2010NewRN

I have to write a paper that focuses on a conflict between nurses and physicians, but the conflict must be an advanced practice problem. Per the professor, "Also please be sure the conflict is an advanced practice problem. This can be a hypothetical issue, so please do not worry if you do not have a real life issue." Per the assignment: Describe a situation in which there was a conflict between nurses and physicians or nurses and administration (use an advanced nursing practice situation). Write a paper on how application of the Twelve Skills Summary to the situation might have altered the outcome. Help me with an idea. I'm struggling terribly! Thanks!

I think a blood pressure cuff you're familiar with is very important, so I always take my own even if I'm told there is one in the home. First, the b/p cuff might not be there as you're told. Second, it might not work correctly, and if you're not familiar with it, how would you even know? Plus, I'll admit, I've run into some I just can't operate. I feel more reassured of my results if I'm using a piece of equipment where I know I can trust the readings I obtain! Just my 2 cents.

I'm an RN, and do private duty/home health pediatric care. My shifts are generally 8 hours per day in one home. I wear scrubs, for the most part. Sometimes I'll wear scrub pants and a plain color t-shirt. I don't look at home health care as much different than hospital work. At both you have the chance to get yuck on you...whether it be vomit, BM, phlegm out of a trach or blood. I really wouldn't want to get any of that stuff on my "nice clothes" so, scrubs it is for me. Now, I know some of the nurses at my place will wear jeans, and a nice top if they are working day shift, and attend school with their client. I suppose that makes sense...better to blend in, and probably less embarrassing for the child.

We all have those kinds of nights!!! Heck, I just had one the other night! G-tube came out. Didn't know if there was a replacement. Had to wake mom. UGH. Chin up! You'll have a better handle on it all on your next shift!!!

luv-of-kids- Yes, some of the hours were orientation, but the hours I was paid orientation rate, are depicted correctly on my pay stub. X hours at orientation pay X hours at what should be regular wage It's the "regular wage" amount that is clearly not what I was told. Everything else is correct. I'll go in the morning and try to get it worked ou.

I know I need to go in and talk to the HR person at my company about this, it just upsets me that I discovered this on Friday of a holiday weekend, and have to wait until Monday to discuss the issue. Any suggestions on how to approach the subject without ******* my employer off would be fabulous! I accepted a job in April, and signed an agreement that stated that my hourly wage would be $19.00 per hour. It was co-signed by the person who hired me, the clinical supervisor, who I think left the company between when I accepted the job and actually started. I just received my first paycheck, and the hourly wage I was actually paid was only $16.20. I obviously wouldn't have accepted the job in the first place if the wage presented to me at the time of hire was the $16.00 per hour. UGH! So, now I have to put my big girl panties on, and take this up with the company on Monday, and hope they will honor the original offer, because I really don't want to lose my job or be forced to resign due to wage. I really don't want to go back to being unemployed, and job searching again. Thanks for letting me vent!

Iowa Licensed Sept 2010 LTC from Nov10-April12- base rate $22.50/hr Private Duty as of April12- $19.00/hr

I started a new job about 2 weeks ago at a residential program for the mentally ill. The place has two units. One for long term mentally ill patients, and a unit for those in transition from an inpatient hospital stay back to the community. So far, orientation has been . . . . interesting. There's been a couple things that are happening, and I'm just so unsure if I should bail because these are signs of things to come or voice my concerns to the DON and possibly be known as, "that nurse." 1) I haven't seen a single nurse do blood sugar checks and insulin injections the same way. In fact, on several occasions I have witnessed nurses giving insulin without ever wiping the vial with an alcohol pad nor the injection site. I asked if there was a protocol for doing insulin administration, and was just told, "Everyone does it different." I was taught to always use alcohol to wipe the vial and the injection site. Is there something I don't know? 2) I've witnessed OMT's and nurses dropping resident's medications on the floor, and still giving that medication to the patient to take. This totally grosses me out, and is against everything I've learned in school. What gives? There have been other issues, more personal in nature, such as established nurses bad mouthing me to the DON when I've done nothing wrong. In fact, I was called into the DON's office last week to discuss these non issues. It was embarrassing and upsetting. So nurses with more experience than I, what's your take on this?? Kind Regards, NewNurse

*ac* You will notice that my profile here is completely blank. There is a reason for that! :wink2: I did originally decide to post this here after much thought for two reasons: 1) I wanted honest advice on what course of action I should pursue, and 2) I don't want anyone to make the same mistake I have. We need to look out for each other, and one of the best ways is learning from some elses mistakes before you make them yourself!

Again, thank you Jeanne. You are wise, and sometimes us newbies need that wisdom from those that have been there, done that. I can assure you that no bashing of said hospital will occur by me or my nursing school friends. None of my classmates know exactly what has happened. They may have ideas or heard rumors, but I did learn from this situation, and I learned quick! When asked by classmates what was going on, I kept it close to my chest and simply told them, "It's all confidential. I cannot discuss it with you" and left it at that.

Thank you Jeanne. This is exactly how I read the whole situation. You couldn't have stated it better as to what I think is really the reason for what has happened. While I can see why and how the hospital is trying to protect their ass, it is still discrimination as far as I am concerned.

I was not required by law to disclose that I have a mental health disorder to the school or the hospital. I am protected under the ADA law. I have not hidden the fact that I have a mental disorder from the school. Heck, I receive vocational rehab through the school due to the mental health disorder. So there was no lying on an application or withholding information from anyone! As far as charged with breaking HIPPA, I was cleared by the school of any wrong doing. The dean was provided no proof of a violation, and when given access to my Facebook page, she could find no violations. As far as the college is concerned, I broke no rules, laws or policies, which is why I am still in the nursing program at my college. The decision made by the hospital to not allow me back to their facility was made on their claim that I broke HIPPA laws, of which, the school found no proof! I'm confused how I can be cleared of any wrong doing by my school but still be banned from this local hospital based on no proof.

I was working clinical at this hospital in July. The post they provided the dean was from October last year, so no, it was not posted while I was at the hospital, but I understand why you asked that. While some people might find bipolar something to hide, I never have. I don't go around announcing it to everyone, but I am not ashamed of it. Did I think a simple Facebook status update from October (which, I can't even find so I'm not sure it exists) would come back to haunt me? No. I did not. Lesson learned: be very careful what you put on the internet!

I am aware of this, and am pretty darn positive that my privacy settings on Facebook were set to "Friend's only".

I don't know if there is a way for Facebook to tell me who accessed my page in the days before the report was filed with the dean of nursing. I suppose I could check on that. I will admit to doing well academically (I am a straight A student), as well as admit to doing well in clinical, and always being well liked by my instructors. The idea of a jealous classmate has occurred to me.