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  1. I have looked at a number of surgery center websites and some of them do not even display their credentials. Some others talk about getting Medicare certification but do not display this on their website. I was trying to find out if Medicare certification serves as a substitute for accreditation from AAAHC or Joint Commission accreditation and if this would be why a surgery center would talk only about Medicare certification and not about being accredited by AAAHC or any other entities. I also do not see why so many centers do not even display any credentials on their website and instead are full of propaganda. The propaganda can be insulting with no mention of accreditations.
  2. Saiderap

    "Nurses Eating Their Young"

    I think the real myth is more that no one ever takes a good look at how they're contributing to their own problems. Some of these people really don't know why they're being humiliated and that's why it's so frustrating. Most of my R.N. teachers helped to empower me and also explained where I went wrong out on the floor in a private conference. If they had not told me what I was doing wrong, I would never know and no amount of introspection would have helped.
  3. My social media accounts contain NO information about my patients or work places.
  4. Saiderap

    Sure to Get Flamed for This

    What really kills me is the slander that goes on. If it isn't slander I don't get quite so upset but instead just try to improve.
  5. Saiderap

    URGENT: Are CDC Ebola Guidelines 'Good Enough'?

    The problem with this is that it is much harder for some nurses to follow the protocol than some others. Certain handicaps can make putting on extra gear awkward and difficult.
  6. Saiderap

    URGENT: Are CDC Ebola Guidelines 'Good Enough'?

    They need to train them for it even if it's only for educational value and because they might deal with diseases even worse than this one.
  7. Saiderap

    Critical Thinking

    "You don't leave your brain at the house." More importantly, you do not let staff members, patients or visitors take your brain out of gear. Health workers are not flunkies that have to cater to high and mighty authority figures. Don't leave your heart and soul "at the house" either.
  8. Saiderap

    I Am Being Disciplined: What Now?

    Maybe someone here could advise me about how to handle slander in the workplace. When I do something wrong, I would prefer to face my own shortcomings and not blame other people for them. The problem arises when I have dealt with supervisors who lied about me and then accused me of lying ie. "I answer their lights and do things for their patients..." while the others sit at the counter and never say thank you and act as if they never watched me answer three lights in a row. What should I do with a DoN who says, "Oh no you don't." What is the proper response when I feel like a co-worker lied to the charge nurse and knew I would get my head bitten off and then confided to her that, "It's like screaming at the dog," like this is some sort of a joke. In this case, it seemed that they had changed the rules without telling me. When a co-worker asked, "What did you get in trouble for," I said, "I couldn't read their minds," and I was ready to start screaming (a thing I'm always afraid to do in my workplaces) Even when these people have a reputation for being trouble makers, it doesn't help much when you're the one getting the blame. I never had the nerve to come right strait out and say they're lying.
  9. Saiderap

    Critical Thinking

    When I was a new girl on the wing, I was always told, "hurry up," "We don't have time to do that," and "Speed up your act." What?? I don't have time to wash someone's face when they're hot? Oh, and five to ten minutes is not always enough time to give good patient care. There were times when I found out the real reason we had to hurry up was just so we can sit down at the nurses station and do nothing. My struggle was with knowing the right people to listen to and when to respect myself first.
  10. Saiderap

    Being "written up"

    There was a time several years ago when I was written up and suspended by the nursing facility I worked in. At this moment, I'm looking at my renewal form from Licensing and Regulatory Services. One of the questions on it reads, "Have you ever had any disciplinary actions taken against you such as suspension, revocation, or reprimand?" My perception of it is that there is a difference between being discipined by the State Board of Nursing and being disciplined by your supervisor. Are they referring to disciplinary action from your workplace as well as the state, or only discipline from the State Board? I don't know how to answer this question. I have to provide a yes or no answer. I have never been disciplined by the State Board.
  11. Saiderap

    Nurses who steal narcotics....

    I remember being alone in the med room without supervision and I was thinking about how stupid it would be if I tried to takethe narcotics. I have also been there when the charge nurse had to take a syringe of refused narcotics and squirt them into the garbage.She had me sign my name to say that I watched this. I wish we could legally just put these refused doses away in case they change their minds or for someone who needs the same dose of the same drug. I do understand the mindset of someone who is addicted to narcotics when the patient refuses and they now have to put the drug they crave in the trash. In this case they must feel as if they are not technically "stealing" the drug from the patient because it is already predestined for the trash. I think this would provide a private rationalization for them because they did not have control in the first place.
  12. When I was studying, I was amazed to find out that the privacy laws don't set limits on loud talking between health workers in a crowded room. The privacy rule, "is not a strict one." I was deeply disturbed at work when the charge nurse would ask me for report right at the nurses counter in front of any visitor or outsider who happened to walk by. I was too shy to argue or confront them about this, ie. Could we carry this discussion to the other room where people can't listen in? I was even more disturbed to find out that if I close the door to a patient's room to talk with them about which diaper they should use or any similar thing, this made me stand out from my co-workers and two co-workers demanded that I leave the door open, even when closing it calmed my patient down. The law also allows nurses to share private patient information with abusive family members, even if they are a wide-open gossip and routinely spread rumors about the patient all over town :uhoh21: (a true-to-life case scenario) This law applies, even when a family member's abuses of the patient include rape and even when they are literally driving them insane. A patient's parents, siblings, and children can get private health information about them even when they are not qualified to have it and even if they don't have any genuine concern for the patient and only want to control them or make a spectacle out of them. When you add to this that there are some ignronant nurses who strictly follow the legal guidelines with no recognition that this is a threat to their patient and some relatives who are convincing liars, I guess hospitals are not always a safe place to be. Even a patient who can speak for themselves can't always convince their caregivers to save their faces.
  13. What comes to mind right away is the old idea of making someone put their head back when they have a nosebleed. This makes blood go down to your stomach and from what I have heard, can cause vomiting. The new protocol is to lean forward, or anything but putting your head back.
  14. Saiderap


    I was working in home health care when I was pregnant. Speaking strictly for myself, it was not working. I worked for people who had a blatent lack of concern for my safety and health. I was sent out to patients who were on radiation therapy (known to be a threat to unborn babies) I was also coerced to drive long-distnace through a snowstorm on poorly maintained roads to a client who did not expect me to come or need me under these dangerous circumstances. This was just so my agency could make money for themselves and not about the needs of the client. I also had morning sickness while I was on my home-care job and this a threat to patient safetly. The patient needs help immediately when they ask and I literally had to restrain myself from throwing up while I helped a vomiting patient. :uhoh21: There was no one available to help me with her. There are hostile and abusive clients, families and co-workers in home health care as well as in the nursing home and multiple anxiety producing situations. Stress is a threat to unborn babies. You should research this. Here is another thing, can you imagine if you had a misscarriage while you were working in home care, with no one around to help you? I have heard of girls working up until they are ready to have the baby, but I think they are rare. If I had it to do again, I would find a job much calmer than health care. In the last part of my pregnancy, I arranged to stay home and usually had someone there with me for safety.
  15. In martial arts they teach their students how to know what someone is about to do. It takes all five senses and all your gut instincts and intuitions to know when you should back off or stay out of someone's veiw. I have not worked with that many mental patients but with the ones I've taken care of, I can usually tell by their eyes if they might get violent. I think someone should use every instinct they have to anticipate violence before they get attacked. Another thing to avoid is the obnoxious supervisors who try to force you to approach a violent patient by yourself with the excuse that, "He is just scared."