CrazierThanYou

That is a fantastic idea! I've always said I don't understand why the lab can't just notify the doctor directly.

If you hear rumors that an employer is predatory against nurses, BELIEVE IT. Learn from my mistake.

Wrong post!

He should be discharged.

I'm sorry this happened to you. I hope it gets worked out.

My manager called me today to tell me there was a complaint filed against me by a patient and that I'm now suspended while they investigate. She said it was filed late on Friday and that she had no information, including which patient it was. Frankly, I'm freaking out. I've never had a complaint against me in the 5 years I've been a nurse but the hospital where I work is termination happy. I've seen other nurses fired after a single complaint. Recently, a coworker forgot to return a vial of controlled medication and accidently took it home. She returned it the next day AND passed a drug test but they fired her anyway. I had a patient last week who seemed very strange. I explained everything but he seemed very suspicious about everything I did. I had even mentioned it to the charge nurse. His family also seemed suspicious and the wife was angry that he was made ICU status after being admitted med surg status and no one told them. But his status was changed on a previous shift and I thought they knew. His daughter is also a nurse and was asking me about his medications, etc, in a kind of confrontational manner. I don't know if this is the patient who complained but its the only "situation" I can think of and I suspect it is. So, I'm suspended for the next 2 days while my manager investigates. She said she will probably call me on Tuesday to talk to me about it. I'm just afraid I am going to get fired. I have never been fired in my life and I don't want to start now. I don't know how I'm going to get through the next two days not knowing if I still have a job.

12 hours, hands down. I don't think I could go back to a job where I only had 2 days a week off. Yes, 12 hours is a long shift but it's a trade off to work on fewer days a week!

HIPAA

I would have forgotten about it and moved on with my life.

I hate beside report because I don't feel comfortable talking about the patient in front of the patient. Making the next shift wait through an assessment? Heck no!

Last year we got gift certificates for new scrubs and a nice brunch that included shrimp. This year we got an insulated tumbler from a hospital we partner with and a breakfast/ice cream social.

Regardless of your age, $100K is not worth it. You'll be working to pay the loan payments.

I used to work with two nurses who refused to take report from the previous nurse for 30 to 45 minutes while they combed over every inch of that nurses charting. They used it as a bullying tactic.

I just recently had a patient, status post CVA who could not walk independently, which his wife knew. But that didn't stop her from turning his bed alarm off and when he got up, she neither got up to help him nor did she call for help. Of course, the patient had a fall.

In this particular accident, I've seen people who know more about it than I do say that if these kids had been belted, more would have died. It's likely that some kids were thrown out of the way by the impact instead of being killed by the impact had they been belted.

I've seen a million posts like that. One reason I read is that the compartmentalized seats are safer than belts. Also, in case of a fire, stall on RR tracks, etc, it would impede the driver from rescuing all citizen. There were a few other reasons given.

It was just announces that a 6 child died in the PICU this afternoon

Actually, 5 children died, although 6 fatalities were originally reported. It's so very sad. I can't even imagine being a parent, especially, or even a rescue personnel. I am just 2 hours away from Chattanooga.

I've been in a very similar situation. My response was "You make the nursing decisions your shift and I'll make them on mine." Also, it isn't your job to rehab the patient.

No, its CPSI. It actually gives the choices as YES or NO but for ease of explanation, I used WNL. Previously, I have used PowerChart and McKesson, both of which had WNL and the except option. Since that's how I was taught, I continue to chart like that with modifications for whatever the charting software is.

Thanks for your responses. I happen to agree! :)

I'm curious about something. When I'm charting my assessments, I am thinking of what is going on with that patient at that time. I have noticed that many of my coworkers at my current hospital will chart that a patients cardio assessment is abnormal if they have a history of hypertension, etc. If the patient is in normal sinus rhythm and I hear nothing abnormal on auscultation, I will chart that their cardio status is within normal limits. The majority of my coworkers will choose NO and list the medical problems the patient has. Again, when charting my assessment, I am thinking of what's going on RIGHT THEN, not a heart attack twenty years ago if their current heart function is normal. Because, really, past medical history is also available in the chart already. Also, say my patient is in controlled afib but nothing else is abnormal. In my charting, I will say the patient's cardio status is WNL EXCEPT for afib, irregular heart sounds. A coworker of mine says that is incorrect and I should choose NO. My reasoning for choosing WNL EXCEPT is because that says to me, and others reading my charting, that while the patient is in controlled afib, otherwise, all is well with his cardio status. Also, my first nursing job was with one of the top hospitals in the country and that's how our charting was set up; with the choices of WNL, WNL EXCEPT, and NO. I have never had any negative commentary from any manager or anyone else on my charting and in fact, I have gotten praise on my charting in my current position. So, I am just curious about others' charting thoughts. How do you chart?

It appears you don't understand how PRN works. Usually, those employees choose what they want to work and typically don't work holidays, etc unless they choose to. It's not her job to fill in whenever you want a day off.

I had a similar scholarship. I graduated in May and started my first job in September at one of the top hospitals in the country. I was getting discouraged, I had only had two interviews but i finally score a job. I don't know about your area, but in mine, you can get hired in LTC and start the next day. While you might not want to do long term care, it can be a start.

It sounds like you have a perception of those positions as "better" but everyone has their thing. Some nurses act like med-surg nursing is the worse but some people love it. I think OR nursing is the worst but someone here loves it. I can go on and on. If you are in a position that requires IV starts, you'll learn that skill eventually. I didn't learn IV starts for a couple years because my hospital had an IV team but now, I'm great at them. There is a place for everyone.