cleback

Overall I agree except that basic hygiene was pretty cutting edge back then... we're talking about an era doctors were literally killing mothers and newborns because they went from autopsy to delivery without washing... and when a doctor realized it, the profession basically ostracized him for his revelation of the importance of getting corpse juice off before providing invasive patient care. Wild times, I tell you.

I am less concerned about placing blame and more about providing tools to prevent it from happening.

I didn't call you or anyone names so don't make me out like I did. I appreciate that you or your family have never had this tragedy... it is uncommon, afterall. I'm just saying the causes are unintentional and rooted in the human condition. We can work with it to help prevent it from happening to other children and families.

People can take as much responsibility as they want but it doesn't make them less human. People will still get tired, distracted, go into auto pilot. The question is how to protect kids despite unintentionally imperfect parents?

I would eventually love corificeat technology that syncs with a car alarm, like the reminder alarm to fasten your seatbelt or take the keys out of the ignition. Edit to add I used to be one of those moms that blamed the parent for unbelievable carelessness... that judgyness reassured me as a mom but it doesn't save the poor kids who die a horrible death. We can do better.

It could go both ways. I had a friend who fainted and had a rapid response called on her after she vasovagaled from her preceptees iv poke. She was just letting the new nurse practice. Both nurses kept their jobs. The incident was laughed off. Another nurse at my work lost her job from starting an iv without an order on surgical patient. I guess it boils down to if they like you or not.

Muno was correct. I didn't pick up any snark... but I don't agree with your argument for the same reasons Muno pointed out. I've certainly given iv methylpred and moved onto the next task. Monitoring depends on the drug, purpose, and facility policy.

Interesting. Thank you for the info.

I've been checking back on this thread... and so far no one has attempted to argue why not checking a procedural site (time out, sit marking, etc) is any less negligent than not checking a medication (5 rights). I think that is a big problem. I have to wonder if the real reason these cases tend to go to civil instead of criminal court isn't because actions don't fit a definition but rather for financial reasons. One doesn't get a monetary settlement in criminal court. And obviously, if the patient was severely injured, they're probably going to need the money.

Nursing school is equal parts learning how to be a nurse and learning how to be a nursing student. Nursing school requires a different approach than, say, a mathematics major. No calculus professor would ever dock you for nor being their kind of personable... a clinical instructor might. Whereas other fields only care if you know the material, nurses care how you show that you know the material. It's frustrating. You'll get through it. For forgetfullness, come up with a way to better retrieve knowledge. Meet with the professor to discuss your strategy. By seeing you use it, hopefully she see you care. Also through continued interactions, she'll warm up to your way of expressing yourself. However, I will say it doesn't really matter if you're not outgoing. The best professor I had told me that nurses need all types because we take care of all types. As you work, you will find it to be true. The most outgoing nurse may click with some, while a more reserved nurse clicks with amother patient. Anyway, chin up!

I'm going to play devil's advocate and say yes. Time outs in surgeries/procedures are just as important as the 5 rights. That everyone in the team plum forgot is a bit of a stretch, particularly when it needs to be documented. I don't agree with the argument that this form of negligence is less purposeful than the other.

Yeah, this is why I was not a fan of the nurse charges. Now every screw up can be criminal.

If you're interested in primary care as an np, work as a clinic rn in family or internal medicine. Acute care experience isn't necessary for a primary care np... however, it's harder to go to school while working MF 8-5. You'd likely have to be part time once you get to graduate school.

Suspected infected picc lines are not to be used, including flushing. Exception example... If the patient has a fever but no s/sx of infection at picc otherwise, the doc may order a culture off the line as a precaution and opt to keep the line. Then you just use it as usual.

You're not in PA school yet, so you're not giving up anything. That aside, I think you answered your own question. You seem to value a more balanced family life right now, which is a legit life choice. If you end up regretting your decision, you can go back to school for a PA or NP while working as a nurse. You can't really go back and erase student debt or go back in years to be a young mom.