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Leader25

Registered User

Reputation Activity by Leader25

Reactions Given

Like 143
Thanks 6
Haha 8
Disagree 3
Sad 5

Reactions Received

Like 56
Disagree 1
Sad 1

  1. Like
    Leader25 got a reaction from NRSKarenRN, BSN in Curiosity Killed the Cat and Got 50 Hospital Employees Fired   
    The hospital has sent warnings about violations,there has been media reports of firings in other hospitals for same type violations what part of violation do nurses not understand?I often reminded my unit not to do searches ,not even their own labs as I knew of disciplinary actions on other units.This did not stop many who wanted to see census,who is there, or see friends lab work."None are so blind as those that will not see."
    No sympathy here.
  2. Like
    Leader25 got a reaction from NRSKarenRN, BSN in Curiosity Killed the Cat and Got 50 Hospital Employees Fired   
    The hospital has sent warnings about violations,there has been media reports of firings in other hospitals for same type violations what part of violation do nurses not understand?I often reminded my unit not to do searches ,not even their own labs as I knew of disciplinary actions on other units.This did not stop many who wanted to see census,who is there, or see friends lab work."None are so blind as those that will not see."
    No sympathy here.
  3. Like
    Leader25 got a reaction from NRSKarenRN, BSN in Curiosity Killed the Cat and Got 50 Hospital Employees Fired   
    The hospital has sent warnings about violations,there has been media reports of firings in other hospitals for same type violations what part of violation do nurses not understand?I often reminded my unit not to do searches ,not even their own labs as I knew of disciplinary actions on other units.This did not stop many who wanted to see census,who is there, or see friends lab work."None are so blind as those that will not see."
    No sympathy here.
  4. Like
    Leader25 got a reaction from NRSKarenRN, BSN in Curiosity Killed the Cat and Got 50 Hospital Employees Fired   
    The hospital has sent warnings about violations,there has been media reports of firings in other hospitals for same type violations what part of violation do nurses not understand?I often reminded my unit not to do searches ,not even their own labs as I knew of disciplinary actions on other units.This did not stop many who wanted to see census,who is there, or see friends lab work."None are so blind as those that will not see."
    No sympathy here.
  5. Like
    Leader25 reacted to BiscuitRN, BSN, RN in Help. Input. Agree. Disagree. Thoughts.   
    If there was nothing structurally wrong with the tubing or connector pieces I'd connect it as intended.  If there was something structurally wrong I would dump the formula into a new bag.  I've never heard of formula being a particular "feast" for bacteria.  Sure, it probably has bacteria on it, but so does the fork you'll eat your next meal with.  A small piece of plastic probably doesn't help keep most of that bacteria away.
  6. Like
    Leader25 reacted to Emergent in Help. Input. Agree. Disagree. Thoughts.   
    So what? There's bacteria on forks and spoons too.
  7. Like
    Leader25 reacted to Wuzzie in Help. Input. Agree. Disagree. Thoughts.   
    Sooooo, why not swab the end with an alcohol pad?
  8. Like
    Leader25 reacted to Emergent in Help. Input. Agree. Disagree. Thoughts.   
    Would you worry so much about a glass of milk or tray of food? 
    You are overthinking this IMO. Enteric feeding is not a sterile procedure. 
     
  9. Like
    Leader25 reacted to not.done.yet, MSN, RN in Working on weekends!   
    You have a lot going against you in finding a position. You want critical care experience for future goals and you don't want weekend hours (and probably not holidays either if I had to venture a guess and probably not nights either, right?). Combined with a two year degree, you have vastly closed your doors of opportunity.
    Time to rethink your goals. Odds are you can't have everything.
  10. Like
    Leader25 reacted to Wuzzie in Working on weekends!   
    Not great options for a new grad. I work in one of those types of units. We won't consider a new grad. It was tried a few years ago as a part of a residency. It was a complete and utter failure.
  11. Like
    Leader25 reacted to beekee in Working on weekends!   
    Hospitals in my area have every third weekend positions. Not no weekend, but not every other!  
    Home health, ambulatory, school nurse, adult day care. Outpatient oncology or surgery. Some procedural areas, like OR, endo, and cath lab, have minimal weekends requirements. Clinic dialysis isn’t open  Sunday’s (I think).  Occupational health.  
     
  12. Like
    Leader25 reacted to BiscuitRN, BSN, RN in Working on weekends!   
    Get some good experience in peds or ER, work weekends for a few years, become a school nurse.  I haven't worked a weekend in 2 years!  You've got to put the front end work in first though...suffer a bit through nights, weekends, holidays, etc.
  13. Like
    Leader25 reacted to caliotter3 in Working on weekends!   
    You can arrange no weekends with extended care or visit home health, however you won’t get the experience you are seeking.
  14. Like
    Leader25 reacted to futureprovider in Curiosity Killed the Cat and Got 50 Hospital Employees Fired   
    I remember quite a few people in the same predicament at my hospital when Kim K gave birth the first time ! 
  15. Like
    Leader25 reacted to EVBRN in Curiosity Killed the Cat and Got 50 Hospital Employees Fired   
    Being “Charged” will only CYA if that patient was in house and actually under your supervision and you had a reasonable excuse for accessing the chart. Accessing their information without cause and at any other time is obviously inappropriate and likely leaves you at risk to twist in the wind...
    Boggles my mind that anyone would assume a single keystroke goes unmonitored today.
  16. Like
    Leader25 reacted to Ruby Vee, BSN in Curiosity Killed the Cat and Got 50 Hospital Employees Fired   
    It may hurt them to replace 50 employees, but I'm guessing the optics of not replacing them would have hurt more.
     
  17. Like
    Leader25 reacted to Destiny08, BSN in Curiosity Killed the Cat and Got 50 Hospital Employees Fired   
    Wow! Many voiced they didn't go past the name screen. I work with a nurse now, and she is always looking up my patients information. I told her that's a HIPPA violation. Her reply is, "Well I'm charged tonight." Gonna see where that charge phrase gets her when they catches her. All hospitals do random audits. Like the reading said above, "there are audit trails."
  18. Like
    Leader25 reacted to CommunityRNBSN in Curiosity Killed the Cat and Got 50 Hospital Employees Fired   
    It’s good that I read this today. If I had been in their shoes, I might have thought “Well let me just search his name, out of curiosity.”  I wouldn’t have gone into what I think of as the “real” chart (that is, I wouldn’t have looked at notes or labs or anything) but certainly might have done a 2-second “see if he was here.”  Good frightening reminder to stay in my lane and not go peeking at things!
  19. Like
    Leader25 reacted to Jedrnurse, BSN, RN in Curiosity Killed the Cat and Got 50 Hospital Employees Fired   
    But, but, there's a terrible nursing shortage. Haven't you heard?
  20. Like
    Leader25 reacted to Jedrnurse, BSN, RN in Curiosity Killed the Cat and Got 50 Hospital Employees Fired   
    Wow. I wonder if this the biggest mass firing in a US hospital...
  21. Like
    Leader25 reacted to Lorie Brown RN, MN, JD in Curiosity Killed the Cat and Got 50 Hospital Employees Fired   
    You're Fired!
    Out of curiosity, over 50 hospital employees, including nurses, decided to check the celebrity’s medical records.  Many said they didn’t go past the name screen but that was enough to be a HIPAA violation. Those individuals lost their jobs.
    Anything that you do online in the hospital is trackable.  You cannot access the medical records of anyone unless you are involved in that patient’s care.  Even being only on the face page for any amount of time as little as 17 seconds is a HIPAA violation if you are not involved in the care for that patient.
    Audit Trails
    Authorities can find your path if you wrongfully access a record because of what’s called “audit trails.”  The same rules apply if you are changing a medical record such as making a late entry and you will need to properly identify the late entry.  Although you may be able to simply replace or add to your prior charting, this can be discovered.
    Your employer or an attorney can go through the audit trails to see exactly how the records may have been changed.  Cases which might pique an attorney’s curiosity, such as a heel ulcer developed overnight and yet all the proper preventative records were checked that they were done in the medical record and sudden changes in condition.  In these situations, an attorney may get the audit trail to show that the entries placed in the record were entered late after they knew of the heel ulcer or the change in condition.
    Also, be careful when copying and pasting previous notes.  Again, those actions can be tracked and the attorney may question whether you actually performed a new assessment.
    What is HIPAA?
    HIPAA established national standards to protect an individual’s medical record as well as other personal health information.  Patients’ have the right to privacy for their medical records. Any intrusion into the medical records can result in a significant fine to the hospital.  Therefore, most facilities have a zero tolerance policy if the privacy rights of any patient are violated. Improperly accessing records could result in termination as this is what happened to more the 50 health care workers at Northwestern.
    With medical records and portability information, it is even more important nowadays to be aware of the rules to protect patients’ privacy as well as protecting your license.
    Privacy and confidentiality also are important when you are conversing with another health care professional outside of the medical area such as in elevators or while having lunch.  You never know who may be listening. Even if you avoid using the patient’s name, there may enough information revealed to identify the patient.
    This is not the first time that a celebrity’s medical information has been improperly accessed.  Brittany Spears was hospitalized in a psychiatric unit when several employees improperly accessed her records.  They were all terminated.
    Social media is another big issue.  All attorneys advise not to post anything, zilch, about work on any of the social media.  Again, you can never know all who may be reading your posts or who may even forward that information to other pages.
    Violation of HIPAA may result in fines of from $100 to $50,000 per violations and up to $1,500,000.00 a year.  Hospitals must designate a HIPAA officer to make sure that the hospital is in compliance.
    According to the HIPAA Journal, the average HIPAA data breach costs an organization $5,900,000.00.  This is astronomical! No wonder hospitals take this so seriously.
    Do your part by never accessing patient information for which you are not authorized to do.
  22. Like
    Leader25 got a reaction from FullGlass, BSN, MSN in Giving up PA school acceptance to pursue ASN?   
    You are not even a nurse yet and you are thinking of part time,or PA  with a move away or NP later on?What happened to that other bio degree?
    You are all over the place,you will have more debt,your family is depending on your husbands business to improve their job choices, and so on.
    There is no perfect choice but the least disruptive to your family would be no PA,they do not make much more than RN in our area,and thy have to do all the srcub work the doc dont feel like doing, NPs make more.
    Working part time is great for family life but will cost you more than you know in the long run,in pension,medical benefits,savings and future retirement.Having to go to fulltime  and leave your kids because your husbnds business tanked is a nightmare.
    Analyze all your options better,good luck.
  23. Like
    Leader25 got a reaction from FullGlass, BSN, MSN in Giving up PA school acceptance to pursue ASN?   
    You are not even a nurse yet and you are thinking of part time,or PA  with a move away or NP later on?What happened to that other bio degree?
    You are all over the place,you will have more debt,your family is depending on your husbands business to improve their job choices, and so on.
    There is no perfect choice but the least disruptive to your family would be no PA,they do not make much more than RN in our area,and thy have to do all the srcub work the doc dont feel like doing, NPs make more.
    Working part time is great for family life but will cost you more than you know in the long run,in pension,medical benefits,savings and future retirement.Having to go to fulltime  and leave your kids because your husbnds business tanked is a nightmare.
    Analyze all your options better,good luck.
  24. Like
    Leader25 reacted to MichaelRoberts in Utah Nurse Alex Wubbels Arrested by Police Talks with allnurses.com at ENA 2017 Conference   
    I've seen quite a few trollsl attacking her for "not complying with DOT regulations concerning mandatory testing of CDL holders", but they were not nurses or were even related to any health care field. they were put into their place.
  25. Like
    Leader25 reacted to KathyDay in Utah Nurse Alex Wubbels Arrested by Police Talks with allnurses.com at ENA 2017 Conference   
    I am a retired nurse, who graduated in 1970. I was enraged by what happened to this nurse.
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