EtoseLvr03

It was a yearly assessment that was due in Dec. 09. There was another nurse that was supposed to do this yearly assessment at that time back in Dec. 09!!! Now do you understand Clemm???

I work on a "chronic" unit (our patients are here for months or even years). Each nurse is assigned a certain amount of paperwork (pertaining to our patients) that is due each month. I am always current on my paperwork load for the certain patients that are assigned to me. I have this one patient assigned to me since the spring of this year, 2010. Previously, this patient was on another unit, assigned to another nurse. There was supposed to have been an annual nurses note/assessment done on this patient last year, by the nurse who was assigned the patient at that time. However, that nurse did not do this paperwork then. My supervisor (who has been our supervisor for less than a year) told me that I have to do it. I told my supervisor I didn't feel comfortable, since this assessment was pertaining to the patient from 2008-2009, and this patient wasn't even on my unit then. I also voiced that it is not fair for me to be doing another nurses notes that were assigned to her/him. Her explanation was, "well I'm not tracking down who was responsible for this at that time, because I don't feel like doing that." Was this action by my supervisor fair?

Wow, I work in psych, and this sounds very similar to the females I take care of. It kinda reminds me of my "borderline personality" patients. They are very difficult to deal with. Maybe your patient needs a psych consult. Sorry you had a such a horrible shift.

I've never seen that abbreviation before. However, it looks like something the primary care physician would "write out" in their assessment.

Have you looked at Portland, Oregon? They have several public transportation options to choose from. It is a very nice city also. My brother in law lives there, and he loves it.

Wow, I've had this happen to me also. I still have nightmares at times because of my experience, (and I've been gone from that position for about 6 years now). It's terrible. I'm just glad I can wake up and know that it was a nightmare, and that I'm really not back there again.

I'm very sorry about your situation. I can definitely empathize with you. I started off in med-surg right after I graduated nursing school in 2001. It lasted for 6 months. I felt like I had made a mistake by going in to nursing, I felt hopeless. I was struggling to keep up with the work everyday. And like you, I too was being reported to the hospital administrators for mistakes that weren't even my fault. I was always getting the finger pointed at me for things I had no control over. I even had a supervisor nurse tell me he didn't agree with me being reported, but he did nothing to help me. Well, I found another job and left that place. I went in to psychiatry. I like it, but it does have its stressful moments too. But it is 100% better than what I started out doing. I don't ever regret leaving the "well-known" hospital. I would never go back to doing that kind of work (med-surg). I have been in psych since the summer of 2002, and with the same psych hospital. I just started working part-time last November. I work 2 or 3 days a week. I just know in my heart that I won't ever go back to a hospital and work again doing direct patient care nursing. If I leave where I'm currently at, I'll find a job that isn't in nursing. I know money is important, but so is your happiness and well-being. I hope it all works out for you. I don't even know you, but my heart breaks for you because of your situation, and the fact that I've been there before. God Bless you.

I gave a patient an IM injection of 100 mg Thorazine in the LUQ today, and as soon as I withdrew the needle, she really started bleeding quite a bit, like when you remove an IV from a vein, and it pours out blood. Every other time I have given an IM injection, I haven't observed bleeding like this. I aspirated before I injected the medication to make sure I wasn't giving it in the vascular, and no blood was noted then. I did everything right during the injection, just like I was taught in nursing school. I felt really bad that she bled like that, and she didn't even complain of pain during the injection. I was scared that I had injected the medicine in a vein, so I kept a very close eye on her after the injection. She was fine, and her agitation subsided. I put a bandaid over it afterwards, and applied some light pressure, but I still felt like I did something wrong. Anyone ever had anything like this happen to them, or have you ever received a blood return while aspirating before the injection?

I gave a patient an IM injection of 100 mg Thorazine in the LUQ today, and as soon as I withdrew the needle, she really started bleeding quite a bit, like when you remove an IV from a vein, and it pours out blood. Every other time I have given an IM injection, I haven't observed bleeding like this. I aspirated before I injected the medication to make sure I wasn't giving it in the vascular, and no blood was noted then. I did everything right during the injection, just like I was taught in nursing school. I felt really bad that she bled like that, and she didn't even complain of pain during the injection. I was scared that I had injected the medicine in a vein, so I kept a very close eye on her after the injection. She was fine, and her agitation subsided. I put a bandaid over it afterwards, and applied some light pressure, but I still felt like I did something wrong. Anyone ever had anything like this happen to them, or have you ever received a blood return while aspirating before the injection?