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steven007

steven007

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  1. Workers compensation rights aside, this nurse has a clear case of negligence against the hospital and this is the bigger fish to fry. The hospital administration implemented this new equipment without formally training the staff. The administration sent an e-mail detailing the efficacy of the equipment but ADMITTING that the staff did not have training. I do not have the full e-mail, but if the hospital did not explicitly state "DO NOT USE THIS EQUIPMENT UNLESS YOU HAVE RECEIVED TRAINING" and/or failed to make training available, the hospital is grossly negligent in this case. The hospital's risk management department must have done their math, clearly they felt that this nurse was more of a liability to keep than to just fire, because I am sure they realize that they are going to have to pay her out a settlement if and when she sues. They likely are anticipating a lawsuit but hoping that she does not sue and at the first moment she does sue, they will throw a settlement (likely half of what she would be entitled to should she go through a court case) and hope she settles out of convenience and desperation for an income of some sort, seeing as she is too injured to work and thus will not have the financial means to drag out a long court battle.
  2. Hallo Mein Freund! So, disclaimer in advance, I am not an American nurse and can't really speak to the particulars of the type of nursing you do in the USA, BUT I hope to address your insecurities about not feeling like a "nurse" because you haven't done IVs and such in a long time. The type of area you work in currently is recognized as a specialty area of nursing (in Canada at least). The area here (Canada) is called Dual Diagnosis Psychiatric Mental Health Nursing (Dual diagnosis for short). Now, a quick look on google shows that this area exists as well in some states of the USA. So, you would technically be classified as a psychiatric nurse. Your skills are highly specialized to this area. You may not think this is psychiatric nursing, but believe me, this is psychiatric nursing. It is normal for you to feel "out of place" in an area such as ICU when you have practiced for the last many years in an area that is unrelated to ICU. But trust me, your skills are very useful, valid and important in this day and age with mental health getting more recognition. If you are considering changing to ICU and more acute care nursing, perhaps you can take a re-orientation course or a specality course that prepares you for this area of nursing. These exist in Canada and would almost bet they must exist in the USA (as the USA tends to have better educational initiatives for nurses). Hope this answers some of your questions and addresses some of your insecurities! 😄
  3. Thanks TriciaJ for the comments! And interesting to hear from a previous member of the SRNA!! I just wanted to correct you on one thing that I don't want people to be confused by, Canada DOES have a constitution. If we didn't, we wouldn't exist as a country (and my law school course load would be MUCH MUCH easier without the "Canadian Constitutional law" and "Advanced Constituitonal Law" courses hahaha). While some countries don't have a formal "constitution", such as the UK and New Zealand who has an "unwritten constitution" that exists only in case law and legal mores, Canada does have a written constitution that was founded in 1867 (termed the BNA Act). The Charter of Rights and Freedoms which you speak of is codified within the Canadian Constitution. It is an extension of the constitution and exists as a constitutional guarantee. And Rionoir is correct, Freedom of Speech extends beyond just "not going to jail". It means you are free to express your opinions without recourse by Government agencies. The SRNA is a government agency. But otherwise, yes, there may be social consequences to your speech and even employment consequences. But when your employer is part of the government, there can be no recourse (unless you are a public servant). Hope this clarifies and thanks again for your opinions :).
  4. That is so interesting! Canadian courts have found that kind of thing to be unconstitutional. Any statute that talks about moral values or religion is not considered constitutional in Canada. Its so curious how two neighboring countries that share so much in common can be so different. I find that super fascinating, I would like to read one of these statutes!!
  5. Yes, I wasn't necessarily referring to the sexually explicit material, I was referring to the discussion as a whole of how regulatory bodies have stated, in the USA, that your off duty conduct can merit discipline. The one that stood out the most, at least to me, was the nurse that pulled the gun on a random person who started to charge at her in a parking garage. She didn't fire or anything, and there were no charges laid, but she was called to answer to her conduct with her BON, for self defence! I agree that things like theft and other criminal activity would merit disciplinary action or pure revocation of your license, but these things such as acting in self-defence while off duty, or the case of the teacher who was disciplining her son, I think regulatory bodies go too far to dictate our conduct off duty. I think Hoosier_RN, MSN makes a good point, regulatory bodies are attempting to prescribe their own moral views on their members.
  6. This has already happened in America! https://www.statesman.com/article/20130210/NEWS/302109767 The theme is concerning for sure and I think nurses internationally need to take notice and speak up about this kind of thing.
  7. Just over a year ago, in April of 2018, RN Carolyn Strom lost her court appeal contesting disciplinary action that was taken by her regulatory body (the Saskatchewan Registered Nurses Association “SRNA”) for a comment she posted on Facebook about the care her dying grandfather received in a hospital. Strom’s Facebook post read as follows: “My Grandfather spent a week in “Palliative Care” before he died and after hearing about his and my family’s experience there (@ St. Joseph’s Health Facility in Macklin, SK) it is evident that Not Everyone is “up to speed” on how to approach end of life care ... Or how to help maintain an Ageing Senior’s Dignity (among other things!) So ... I challenge the people involved in decision making with that facility, to please get All Your Staff a refresher on the topic AND More. Don’t get me wrong, “some” people have provided excellent care so I thank you so very much for YOUR efforts, but to those who made Grandpa’s last years less than desirable, Please Do Better Next Time! My Grandmother has chosen to stay in your facility, so here is your chance to treat her “like you would want your own family member to be treated”. That’s All I Ask! And a caution to anyone that has loved ones at the facility mentioned above: keep an eye on things and report anything you Do Not Like! That’s the only way to get some things to change. (I’m glad the column reference below surfaced, because it has given me a way to segway into this topic.) The fact that I have to ask people, who work in health care, to take a step back and be more compassionate, saddens me more than you know” While Strom was not employed by the facility and was, in fact, not practicing nursing at all (she was on maternity leave), the nurses at the care facility took notice to these comments and filed a formal complaint against Strom with the SRNA. The SRNA launched an investigation and found Strom guilty of professional misconduct, namely that Strom engaged in “conduct that is contrary to the best interests of the public or nurses or tends to harm the standing of the profession of nursing” and “not following the proper channels”. Strom appealed this decision to the Court of Queen’s Bench for Saskatchewan where Currie, J. upheld the administrative decision of the SRNA. In his judgement, Currie, J. holds that the judgement by the SRNA was “reasonable” and ordered Strom to pay the costs of the investigation, as well as a disciplinary penalty totaling $26,000 CAD. It is likely that Strom will appeal this decision; however, as it stands now, this rests as valid case law and sets a precedent for nurses to be charged and disciplined for “off-duty” misconducts. Removing our Constitutional Rights to Freedom of Speech The precedent set in this case permits a regulatory body (such as a BON) to limit one’s constitutional right to freedom of expression. In his judgement, Currie, J. acknowledges that this was a breach of Strom’s constitutional rights to freedom of expression, but holds that, so long as a regulatory body “proportionately balanced the right to freedom of expression with the objectives of the [Nursing Act], in the context of Ms. Strom’s circumstances”, it is acceptable to limit freedom of expression. Currie, J. goes on to state that “The [SRNA’s] balancing of the rights and objectives is not required to be correct. It is required to be reasonable.” So what makes it reasonable? Currie, J. holds that the decision was reasonable because Ms. Strom was granted other avenues of expression, namely, she was able to report the nurses providing inadequate care to the SRNA or the hospital administration. This is in fact what is recommended in the code put forth by the SRNA. Omitting Pivotal Case Law While Currie, J. holds that Ms. Strom was able to express herself in other avenues, he ignores holdings from previous case law where the form of expression (or the avenue chosen for expression) can only be limited if the location or method of expression removes the protection of freedom of expression (see: Montréal (City) v. 2952-1366 Québec Inc., [2005] 3 S.C.R. 141;). While Currie, J. and the SRNA holds that Ms. Strom should have followed the methods outlined in the Code, Currie, J. and the SRNA did not apply the test as outlined in the case of Montreal v 2952-1366, where the method or location of expression can only be limited if it conflicts with one of the three values of freedom of expression (i.e. Self-fulfillment, truth-finding and/or democratic discourse). Currie, J. and the SRNA omitting this vital aspect of freedom of expression analysis has paved the way for bad precedent. Therefore, Currie, J. did not address whether the SRNA could in fact limit one's freedom of expression by law, as this step of the analysis was overlooked. Implications We now have this precedent standing that will for sure give a carte blanche to regulatory bodies to arbitrarily discipline their members for expressing anything that the regulatory body opposes. This will only hamper the ability of professionals (the ones arguably best suited to advocate for change in a system they are fluent in) to advocate for change and to speak out against bad public policy and other ill-doings, for risk of being reprimanded by their regulatory bodies.
  8. steven007

    Interpersonal Skills Lacking in Healthcare

    Great article! It really does touch an a huge issue in healthcare as a whole. The idea of huddles is great! The reality of huddles, not so much. Huddles should incorporate all members of the healthcare team, pharmacy and other allied health, nurses and physicians/NPs. The reality of the situation is there are too many units and too many hurdles for these pertinent people to attend, and therefore it ends up being nursing and physician heavy, with very few members of other significant professions (i.e. pharmacy, social work, etc.). Competing demands and the general lack of resources (hospitals are more frequently turning to fewer pharmacists and allied workers) makes allocating time for huddles impossible if these professionals are to get their primary duties done. The other issue with huddles is the lack of structure. Many times, huddles become toxic ranting parties that become more about venting and less about patient care. I think proposing a model for huddles and for effective communication strategies is absolutely pertinent in healthcare today, as well as proper allocation of resources. But it all comes down to money in the end.
  9. steven007

    Disappointing Interview

    I have to admit, as a nurse manager, I have done this before with candidates I have interviewed. At my hospital, we usually interview candidates with a couple of managers from different units (in the same general discipline, for me its psychiatry but I will have the manager for the, say, addictions unit interview with me as well). We will interview and if we like the candidate, we sometimes match the candidate with the unit they are best suited for based on their strengths in the interview and their previous work history. We won't refer them for a follow up interview, we will just tell the manage rof the unit "hey, we interviewed this person and we think they would be a good fit" and then hire them accordingly. But this is done when people don't really stress their desire to work in a SPECIFIC area. So, in the interview, if the person didn't stress "I really want to work in ADDICTIONS" or "I really want to work in adult mental health", then we generally just consider them available for whatever their area of expertise is. I would just reach out to the interviewers and stress your interest in working in that specific area, asking if they would have preferred to see any additional education or anything you could do to improve your chances of landing a position in that department. Don't take it personally. When we do this, we generally feel like we are doing someone a favor, matching their skills with a unit they would be most comfortable with. But not always! Sometimes people come forward and say "well, I would really have preferred to work here instead" and then we see what we can do to move them and apologize for the misunderstanding. I don't think it is malicious and I think they are doing it thinking they are being supportive. They probably just didn't realize that you really wanted to try something different! Reach out to them and see how it goes! Keep us posted!!
  10. steven007

    Redefining "Abuse"

    Hi Invitale, Thanks for your feedback. I wish to address one thing first; unfortunately current research on respite care isn't so promising in terms of enhancing caregiver outcomes . I am not sure which research you are referring to, but I have read a few recent studies and they really didn't show any qualitative or quantitative results that were statistically significant in terms of positive outcomes for caregivers. I feel like any positive outcomes from respite care is the result of placebo effect. Healthcare providers view respite care as a godsend and this transcends onto users of respite care. Thus, because healthcare professionals recommend and praise it, patients and caregivers see only good that can come for it. And I feel your analysis of the term abuse is very cold, unforgiving and not compassionate. For someone who seems to be heavily advocating compassion, it does not reflect in your use of the term abuse. In fact, your entire comment seems kind of vitriolic. And I am not sure the moral of your comment in the first place? So... what, a caregiver being physically and verbally abused by a demented parent or spouse should suck it up and remain compassionate? Let the spouse or parent continue to violently beat them but the minute that this caregiver does not show compassionate, they are an "over-worked monster"? Also, you're focusing too heavily on dementia. Dementia does not always equate abuse. Some people are just nasty people, whether mentally cognizant or not.
  11. steven007

    Redefining "Abuse"

    Hey heron, These are great questions you've posed! And I wish I could give you an answer to them, but unfortunately I can't. I wish to raise awareness. The first part of addressing a problem is recognizing it and I feel that the abuse some caregivers received is not recognized. I would be interested in hearing other people's ideas regarding these questions though! Thanks for all your comments!
  12. steven007

    Redefining "Abuse"

    Hi CapeCodMermaid, Actually, intent is not a requirement for abuse outside of legal situations. The only time intent matters is if you take an abuse case to court, the courts must prove "criminal intent" or "intent of harm". All of the terms used in this article are the current standard terms applied to abuse from various sources including the Merriam Webster Dictionary. Also, the article isn't only about people with dementia (and dementia doesn't always equate abuse!) but also those who are cognizant of what they are doing. I suggest you read the article more thoroughly :). Thanks for your interest and reading nonetheless!
  13. steven007

    So I Have This Rash... What Do You Think?

    Hahaha donsterRN, I should try that next time! Hilarious!
  14. steven007

    So I Have This Rash... What Do You Think?

    Sorry, it's an article! I put it under the wrong type. But I fixed it :)!
  15. How many times has one of your friends or family monopolized on the fact that you were a nurse? "Hey Sis, so my poop is green.. what's wrong with me?"; "Hey best friend! So the other day I was at the club and, well you know me, drinking a bit too much and I blacked out. What could have caused that? You think I could have a brain tumor?! Oh my god, it's probably a brain tumor, I knew it!"; "Hey Mike! What's up bro! So, you know that Rebecca chick we met at the bar that one night? Well, I did some things and.. well long story short, I have a rash... down there." Sound familiar? Well it does to me! My mom is a doctorate prepared nurse and I have always gone to her whenever something has been wrong. One night when I was a kid, I remember waking up to excruciating pain in my calf (my first Charlie horse that I can remember) and the first thing I did was screamed for her because I thought I was about to die! To my dismay, she would always tell me "Steven, you're such a hypochondriac, there is nothing wrong with you", "You need to stop reading my medical textbooks, I think they're really getting to you". I was always so mad that she refused to help me and that she would dismiss my "serious" medical problems. But low and behold, 10 years later, here I am, still alive and now a nurse myself! She must have known that I was just a "hypochondriac". It probably didn't help that I spent all grade school and high school reading her nursing and other medical textbooks. But I never realized how aggravating that must be. I always thought that she should feel flattered and proud! This woman holds the knowledge to human suffering, to ailments that debilitate people and cause pain and agony; the knowledge and skill to ameliorate or even cure these ailments and to alleviate the suffering and agony that afflict such people. That's arguably acting in the role of God (if you chose to believe God of course)! So why would she continually dismiss my pleas for help? Not only that, but when other people would approach her outside of work she would give a drawn out sigh, a yawn and a roll of the eyes. Why was she so annoyed? In my eyes this is what nurses are supposed to do and she was a nurse! Additionally, when she would get sick, I would see her freak out and go to colleagues asking for their help and panicking herself! To be honest, it seemed to me as though she wasn't a great nurse and completely disregarded her duties as a nurse and acting as a hypocrite! It wasn't until I went to nursing school myself that I started to get a taste of my own medicine, so to speak. Fast forward from then to 2009, I was just entering my first year of my BScN program. It was an extremely exciting time for me, I had always looked up to my mom (well, she's actually my stepmom!) and I had, ever since meeting her, thought that I wanted to be a nurse, or at least do a degree in nursing. And in my mind, soon enough, I wouldn't need to confide in her when I got sick, I'd be able to help myself. What joy of being fully independent in every way! During my first year I noticed something happening more and more frequently. Once my friends got wind of my undergraduate choice I found more and more people approaching me for medical advice, even some people I had not talked to in years! Initially I was flattered, feeling all of the things I imagined my mother would feel when she was approached for advice. But then it progressed more and more and I noticed myself giving those same long drawn out sighs, yawns and eye rolls that my mother used to give to me and other people who approached her for advice. What was happening to me?! Was I becoming less compassionate and ignoring my professional and ethical responsibilities as a future nurse? It really hit me and made me question whether or not I truly was compassionate one night when I was staying at my significant other's house. I was abruptly awakened from my sleep to hear "I think I am having a heart attack! Steven! Help me!" To which I responded "you're fine, go back to sleep" as I dozed right back off into my comfortable realm of dreams. As you can imagine, come morning, I was not the most popular boyfriend! After that incident I decided to take a chapter from the parts of my nursing education that I found to be completely useless, and self reflect on why I was feeling this way when people approached me for advice. Time and time again people would approach me for, what I thought, was stupid reasons and would ask me ridiculous questions with insufficient detail. "My friend has constipation, what could it be?" Hmm, I don't know, probably 20 different things with the dearth of information you just provided me! And repetitive questions, like "so is this serious?", "Yeah, okay I will see my doctor, but is this serious?" And of course, there's my favorite 'ask for advice but completely disregard what I'm advising'. "So, you're saying that I could have an STD? Well, WebMD says that it could just be the flu. It's probably just the flu, I don't need to get tested, I have unprotected sex all the time and I've never caught an STD before." And no matter how many times I tell people to see a doctor or not to ask me things, they continue to come back and ask me things. And surprisingly, other people in my program have come to me and asked me what's wrong with them! People who were in the same year and had taken the same classes came to me and tried to steal doctor advice from someone in the same position as them. But what's worse is I have done it to my friends! Famous and most embarrassing example was in my third year of university I was afraid that I had a bowel obstruction. I hadn't had a bowel movement in 3 days and was in so much pain and agony. I was unresponsive to all the laxatives I could get my hands on, I had an enema with no results and my bowel sounds were extremely hyperactive but yet, I had no stool coming out! I called my best friend who was also in my class but previously trained as an RPN (or LPN depending on which jurisdiction you are in). I put a lot of trust in her as a friend and as a nurse and so next thing you know I am sitting on the toilet, with a condom on my index finger in my right hand and my cellphone in my left hand saying "okay, so how far do I need to insert before I will feel any ****. And you've done this to your patients before, right? It's safe?" As you can imagine, in hindsight, I felt pretty embarrassed the next day when my body exploded with feces. But why did I need to confide in other people? Why couldn't I just handle things myself, independently as I always imagined I would? In fact, it's not like I wasn't good at critical thinking and problem solving. In fact, during my consolidation in the ER I had diagnosed two patients correctly when the attending physician had no idea what was wrong! I was always reading medical texts and always studying and I, more than anyone else, should have known what was wrong with me and how to fix it! Reflecting on this whole phenomenon I have learned that when we are sick, we are scared, and when we're scared we turn to people who we look up to and trust for advice. Western societies especially are prone to socializing people to be brave and independent. Don't ask for help, don't show fear and don't complain. That is, I feel, interwoven in our society and in our behavior as people. Thus, the easiest way for us to deal with our emotions when we are scared and sick is to just revert back to a simpler time when we were children and depended on our parents for everything. We place health care professionals or people we deem 'wiser' than ourselves in place of our parents and we want them to make our decisions for us. Contrary to my views as a kid, being a nurse does not exempt you from this normal human behavior. What we have to remember is that we are all human and humans are not infallible. When we are sick we need to not lose our trust in ourselves but we must acknowledge that it is okay to ask for help and to tell people that we are scared. Because ultimately we seek help from one another because we are scared, we don't 100% know what is wrong with us and we fear the unknown. We need to be open and honest about this with ourselves and with others. We also need to remember that when someone else is sick they look to us with great respect and trust and we must not treat them disrespectfully, no matter how frustrating and annoying they may be. We are all human and we all get scared. We need to validate their feelings and tell them it's okay to be scared and it's okay to ask for help. If we just simply validate their feelings instead of being annoyed with them, we can go a long way. So next time someone comes to you for advice, simply confront them with your limitations of not being their primary clinician, tell them what they can do and, most importantly, validate their fear. See how it works out for you!
  16. steven007

    Advantages to being a male nurse

    Kind of sexist, hahaha. I know plenty of women stronger than me ^.^.
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