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  1. Katillac

    Is this insubordination? How do I deal with this PSW?

    Couldn't agree more. And most schools have exactly zero tolerance for a student practicing outside their scope, or refusing to respect boundaries set by instructors or God forbid a facility nurse in a clinical. And the idea of this girl in nursing school watching to make sure nurses at her clinicals were "doing things right"? She wouldn't last 10 minutes. But I disagree with having her submit questions in writing, or talking with her further about the consequences of her behavior. She's not listening, and way too much time that should be spent on patient care by the PSW and the OP is already being wasted on attempting to manage this chickie. Every time it happens, I'd just say. "We've been over this. That's the kind of question I won't be answering," and then redirect her to a PSW-appropriate task. I'd keep a quick tick list of times it happens to cover my six in case the excrement hits the air mover, but management already knows what's happening and elects to do nothing. Not OP's problem to fix, just to manage toward least disruption by and maximum productivity out of this subordinate.
  2. Katillac

    Is this insubordination? How do I deal with this PSW?

    I'm not sure about where you are, but I think this is a little alarmist. I am responsible for seeing to it that appropriate care is given on my shift, for example I am liable if a CNA doesn't feed or change or reposition patients because it's then seen I have failed to supervise adequately. But if a support worker does something outside of their realm and I am on record as telling them repeatedly to stick to their realm, I am not legally liable. However, I live in an employment at will state, so I could be fired for anything. Two different issues. I would be no more legally responsible than if, say, an aide assaulted a patient. On the other hand, if management had been repeatedly advised this support worker was attempting to take on the nurse's role and keeps her on and something happened, I think there would be liability to them. That's my take as a legal nurse consultant, not a lawyer.
  3. Katillac

    Fired for bad leadership - board of nursing investigating

    Some links the OP may find useful: Maine Nurse Practice Act Table of Contents for Chapter 31: NURSES AND NURSING Definition of unprofessional conduct https://www.maine.gov/boardofnursing/docs/Chapter%204.pdf Mandated reporting to the BON Health Security Act Reporting: Discipline: Maine State Board of Nursing List of ~1,100 nurses with discipline against them. I looked at the first few dozen, can't find any for unprofessional conduct other than gross malfeasance like lying, stealing, etc. Disciplinary Actions: Discipline: Maine State Board of Nursing You may want to consider your employer's complaints versus the list of violations the BON took license action on in deciding whether to get a lawyer to advise you on your response to the complaint.
  4. Katillac

    Quitting after 2nd week on the job?!

    We can't give legal advice on allnurses. It's against TOS. But there have been many threads on allnurses about your question and I believe it was also answered in the Ask A Nurse Attorney section under Careers on allnurses.com. Also, the nurse attorney who wrote the following article (it's not my opinion, it's that of an attorney) says that you must have accepted a specific patient assignment and left without notice in order for your leaving to constitute abandonment. Abandonment: What It Is And Is Not - Nurse Guidance This is interesting, too - apparently Michigan's BON specifically prevents nurses from being censured for abandonment because they refuse mandatory overtime believing they can't provide safe care: Patient care at heart of patient abandonment resolution ETA: And what Wuzzie said, times 100.
  5. Katillac

    Facility does not provide breaks - What can we do?

    Buddy nurse or not, if you wear a walkie and are required to respond while you are on break, you are not having an uninterrupted break. Blow them in to the DOL at the very least.
  6. Sorry, I missed this until now! I'd recommend the OP report him to management. Someone misrepresenting themselves as an RN to patients, staff and other agencies is a risk to everyone involved.
  7. Katillac

    What actions give you a discipline type on your license?

    Nursing boards are responsible for seeing that the publice is safe from nurse misconduct. To avoid discipline, read the nurse practice act for your state and stick to it. In addition, don't steal (especially drugs) or come to work impaired, or lie (falsify records) or abuse or abandon your patients. In other words, practice safely, ethically and responsibly and be a decent human being. You should be fine. More specifically, here are the grounds for discipline in your state of Minnesota, conveniently located on the same site you found the actions against the nurse you looked up and where you'll find the NPA. Minnesota Legislature - Office of the Revisor of Statutes
  8. Katillac

    Is it wrong to expect kindness?

    You're not wrong; but you're likely to be disappointed. It seems you're adhering to social contract your colleagues haven't necessarily signed off on. Your bound to be let down if you expect everyone to be like you and see things as you do. In the face of the difficult shift - and possibly your unit's culture - it would of course lessen stress if everyone treated each other in a supportive way. But not everyone does, or will, exemplify that value. How you respond to that is key to your ultimate sense of being OK and satisfied with your work. I've found that asking for what I need in ways other commenters have suggested is helpful. When I stopped just universally expecting certain behaviors and started asking for them, I got more of what I needed.
  9. Katillac

    Triage scenario, opinions needed.

    I'm trying to imagine a scenario where hospital staff would have a legal right to hold anyone; that's a law enforcement role. Decline to discharge, yes, and the patient is then free to leave AMA. Try and keep them here is very different from don't let them leave - asking you to be persistent in your efforts to see they stick around for appropriate treatment versus keeping them prisoner which you have no standing to do so. Ditto with security, they can ask patients to go back inside, but they can't legally detain them. I'm glad you would not have felt comfortable doing that.
  10. Katillac

    Sexual harrassment or just an old creep?

    Can't agree more with the commenters who are encouraging you to be direct. But I would throw in a nod to your part in the dynamic, as in, "I know we've developed a very friendly relationship, but I need us to be just respectfully profesional going forward." I mean, up to this point you have been smiling and chatty and received his attentions. It's important to let him know in so many words there has been a change. When you stop smiling, he just thinks you're having a bad day. It wouldn't be reasonable to ask him to guess by the expression on your face on a certain day how welcome his presence is. BUT I wouldn't speculate or ask him about what his intentions are, for a lot of reasons. He could say he's just being friendly. I wouldn't use specific behaviors like compliments or whispering - that invites misunderstanding or his going around your preferences with other overly intimate behaviors if he consciously or not doesn't "get it". I wouldn't hide from him, use hints or excuses (you're busy, people are talking, your husband wouldn't like it) or any reason at all, or he might perceive them as objections to be overcome rather than boundaries you are setting. I wouldn't try to soften it with telling him he's a nice guy, or you're sorry, or if things were different, or anything else that will give him hope or perceived permission to try harder. I might say that it's not personal, but you need your work relationships to be. . . respectfully professional. The bottom line is in order for a relationship to be consensual, both people need to agree on the boundaries, and you could say just that. If he does have actual law enforcement background, once you float the word consensual he will understand very quickly. I wouldn't escalate this before telling him. As others have said, that invites a he said/she said. I wouldn't escalate once you've told him unless he doesn't change his behavior; your goal I think is to get the unwanted behaviors to stop, not start a harrassment action unless one is needed. I would document the conversation, and any unwanted behaviors that happened after the conversation. After the conversation, I'd set the professional tone by grteeting him just as you would your other co-workers and going about your day. If he comes to the floor and wants to talk, ask him if there's something he needs, then go back to what you were doing saying politely, "Excuse me, I need to go back to charting," or whatever. With all due respect for the socialization that women get to NOT be direct, to smile and hint and be compliant and wait for someone else to fix it, just talking about this behind his back and making him an object of ridicule is immature and unfair. These kinds of interactions aren't comfortable for anyone. But look at it from his perspective; he has a wonderful friend at work he thinks there may be a chance there is more with. From his perspective, the flirting has been fun for both of you. You haven't done anything to let him know he's out of line other than showing him a straight face. Do the right thing for yourself, your unit, your management and him, and directly set a boundary.
  11. Katillac

    Is this legal?

    This seems to be a commonly held belief. Does anybody have a shred of evidence it's true?
  12. Katillac

    Is this legal?

    There is no law that says facilities must confiscate controlled or illegal substances. In fact, if they confiscate they are then in possession of said substances, which is illegal.
  13. Katillac

    Is this legal?

    Am I the crazy one here? Abiding by a federal law prohibiting marijuana possession means specifically you don't possess marijuana, not that you steal it from somebody. Because that's what confiscating is (as the OP is feeling) when you have no legal authority to do so - theft. Staff aren't even mandated reporters of marijuana possession, nor of positive tests for controlled substances. Furthermore, does your facility set itself up to enforce all federal laws? If not, its selective enforcement is unethical. As a nurse who does home visits, we are specifically prohibited from requiring patients surrender medications they are no longer taking (although we educate and offer to destroy narcotics) because the meds are the patient's property. Why should a hospital be different?
  14. Katillac

    OB class makes me depressed...

    I was in the middle of Maternal Child Health when I found out my son and DIL were pregnant with my first grandchild. It slammed into me at that moment it was very unlikely I would ever have another child. Not that I had planned or wanted or even thought I might have another child before that moment, but for some reason that was the moment I realized it was 99% sure I would have no more children. Illogical as it might sound, that was a big loss to me. I'm thinking there must have been a thought in some dusty corner of my mind that I would have another baby. I found I needed to acknowledge and wholeheartedly grieve the loss of that loss before I could move on. I also needed to confront the shoulds: I should be grateful for the children I have, I should just feel happy for my son and his wife, I should have done a better job with the kids I did have. Those things might also be true, but they didn't mean my sadness wasn't valid. In clinical for that class, I had a patient who had an emergent C-section. My peers were surprised she was sad and withdrawn; she should be happy with her healthy baby. But because of the loss I was feeling I understood totally that she was grieving the loss of her dream of her birth experience, at home surronded by family, friends and midwife. I felt like my being in the middle of grieving the loss of my fuzzy dream increased the empathy I had for her. It wasn't easy, I felt raw and vulnerable through it, but in the end I think the experience with her helped me resolve my own sadness.
  15. Katillac

    Hospice runner

    If the nurse that's dispatched is an RN, I can't imagine why that nurse wouldn't be the one to call the MD. To dispatch someone to then assess, then communicate the assessment to the triage nurse who contacts the MD and gets orders and then contacts the nurse making the visit who implements the order is just begging for errors. And I'm assuming this MD doesn't just rubber stamp the orders he or she is being contacted for; what happens when the MD has questions?