PhyllisMSN

Brandi you have a lot to learn about pain and compassion. Imagine every bone every muscle every joint in your body hurting 24/7. These patients have been in the hospital since they’ve been one and two years old. They are probably manipulative and slick acting because they’ve had horrible experiences with nurses being judgmental.

There are indeed bias in Nursing whether we want to admit it or not. The sickle cell patients have tremendous pain all over. They are given narcotics from the age of two and three years old to control pain. Yes these patients have tolerance not addiction and they need to be treated with respect.

Is it possible that you could move or relocate? Nurses have to be proactive and demand what they are worth. Healthcare is now a business, and nurses need to get onboard. I know change is hard, but you have to do what is best for you. Good luck

In my state, LPN's can only work in Long term care. I would suggest that you get a refresher as things change so much in today's times. Technology, especially the EMR can be a daunting process to learn. Also, long term care regulations are changing daily. You might be able to secure a position in an LTC facility as an EMR administrator since you have that background in Information systems. Good luck!

Wait- when you say briefs you mean diapers? Are you saying the residents are only "allowed" to be incontinent 1-2 times a shift? I don't know if it is against the law, but it sure is unethical.

Congrats on your job! I was an NA in nursing school and it was the best experience. Of course, during that time, we did not have EMR's! Enjoy your new job and don't worry about the documentation. This a skill that will come to you eventually.

I am sorry you have had those experiences in nursing. Maybe nursing is not for you? And that is ok. It does not mean that you are a failure. I absolutely love bedside nursing. I have been a bedside nurse for almost 30 years. I have an MSN in Informatics and I can't force myself to leave the bedside!

Unfortunately, hospitals don't have much sympathy for nurses who are sick, or who are having personal problems. I would try agency work until you can get your self together with your personal problems and your health. This way you can have more flexibility. Good wishes to you

There were two incidences. One was for forgery and yes those nurses should be held accountable. However, the second was the patient got septic because of an infected wound. In this incident, there is much blame to go around.

Why should "just" the nurses go to jail? If the patient's wounds were so necrotic that the patient went into septic shock, this did not happen overnight. Doctors are paid a nice salary to oversee these patients most likely by CMS. The providers did not look at the necrotic wound? The providers did not ask for debridements? The patient's labs did not show an infection? The wounds were not ordered to be cultured? Is no one monitoring the patient's vital signs? I am not protecting other nurses when they are clearly wrong. There were 100,000 deaths due to medical mistakes last year according to CMS. No doctors are being hauled off to jail and no one is calling for doctors to be hauled off to jail. Usually, when these sentinel events occur, it is a systems process error. I can't go along with just the "nurses" are responsible.

So wouldn't you agree that there should be more charges brought besides the nurses?

Staff Nurses are not responsible for writing orders for wound care. Period.

I hope this is not the latest trend to be putting nurses in jail. (CNN)Current and former employees of an Ohio nursing facility are accused of mistreating two patients in their care, including one who died as a result of the nurses' actions, Attorney General Dave Yost said Thursday. A Franklin County grand jury indicted seven people who worked as nurses in 2017 at Whetstone Gardens and Care Center in Columbus, Yost said in a news conference. The defendants face 34 charges, including involuntary manslaughter and patient neglect, Yost's office said. One patient "literally rotted to death" as a direct result of the nurses' neglect, Yost said, adding that another suffered physical harm because nurses falsified her medical records and forged signatures. "This is gut-wrenching for anyone who has entrusted a care facility with the well-being and safety of a loved one," Yost said. The accused include six current and former employees. https://www-m.cnn.com/2019/02/14/health/ohio-nursing-home-patient-neglect-accusations-bn/index.html?r=https%3A%2F%2Fapple.news%2FAoPN6WYqqT6Otez_aEF9qCA

CMS came in and did an audit and found that Vanderbilt had many deficiencies and they came them a chance to correct them. The nurse never got that second chance.

I am sure the hospital will fix it after throwing this nurse under the bus.

Where is the report, please? I can't find it online?

Exactly- that is why I am ready to hang this nurse.

I think she should be reprimanded, but not lose her license. According to CMS, there are 100,000 deaths due to medical errors each year. Are all of these doctors losing their license? I promise you, whenever an incident like this happens, it is never one person at fault. It is a system process error. I am just not ready to put all of the blame on this nurse. For example, how is a paralytic readily "available"? What pharmacy does that? In my facility because a paralytic is only used to intubate, or when a patient is intubated, paralytics are only available in critical care areas and they are in a "kit" for intubation drugs. We just do not have all of the information available to us. I fear we are only hearing about this because she is a nurse.

In my facility, Versed is only given to monitored patients.

Also, Versed is a procedural drug. Why in the world did the doctor order Versed instead of Ativan or Haldol? It sounds like there was plenty of standard protocol deviations going on.

I’m sure Vanderbilt has an Omnicell or Pyxis. Why is the nurse allowed to override a paralytic? I would be willing to bet if someone did a root cause analysis of this unfortunate incident, there would be a breakdown on many levels. When Incidents like this happen, very rarely is there one person/ department to blame.

This is absolutely wrong on many levels. Pharmacy and medicine should also share the “blame”. Why is this nurse able to override a paralytic? The article does not say if the hospital had BCMA- I’m sure most medical centers have. Did the nurse not scan the drug? Did the nurse not have a computer to scan the drug? Was the MRI department in a hurry and insisted that the nurse give the drug? I think this hospital has hung this nurse out to dry.

I have had mixed results using the vein finder. It has definitely helped with finding antecubital veins. However, I do think the advertisements go over board ! This is the one we use.

Are you interested in night shift? Ten minutes versus 1.15 hours is a big difference in commute times. Sometimes I think as nurses we take that "loyalty" syndrome too far. Sometimes we have to think about what is best for us. I have been in healthcare for about 30 years. It took me about 20 years to figure about that healthcare is a business; and as nurses, if we don't treat them like a business, you will be lost in the maze. It is not selfish to look out for YOUR best interest. I would wait until the second offer came through as a written offer, and if you still want the job I would put in my two-three weeks notice. Good luck !

Meds errors can happen to the best of us. However, it is quite surprising that the entire hospital is not using bar code medication administration (BCMA). Research has shown that BCMA has decreased medication errors by 75%. The BCMA only works if the nurse does not do any workarounds. Maybe you can take this opportunity to discuss with the Quality department about including BCMA in the psych department. Pre-pouring meds are a disaster waiting to happen. Good luck and keep your head up!