostility which in turn, creates an atmosphere that essentially causes more errors and confusion on the unit. Help and encourage each other instead.

I think the quality of the device (laptops) that the facilities purchase make all the difference. If they use a machine that isn't ideal in handling the functions of the program, this can make a nurse's job a complete nightmare. Nothing is more aggravating than trying so hard to do your job, and every stop being pulled out to prevent you from doing this. Add to that frustration running out of supplies, patients calling for help, cna's reporting problems, family members waiting to talk to you (for the 10th time) all at the same darned time.

some patients or families dont give the facility a warning when they complain to DOH, they just do it and wait. Either they've complained in the past and nothing was done, or they fear the staff will turn against them for complaining to state. DOH gives them the impression that the facility won't find out they complained, but in order to investigate the complaint they zero in on the event that caused it... and finesse is not one of their strong points.

I'm just curious how several nurses are not able to figure out the rule for this. obviously, boards need to be more clear on things that they felt it necessary to make rules FOR.

beat them to the punch and report THEM to the BON. if they are using a nurse to try to force you to change your documentation, then that nurse would be in trouble for documentation fraud. nurses cannot do that. they claim that you have an option to say you dont want to change it, but we all know that isn't true for some places. how DARE they try to screw another nurses license, reputation, and life up. and many board of nursings do not have any authority over employment issues (and no notice is an employment issue). Impossible to abandon a patient in home health if there are nurses at the office. and we dont stay with these patients 24/7, care is intermittent.

TEXAS ADMINISTRATIVE CODE TITLE 25. HEALTH SERVICES PART 1. DEPARTMENT OF STATE HEALTH SERVICES CHAPTER 133. HOSPITAL LICENSING SUBCHAPTER C. OPERATIONAL REQUIREMENTS AS AMENDED BY HB 1718 (2005): Sec, 241.0262. CIRCULATING DUTIES FOR SURGICAL SERVICES Circulating duties in the operating room must be performed by qualified registered nurses. In accordance with approved medical staff policies and procedures, licensed vocational nurses and surgical technologists may assist in circulatory duties under the direct supervision of a qualified registered nurse circulator. (Eff. September 1, 2005) Sec.A259.003.AASUPERVISION OF SURGICAL TECHNOLOGISTS. This chapter does not repeal or modify any law relating to the supervision of surgical technologists Under supervision of RN RN Circulator Supervision  Circulator role

Im thinking that If the physician is there you have nothing to worry about. and even if you do have to supervise her, I don't think you are responsible for making sure that there is an RN present to supervise her at all times, you just have to supervise her during the times you are assigned to do so.

A lot of these nurses went to concentration camp instead of nursing school.

okay you guys are quoting quotes that were quoted.....and im getting a little confused ;P and where is OP ? i bet she took the the majorities advice and ran and told her supervisor that the nurse kinda sorta attempted to maybe conspire to steal some zofran that she didn't even have on her cart....and now she's probably out of a job:x3:

I dont know the proper thing to do as far as job search etiquette goes, but I think the thank you note was plenty. its her turn to call you.

I have no doubt that number is much higher. the veterans administration alone kills about half of that amount a year. If they included dialysis centers and nursing homes......the numbers would blow our wigs off.