jdub6

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All Content by jdub6

  1. jdub6

    Nurses Who Smoke Marijuana

    This also is state dependant. My state has I think about 12 conditions including epilepsy, maybe ptsd, a bunch of others. And they are adding more. The unique issue here is that, as others have said,...
  2. jdub6

    Nurses Who Smoke Marijuana

    This must differ from state to state. As far as I know the only drug that is absolutely not allowed in mine is methadone (which I personally believe is less impairing than some of the allowed drugs...
  3. jdub6

    Horrible Treatment at Drug Testing

    Actually this is false these days, at least in these parts. Most employers (esp retail) give chain of custody forms to their pre hires to take to the lab. I guess they just can't risk a false...
  4. jdub6

    Horrible Treatment at Drug Testing

    Mine wasn't as bad as yours but multiple times I had the lab tech come out and loudly announce "you'll have to wait because you're here for a DRUG TEST and I don't do those" to a full waiting room....
  5. jdub6

    Re-eval in IPN outcomes?

    Just so you know, if you fail to compete monitoring, leave nursing and try to come back later you will have to redo or compete
  6. jdub6

    terminated RN

    Does your state have a confidential monitoring program? If so I recommend calling them, not the board- they are two separate entities. If you are guilty and ready to get help this will help, but it...
  7. jdub6

    Accused of med diversion, no proof

    Honestly, in a few states it's a bit of a wild card. I would absolutely consult a lawyer because 1. If they do report you it could become at the very least a long haul or worse you could get...
  8. jdub6

    That dreaded question...

    May I ask what state this is in and how this company gains this info? In the state where I did my monitoring the board never finds out, nothing ever goes on your license including while you are in...
  9. jdub6

    AMA discharges

    (The above was cut at the ... because I cannot bold or underline quotes- sorry!) I understand completely having the pt sign AMA papers. I agree that is necessary. What I don't understand is why,...
  10. jdub6

    AMA discharges

    The problem here is the nursing staff have adopted this attitude as well and get almost snotty with pts who ask for a prescription for, say an inhaler when leaving- "you're leaving AMA you get...
  11. jdub6

    AMA discharges

    See, this is how I feel it should be. I am no lawyer but interpret the law as you do and an very uncomfortable with the policy esp in these days if high deductibles and cost shares-some people just...
  12. jdub6

    Being blamed for fall after shift

    1. You need to document that there were no chair alarms and how you tried to get one several times either in pt record or the incident report. 2. My experience with using bed alarms on truly a/o...
  13. jdub6

    I Made an Absolute 'No-No" Mistake :(

    This makes me wonder if you have seen other nurses do this with otc stock meds...I know in my ltc I was told by pts and staff that at least one nurse regularly gave one pt tums out of the unit stock...
  14. jdub6

    Would you report possible diversion?

    I think you are spot on. I know that when I left (no one turned me in until after I was gone, I was caught by a random audit) that my old colleagues gossiped about me (my mgr told me after I was...
  15. jdub6

    Would you report possible diversion?

    (Fyi-i deleted a part of the above that I didn't feel I needed to respond to because I cannot use bold or underline in quotes on my phone) I have to respectfully disagree with this and your prior...
  16. jdub6

    Excessive use of Omeprazole or Protonix

    Just today I saw an ad on TV from a medical malpractice law firm looking for clients who have had renal problems up to and including esrd while or after taking a ppi. Supposedly there are two studies...
  17. jdub6

    That dreaded question...

    Thank you to everyone who read this and replied. In response to the above- I am WELL aware of the consequences of being caught in a lie on an application. I have never lied before for a job....
  18. jdub6

    Blind Sided

    Agreed. A couple other things: when I close a pts door due to noise I tell the noisy party, whether it's the pt/visitors, other visitors in the hall or staff, "I'm just going to close this door...
  19. Agree that extubating an ME case is a no no. Maybe the supervisor was getting heat for that and is deflecting to you? Or maybe she just resented having to do work on "your" pt. As a new icu RN I got...
  20. jdub6

    In serious need of advice

    Óh another thing would be drug treatment or methadone clinic nursing. In drug rehab you basically handle detox assessments and meds. The pts are less likely to be violent than the average psych...
  21. jdub6

    In serious need of advice

    Have you considered leaving acute care? A hospice inpatient facility has less stress with worrying about your pt crashing. Depending on the facility you will do a lot of foleys and a fair number of...
  22. jdub6

    Are we over-reacting?

    As a former hospice and LTC nurse (not at the sane time) I personally would recommend you move your mother to a skilled facility. She sounds like she is a max assist who is rapidly approaching...
  23. jdub6

    Medical errors the 3rd leading cause of death??

    But, on the other hand, the overdose could have had minimal or no effect, or the effects easily treated, but the error blamed for her cardiac event when really it would have happened anyway. It is...
  24. jdub6

    inpatient treatment??

    I am not in LA but my experience is that most facilities that do inpatient evaluations tend to recommend inpatient treatment at....drumroll..their facility! (There is or was a lawsuit in MI about...
  25. jdub6

    Firstlab Positve uds (OH)

    Congrats OP on being done! To clarify for others, YES Firstlab WILL say positive for anything in your system- they do not have your medical records unless your program also uses their medical review...