Jump to content

Orion81RN

Member Member Nurse
  • Joined:
  • Last Visited:
  • 800

    Content

  • 0

    Articles

  • 8,100

    Visitors

  • 0

    Followers

  • 0

    Points

Orion81RN has 7 years experience.

Orion81RN's Latest Activity

  1. Orion81RN

    Helping Patients Make Healthier Food Choices

    Same! I'm like my Ha1c is better than ever, same with cholesterol, BP etc...mind your business. I eat more vegetables than ever. I'm still in the process of losing a LOT of weight, so I am still overweight. I don't want to hear a word from anyone who doesn't know my progress attempting to "educate" me. Just bc Im not at my goal weight yet doesn't mean I haven't made tremendous progress. I think the article is great in regards to teaching patients how to accurately read a label. I had the mother of a peds pt talking to me one time about her diabetes and her trying to get it under control. She was dangerously misinformed on how to read carbs. It was scary.
  2. Orion81RN

    Need Advice on Accused Medication Error

    99.9% of the time I would say to apologize for your error and state what you learned. Basically just tell them what they want to hear so you can move on and graduate. HOWEVER....this is absurd, and there is nothing I can think of that you can say in your meeting along the lines of, "I see where I messed up here. In the future yada yada..." No. You are absolutely correct. The patient's own nurse herself could have turned off the machine for a variety of reasons for all you OR the instructor knew, such as an adverse reaction. Going to your instructor was absolutely the most appropriate thing to do. First of all, your instructor was in the wrong for leaving the patient period. NCLEX world you stay with the patient the entire treatment time and assess. As a student you have the time to do so. In the real world it is the norm to leave and come back. But that is usually not policy. So there's that. As a student, damned if you do, damned if you don't. If you had turned it back on yourself, you could have gotten in trouble for administering a med solo. That is a huge no no for which I myself got a write up for even though my instructor told me to. The only advice I can give is to not go in the meeting in any accusatory or overly defensive manner. Just state your case in facts. Leave feelings out of it...and the fact that they are dead wrong. Tell them you want to learn from this but for them to please guide you with the takeaway as you knew school policy states that you are not to administer meds alone.
  3. Orion81RN

    Medication order correct or no

    Incorrect. How is the prescriber to know 100% of the time how the pharmacy chooses to dispense the drug? If an order is for 40 mg and the pharmacy is in on back order for 40 mg tabs, the pharmacy can choose to dispense 20 mg tabs and direct you to take 2 tabs.
  4. Orion81RN

    Can CNAs pass meds in assisted living in Arkansas?

    In my state CNAs are trained to be med assistants, but they are certified nursing assistants.
  5. Orion81RN

    Medication order correct or no

    The problem is certain attitudes dissuade some who have questions from even posting here. Questions, that if left unasked, could lead to harm.
  6. Orion81RN

    Medication order correct or no

    I'm amazed that you don't see the issue with the way the order is written. Would I interpret it to mean 1000 mg? Probably. But an order should not be interpreted. It should be direct. The order is for 1000 mg. Tbe order should read 1000 mg. Maybe your facility does it that way, but my last facility did it the exact opposite and completely prohibited us from entering the number of tabs for the very reason there are so many differing opinions on this post. Clearly enough orders such as this have led to med errors considering safeguards were implemented to not even allow us to enter it this way in our emar. I'm amazed that you don't see the issue with the way the order is written. Would I interpret it to mean 1000 mg? Probably. But an order should not be interpreted. It should be direct. The order is for 1000 mg. Tbe order should read 1000 mg. Maybe your facility does it that way, but my last facility did it the exact opposite and completely prohibited us from entering the number of tabs for the very reason there are so many differing opinions on this post. Clearly enough orders such as this have led to med errors considering safeguards were implemented to not even allow us to enter it this way in our emar.
  7. Orion81RN

    Medication order correct or no

    Yep, and if the prescriber is giving you a hassle with changing the way the orders are written, the pharmacist can call and talk to the doctor.
  8. Orion81RN

    Medication order correct or no

    Our facility policy explicitly prohibited us from entering orders this way. It was such a problem that you couldn't even enter it that way in my last facility. Only pharmacy could enter number of tablets. I don't understand how you don't have a pharmacy. LTC uses pharmacies outside their facility, but you still use it, and they still need clarification. Lets say this is a med that comes in a 125 mg tablet. For all you or the pharmacy knows, the doctor wants two 125 mg tabs to equal 250 mg. The doctor should determine the dose, the pharmacy should determine with dose of tabs to supply. This happens quite frequently with coumadin which has tons of different dosages. Lets say the doctor wrote 4 mg 2 tabs. (But order, but bear with me.) Ok? So is that 8mg? Lets say you have to pull from house stock as pharmacy hasn't delivered yet. And say house stock has coumadin 2 mg tabs. The order onky states 4 mg 2 tabs. If you pulled 2 tabs it would be 4 mg, not the *likely* intended 8 mg. The order is stupid. Leave the number of tabs up to pharmacy. Another reason to leave it up to pharmacy is sometimes the price differs between say a supply of 30 scored two mg tabs vs a supply of 60 1 mg tabs for example. The doctor should state 1mg. Just an example. I do this with my propranolol. Pharmacy gives me the one that costs less, and I just break it in half as the pharmacist directs.
  9. Did you read OP's entire post? She states, and I quote, "My school's policy states that you can't take a picture of a patient or an activity." Clearly she read the policies. It was the interpretation of the policy that is not clear. She did not take a picture of a patient, an activity, nor anything in a patient care area. It was a picture in a locker room. It is absolutely ridiculous that she was punished so harshly for this. In my opinion, if the school wants to be THIS strict on social media policy, then they need to directly state that nothing shall be posted regarding clinicals period. Even in your own home. (As this was in a break area.) To me, this situation is no different than posting, "I got to start an IV today." Certain judgement needs to be made when deciding what to duscuss outside of school, sure. But in this particular case, you only learn from experience and the benefit of learning from other's mistakes. I would have thought nothing of posting this myself when I was a student. I only know better now from experience and hearing other's horror stories. So maybe step down a little from that pedestal.
  10. Orion81RN

    !!!I need some advice...failing med surg!!!

    I agree with the above posters. Option A. I do not think you should start over in an associates program, however. If you can help it. It's very possible you wouldn't get in, for reasons previously mentioned. I think you should see if you can withdraw and retake the class at this university. Will your school allow you to withdraw from med-surg 2 and retake it next semester or whenever it's next offered? They might not since you already failed a class and did a retake. If they do allow you to retake this class, start practicing NCLEX style questions NOW and keep doing questions daily as previously advised. And don't just read the rationale for the correct answer. Read the rationales for why the other answers were incorrect. That is a huge piece of advice I always give. If they do not allow you to withdraw and retake the class, look into the entry requirements for ADN programs around you. My school actually wouldn't have cared if I dropped out of a nursing program. They only focused on a few specific things. Cumulative GPA and a point system for prerequisite classes mainly. Maybe you would luck out and be able to get into a program, but I'd try to just retake this class.
  11. Orion81RN

    Am I too stupid to be a nurse?

    At first I took this to mean OP is in her last few years of life. I was like, "Dang, you're dark."
  12. As dumb as it is that you are in trouble for this, don't argue it. Apologize. Tell them that you learned from this and that it won't happen again. Hopefully you can make up your clinical and graduate. That being said what asshat do you have on your social media that reported this? Because somebody you trusted reported it. What a jerk. Learn from that as well.
  13. This is why I think programs that are set up to allow you to sit for the NCLEX PN after the first year (my school after the summer of taking a crash course in peds and OB with clinicals) is best. I can't imagine getting to your very last semester and not being allowed one retake. I'm so sorry to hear this. This is terrible.
  14. Orion81RN

    Webcams in Nursing Homes?

    I do private duty nursing. You simply can never know who you can trust. I WANT a camera *recording* in a patient's home, with our knowledge, not hidden. I believe that protects the employees as well from unfounded accusations, which happens more frequently than I care to think about, unfortunately.
  15. Orion81RN

    Is this a Med Error?

    I was in a facility as a patient where I had Xanax prescribed to me 4 times a day. I was confused when they tried to give me my 2nd dose of the day just 4 hours after receiving my first one. I told them I just got my Xanax a few hours ago, that I didn't need it. They said their policy was different in that facility. They divided the doses up over a 12 hour period during the day. So I don't think this is a cut and dry case. It is definitely confusing as to if it is a med error. I have had prescribers give instructions for cases just like this. Ex. Order may be TID with a note stating med should be given no less than 4 hours apart. That gives nurses the legal leeway to use nursing judgement.
  16. Orion81RN

    How NOT to suck at turning a Pt, esp. w/ trach/vent??

    I do. Both ways. Somehow he pees around it. . I'm like "How?! I had a diaper rolled up (or a folded chux acting like a diaper) an extra chux folded under, and one draped over his leg when turning him. Urine still manages to escape somehow. Like his penis falls to the side if you can imagine what I mean. It usually happens when turning him from his side back onto his back. That's when the diaper or chux gives way enough for his penis to pop out. I also make sure to apply pressure to his bladder and get him to urinate before any turns.
×