RiskManager

If the question is can nurses find employment after completing a substance program ordered by the state BON, I have encountered many such nurses. Clearly, it is very state dependent in terms of the BON temporary or permanent restrictions on licensure and monitoring. It is also dependent on the willingness of the hospital/employer to give the person a second chance. A major factor in the decision is what type of practice the person will be doing. For example, if the person is an anesthesia clinician and were diverting at work, it will be very difficult for that person to continue working in anesthesia and they may have to change specialties to be working at all.

Your employer should provide liability insurance for the employees, and it does not hurt to ask for the details.

https://allnurses.com/general-nursing-discussion/one-healthcare-risk-999441.html As noted in the above article, I generally recommend it because it is so cheap, but be aware of some significant coverage limitations. People buy it because they think that if the BON investigates them or the hospital is sued, their own insurance will provide them with a lawyer or defense, and that is generally not true. Read the article for details. Apply appropriate filters to risk management advice given by people with no training or experience in the profession.

I see it every day in our facilities and clinics. Is your VA facility too small to have the VA Police? I have some friends who work at the Seattle VA hospital and the VA Police are a very visible presence there. Not too sound too much like a geezer, but I think the problem has gotten worse in recent years, compared to when I started 35 years ago.

We can't do it without YOU!

https://allnurses.com/general-nursing...sk-999441.html If you decide to get your own policy, the three major writers of nursing malpractice insurance are CNA (sold by NSO), Liberty Mutual (sold by ProLiability), and MedPro (sold by affinity marketing of this site). CNA is by far the largest writer of this type of insurance.

Don't worry, Mr. Bear. RiskManager will fix everything.

Proud member of the ZPac for many years now.

Can you be terminated? Absolutely. Are you likely to be terminated because of this? Probably not. RiskManager would however be paying you and your staff a visit to talk about proper medication administration and how meds should be managed. Were I in your shoes, I would be asking the clinic manager and/or administration for some assistance with training and organization. Some careful thought should be given to a root cause analysis as to why these things are happening, and what systems can you put in place to minimize the chance of them happening again. If I am working with a clinic and they continue to have problems despite adequate intervention and process redesign, that is when I get a frowny face and start looking deeper into what staff dynamics are contributing to the problem. I empathize with the reality of a busy ambulatory clinic, but we need to make time for the 5, 6, or 7 rights of medication administration to avoid these errors (pick the number of medication rights that corresponds with your era of training).

The Good Lord willing and my 403(b) performing, I am thinking about retiring in five years, when I hit 62 and can start taking Social Security. The difference between the monthly benefit at 62 versus my full retirement age of 67 is only a few hundred dollars per month, and my 403(b) fluctuates several hundred to a few thousand dollars per day. My wife will be 65 then, and as a teacher, she gets an actual pension while most of us in healthcare do not. She can pick up substitute teaching gigs if she gets bored while I have a lot of bicycling and reading to catch up on.

I used to be on a local search and rescue team, I was a paramedic, and we had several other health professionals on the volunteer team: physicians, nurses, a physical therapist and some others. Probably the single most important and useful medical training one can have for search and rescue is one of the wilderness medical certifications: Wilderness Medicine Training Center - Wilderness Medicine Training Center Home to teach you care in austere conditions with only the supplies you pack in. Most of the care is basic to advanced first aid to stabilize the patient while awaiting the helicopter or while packing the patient out on a litter because the weather has shut down aeromedical evac. I am not aware of a whole lot of paid positions on SAR, other than government employees, such as the military or Forest Service rescue personnel and the county Sheriff SAR team leaders.

^^^I was just thinking about putting covers on my TPS reports! And wearing at least 15 pieces of flair.

As a risk manager, I have the opportunity to do a lot of apologizing on behalf of the providers, staff and organization. I like to say that years of marriage have made me an expert in apologizing for things that aren't even my fault.

I like to say there is no "I" in team, but there are two "I"s in idiot.

Thank you for your input. You are a valued member of the team!