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psu_213 BSN, RN

Emergency, Telemetry, Transplant
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psu_213 has 6 years experience as a BSN, RN and specializes in Emergency, Telemetry, Transplant.

psu_213's Latest Activity

  1. psu_213

    New nurse struggling

    Is your hope to move to a permanent unit in this hospital or to move to another facility all together? If they are serious about this "verbal contract," they might be fairly unlikely to let you leave the float pool, but stay in the hospital. You can ask your supervisor though, share your concerns with her, and be honest about why you want to leave the float pool and move to a steady unit. If the hospital practices in the "sprit" of Magnet, they are more likely to let you make the change. If you did not actually sign a contract, there should be no issues with getting a position at another hospital and leaving this position behind--easier said than done, I know.
  2. Of course many of use earned our antibodies the old fashioned way for that one. 🤣
  3. psu_213

    HIPAA breach

    I don't have any words of wisdom about this particular situation, and I hope it works out well for you. However, let this be a warning to others--just don't post anything at all about work. Period. Even saying "it was a tough day at work" or "this one patient today...." can be taken out of context. Just stay away from it!
  4. psu_213

    Med error and Pyxis

    Everywhere I have worked, unopened meds are returned to the Pyxis under the pt's name. If the packaging is opening, it is wasted under the pt's name (not witness required if not a controlled med), and the med is disposed of per policy (trash, sink, wasted med bin). I did work one place that had a mailbox style bin for wasted/unused meds. The med still had to be wasted in the Pyxis. Either way, ask you manager about the correct policy. I like the idea of doing by email to keep a "paper" trail.
  5. I think "purports" pretty much sums it up.....
  6. For me, the idea that "he snapped" is more of an explanation that an excuse. I think he did snap, but that does not excuse his behavior, and he deserves every bit of punishment he gets--probably more. Was there an anger issue before or a history of borderline behavior that people let go as "oh, that is just the way Dr. So-and-so is." The lesson for other places is if you see this behavior escalating, stop him/her right there before they "snap." If there was that H/O angry behavior, than it is everyone's fault--nurses, admin, fellow doctors, etc.--for not stepping in sooner to prevent something like this.
  7. Sadly, I agree. Plus, I can be outraged even if I don't march down the street and yell and scream....or type in ALL CAPS, I suppose.
  8. psu_213

    Case Study: Can You Prevent This Medical Error?

    Obviously a large amount of blame rests with the nurse. And some of it may have to do with the nurse being overworked. However, I think we would miss an opportunity to prevent similar errors in the future if we just say that it was 2/2 an overworked nurse. Why was the line being flushed with heparin? Not that 2002 (or earlier) was the dark ages, but this incident may have helped to lead to the idea that a flush with NS is sufficient to keep the line patent. If heparin is being used, why does the nurse have to draw it up rather than having prefilled syringes? Why does the heparin vial look so much like the insulin vial? The article address these and other causes that lead to the error, and I think we do a great disservice if we just write this up to an overworked nurse.
  9. psu_213

    Second needlestick in 2 weeks

    A couple things come to mind (most of which has been said in one form or another): 1. Slow down. I know when things are busy it is only natural to try and go fast, but this is how errors happen. Those errors can post a safety risk both to you and the patient. 2. Report all needle sticks right away. I can't speak for your employer, but I can't imagine them firing you for sticking yourself too many times. Heck, they may even see that there is a problem with their insulin needles, the safety lock, and/or the number of and position of sharps bins. 3. Throw a used needle in the nearest sharps bin right away. Tell families, "excuse me for one moment while I dispose of this needle. I don't want anyone to get accidentally stuck by it." I think even the most unreasonable of families will grant you 20 seconds to correctly dispose of a sharp. Don't take needles in the hall, don't even stop to answer a question between you and the sharps bin--get it to that bin and toss it.
  10. psu_213

    Calling Report to ER from Urgent Care

    As far as I know, there is no legal requirement for an UC to give an ED report on a pt they are sending over. I know I have gotten plenty of pt's from an UC without report (of they call after the pt has been in the ED for over an hour). To the OP, your report sounds good. Make it short and sweet--I just want a heads up, not a full change-of-shift ICU report.
  11. psu_213

    New Grad Resume

    I do include my credentials with my name on my resume. Yours, right now, is SN (student nurse). If the facility is going to hire new nurses for their position, they will know what SN means and they will not just discard your resume. In the education sections of your resume, you could list "ABC University, expected graduation December 2018 with BSN," and the facility can do the math. As mentioned above, do not, under any circumstance, refer to yourself as an RN until you pass the NCLEX--it is against the law in most states. Even though legal action might not be pursued, you will lose all credibility with facilities who see your resume with "RN" on it when you are not an RN.
  12. psu_213

    Advice on how to end up in the NICU

    I know of a nurse who worked medsurg after school. Became a charge nurse, was on the professional practice committee, moved to a children's hospital (PACU) I believe. Then got a job in the NICU. In other words, do well in school, give it your very best for whatever position you have, work hard, and make a good name for yourself. Believe me, your reputation can very likely play a role--make sure you build a good one! As a sidebar, she did not like NICU nursing all all, and transferred to another unit after about a year. I'm not saying this to make anyone feel bad, but just keep you options open, and don't fall into the trap of thinking this is your dream job, and you will only be happy if you make it to the NICU.
  13. psu_213

    HIPAA Violation, Fired

    What trap? Are you saying that the CN on the floor set a trap for the OP? Do you mean the law is meant to trap otherwise well meaning nurses?
  14. psu_213

    How do you handle female patients your age or younger?

    I never gave patients the option. I would come in with a female nurse and say to the patient "this is Mary. She is here to assist with putting the Foley catheter in," even though Mary was really only there as a chaperone.
  15. psu_213

    What to do?? A whole BOX of crazy!!!

    Is this an actual position/title or a euphemism for something else? Not asking to be an SA, just never heard it before.
  16. psu_213

    She called my MOTHER!!!

    With all due respect, this is another reason why you should not, regardless of role--RN, NP, MD, etc.--treat family. For the OP to change her policy at this point might be as effective an trying to put toothpaste back in the tube.
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