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.

Not sure if I agree with all of your post or understand your point behind pointing out #2. If the nurse knew it was a lower dose for anxiety, not sedation, she would likely not be closely monitoring, so wouldn't the fact that it was an anxiolytic dose make her offenses less egregious, less fitting of a reckless homicide charge? I'd be curious to see the Vandy policy on it. Anyway, I am going to be completely honest... I would love to join in and say this could never happen to me... but I've made a med error (gave the wrong eye drops). I've technically made a monitoring error (gave low dose iv fentanyl for analgesia without realizing the instituional policy for ANY iv fent was akin to conscious sedation). If the stars had horribly aligned with different circumstances, I could've had a patient tragedy too. Personally, I find the "no, not never me" reaction to be human nature as well. In horrible circumstances, people want to believe that bad things only happen to bad people. My two cents, at least...

How is asking a doctor to see a patient over a medication issue acting "above" doctor? It's recognizing the doctors expertise in medication ordering... sounds like the doctor didn't like being asked to do something... silly.

I don't know if you have clinical depression or would be helped by medication, but I do notice maladaptive thought processes in your post. At the very least, counseling should be able to address those with you. There's no reason to continue being unhappy, OP.

I successfully went from inpatient psych to medsurg... during a recession, no less. It's not impossible. You may need to 1) relocate to a more favorable market or 2) change your resume or refresh your interview skills. Whatever your path, I would knock off the "am I an ahole" bit. In my lifetime, whenever someone asked me that question, yes, their attitude could be adjusted. It definitely is negative and won't help you land a new job.

I use "writer" instead of I/this rn. Agree with PPs that it's ingrained in our training to keep documentation as depersonalized as possible.

You have nothing to lose by keeping your hat in the ring. I assume the position is away from the bedside? I think it's pretty common nowadays to have re-evaluations of positions, particularly nonbedside ones. It bodes well that they cut back by attrition vs letting people go.

I'd go for it. Having it paid for takes an incredible amount of stress off. And youd be able to work less (theoretically) than if you had to pay for it out of pocket. That said, it is a time commitment. Be prepared to miss some time with family. But it's only temporary... and you may be able to be done in two years, which will go by in a flash.

The cons to the rn supervisor position are big to me. Money can't always make up for poor working environments. Also, would you want to be the kind of nm that leaves early? I know a few that did that as a staff rn... never saw them on pm shifts, didn't get the impression that they really cared about how the unit ran. I'd vote um position. You could like it and be good at it.

Had a baby :)

I tend to see coworkers who swear constantly as those who are loose cannons/don't have good control over their emotions. I dread having to tell them something I know will set them off. That, or I really don't trust their judgment that something is truly urgent... because they swear like everything is the end of the world. That said, I do appreciate it as a release... I just do it out of earshot.