Cleake replied to stineknight's topic in Emergency
The facility I work in does not have anything in place as such, they just recently started picking employees to recognize them as compassionate or most helpful & so on. The reward is a picture posted within facility & nothing more.
Anyone can be fired in healthcare for whatever reasons and you just have to be smart enough to know policies in place and able to keep track of records applicable for termination purposes. Signing off on changing the dressing and caps which is part of the dressing change to picc line is cause for termination depending on facilities policy. I've seen someone get fired for falsifying vital signs they didn't get.
I have the same issues on rehab floor where I work. These patients are there post surgery but I think some just like to abuse the narcs and it does get aggravating and makes for an unpleasant day when caring for many of the same patients.
We have to check Q shift and sign oncoming shift and also both nurses have to sign patch when applied. We've had them come off a lot and find them in clothing and bed. If I'm not mistaken when I first started there were issues when we attempted to use tegaderm to place over to ensure it stayed on. State did not approve of this.