If a patient has to wait an inordinate length of time for a pain med, that is most likely a staffing issue. A lot of current hospital-speak (Cultural Competence, Service Excellence and whatever the...
TriciaJ replied to anon456's topic in Nursing News
I agree with a previous poster that the only good rationale for a 2 hour code would be to avoid a lawsuit from the family. I feel very relieved that that poor little girl has finally been let go. It...
If you really have to, go ahead and punch a till or brew lattes for a while. Don't burn your nursing license just yet. Time away will tell if you just need a new nursing job or an entirely new...
TriciaJ replied to BayouCityNurse's topic in General Nursing
This was clearly a management issue. You reported the situation to your manager. What she chooses to do with it is up to her. What difference can it possibly make to your coworker whether she hears...
Exactly. If I get majorly injured at work they might end up paying for my MRI, or at least some sick time. By the same token, if I cut myself while working for them, they can front me a damn...
This might be off topic but this thread reminds me of a situation at the hospital where I previously worked. Any nurse who did a double shift was given a meal coupon to use in the hospital cafeteria....
TriciaJ replied to Elektra6's topic in Private Duty
It would still be a liability issue. Suppose while you are on work time you go on one of the outings that she is doing for free. Something bad happens to the patient. Can she be held responsible or...
TriciaJ replied to designer-mommy's topic in General Nursing
I think it sounds like a noro outbreak in progress. And it will never resolve if staff are coming to work with GI symptoms. Everyone is continuously reinfecting each other. Stay home until 48 hours...
You are billing them for the overtime, right? I hope you're hourly and not salaried. How long have you worked there so far? How much longer till the 6 months are
TriciaJ replied to Elektra6's topic in Private Duty
Showing up on her days off sounds like she is getting paid under the table by the patient's family. That doesn't make her your supervisor when you're scheduled to work. I would refuse to accompany...
They are supposed to budget for our breaks so do you know how many thousands of dollars they save by us not getting them? Let's talk about theft. And then we'll talk turkey.
I originally missed that she didn't even chart the dose given before she left. The other thing I missed was that they pulled morphine out of emergency kits. They keep morphine in emergency kits in a...
Did you actually get turned down for the job yet? I ask, because you can't always tell by how the interview felt. I have had interviews where I had such a rapport with the interviewers I knew I...
TriciaJ replied to JustANurse2018's topic in General Nursing
Good to know. Thanks. It was a while ago that I worked urology and that was the conventional wisdom then. But an underinflated balloon still causes irritation. I've occasionally found less than 10 mls...
I am completely wigged out about the morphine story. Several nurses and a pharmacist scoured the building to put together 50 mg of morphine? Not one of them said "Wait, what?!" An administrator...
Unless your friend is 85 years old she could probably still get into nursing school if she really wanted to. You might let her know that if she ever decided to do that, an online record of her...
Who needs critical thinking skills when you have passion? Doesn't the fervour of my emoting tell you I am an exemplary person? I demonstrate my compassion by pointing out that you have none. Oh,...
TriciaJ replied to JustANurse2018's topic in General Nursing
Here's another thought: before inserting the Foley, did you test the balloon? Occasionally you will get a defective one. The other reason to test is to see how many mls it takes to get it to...
Yes, verbal thank yous. Not that they weren't gratifying. But the handwritten cards to management were more a med-surg thing. At least in my neck of the
Exactly. Rather than a kindergarten gold star, how about a non-slime token? That means when a patient complains about something stupid, management doesn't jump to the immediate conclusion that I did...
Psych is where you'll get the fewest thank yous from patients. Corrections even worse. Med-surg was the best for patients showing appreciation. And they often said it with
I agree that this is a reaction to being chronically overworked and over-stressed. After a while, your brain just doesn't bother to get off the hamster wheel; it just keeps running on. If a vacation...