If he wasn't a patient and you weren't his nurse, I'm guessing he would already have been arraigned for assault and battery. So it absolutely *IS* about him being a patient.
For far too long, we've excused assault and battery by patients (and their families) because "they were upset" or "he's not himself." It's not right.
What, exactly, does this have to do with the willful flaunting of HIPAA by those employees who were terminated?
My facility requires annual training on HIPAA compliance for all employees who have the potential to come into contact with a patient. Such training is also included in orientation. There is zero excuse for this.
This is absolutely assault.
If you were walking down the street and the same guy asked for directions, then slapped you when he wasn’t happy with the plan ... you’d press charges.
We normalize this in healthcare. And by “we” I mean the powers that be as well. Of course you were frightened - he meant to harm you.
I’m sorry this happened to you.
Nobody is entitled to be in an area where medical care is being provided, particularly when or if the patient has requested someone not be present or when the care of someone you don't even know can be witnessed in any way OR if you are creating an environment that inhibits concentration, calm and good care. That doesn't make us ***chy or bossy. It makes us good nurses. I am sorry that ruffles your feathers. We are just doing our job and would do the same for you if you were the patient in the bed. Try not to judge harshly simply because you didn't get your way.
For the record, IV starts are not a "gimme" kind of skill. They are often difficult to do for even the most experienced. It in no way reflects on someone being a bad nurse. None of us go to work in the morning (or evening or middle of the night, on holidays, nights, weekends etc) hoping to hurt someone. Yes, we know it hurts. Yes, we are aware you would prefer it be gotten in one stick or not have to happen at all. Creating a tense environment due to normal human error is going to get you kicked out of the room every time.
I won't ask you to explain yourself. I will, however, encourage you to temper your expectations of perfection.
The vaccines that children get nowadays have only a fraction of the antigens that children received in past vaccines, even though they get more vaccines. So there is no validity to the concern that kids get exposed to to many vaccines in too small a time window. Not only that, antigen load has not been shown to adversely affect neuropsychological outcomes anyway. If it did, that would have manifested in children immunized in the 60s-90's, when they were exposed to far more antigens in the vaccines of the day.
For some people, nursing school *IS* hard.
It seems that some get annoyed when other people say it's so hard when they don't perceive it as such. Okay. But sometimes these "it's not hard" folks only seem to see things out of THEIR own lens as well.
Some people just don't possess as much raw intelligence as others. They are not dense, just not as smart as some. Due to that, they might perceive nursing school as "really hard."
Or they don't think as quickly, or don't read as fast, so the hours required to get all the reading done while keeping up with all of the other program requirements can be very "hard." Maybe they came from a place where the education provided for them was sub-par, so they weren't adequately prepared for the rigor.
Or they have three kids and one of them is autistic and really needs extra attention. In this situation, the time and commitment required of school at the same time their family obligations are so tough might make nursing school seem really "hard" in comparison to someone whose kids can survive with a little less attention. Many nursing students have no children at all. That's a huge advantage in terms of the difficulty of the program.
Or maybe their spouse is angry they are in school-they feel neglected, so the nursing student feels obligated to hold studying off until it's less of a relationship stressor. Putting off studying or doing homework until late in the evening may cause even more stress, making nursing school seem really "hard."
Or maybe they have health issues that make it difficult to get up early for clinicals, stay up late doing care plans, and attend to the other things life is throwing at them. They may lack the physical energy/stamina required to get through the program as easily as others who have vigorous health. Maybe they are healthy, but their spouse or a parent or sibling is fighting a deadly disease, requiring their time and attention in addition to their other obligations. This situation may exact a huge price in terms of emotional health and ability to focus.
See, there are many reasons why your classmates might view nursing school as really hard that can't just be pinned to their negative attitudes. Maybe you're just a lot smarter than they are. Maybe you aren't privy to some of the difficulties they are facing while both of you are going through the program that might make it more understandable why they consider nursing school hard.
And maybe the further into the program you get, you might find yourself struggling with something that changes your perception of the difficulties of the program.
If you don't think nursing school is hard, consider yourself lucky. Try to be patient with others for whom it may be legitimately difficult given the circumstances of their lives, much of which they might not be sharing with you. If they are overly negative, keep your distance from them. You're not there to make friends, you're there to learn and survive the program. It's okay if you don't agree with everyone else about any particular issue, not just this one. You're all likely going to go in separate directions after school anyway, and most of them will no longer be part of your daily existence.
And again, consider yourself lucky...
A charge nurse has a responsibility for knowing what is going on with all the patients under her charge. That means accessing patient charts to double check that vital signs, I & O, lab draws and treatments have been done and checking the charting for accuracy, timeliness and thoroughness from time to time during the shift. Especially if the nurse is new to the unit or is known to be having difficulties. A charge nurse may also be responsible for chart audits -- ensuring that orders are taken off and carried out appropriately, that meds are given on time, that monitoring and procedures are charted correctly.
Yes, there are audit trails to see who has audited the charts, and as long as you stay in the charts of patients for whom you are responsible, you're good. The charge nurse is responsible for all of the patients.
One more thing while I'm on my soapbox -- the nurse in the room next to you may also access your patient's chart if you've ever asked her to cover you for a break, "drop down a set of vital signs for me," draw a lab or give a med. If she's sitting in her room in the ICU doing some charting and happens to glance up and see your patient in an alarm state, she may also access your patient's chart. Especially if you are busy cleaning up stool in another room, transporting a patient to CT or whatever. If I am in a room next to a new grad fresh off of orientation, you can bet I'll be keeping an eagle eye on the patient(s) and may look into their chart if I see something that needs investigating. You may get pulled into to the office to explain, although I never have. But you'll have a good reason for being in the chart.
How is outpatient surgery not "bedside" nursing? How is this not "experience"? I circulate in an outpatient surgery center. Not only do I do the patient pre-op work and actual physical prep, I also recover them.
What I do agree with is that I probably wouldn't have been hired for the position if not for my years of hospital experience, but that's because none of it was in OR. They felt confident training me, knowing that I'd worked ICU and cardiac stepdown for years, so they figured I'd catch on quickly and had the proper foundation of nursing.
[Not legal/professional advice]:
My approach would be along the lines of "I'm am surprised to hear this person's evaluation of me; it is not consistent with any of the other work I have done in the program nor with who you know me to be as a student. The evaluations of my progress [refer to the periodic/weekly evals] do not indicate anything that would led a good student to understand that changes were necessary or that they were in danger of failing. At the same time, I understand that the final evaluation would cause you to have questions about my capabilities or performance, so I would like to redo this asap in order to put the concerns to rest and move on."
The alternative is to essentially say, "I should pass because she was mean and unfair," which is not going to be successful because that is not ultimately why a person should pass a clinical/practicum/capstone. If it were up to me, I wouldn't give any student credit for a capstone without the question of whether or not the concerns were founded being answered.
Saying that someone was unfair doesn't answer the question of whether or not the concerns are valid.
This is not to accuse you of being sub-par, it is to help you see that this is how they will look at it. A student could be really sub-par and faced with an evaluator that did not try to help them (unfair). Or the student could demonstrate excellent professionalism and competence and then be faced with unfair evaluations. In your school's eyes, they don't know which of these two your situation is, and one of them means there is an unsafe future nurse in play.
This is only a guess - I think the chance of convincing them to pass you on this capstone is very unlikely no matter what you say or how you appeal. I think negotiating the opportunity to repeat it and get on with things before sometime next year, is possible/more likely.
It would have been absolutely fine for her to word it as such but instead she chose to admonish the OP and tell her what to do without knowing her circumstances which is never, ever acceptable and puts people off. Not exactly what I think Jesus would want.
It's incredibly thoughtless of you to spout off your Christian clap-trap unsolicited without knowing anything about the op. She could be a Muslim, a Hindu, a Wiccan or an atheist.
Maybe you can't help yourself. I've met quite a few religious zealots that seem to have a compulsion to get in people's faces and throw their beliefs into things like letting out with a massive fart in a packed elevator.