Alex Egan LPN, EMT-B

As others have said the biggest thing is to not bill the visit. The lost income is a drop in the bucket to what might land if the powers that be decide its suspicious and go digging through your entire agency looking for issues. I assure you they wil...

I can endorse this advice to call the labor board. They really are in your corner and have the regulatory bite to really get action. Get a new job, you're not going to make friends, but when you need action you need action. I had a dispute with a ve...

This. Look out for other worrying signs. Supply shortages, loss of coffee in the break room, limiting of overtime. If you start seeing payroll being late or missing overtime RUN the whole thing is going under!

I was asked this recently at a special event I was staffing. My answer was an emphatic no. I chose not to for a few reasons. 1. Narcan is a secondary first aid treatment for an overdose. Airway management and rescue breathing is the most important a...

What state are you in. That’s the most important question. In PA you cannot be mandated to do more than 16hours (18 in a declared emergency)

Congratulations! As a long time resident of the state I am floored that you didn’t have more trouble. I’m glad for us both that the BON seems to be digging itself out of the quagmire of the new computer system

Call a lawyer. Do not deal with the BON on your own, is the best advice and your already there. I went through something way worse, and it sends you to a dark place. You feel your entire future is slipping away. You think every other nurse knows and...

It sounds like your talking about in patent dialysis. Most of what I gathered by talking to the in house folks is that the work isn't bad besides hauling the equipment around. The real issue is the call schedule you may end up doing a lot of call and...

I have been with agency's that insist on the meet and great. I like to turn it around on them. Before I take my time to meet and great I want to see a 485, speak to the clinical manager, have a quick call with one of the regular nurses. Then I decide...

I first experienced this when I was an EMT. As I moved into nursing I continued to find this. Nursing at heart is about making a difference. Nursing in practice isn’t. When good old Flo N went to the Crimean War. The woman she took and the things s...

You should be worried. PA is crazy backed up and is taking a very long time to process things. Get cozy once a week and call the BON. Be nice explain your situation and hope someone will review and approve it on the spot. Be aware most of the time th...

This is also an excellent resource for making your apologies really hit, and be less cringeworthy. https://www.google.com/amp/s/www.psychologytoday.com/us/blog/the-squeaky-wheel/201311/the-five-ingredients-effective-apology%3famp Seriously they shou...

Ok. Basic damage control principles. (Honest version) 1. Minimizing. This is not a big deal. It feels like it and even if you get fired. You screwed up, got a lesson, it’s done. What did you learn not what did you do. No one died, nobody got sent to...

Salt makes the ice colder and increases risk of injury. See the salt ice challenge. I have better luck with vinegar. Just a bit and a shake. Now no one wants your ice.

It’s all how you frame it. Try this way. “Hi Dr X this is RobertJo RN. I’m calling at the request of Mr Crabapple I’m at a bit of a loss for options on this situation and was wondering if you could help?” basically. This guy is demanding I call, I ha...

This is not what you want to hear, but let’s go. If your lawyer is telling you to take the deal take it. Assuming you have a lawyer who is proficient in this area of practice. Lawyers are professionally and legally obligated to advise you in your ow...

Please state the nature of the medical emergency

I agree here are the facts of the case which I have considered carefully. Please read it and reflect. This is the TBI investigation and interview. This is the evidence submitted to swear out a warrant for her arrest. It’s mostly a summary of HER INTE...

I understand some of the mitigating factors BUT the patent was on life support until the next day. This wasn’t a doctor calling the code and then picking up the phone. The error had to be known at that point. Intent is hard. I agree that the doctor ...

I’m constantly and often harshly reminded in this business that I can’t care more about a child’s health and future then the parent. If I do I just end up stepping on toes and getting told to stay in my lane, which is often good advice. It seems lik...

Here’s a bit of an article on the hospitals response. It was less than stellar but mostly not criminal. If I was the doctor who signed the natural causes death certificate though I might be giving my malpractice insurance a heads up. (although I reme...

Fair. A little hyperbole from me. However a death certificate is a big deal to screw up.

The legal precedents for this are fairly new but do exist. The arrest and conviction of Dr Christopher Duntsch in Texas was really what this case set to mind for me. The hospitals were covering up the botched surgeries, the medical board was unable ...

The job postings for nursing homes LTC never go away because they are meat grinders taking in nurses and spitting them out a year or so later. Some Nurses are really meant for LTC but they aren't enough to fill the positions. You have options but as...

You may find some more general info in the Privet Duty forum as that’s what pediatric shift work is usually considered. Home Health more commonly refers to visits. Anyhow. Here’s the deal. If you’re in a new grad position they should be treating you...