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Jory has 10 years experience as a MSN, APRN, CNM.

Jory's Latest Activity

  1. Jory

    Bullied in the NICU

    I was bullied in my first nursing job and then when I went to a different facility I stood my ground. I practiced what I would say if someone said something nasty and when the situation unfortunately arose, that first time..is the hardest, but when you see the shocked look on their face and how quickly they change their tone? You won't look back.
  2. In my state, if you are prescribed any type of opiate on a regular basis or take them daily, you cannot work as a nurse. They don't get into the "Susie is impaired on Lortabs but Kimberly is not because Susie has been taking them longer." You can't take them--period...and report to work. At my hospital, if you are prescribed any controlled substance, it has to be reported so they can make the determination if you are permitted to work in a given area. A physician will review and state how many hours has to pass before you can actually report to work.
  3. Jory

    Called by Law Office regarding patient fall

    You don't work for that company anymore and no way would I go in for that interview. DO NOT call your personal insurance carrier UNLESS you get a subpoena to appear in court. Tell them you simply don't want to get involved because you don't work for that agency anymore and you are under no obligation to even return their calls nor emails.
  4. Jory

    Not eligible for rehire

    Here is what I can tell you from a long work history: Your manager probably doesn't know the status HR put you in. When I was in management and we let an employee go, I filled out a final review and put in my recommendation to be eligible for rehire vs not...but I can tell you for a fact HR doesn't always agree with it. Call HR so you can get it from the horse's mouth. I can understand a place letting you go for excessive absences, but if they were valid that is a step too far. I'm not saying you didn't miss during orientation for a valid reason, but you need to take a good hard look at why you missed and be honest with yourself if they were necessary. Unless you had an illness that left you practically bedbound, had a miscarriage, suffered the death of a parent or child, had a child that was ill and the other parent couldn't take care of them, something along the lines of THAT serious...I'm not even kidding, during orientation you have to make some serious sacrifices in order to keep the job.
  5. Jory

    What's Happening at the VA Hospitals?

    A close friend of mine knows a nurse, and has text messages as proof, that she sexually abused a patient while working at the VA. It was reported to both the VA and the BON. Guess what happened to that nurse? Absolutely nothing.
  6. You find these things when you follow someone and if you are selected to perform chart audits. Many hospitals have staff versus management do chart audits.
  7. False charting happens all the time and there are ways to pick it up. When I review vital signs and noticed that for the entire shift, for example, the patient had a HR of EXACTLY 88, and a blood pressure of EXACTLY 120/80, and EXACTLY the same weight for the last few hospital admissions? You can bet your bottom dollar nobody checked.
  8. Anyone who backs up what RV did needs to read the case. She purposely, and willfully bypassed at least seven safety checks. Purposely and willfully is NOT a medical error, that is GROSS negligence. Yes, she deserves criminal charges. Yes, she deserves to be prosecuted. Yes, she deserves to lose her nursing license. When you are a nurse, it is not the job of the hospital to babysit you. You are a college-educated professional and it is $%&^@ time some nurses started acting like it. Want to know why you have stupid policies at work that completely discounts your training and knowledge? Supporting people like RV is why you have them.
  9. Jory

    Why are FNP paid less than Psychiatric NP?

    Come to the mid-Atlantic region. All you have to do is throw a stone and there are tons of jobs.
  10. Jory

    Don't yell at co-workers in front of people

    I am so sorry that happened. What did she expect you to do? Throw the milk away?. It's her right to have that milk if she wants it. They are cleaning house at the L&D where I work. Major bullying problem among the staff with high turnover and management has finally had enough. They did a mass interview and two problem nurses were fired and more are probably coming. Some people shouldn't work around babies and new mothers.
  11. Jory

    Why are FNP paid less than Psychiatric NP?

    Simple: PMHNP's are specialists and spend their entire clinical time working in one area. There are not many PMHNP programs and like you said, not many people want to work in psych. I firmly believe that FNPs working in psych environments are absolutely outside of their scope of practice. If they are in a primary care environment and have a patient with generalized anxiety or depression? Absolutely..that is primary care. But anything past that? Nope...refer. Or else you'll be sitting in court trying to defend yourself if one of your patients commits suicide if they have advanced needs...and will come up short when they ask you to review your psych training in FNP school. FNPs are not qualified to treat any condition in any aged patient. They are PRIMARY care providers and many states are cracking down on the misuse of FNPs working outside of their scope as it has been going on for years. Recognizing your limitations as an APRN is part of professional responsibility. FNPs do generally three areas.....pediatrics, women's health/OB, and adult/gero. Last semester is generally dedicated toward a more intensive practicum of around 200+ hours. Psych is not part of the mix.
  12. Jory

    How would you handle this ....

    But unfortunately, the way our healthcare system is set up, you can't fix everyone. I have a close colleague who is an FNP hospitalist, so I hear quite a bit of what goes on in the rest of the hospital. Elderly woman went home, they called APS, she could not walk, could not get up on her own, had minimal help, yet insisted on going home by herself. She is legally allowed to put herself into an unsafe situation. She didn't have dementia, but she wasn't sick enough to be in the hospital. Anytime she needed anything, she would call 911, it was ridiculous. It took several of these trips before enough evidence was gathered to take the case before a judge to have her declared legally incompetent. Then her choices are taken away. Even if patients are sent to a nursing home, if grandma doesn't want to take her anticoagulants, is oriented, can make her own decisions, and she has a stroke and dies? She's allowed to do that.
  13. Jory

    One NP with online education

    But is she wrong? I refuse to precept student from any for-profit college or university. I used to take them all but not anymore. There was a distinct difference in students from for-profit schools versus not-for-profit. There are three in particular that need to be shut down, but I'll be kind and not mention those programs. The last student I took from a for-profit school got into a debate with me because she was permitted to "count" observation only visits for her NP program. Even if we discussed the patient and she never put her hands on them..she said it counted. I had her modify her weekly report (it was her first week with me) and the school called me about it because there were several patient visits she would lost. I said, "Clinical is for hands on...and exam isn't an exam unless you lay your hands on the patient or actively engage in questions to figure out what to do next." I refused to sign off on any patient where she was not participating in care. CCNE accreditation is a complete joke if that is the "standard" for accreditation. The standards are so low at some of their schools I'm shocked the BON even recognizes the degree. Yes, it needs to change.
  14. Jory

    IV Push Meds

    I completely disagree. When I still worked the floor I diluted narcotics on a regular basis for various reasons. If it is compatible with saline or sterile water, you don't need an order to dilute it. That's ridiculous. That's like getting an order to use a flush. You are more likely to give the correct dose and clear the port, especially for very small administration amounts (common in peds) if it is diluted. Pharmacy generally doesn't decide that either. It is evidence based protocols like anything else and there should be a written system that every nurse has access to 24/7 that gives medications. You can't blame pharmacy if you get it wrong.
  15. Jory

    IV Push Meds

    When you start working, ask the pharmacist where you can look this information up. Hospitals have this information more difficult to find than it should be. Never, EVER trust what someone else tells you verbally...get used to looking them up or ask a pharmacist. You are responsible for compatibilities as well as dilution, infusion times. In my experience, too many nurses are very sloppy on slow IV push meds. If it says to infuse for 10 minutes, then they are VERY serious about that. Micromedex should be available or it may be built into your medication administration system. The pharmacist should know.
  16. Jory

    New York State RN App Denial

    I will be saying a prayer for you that you find your path. You are an example of people that should be given a second chance. Yes, felonies are serious in our society and should be a big deal. But I also have never believed that people who have demonstrated they have changed their life should be forever penalized either.

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