twotrees2

i dont know if there is a LOT of slackers - i know we have some but the majority of nursings problem is not slackers so much as management plain and simply not giving us enough to begin with............in my opinion ayhow.

k checked some facts - 88 % was sao2 - however pt has significant history of copd and chf- was reporting he cuoldnt breath ( also sinificant anxiety problems which have often set him off in attacks) as well as many other significant history of illnesses - we have often thought he has not been long for this world but he keeps poopping back- you know the kind lol - doc is also on probabtionn and though i can not excuse it i do understand her position to tyrn her head and pretend not to see it. - though i am still hoping the security staff report it as they said they wold - then the doc will not be happy she didi that , not only that this man often needs a mask to get his saots up because his conditions make him quite frail and his conditions frgaile.- anywho- hospital had to put on o2 and they were reportadly livid- this man has been transfered many tiimes and NEVER without o2. and security knew this as well and were not happy - especially after he was already on the floor once on leaving. question - though he did apply the nasal canula is this not prescribing ? in essence he "prescribed" a placebo - who is he to do that because he doesnt want to pay staff to go with. that is out of our nursing scope of pracitive. now- i know these guys are many times not good men or they wouldnt be there - but are they not still human being s and have the right to approriate health care . if it were out in the public i can almsot assure you any family would have had the bosses butt in a hurry- because these guys a lot of times have no family or at least available family..... who then is there to advocate for them if not us? \\ i know i have viewed my charting sytyle anew - and have several friends who used to chart " because the bboss did it" and the like, and thinkinng it covers our butts, but the more i have thrown it aorund my head- the more i realize that we are only admitting OUR negligence in OUR care. this man was abusive in my opinion - take o2 away in public we have our heads on a plate for abuse.......it wasnt even negligence it was blatant abuse. the nurse had written it up however its a matter of who to go tto. perhaps the warden? i dont now what will be done but i appreciate everyones input., so as to better deal with it if it shoud arise aagain. so thank you.

thanks. yes he is well bullying an she has it well documented. my concern is i was taught that no matter what it is our pt it is us who would take the fall.( matter of fact there were 3 nurses whi just finished winning a lawsuit that took over 3 yrs to get it isnt like the guy takes pts th thrugh and it was all over this same kind of crap. they were vindicated but the horror of 3 yrs of trials and lawyers etc wsa unecesssary ) he idnt a floor RN so he doesnt take pts so that she can "turn the pt over" - she has to keep the pt or is bound to be labeled as abandoning them. thank you for your opinions - sound like i am pretty well founded in my ideas - just looking for validation lol. i am "just" agency so i am leaving in a hurry- i hope she will also cause its just dangerous in y opinion. id rather loose a job then my license.

unfortunalty it was the boss ( read manager ) of the unit and he is an RN - however i contend that it isnt his pt so we would still be liable shoudl anything happen when he did it , when we are fully aware and when he takes over our pt. howwever - standing up to him would cost your job unfortunatly - so how does one go around that? his boss would be the warden - but even if he gets a slap on the wrist, she still wuold likly loose her job as he has been looking for any excuse to get rid of her ( though non of his bull has stuck so far as she is that goood. he cant find a way to get rid of her so far ) and as i sadi she cant go to the doc as the doc is new and afraid if his wrath as well. the doc was present when it went on!! and just turned her head to the fact he did it. even the prison staff guards) were appalled and going to report it but never did. this is not the firsttime he has done dangerous stuff and noone tells out of fear for thier job. personally i am leaving - i cant work with a nurse who would do hrm to a pt that way. regardless if that pt "needed" it or not physically - he does need it emotionally ( physically too but he survived the ride which is short) any further thoughts?

scenario - pt was a friends pt. she had to send him out for an xray of his hand per doc order when he bashed his hand againts the wall and made obvious defomities. he did not wish to send him off stating he didnt see a deformity though doc said it is there ad he will go. then - pt is required by law ( on continuos o2 order ) ( this is at a state prison infirmary) to have staff with due to o2. boss told security he would go wthout o2 so staff didnt have to go. pt fell out of chair on way out door. again - nurse assessed and was going to hook up o2 - boss came and took o2 cannula put it on pt but did not put o2 on - didnt even put tank on chair. told pt o2 was on and fooled him. and sent him on his way without the o2. luckily nothing further happened. should this nurse report the boss? and where? oh and she has a problem as boss has her on probation and is trying to "get her". no matter what he has tried failed, but makes her life mmiserable........ she is an excellent nurse and he is messing with her because he does not like the fact she stands up for pts and staff. i told her that it is her license if she allows that pt out the door without any o2 having a cont order - - even though she charted the boss took off o2 and faked the o2 on for transport. who would be held liable if a boss overrides our decisions and how would we chart it ( chatrting "because the boss did it - is basically an admission we did NOT do it. ) - any ideas? thanks. ( by the way doc saw all this and said NOTHING! in my opinion they both need to be reported somehwere. but whwere do you go - without the risk of loosing your job?) we are liable to not only do what docs and bosses tell us whn its right but are we not also required these days to question and NOT do things that are wrong? help please. and thank yo in advnce.

awesome post :)

great pet peeves!! as are between toes ( especially on diabetics ), and behind the ears and in ears, as well as any folds if any and higher up crack of rear , and contracted hands - the palms and between fingers are often not done well probably due to it is painful for the patient to have to bend them slightly to get in there but it is important to do so .....!! very often neglected areas that tend to break down real real fast if not kept clean - and oral care is often neglected as well. cant tell ya the number of patients i have had to dig crust off of roof of thier mouths and tongues because it wasnt done well or often.......

just tell your patients you are sorry for the noise, that the person is not trying to annoy them on purpose they cant help it and offer the complaining patient some suggestions that may help - offer to shut thier door, get them ear plugs if feasible, a room farther away if feasible, etc. most folks will understand once they know it isnt someone being purposely ignored and the complaints will generally stop without even needing to make room changes or get the ear plugs. just my take even from a patient perspective. .

I did not mean to offend you- I was simply stating my opinion and some possible alternate solutions to the meds - I have had some experience with it due to 2 children ( one now an adult herself ) and was trying to help you. sorry if you took it as anything else. blessings.

I have 2 kids with adhd . one with meds one without- you should never have tried them meds without getting a doc to check you out. there are a lot of things can be done besides meds that can help depending on the severity. if you already made it through HS and are going into college without it- there is a good chance you would not need the meds. and even if you did, you need to be monitored as they can have significant side effects. you got lucky you didnt do more harm than good by taking another's pills. people who " I think I need this " or " the kid needs pills" and get em without so much as a psych eval or therapy or other measures such as stopping red dyes, sugars and things like behavior management - are the ones who make it such a stigma for those who really do need it. furthermore- why owuld your sis give that pill to you- folks who take it need it and should not be giving it out. this just sounds wrong on every level in my opinion only.

this just popped in my head - with more bsn's could it end up that the wage they make could then go diwn ? if ya think about it - if there is more competition in the field wages could actually drop simply by the normal way of supply and demand works in any business. just a thought and wonderung. have a great holiday weekend all.

i am quite well rounded now-whole mind:banghead:, soul:saint:, heart :heartbeat, AND body - i dont need a BSN to tell me that. ( before flaming see laughing face ) but serious;ly - i dont need a BSN to feel better.

many places have done that in the past in regards to lpns and even cnas cutting them out and only using rns - or only using rns and lpns - but they alwasy bring the jobs back eventually. and it doesnt last long - five yrs down the road and they end up changing thier ideals as they cant keep what they have - if that hopsital or your does well with it - good for them- i dont think the few who will do this will end up making a big difference to the rest of us. - so we just dont go and apply there lol. i dont see the demand for adns shrinking - really - especially since bsns tend to want higher pay rates for the same jobs - adns will keep being aorund if anything because they demand less than many bsns. just my opinion.

i must be tired causethis just blew me away in confusion - when we worked 12's we also were req as was everyone else to wrk everyother weekend ( which is 4 weeknd days per pmonth) but it sure didnt sound like yours. they scheduled us - and if it was our wekeend we workked sat sun ( fore the noc shift) period and they scheduled us accordingly in betwwen - and manytimes yeah we got stuck 3 days in a row and at time even 4 which was rough- i do know that after i was done i looked it up and seems to me if i recall right one can get scheduled as many days as 10 in a row as they are req to give you off 2 days every 7 - however if they woshed to be jerks they could have gave the 2 days at begin ofthe 10 and end - dont know if that was hospital or state or what policy - just found it amazing thy could have done that if they so chose. i dont know if that meant 12 hour shifts too - i just recall 8 hour shifts being mentioned- its been yrs since i even cared to look. where i work now they have gals who work only 12 hour shifts all weekend - every weekend., dont know why anyone would want to do this ( they arent getting 24/40 like some do - they work EVERY weekend) thats all they do- and they have a waiting list lol. they love it. i guess my best suggestion would be look for a different job before you wear yourself out. manyblessings.

good for this belief - it is as it should be. as others have pointed out - if its YOUR doc and you are working with him or her, and they happen to have an avaialable min - id say it would be ok ( i did have this once hppen - his nurse made a note to be entered in my chart when they got back to the office) - any other doc should not be prescribing anything as they do not know your history. personally i dont even let my "specialists" run my medicaion regime - they recommend ( and i have only had one issue where the doc refused to order what the specialist wanted) ( withoutgood reason so i changed doctors) i am more comfortable that one doc does all my meds and the amount because he is the one who sees me all the time - the specialists i see have no trouble making recomendations and letting it go as they know when needed we will call and come back for questions if changed need tobe made or trouble with med comes up.except for the one i tried after my orignal doc who i had for 15 rs left town - i have never had a problem doing it this way. and i have found another great doc willing to work with the other docs( specialists ) consulting and conferring. now for the docs and NPS out there- i do understand this causes extra work for you - it is much easier to get em in a room and say go see so and so and get on to the next - you are all very busy- however to me its important to not feel like i am pushed off ( as the one who came in place of my old doc said " the specialists now owns that part of you - like you had a knee done the surgeon owns it - you have arthritis - the rhumatologist owns that - sounds like beingh pure lazy to me) it may be extra time but to me that is what i look for a doc who will give me total care and wants to go the extra mile. i guess it also helps that i am in a small town where they can do that. i am sure there is even less time in the cities as its busy enough around here. maybe its important to me cause i know i go the extra mile and i know it can be dione and i know it feels good to get that - besides if i have just about every specialist available the only thing i need GP for is a pap every yr and i can get that at another specialists lol.