Djadia

Djadia BSN

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All Content by Djadia

  1. 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...
  2. Management threatens nurses

    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...
  3. Management threatens nurses

    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....
  4. Patient consent

    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...
  5. Legality of nurse responsibilities

    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...
  6. Legality of nurse responsibilities

    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...
  7. Career Change

    Thank you so much for your response. It is reassuring that there is light at the end of the
  8. Career Change

    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...
  9. Manager Retaliatiin

    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...
  10. Manager Retaliatiin

    We are a rural hospital & the only RN's in the building during NOC shift are 2 on med/surg & 1 in
  11. Manager Retaliatiin

    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...
  12. Manager Retaliatiin

    "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...
  13. Toxic Managers

    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...
  14. Toxic Managers

    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...
  15. 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...
  16. Bedside Report

    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...
  17. Physician Negligence

    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...
  18. Physician Negligence

    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...
  19. PICC Line access

    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...
  20. PICC Line access

    Thanks for the reply. Sometimes it's nice to get someone elses
  21. Family Involvement

    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...