Jory MSN, APRN, CNM

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All Content by Jory

  1. They have beyond low-balled her and I wouldn't get out of bed for $50K on that
  2. Jory

    A cautionary tale: advice/help needed

    I am one of those politically unpopular nurses that didn't particularly like bedside nursing. You have to start somewhere. I started working in the NICU because I loved babies. People used to ask me...
  3. Jory

    Are We Still Holding Back Baby's Head?

    ....and this is why there are lawsuits and they SHOULD be paid out. All...day...long. Famous case: Rosemary Kennedy. The nurse held her until the physician got there and it is widely believed it...
  4. No. You don't know that is why he has the ankle bracelet. If he has the ankle bracelet, the police knows where he
  5. Jory

    Research patient or see patient first?

    When I still worked the floor after report, I went through each of my patients and read through the nursing notes, labs, last few orders on every patient and made any notes I needed to make before I...
  6. I agree with this. I had an employer years ago that did this. I live in a state that also allows you to record a conversation. I had a friend call, recorded the former supervisor (who was beyond...
  7. I have a question for the group. I currently do initial reviews (someone else does the updates) in an acute care setting. I am very curious to learn from others how they have this set up at their...
  8. My state does this and I really don't care. I'll tell you why. Do bad things happen to nurses? Absolutely. More than other professions? Absolutely not. Unless you work in psych or correctional...
  9. I disagree. When it comes to something that controversial, No...I am NOT going to take a verbal order that he can always deny giving you later, but he's going to write it himself. I also would never...
  10. You don't need to address it with the MD at all, you need to address this with your manager. No physician can dictate HOW you chart, the hospital can to a degree (what is appropriate and professional...
  11. Jory

    Gel Nails

    This is how I look at it...I never do anything around a patient anyway without gloves, so I think it's ridiculous. Unless they are going to come after you with a bottle of nail polish remover, they...
  12. Jory

    Nursing students who want to be NP's

    My reasoning for moving my career forward had nothing to do with not liking bedside nursing. I would have been very content with bedside. I got sick and tired of having to use my PTO to pad my...
  13. I can't even believe I'm posting this. Me: Miss Plans-Everything, Miss No-Surprises. I am so scared to start my MSN program that I am fighting the urge every day to call and just tell them I'm not...
  14. Jory

    Two weeks notice

    Don't do it. If you call in on your last day, they can render that unexcused and put you on a do-not-rehire list. I have seen it done more than
  15. Jory

    Tatts and HIPAA

    First of all, you can chart anything a patient tells you as long as you quote it. That's a no-brainer. Second, the next time you have a private conversation with your husband about something general,...
  16. Jory

    Lawsuits

    Do not worry about this until you are served with papers. It's not like you are required to go to court the next day. It's the patient's job to prove their claim and lawyers will not take your case...
  17. Jory

    Never chart this

    I'll be honest the charting in our facility is so bad that if we were ever sued for not getting a patient fresh ice, we are covered, because it's the only thing that is ever documented. It is...
  18. Jory

    Never chart this

    I saw an H&P where the physician said, "This patient is a
  19. Jory

    Dismissal?

    I am not saying this is the case with you, but you do need to examine why you are failing. If you are honest with yourself...are you putting the necessary time in? What I see happen with students, is...
  20. Jory

    Ethics: Brain bleed sign out AMA

    Regulations in my state. Let's say you had a chest pain patient with elevated troponins that said he didn't want anything done (said) and started out the door. Then that patient collapses on the...
  21. Jory

    Being Sued / Losing License

    Did you really think I gave an assignment and not tell them where to find the information? I not only showed them I emailed the link and pulled up the computer and told them exactly how to access it....
  22. I think the OP is referring to nurses refuse no to give PRNs out of arrogance...not medical judgement. Even still, if you think a PRN med would have an adverse effect on a patient..you call the MD for...
  23. Jory

    Ethics: Brain bleed sign out AMA

    My response was to the OP's description of events and there was no mention of the patient's mental capacity being called into question. I deal with many patients who are from facilities every day...
  24. Jory

    Ethics: Brain bleed sign out AMA

    Depends on what state you live in how the terms are defined. Under common law, you are correct, in my state, the term "battery" is rarely used. Aggravated Assault Laws and Penalties | Criminal
  25. Jory

    Ethics: Brain bleed sign out AMA

    If they are oriented they get the right to refuse ANY and all care that is suggested. You have no right to override that. Most states have regulations that if the patient passes out, that is "implied...