mrsmac0710

Real Narcolepsy symptoms are unknown to most people. Unless you have other effects along with your narcolepsy, such as cataplexy, you should be fine if you're rested and taking your medication. Which is what you would really say about any other health condition. I have narcolepsy and I have never needed naps throughout my 12 hour shift. I feel if you are receiving the correct treatment that is good for you, you wouldn't feel the need to, and I would get all of that sorted before I started working. To get the diagnosis of narcolepsy you simply had to have a complaint of sleepiness for a period of time, and do a sleep study that shows that you go into Rem sleep within a couple of minutes of falling to sleep. I have never disclosed my narcolepsy to my employer, but that's only because I have it under control. I also feel that if I was to disclose it that I could possibly not get hired. I work in a CVICU and I know if I'm sleepy and tired that I can't take care of my patients, so if I don't get a good night's sleep I'm calling in. My advice is to stay in control of your health, it's no different than a diabetic nurse, or a nurse with heart issues, or depression, any one with a medical issue can have it fog judgment and impair your thinking. So take care of yourself, take your medications and be responsible for your patients. I would not recommend night shifts. I do better staying engaged with my patients and stay moving, than if I were to have a lot of down time. Staying busy will keep you alert. Hope this helps!

I'm not sure where you live, but in California anyone can get a prescription. There are Drs along the beach I know that have vendors harassing the public outside of their "clinic" to get a prescription for business. As a nurse you should know that there are other drug therapies that are much more effective. Buspar, Klonopin, Xanax. With marijuana you don't always know what's in it, at least with pills you know what's there. Employers can make whatever decision they want, as well as the BON. I've known nurses that have traveled out of country and smoked where it is legal and then failed a drug test. With that in mind, how can you prove your not using it for recreational purposes or in a place/situation where its legal . You can't. If I were you, and wanted a job, I would not be wasting my time on a drug that is contoversial and pushing it when there are clearly other choices.

A MD would be under obligation for any order he gave, and it would be nursing judgement to give or not give that medication, so the nurse is also obligated in that case. I've worked in Critical Care where patients usually get ill in the odd hours of the night, our MDs would never inhibit their judgement on nights when they were on call, and even if they did, it was our job to know if the orders we recieved were appropriate.

A MD would be under obligation for any order he gave, and it would be nursing judgement to give or not give that medication, so the nurse is also obligated in that case. I've worked in Critical Care where patients usually get ill in the odd hours of the night, our MDs would never inhibit their judgement on nights when they were on call, and even if they did, it was our job to know if the orders we recieved were appropriate.

You did receive the order to change medications to po. However, it should have been written at the time the order was taken. You should have ensured that all of the medications had changed accordingly. I wouldn't have falsely written the order in the way that you had done, I would have wrote the order by the facility's policy for backdated orders. My facility usually has us write it as an order clarification. There is such a thing as nursing judgement, however, that doesn't include changing the route of medications and writing orders.

Hi guys , bare with me as I tell my story because I feel the circumstances of the incident are a big part in what should be considered , and I appreciate any input! I am an LPN of 9 years in Arkansas, and I had 30-something days left of class/clinical time before I was going to graduate RN school. Last week I self disclosed to the school after a lecture about criminal background checks. I have not been convicted yet and my lawyer has good faith that he can get the charges dropped completely, but he has to take it one step at a time and can't ask for a felony to be dismissed initially he has to ask for a misdomeaner, and then we can ask for it to be taken off. A big problem is that this can all take some time and I don't have that, and knowing that the whole incident was bogus and misconstrued by the police officers makes me so angry because it has already ruined my life and I have always been a model citizen, nurse, and mother. Here's what happened. After leaving a baseball game my husband and I got into a fight in the car on the way home, because he told my sons friend he could stay the night and I had test in the morning and needed to study. I went to text the friends dad. My husband (driving) and I (front passenger) ended up wrestling over the phone. He first twisted and wrestled it out of my grip and pulled it to his side of the car. He didn't have his hands on the steering wheel and I put my hand on the wheel and I yelled "you're going to wreck us!" When I put my hand on the wheel he pushed me back into my seat causing me to knock the car out of gear, and that's when the car swerved. My husband got control of the car and then punched me in the face with his right arm. I got scared and called 911 because I thought my jaw was broke and my lip was busted. All that happened in a matter of seconds. Everyone was ok. We never wrecked. When we pulled off the interstate the kids were scared and asked what happened and my husband said that tried to wreck us. When the cops got there , I was scared and crying, he was telling the cops I grabbed the wheel , which I did ,but not to wreck us. I was honest and answered the cops questions between sobs and when thy asked me if I put my hand on the wheel I told them I did. The cops hated me, I think because I was annoying to them crying uncontrollably, but I had never been in that kind of situation and I was very shaken. I ended up getting charged with endangering the welfare of a minor x2. The police never made my husband take a breathalyzer even after I told them he had been drinking (he wasn't drunk, but had 4 beer at the game ,enough to make him argumentative) and they let him drive off with the kids afterward. No where in the report does it say that I called 911, or that he punched me in the face. It also doesn't say anything about my husband telling them my blood sugars were low right before that (im a diabetic and I get cranny when I'm low), or about the alcohol he had. My husband didn't want me to go to jail and honestly I thought he would be the one going. But because I was the one who "grabbed the wheel", it had to be me and he didn't get any charges. The hit I got was out of line and my husband feels horrible about it. He came straight up to the jail and got me out as soon as I was able. He agrees that he exaggerated the facts to the police when he said I grabbed the wheel and he has written statements that reflect my story of that evening. He is standing by me and I have his full support. The problem I have is that I couldn't find anywhere in my NPA that says I have to report a charge, so I held off. But we were about to do criminal background checks for out nclex application, so I decided after a month of keeping it in, I would let the school know. And they kicked me out! They said they have a policy that you can't have an open court case and be enrolled, but people are falsely arrested all the time! And the policy doesn't say that exactly, it just says that they will look at each case individually and make a decision. I have a court date for Oct 1 for a case status and I will then find out if it is a misdemeanor or a felony charge. The school says they are reporting it to the BON but will give me till next week so I can first, but under what rule do I have to? Even my lawyer read the NPA for my state and couldn't find where I have to report. I planned on reporting this to begin with but my question is, how should I go about appealing the decision to kick me out? What should I say? Court is going to take some time and I can't wait that long even though I know the charges will be dropped. Any suggestions about what I could ask for from the school as far as : let me go to school until my next court date even though it won't be cleared at that point? And what about telling the BON, and will they let me test? Do they look at the circumstances of charges? I have already passed my Hesi with a 1092, I am an excellent student and I would have hated to see what it would have been like if I didn't grab that steering wheel that night. I couldn't have changed anything that happened that night, only my husband could have and he regrets everything as do I. I have been so depressed over this and I can't take this much more. It's the worst thing that's ever happened to me.