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khammond0005's Latest Activity

  1. khammond0005

    midwife/NP problem (kinda long)

    Setting: Hospital - L&D. We dont have ANY practitioners onsite at night unless there is an emergency or delivery. Pt: triage, she came in for back pain Med: intended as a sleep aid (but that is an off labeled use). Our hospital doesn't package meds for take home use. Heck, we dont have a pharmacist onsite after 8 pm. After pulling meds from the ommnicel we have to scan the pts band, scan the med, and chart the time we gave the pt the med. If the med wasnt administered at that time, we have a list of explanations to choose from (pt refused, NPO, Vomiting, ect) Sorry for not being more clear, Im just frustrated. The NP knew it was against policy. My clinical manager is aware of this instance among others and nothing is being done/said. Im also tired of being put in the middle (which is how I feel after the NP tells a pt I can do something I cant). Thanks for letting me vent :)
  2. khammond0005

    midwife/NP problem (kinda long)

    I called a midwife/NP to update on pt status while working L&D. She asked to be transferred to the pts to speak with her and then would call me back with orders. No problem - transferred call and made sure it went through. 20 mins later she calls me back. As part of her DC orders she asked me to give the pt a med to help her sleep, if she didnt have a ride home, just physically giver her the pill to take at home. I explained that I didnt feel comfortable doing that since its my license tied to the med and I have no control of what happens with it after the pts leaves. She then tried to word it different ways to the point of, "couldnt you just sit at her BS?" Once she realized I wasnt giving in, she asked me to call it into a pharmacy. Im not sure how it is anywhere else, but under the new management here, we are no longer allowed to do this. We just lost a RN on a different floor over it. Again, I had to explain I couldnt do that. After that I finally got my orders. (BTW, she decided the med wasnt that important if she had to call it in). Through this whole conversation my clinical manager was sitting beside. After I got off the phone I made sure what I said followed policy. She said yes and then made the comment that she knew this NP knew about the policy bc she had personally shown it to her last week. I went to review THI with the pt and she asked about the med. She had been told giving her the med to take home "wouldnt be a problem" and couldn't understand. I tried explaining it but nothing I said seemed to diffuse the situation. What would you guys do about this situation? It bothers me that my manager was sitting there, hearing everything, but then didnt do anything about it. Do I go higher up (which prob wont do any good either), is there someone to report it to, Or am I just SOL? And what is your hospitals policy on calling in Rx and/or giving meds for pts to take home?
  3. "Pat down" myself in public Check out veins (not feeling so stange for that anymore ) Signed RN on checks and kids homework Automatically hit the sanitizer anywhere Tried to scan my hospital badge to enter the bathroom Knock before entering doors at home, sometimes I even include, "its your nurse" After working 3 in a row, being off 1 , and working 2 more I got out of bed and automatically picked out my scrubs for the day...then realized it was my day off. I attended a local concert; when the lights dimmed and the strobe lights turned on my immediate thought was, "oh god I hope no one has epilepsy" then proceeded to scan the crowd. I loved the prior poster who said they "have 5 bottles on my bedside table" w/o skipping a beat...
  4. I just finished my NCLEX 45 mins ago and I didnt see a single one
  5. khammond0005


    I was wondering, for those who have taken both, how they compare? My NCLEX test day is wednesday and i am FREAKING out, i have a ton riding on a pass from this exam. I have taken the HESI twice while in school and have done well over "passing". Any extra advice or tips would be greatly appreciated. Its amazing how studying for the NCLEX can make someone feel so stupid