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Allgood2016

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  1. If it has nothing to do with your assessment I would be respectful , professional, and polite and ask if could be discussed at a later time.
  2. Perhaps have a TATOO on your inner forearm DNR/DNI? (Had friend who was allergic to ASA; she had it tattooed in red ink on her forearm. Saved her from reaction when she had an MI.)
  3. When I had patients with feeding tubes I would contact the doctor(s) who wrote the orders and request a verbal order for all meds to be in liquid form (if med was available in liquid form). 9 times out of 10 they would agree. I would write order like this: All medications in liquid form due to NG tube administration. V.O. Dr. Jones/then my signature. Pharmacy depts. were very cooperative with th order written this way. If a med didn't come in liquid form; they would make it.
  4. (Retired nurse - speaking as a "civilian") To me, PRE-OP is as important as sugery. Pre-op is prep time; getting to know if patient is ready; and knows what is going to be done, permit correct and signed, has the surgeon marked the site properly (ie-amputation), etc. I myself actually had a wrong permit ready to be signed. Was to have a salpingo-oophorectomy done; permit said hysterectomy. When I refused to sign; and, stated wh; the nurse immediately got it corrected (I insisted on a new permit); and signed it. The doctor and anesthesiologist wanted know the hold up; as soon as I got to surgery I told them. I later found out that the unit secretary was the one who messed up. All I can add is thank heaven for the PRE-OP NURSE!
  5. Approximately 20 years ago I had a patient punch me; in the face; dislocating my jaw. I continued to work my shift (3-11). I went to the ER; was given Versed; had my jaw put back in place; was placed in a soft cervical collar; then had the 11-7 Supervising Nurse drive me home. I went in the next day to do the paperwork. The 3-11 Supervising Nurse had not filled out; nor, had he started the incident report. I filled out my portion; talked with the DON and the CEO about what happened. (Thank goodness I had a CNA with me.) The CEO asked me if I wanted to press charges; stupidly I declined. 2 days later the same patient beat up a CNA; she had to admitted. The CEO then called me to his office. The CNA pressed charges; the CEO then asked if I wanted to press charges. I said yes. The patient was arrested at the hospital; had 2 police gaurds - one in the room and one outside the room. Anytime anyone went in the room it was 2 people at all times with both Police gaurds in th room with staff. I got 3 weeks paid leave; the CNA got 4 weeks paid leave. The 3-11 supervisor got fired for not following protocol. It is every health care workers right to press charges when attacked by a patient; or if a nursing home or rehab facility to press charges when attacked or assaulted
  6. Retired after 45+ years. Any time a patient had to be transferred to ICU (or CCU) the doctor had to notify family member listed as contact. I've been on both the nurse; and primary contact sides. I always was notified by the doctor on transfers.
  7. If "higher ups" don't/won't do anything; contact your nursing board a d turn her in. Ask to be kept anonymous. Keep notes on when & where she is found sleeping; if possible keep copies of write ups; and, when you notified the "higher ups".
  8. I am retired, now. I am; and, was; considered "old school". My last job was at a small assisted living center. My notes (narritives in charts) on incidents there saved the company from a couple of law suits. I was taught (back in the 70s) that there was no such thing as overcharting on a patients condition. Click the box charting without a good narrative is; to me; a dangerous situation for not only the patient and nurse; but for the facility as well.
  9. First off; I am 64 years old. I was already licensed as an LVN. Second; I had taken care of everything in Texas. Third; I was in my mid 50s when everything showed up. As I said I had all of the paper work; and, was able to prove that I had done what was needed, per the court. So, if you don't believe; or do; isn't important. What is; to me; is that I was an LPN/LVN for over 40 years; and, I loved every minute of it.
  10. I am a (retired now) LVN/LPN. I had a simular situation happen to me when I moved to Indiana; from Texas. (I lived in Indiana for 1 year) had been a nurse for over 20 years at the time. I had a warrant on my record for the state of Texas. It was for a speeding ticket and suspended drivers license (didn't know it was suspended). Thankfully I still had the paperwork in my personal files. I contacted the Indiana BON; sent notarized copies to them. I still had to have a letter from Texas stating that everything had been taken care of; and, that the warrant had been cancelled. It took forever to get everything I needed; but, finally I got my license from the Indiana BON. It is now inactive; as I moved back to Texas. It will take some time; but, just follow what the BON says to do; and, you should be able to get your nursing license.
  11. My feeling on this is: Better to have and not need; than to need and not have.
  12. If you; or you know someone; you can buy material and make some pants. Back when white pants first came out my Mom made me some white uniform pants. She "show through" tested with very red nail polish (I had a dark birthmark on my left knee).
  13. Not all Texans have a "cowboy mentality"; and, I find this offensive; and, nasty/ugly tempered. I said right along that states were opening up to soon. I had people who agreed; and, people call me ignorant; crazy; and, just plain stupid. HA HA to them. I wasn't ignorant; crazy; nor stupid. Govenor Abbott wasn't the only govenor to open up to soon. Other states governors need to speak up and admit they were also wrong.
  14. It is because of the present pandemic I am glad that I am retired. I worked for 45 years. I live in Texas; and, Yes it is bad here. I can pretty much guess what city & what hospital system you work for. The hospital SHOULD have a mentor/preceptor system set up for nurses who haven't done bedside nursing in 1 1/2 to 2 years bedside nursing. AND, it SHOULD be longer than 2 weeks (has already happened to other nurses). I agree that you should contact the Texas BON for guidance. If you are fired; for refusing; you won't be eligible for unemployment (been there, done that).
  15. I have been an LVN/LPN for over 40 years. My first job was in 1977. I was making "new grad" pay. Not much by today's standards. Every one I went to high school with; and friends; thought I was making a lot of money; because I went into nursing. Here it is 2017 ; and, I'm making approximately $12.00 an hour more than I did then. Recently during a job interview I was asked "Why did you go into nursing? " Needless to say I was blindsided by this unusual question. My answer was "Because I care about people". Many people have misconceptions about nursing pay. I tell them I'm not in it for the pay/money. I've had other nurses ask me why I didn't go on for RN; and, that I would make more money. It's not about the money, to me. I'm happy where I'm at. If I wanted to make $$$$ I could have chosen many other professions. I became a NURSE because ... I CARE.

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