We are a rural critical access hospital with a 20 bed acute care med surg unit that are under new management. Our primary care doctors round during the week on all acute care patients. After hours...
I work on a med surg unit in a rural critical access hospital. Our 20 bed inpatient unit & ED are the only units staffed 24/7. Our ideal staffing matrix is 2 RN's & a tech on each shift. We...
Can I legally refuse an admission d/t patient safety without receiving a corrective action? Last evening we had exactly that situation. We called the DON when ER called with an admission- a 21 yo....
We have recently on boarded telehealth docs as our only providers in our critical access hospital. I'm looking for advice as to the legality of patients being made aware that "teledocs" will be...
We have a great team of nurses. The majority of our staff has already applied for other jobs pending the decision to go forward with the "tele doc" process. We are having a staff meeting with...
I really appreciate your response. I've been a nurse on this unit for 30 years & have seen how healthcare has revolved. Our patients use to be the "center" of healthcare however it has become a...
I have been an RN (associate degree) for 26 years on an inpatient medical/surgical unit @ a rural hospital which has given me the opportunity to perform various tasks that large hospital nurses may...
Ive been employeed @ the the same acute care facility for 24 years. The manager I recently submitted an incident report for her recent recccomendation to chemically sedate a patient d/t lack of staff...
I wasn't the person who followed the managers reccomendation to chemically sedate the patient because I'm having no part in "illegal" nursing. I merely was a patient advocate. How can i be labeled as...
"Verbal abuse" is quite a severe accusation to have on my permanent record. Other staff in attendance at the meeting were shocked to hear the result as well. Am I able to enter a comment in my...
I have been a nurse for 20 years & have had many managers, but the current manager of our med/surg unit is destroying our unit. I work @ a 24 bed rural hospital in a small community where we...
Your response couldn't have came at better time. It's reassuring to know that someone understands & can offer advice. I've accepted the fact that if the dynamics on our unit don't improve, I need...
I recently encountered a patient fall partially r/t hospital door not alarmed. Patient was an 86 y.o. female who's POA was activated & experiencing D.T's from ETOH withdrawal. Pt attempted to get...
I work @ a rural community hospital approx 15-20 beds. We recently implemented Bedside report on our med/surg unit & have encountered a few obstacles along the way & am hoping that someone...
We currently have a paraplegic on our unit with 2 extensive wounds on his left leg which are currently being managed with a wound vac. During one of the vac changes a few days the surgeon was present...
Given the increased infection rates and reimbursement based on new aquired infections while a patient is in a hospital, how can I just overlook this surgeons practice. If this patient would develop a...
There recently was a patient on our Med/Surg unit who had a dual lumen Power PICC placed during surgery for TPN & Lipids Infusion. 48 hrs later, his arm was edematous, red & warm. An...
I work @ a rural hospital that has 1 patient room monitored via camera that we often use for suicide patients but also utilize it for patients that require close monitoring r/t hemodynamic instability...