bananas1

I do not live in the US and we don't have HIPAA here, but obviously all access to patient's medical records are logged and auditable and we are not allowed to look in charts of patients that we aren't caring for. I read a lot of posts about nurses being caught 'snooping' in other patients charts. And them being fired for doing so. My question is, how is this even discovered? Do people do this and get away with it? I can only imagine a hospital log of 'access to charts' would be updated a million times a minute. How does someone physically look and know that Nurse A was not looking after patient B at that time? I don't know if we are just less strict here, but I have known people to look up their own blood test results for example. On multiple occasions. Never been caught. Recently, I was searching for my patient's parent (to get their ID for neonatal blood sample) got some part wrong and up popped some complete random person. I actually got such a fright I shut it off before the page loaded - but I've been wondering if it will ever come back to me? I'm not worried because I didn't actually look at anything, like I would have only opened the demographics page for literally 2secs - but what would this look like to someone looking at the logs? How would it be flagged..? Are the access logs only ever scrutinised if there is an issue or suspected issue with a nurse doing so? Are audits only carried out over set periods of time? Because I am sure that so many people must do this and just don't get caught? I never hear of cases going through the courts - unless a nurse has been really snooping like accessing their family members and telling other people etc. P.S I am literally not condoning doing something because you won't get caught. I'm just curious of how it's even monitored?

This is so true, and why I like doing a mix ?

Thanks for updating!!!!! That is insane the conditions you used to have, so pleased its improved for you!

I hope you got a position!!!! NICU is amazing!

Where I live everyone does rotating rosters, either eight hour mornings/afternoons/nights or 12 hour days/nights. I can't imagine only doing one type of shift. I feel like you'd miss out on a lot if you only did nights, but only doing days would suck because nights are quite enjoyable.

Ahahaa no way! Seriously.. that's crazy!

Question... what is a pyxis!? We do not have these!

I don't know much about morphine but I am guessing it was probably 4mg/ml.. so by taking 1ml out you would have your 4mg. Why it went in saline I don't know ?

Not quite the same because my patients don't talk, I'm in the NICU and sometimes that happens to our babies. A puffy arm is really obvious in the really little bubs, but the chubby term ones with a large amount of fluid (like.. 10 ml/hr) can puff up really quickly and we don't see it. These babies cry when we take their temperature!!! I'd think they'd be screaming with an extravasation.. but nope, they don't!

I am really shocked at these responses.. I have no other words. I absolutely disagree with you all.

Trust me my post didn't come out as nearly as rude as I had intended. We're supposed to be nurses, encouraging and enabling people to achieve what they want. I know a med-surg nurse with anaphylactic reactions to latex, I know another nurse with severe anaphylaxis to friggen everything, both carry epipens on them. I know another nurse with type 1 diabetes who actually has a service dog sitting in the hallway for her because it is that unpredictable. I have friends who absolutely hate bedside nursing, and went into public health or primary healthcare. I didn't get into bedside nursing at first either though I wanted to, I am now in NICU. You are never just stuck in one area, many skills are transferrable and I was certainly given this job out of keenness, nothing to do with experience

That's so rude and I totally disagree. 1 - so many people go into nursing but do NOT want to be bedside nurses. Anyone going into primary health/public health or school nursing. That's a huge number of people not wanting to work bedside. AND 2 - you can't research how demanding bedside nursing is omg... I can't believe I just read that. Where can you find information on how physically demanding a certain floor of a certain hospital is!!! How ridiculous! This person has a condition which will make her incredibly understanding of other people's pain and chronic illness and will be a fantastic nurse. Why are you so keen for her not to be in nursing. There are so many non-bedside nursing jobs out there which are so important. Rant done.

I'm scared because I can't work out what was wrong with his writing skills?!!!

? Can I just say, don't put ICU nurses on a higher pedestal.. just a different one!!! While they may be able to care for sicker patients, they may struggle to deal with the caseload a PCU nurse may do. But I totally get that you want to learn about how to care for the sickest of the sick, that's admirable and definitely something to aim for. I honestly would just apply, it doesn't matter that you don't have the experience, the worst that can happen is you don't get the job. You have PCU experience and that is so close, you will be able to transfer so many skills from there!

Please don't stress! Things happen like that when you become an RN and you're not going to lose your licence over it. People have got their shifts mixed up and not realised they're working. Lots of people sleep in. Some have nearly arrived at the hospital and realised they still have their slippers on, so rang the unit and arrived when they could. It's not being lazy or disorganised if it's a one-off. You'll be fine! Just set your alarm really loud, and maybe even put it out of arms reach so you have to get up!!!! I actually even know a newly qualified doctor who showed up late to work on her first day!!!!