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notyetnurse

notyetnurse

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notyetnurse's Latest Activity

  1. notyetnurse

    Nurse stealing narcs advice

    With all due respect is it your business? I understand standing up for patients and by all means reporting an impaired nurse who may well make a mistake and cause a person harm but truthfully, you've already approached your DON. several times as you say. To me, once should have been enough. You aren't the charge and you aren't the DON so why is it so concerning to you? Is there something else going on behind the scenes?
  2. notyetnurse

    Being blamed for fall after shift

    To all thank you so much for the input. I really have been questioning it and feeling bad but you are correct and the input solidifies my position to take this up the ranks if need be. At this point only the night shift has documented the fall and I have done no paperwork etc because I had already handed off the patient. I'll keep you updated on the results. Thank you again
  3. notyetnurse

    Being blamed for fall after shift

    @boomer thank you very much for your thoughtful and kind reply
  4. notyetnurse

    Being blamed for fall after shift

    And you are correct - there is no way a chair alarm would have gotten anyone to bedside quicker than a nurse that was already at bedside
  5. notyetnurse

    Being blamed for fall after shift

    Yes the oncoming nurse was in the room and says that the patient attempted to get up on her own and the nurse broke the fall. I have my doubts as to whether the pt attempted to get up vs the nurse attempted to move her but regardless
  6. notyetnurse

    Being blamed for fall after shift

    According to my facility "any unplanned descent to the ground" is considered a fall. So I guess if the patient plans to fall we are in the clear 😡
  7. notyetnurse

    Being blamed for fall after shift

    Agreed on both counts. I did make it very clear today that I will not be signing anything and that I will take this further up if necessary
  8. notyetnurse

    Being blamed for fall after shift

    Hello all, I have a question maybe you can offer some input. Even if you can't I need to vent a little to people who may understand. I'm a relatively new ICU nurse. I've been on the unit for about 2 month now, 5 weeks or so on my own. I have never had less than 2 patients. Several weeks ago I had a very confused patient fall while I was next door working on a spontaneous breathing trial for a vented patient. I was told it was my fault because I should have asked someone to watch the confused one any time I stepped away from his room. OK I accepted this and took responsibility. Fast forward to yesterday. I have a patient who is alert and oriented x 3. Orders are to get her out of bed and to bedside chair, commode, etc. I get her out of bed to the chair (with multiple BMs in the commode along the way). I look for a chair alarm - there are none - and I request it from our charge nurse. None can be located. Throughout the day we find 2 single alarms but utilize them for the 2 most confused patients on the floor. Come shift change - this is long I know please bare with me - I give report to the night nurse and let her know about the lack of chair alarm. I also explain to patient that myself and night nurse will pUT her back in bed shortly. 5 minutes later I'm documenting and night nurse calls me and says she was in the room, saw patient attempt to stand up, aND she lowered the patient to the ground. Charge nurses are made aware, director is made aware. No injury. Today I get in and am told that I am being held accountable for the fall because the patient was out of bed without a chair alarm which never should have happened . Finally the meat and potatoes - your opinions are requested. Was this my fault for allowing patient to remain in chair with no alarm? Does the fact that we didn't have alarms matter? Would this fall under my shift given that I'd already endorsed the patient? I should note that my employer is a huge corporation and that we are not provided sitters (not that an aox3 patient needs one), and we are unable to use restraint of any type except chemical if patient is agitated. Should I have left this patient in bed all day since we had no alarms? Moreover I pointed out today that the nurse being IN the room meant she was able to respond much faster than anyone would have upon hearing a chair alarm. No dice. I feel this is going to become an issue and it looks very bad considering my newness. Would appreciate feedback.
  9. So I've spent the last couple nights looking for the best route in order to obtain a Family Nurse Practitioner degree. I currently hold an Associates in Nursing RN as well as a Bachelors in a completely unrelated field. Ideally I am looking to get my FNP (whether that be direct or an MSN in Education perhaps then bridge to FNP) but trying to find an ONLINE program that is affordable. I am currently a registered nurse in Miami, FL working at a hospital in the neuro-telly unit. Any thoughts? Am I asking for the world?? Thanks very much, Heather
  10. notyetnurse

    how to tell P wave from T wave on EKG?

    Thank you to all, love the heart block poem and the website suggestion plus general input. Much appreciated!
  11. notyetnurse

    how to tell P wave from T wave on EKG?

    Good morning all, Taking a very intense program to transition to the RN role in the next 6 weeks and a big part of this is EKG. We did cover some of this in school but not extensively and it may sound funny but I am having a hard time differing between P waves and T waves on the EKG. I see where the normal placement is for the P wave but sometimes they come early, etc and I often see P waves when there aren't any. Googling hasn't helped much. Any suggestions for distinguishing what the true p waves are?? Thanks, Heather
  12. Sorry, I don't see anything wrong or rude about the email either. My LPN and RN programs were both at a Catholic hospital and perhaps that is why, but we were always subject to being inspected by faculty. In actuality, I find it hard to believe that the students were allowed to get away EVEN ONCE showing up out of uniform.
  13. Hello all, Just wondering if you guys have suggestions as to where to sell nursing textbooks? Thanks... Heather
  14. notyetnurse

    Graduation can truly give ya the blues...

    @ Vintagemother, exactly. It's the routine, the comfort of it all. I know it goes away eventually - LPN school took months to get over haha! but we were all very close. In this case, I will certainly miss the professors and the routine of having to study more than anything. It's so strange. Glad you are happy at your work place now :)
  15. Well, I have been doing my research on this topic so I know I'm not the only one but just wanted to share that I will be graduating in less than 4 weeks now. Yes, it is supposed to be one of the happiest times of our lives and, yes, everyone I mention this to gets the same wide eyed happy expression as they congratulate me. And no, I don't understand fully why I don't feel so happy about this change. But I DO get the basics of it: Graduation from nursing school = leaving behind a year (or years) of routine, comfort and - at least in my case - caring professors who take an active interest in you as a person. I like studying, I like the shared experiences of clinicals and going through "firsts" with some of the other students, and I like being able to walk into any of my professors doors at a moments notice and just talk to them. Sure, I can still do these things after graduation - Ill probably be working at the hospital I am graduating from after all, but it's a different dynamic. There goes the routine, the certainty, the friendship, the... I don't know.. the whatever that special thing is that has made the past year what it has been. It may be me - I don't handle change very well. Goodbyes have never been my thing; that's one of the reasons I went into nursing, to get better at goodbyes. Ironic huh? Just wondering if anyone has been there, done that, bought the t-shirt? PS - I get that it's a great thing and I AM extremely proud and grateful. Just gonna miss some of this is all :)
  16. notyetnurse

    Speaking of imperforate anuses.. an HR story

    Wanted to take a second and thank the folks who took their time to reply. In the end I did go up the ladder to HR - risky, yes, but in my mind I figured there wasn't much to lose. I made sure it wasn't a bashing session, simply told the person the facts and expressed what I'd heard from others. The person I spoke with seemed very interested in making the situation right and maybe something will come of it, maybe it wont, but at least I am sleeping better at night knowing that I've said my peace.