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steelcityrn RN

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  1. steelcityrn

    Will I be held responsible ?

    My point was maybe there was nothing to document, as it was not a true wandering situation. Now that your saying it was, I like the other agree you do not document on anything you did not witness or was present during the incident. Why doesn't your supervisor document the incident on the chart. She can write a late entry and sign her/his own name to it and follow up on the companies policy.
  2. steelcityrn

    Will I be held responsible ?

    I would probably want more information about a patient "attempting"to wander. Was it something as simple as walking towards an elevator?
  3. steelcityrn

    Lots of young people on disability?

    I recently met a distant relative at a funeral who is diagnosed with bi-polar. He could not sit still at his own mothers funeral. He was her only child. He was disheveled, had no one there who he could call to give him a ride to his own mothers funeral!. He told me he took 3 buses to get there, 5 hour ride. He had become so isolated. He is on disability. He had graduated from law school, only to be unable to take his boards due to his exacerbations. When you are isolated, you rely on psych case managers, social workers to see that you can get rides to your appointments and pick up you medications, buy food and clothes ect. Where he lives, ano one would want to be. He would be the type to frequent an emergency room. I fell sorry for nurses who would turn themselves so hard to be unable to see the crisis in front of them. I am sure you see some abuse, but these are people who once they leave your E.R., go back to living in their own hell on earth.
  4. steelcityrn

    Ativan...do i hold or give?

    If a medication is not ordered as a prn, you need to report the lethergy to the physician. The order may be changed to 1-2 prn qhs. Once the patient has been on fentenyl for a while, they may need the order changed again to qhs.
  5. steelcityrn

    Being a Good Nurse Saved Time and Possibly... a life!

    Yes, you did great! Maybe a strong suggestion to the team to never leave a patient with an acute onset of an undiagnosed medical condition be allowed. You have to wonder how many patients have been left alone during an episode that may have caused death. I say if it was my loved one or friend I would be so greatful to you that you stayed with this patient.
  6. steelcityrn

    Admissions and Privacy

    If that is your facilities policy to ask all of those questions, then so be it. I usually say something like " I know there are alot of questions here for you to answer, do you want family in to help, keep in mid some may be personal"? Usually this is answered " I have no secrets ", or " my life isn't exciting.....Then I plow through them. If they are too weak to answer them all, and they have no one there, its "unable to answer at this time r/t decline in condition".
  7. steelcityrn

    Disruptive co-worker

    Yup, nothing like a negative person to try and spoil the teamwork. Work even harder to over come this.
  8. steelcityrn

    Nurse not passing meds...should I report to BON?

    Continue to monitor as you are a supervisor. Continue to be aware of the need to assess her medication rounds. You as a supervisor need to make her aware that you are making sure all medications are delivered and signed off as given at the correct time. Next time you have proof of this, I would think the next step in getting her fired or reported to the B.O.N. will happen. As far as the woman who died on her shift, much proof would be needed that she had anything to do with that. I would not mention this at work, as without proof that is a slanderous statement.
  9. steelcityrn

    Is this the wrong field for me?

    It may not be the wrong field, just the wrong place to work.
  10. steelcityrn

    wow-ltc is crazy!!!!

    LTC is hard. Its very demanding work, and you have alot of family contact. Its not for everyone.
  11. steelcityrn

    Facebook almost cost me my job

    I can see how facebook can cause alot of problems! Many times people portray themselves in a certain way, maybe for a laugh. But today, whatever you say on these type of sites can be read by everyone. Just like the OP said, thru a friends page. I have always said these sites can be dangerous.
  12. steelcityrn


    This is public information. You can read deaths in papers or online. They usually say where a person passed away at. I do not see a legal issue here at all. Now if she stated why or how the patient passed away thats a different asituation all together.
  13. steelcityrn

    Army Nurse Killed in Afghanistan

    Rest in peace. God bless your family, they will miss you terrible. A nurse is just not a nurse, as this man was a hero.
  14. steelcityrn

    Feeling bad, like I "ratted out" a nurse

    Only one side of the story here folks. This was a good nurse with a good reputation. Im on her side, and I don't care what you others think. Im not going to pull quotes here and rip others apart. When someone says someone "APPREARS", this is not proof. Many times on the news someone is reported to have been impaired, only to find out the truth later. Look into the PNC park fan who got beat with a club, and now the entire story that was told on day one is FALSE. I would love to hear this nurses side of it. No one wants to work around an impaired nurse. No where in the OP post does it say there was one problem with care. I'll play devils advocate here for sure.
  15. I would put the house supervisor down. If they ask for the other name and number then you provide it. She really could only say that you were employed there during that time period, but you never know.
  16. steelcityrn

    Do you do venipunctures as a nurse?

    You do alot of venipunctures in homecare. I would say we see as many labs ordered as I.V.'s.