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imintrouble BSN, RN

LTC Rehab Med/Surg
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imintrouble has 16 years experience as a BSN, RN and specializes in LTC Rehab Med/Surg.

imintrouble's Latest Activity

  1. imintrouble

    Lost job over HIPAA violation

    I routinely accessed the ER chart of a suspected admit, to set up the room and familiarize myself with the patient. We were threatened for this activity, but all the nurses did it, and nobody got fired. Management covered themselves with the threat, and looked the other way. The sentinel event is what got you fired. I'm sorry. Very few things are as painful as being fired as a nurse.
  2. imintrouble

    Tell me I'm being too literal

    Funny you should post the above. We were threatened with our jobs for HIPAA violation if we told anybody how many or who the Covid patients were. It's obvious where the rooms are, when you look at the isolation signs. But it seemed pretty over the top to threaten staff on the unit, when they told each other. I guess we're all just feeling our way through a situation we couldn't even imagine a year ago.
  3. imintrouble

    Tell me I'm being too literal

    Thanks for all the replies. I figured documentation of deficiencies was how I was going to handle the difference between policy and reality. The stupid thing is, hospitals and nursing homes all over the country are having to improvise with N95 masks. It's no secret there just plain aren't enough. Attorneys and families know it. Putting out a memo that no hospital or nursing home in the country can comply with, won't protect you from lawsuits if somebody wants to litigate. It always makes me mad, when management anywhere, expects a result they know nobody can deliver. Just to cover themselves. When I talked to the nurses I work with about my concerns, they looked at me like I was overreacting. They'd already started improvising with masks, goggles, and face shields, without complaint or direction. Doing what they thought was best, disregarding the mandates of the Covid memo.
  4. imintrouble

    Tell me I'm being too literal

    They're hanging us out to dry aren't they. What I don't get is why the nurses I work with aren't as anxious about this as I am.
  5. imintrouble

    Tell me I'm being too literal

    Haven't been here in a while, but I need some advice. Covid has come to my little rural corner of the world. We're taking care of covid positive patients. I'm not afraid to take care of them. I've always figured I'd contract it eventually. However, my place of employment has issued a memo full of instructions and requirements to enter the Covid rooms. They've directed us what kind of masks to wear, and where to wear them. Eye protection the same. Detailed instructions on what to do and how to do it. The problem is they haven't supplied the PPE as directed in the memo. The way I interpret it is, they've covered their butts with the proper procedure, then I get to decide how I protect myself and those I care for. The last day I worked I didn't have an N95 mask, and threw a fit until I got "one" even though I'm supposed to have a different one for each covid room I enter. I've been burned several times in my long nursing career, improvising when I found I simply couldn't do what I was told to do. Management can and does leave you hanging when you try to do your best with what you have. I've read the horror stories about nurses in NY, and other hot spots, who weren't properly protected and what they had to do. I feel small complaining about my little problem, that's why I'm asking for advice. When they tell me I have to have a new N95 mask for each Covid room, and only supply me with one, what do I do?
  6. imintrouble

    Has anyone left nursing job due to COVID19 virus?

    We were given one N95, one yellow surgical mask, and a paper bag to keep them in. That's it. My allotment for the foreseeable future. I work in a LTC in a rural area with very few positive Coronavirus cases. We are mandated to wear masks the whole shift even though we're virus free. I can only imagine what will happen if the virus gets in where I work. My mask is already a petri dish. My situation doesn't come close to yours however. I personally support whatever decision nurses make, regarding working with no protection.
  7. imintrouble

    To Suction or Not To Suction, End of Life & Hospice Patients

    I only suction the dying patient when the family insists. I try, try, try, to convince them it's pointless and uncomfortable, but sometimes it's all about how the family feels. Not the patient. I've always considered suctioning a form of torture. Secretions build up, suction them out, secretions build up, suction them out. A cycle that simply prolongs the dying process. Not everybody thinks the way I do, so I keep my belief about torture under my hat. I feel the need to explain the torture thing. That's a personal observation. I'm not saying the nurse who suctions is evil and sadistic. Not saying that at all. I'm sure the nurse who thinks suctioning makes the patient more comfortable thinks I'm evil and sadistic. I've even had one or two tell me they thought I was wrong headed about this issue. Maybe when I'm dying, and I'm rattling enough to raise the roof, I'll know which one of is right.
  8. imintrouble

    Real shortage of nurses or bogus?

    There is no nurse shortage where I live. Wages have remained stagnant over the last 5 years. The usual indicators of shortage, such as hire on bonuses and want ads, just aren't here now. As others have pointed out, it's probably geographical.
  9. imintrouble

    Stealing meds?

    Telling you she's stealing meds, has made you an accomplice. Even hearing her say it has made you an accomplice. The way I see it is, silence is consent.
  10. imintrouble

    FBI: Hospice Owner Told Worker to 'Make Patient Go Bye-Bye

    How is it financially beneficial to kill off the people that are paying the bills? Sorry. I read the article and my question was answered.
  11. imintrouble

    HIV Positive Liver & Kidney Donor

    I'm going to post what I'm thinking, and hope nobody finds it offensive. It's going to sound cold blooded, and I don't know how to dress that up. Is it ethical to invest that level of health care resources, in a patient with an unknown future? Is it ethical to deny a patient dying, a way to live, because of financial resources?
  12. imintrouble

    No pain meds in ER??

    The tide is turning on pain control. From giving everybody who asks for an opiate, an opiate, to withholding serious pain meds to those who really need it. Just as the prior system aided the seeker, the new one hurts the patient who actually has intractable pain. There is no middle ground.
  13. imintrouble

    HIPAA violation question

    Where I work, nobody gets away with unauthorized snooping, and the penalty ranges from reprimand to firing. You're a student. What were you thinking? I've seen seasoned nurses fired for HIPPA violations. You're a student. Pray only the hospital sanctions you and not your nursing program.
  14. imintrouble

    Anyone else read this?

    You can wreck a person's life by publishing crap like that news article. New high school grads looking for a good job, spend thousands of dollars and 4 years on a degree that won't get them a job. Or a job they hate that doesn't pay what they've been promised.
  15. I don't think there's a single doubt that he chose pediatric nursing to abuse kids. Another question would be how many co-workers suspected he was a perv and kept it to themselves. Or how many managers heard complaints from nurses, and didn't investigate. Or even why he left nursing in the first place. Was he fired?
  16. imintrouble

    Max dose for humalog?

    I've given 500 units. My hands shook when I did it, but that's what they took at home. It's the only time I've used U500. The patient thought I was funny. It took a shift or two to lower that dose as their condition improved, and the restricted diet caught up with us.