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arabstarRN

arabstarRN

RN
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  1. arabstarRN

    Is it wrong if I....

    Yeah, I can only imagine the calls ER nurses can get!! Definitely some people have ulterior motives or just are so nosey and think that everyone's business should be their business... I had a guy question me yesterday about a patient that wasn't even mine, in a room I had never been assigned to and he wouldn't accept that I wasn't her nurse and go see the nurse who had that room. I could tell from the census that the patient had been moved to another room on the same floor, but obviously this guy wasn't THAT close to this patient if he had NO idea where she went. He walked into the room to find that the woman in the bed was NOT the woman he was there to see and then questioned me, regardless of what I told him. I almost felt the need to call security, but he finally listened to me that I wasn't assigned to that room and knew nothing about what was going on or who those patients were. He did go to talk to the nurse for those rooms and that nurse got it all handled (the nurse was a guy and he approached him in a different way that apparently the guy didn't feel as empowered) so security didn't have to get involved, but I was darn close to calling them and I sure as heck was NOT going to tell this guy the lady had been moved. He knew her name, and knew she had been there the day before, but other than that had no idea why or where or when she had been moved. Kinda suspicious I think... anyway, I don't know exactly what the nurse told him, but he did walk away and went the complete opposite direction of the room the lady was moved to. I was dealing with my patient's current terrible condition and other than keeping an eye out for escalation of the guy asking questions, I wasn't paying attention nor did I truly care what was being said lol, I had enough on my plate to worry about with my 5 patients with one tanking...
  2. arabstarRN

    Is it wrong if I....

    I agree that a simple "hi, how are you doing and how is your dad/mom/brother/sister/etc?" shouldnt be a bad thing, but sometimes you just never know how a facility or someone else is going to take even the simplest, honest, non-probing question from someone who truly does care about how the person is doing that day. And to me, when I see someone I know, whether its know them very well or not, I say, "Hi, how are you?" so its not even about if its a patient or not, its just about thats my friendly greeting. I agree that all of the rules and such have taken the love out of nursing. I got into nursing because I care about people and sincerely want to help people - of course I dont want to violate any laws and I am not looking to share personal sensitive information about any of my patients with anyone, but I do genuinely care about how the person is doing, and i dont need specific details, but I like to acknowledge people I have dealt with rather than seem cold.
  3. arabstarRN

    Is it wrong if I....

    I knew what was meant, but it still prompted that slightly funny picture... maybe its the exhaustion of the week lol
  4. arabstarRN

    Is it wrong if I....

    This just brought a somewhat funny picture to my mind. I can just picture seeing a patient on the street and trying to avoid them because of the facilities policies. Talk about looking like you don't care LOL not sure why it struck me as kinda funny, but can you imagine being in the grocery store and seeing a patient in an aisle, and if they try to follow you and you just try to get away so that you don't break policy lol seems like something for a comic strip...
  5. arabstarRN

    Is it wrong if I....

    The son was very grateful to me the three days I cared for her and kept thanking me for giving his mom such good care and keeping them up to date on her condition each day he called or physically came in and asked about her. He thanked me more than once each day, and to me, I thought, "well this is what I am here for" but we all know there are some nurses who just don't appear to care as much as others, especially to a family member going through a tough time...
  6. arabstarRN

    Is it wrong if I....

    Now here's another question: Say I am at work, but for whatever reason, am not scheduled to that set where a patient I had taken care of for several days was still in the hospital. Is it wrong to go into the room and just say hi to the patient and ask how they are feeling? Not to get information from a nursing standpoint, but just to ask a way to show concern and maybe encouragement, if that makes any sense at all the way I worded it.... I always wondered that as a student and there was one time that a patient I had for two days was still there the next week but I wasnt assigned to him - no student was - and his wife saw me in the hall, stopped me and told me how he was doing (I did not ask her, she never gave me the chance to even say hello before she started rattling stuff off) and then she told me, "go see him if you get a chance, he would love to see you and say hi!" however, I was super busy that day and when I passed the room I just called in a quick hello to him and told him I was just passing by but had to get back to the patient I was getting supplies for. So, from the experienced nurses out there, is it ok to stop by their room on the floor you work if you are not assigned those sets and just generally say hello and ask if how they are doing as if you saw them on the street?
  7. arabstarRN

    Is it wrong if I....

    I am not at work, I am home since I am currently on first shift and I transferred her down there after she went into respiratory distress this morning before noon. I do care, and I haven't called yet because obviously I am finding myself in an ethical/legal dliemma that I wasn't sure about, and I realize there are going to be many many more patients that I am going to want to follow up because I care so much, just going to fight the urge... Now, another question, if I happened to run into her son in the hallway and ask how she's doing, is that considered a violation and wrong as well? I know HIPPA can be picky and vague, which is why I am asking since I am not at work and cannot get a correct answer (although the answer I did get when I told my preceptor I wanted to call last night and check on her but I didnt because I thought it would be a violation, she told me "it wouldnt be because you took care of her and she has done it before" which kind of blew my mind when I was told that today... then I really started to wonder about the quality of my training period, well that isnt the first time I have questioned that to myself... anyway... whole other story. bottom line - even though I really want to know if she's doing ok, I am not going to call, I am not going to question and going to do my best to consider it a part of work to leave at the hospital, just like I leave home at home... as hard as that is when you do care and want to see your patients pull through... Guess a person can care too much - in a way...
  8. arabstarRN

    Is it wrong if I....

    is it wrong and a HIPPA violation if I were to call the hospital's ICU and inquire about a patient I transferred down there earlier today? I am very concerned for this little lady and really want to know how she's doing and took care of her for three days. I really want to call the ICU and inquire, but I don't want to violate HIPPA or an ethical issue either. Any suggestions? I know I cannot look into her chart since she isn't assigned to me because that is for sure a HIPPA violation, but is calling the unit she's on after I transferred her down there? Thanks in advance
  9. While in nursing school, we had rotations through the ER at a local hospital. One day, a girl came in because she was bleeding from the southern region and was freaked out. After thorough workups, girl saying she had cramps and everything, after running pregnancy test and finding nothing, the ER nurse was perplexed at what could possible be so abnormal and causing this, and the doctor wasn't offering much more in the way of answers. Finally, the ER nurse goes, "And you are sure you are not due to start your period?" the girl thinks for a minute, then says, "What is the date today?" so the nurse answered, and the girl goes, "Oh yeah, I am due to start my period! This is my period!" That mid-teenaged girl left and the nurse was not a happy camper that the patient took up so much time away from her other patients... she turned to the two of us around and said, "Unfortunately, stuff like that happens all the time here. We see the dumbest things in this ER."
  10. arabstarRN

    Thanking your preceptor...

    I am starting a job in a good hospital and will be with a preceptor for at least 8 weeks, if not 12. She seems really nice as I met her the other day and after all the hard work she is more than likely going to put into helping me (cant say for sure yet as I haven't orientated with her yet, just met her) out and making me a better nurse, I wondered, is it appropriate to thank her with some sort of small gift and a card at the end of my orientation? Is this something that a new nurse would do or is it kind of frowned upon as precepting could be considered part of their job? I am the type of person that is extremely grateful to anyone who is willing to share some knowledge and show me the ropes rather than turn their nose up at me because I am new and don't know near anything lol :) but am extremely willing to learn and seek out those opportunities. What is everyone's thoughts on thank you gifts and cards for your preceptor? Or would this be considered unethical, or should it just be a thank you card?
  11. arabstarRN

    abandonment issue

    it was my last day and I had already put in my two weeks notice, so if I had walked out, wouldn't have mattered to me if this place wanted to say they fired me or not... I did work the shift, even though I wasn't properly trained for it only because I wasn't sure if it would be abandonment or not, that is the only reason I stayed - which still put my license on the line by staying and working a unit I didn't have proper training for and no support because the other nurses in the facility that night didn't have the training for that unit and it's issues either.
  12. arabstarRN

    abandonment issue

    I have a question, in regards to patient abandonment - if you come to work, and are assigned to one unit ALWAYS, and were only trained on that unit (I am a new nurse), and then you come in to work and find you are a assigned to a unit you have no training on, with more acute patients (it was a LTC facility with a rehab unit) and other patients with dxs that you have no clue about it and treatments you aren't sure how to monitor/complete, if you already punched in then found out your assignment, if you were to punch back out and leave, without ever having received report or the unit keys, is that patient abandonment? Could it be considered patient abandonment simply because you punched in then went to find out your assignment, even though you hadn't received report yet?
  13. arabstarRN

    Need some advice please...

    That is the biggest reason I left. Some staff had the attitude of give them their prn Med, and I do not agree with shoving meds at someone like that. Redirection for more than 3-4 is almost impossible when they feed off each other and are agitated. I want no part of involuntary chemical restraints...
  14. arabstarRN

    Funny things they say....

    LMAO that last story made me bust out laughing. Thanks, I needed that!
  15. arabstarRN

    Neuro or cardiac out of school

    Congrats!!! I wish I could have had an opportunity to get into Neuro right out of school! I graduated in March, but all the Neuro units around me want at least a year experience before they even consider you for Neuro. I would definitely go Neuro, but that's just me haha. Either one is a great unit IMO
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