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Jrgt312

Jrgt312

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Jrgt312's Latest Activity

  1. Jrgt312

    rescue breathing on the toilet?

    Thanks for your candid response, glad the "first time" is out of the way so I can be on my way to perfection now In LTC I've been through so many vagals, I guess for me it's knowing when it's truly an emergency and if it is, where to start. I've seen what you're talking about, my DON has burst through and declared a State of Emergency before and completely humiliated me -- in the moment, although it turned out to not be an emergency, but maybe she was taking a chance because it could have saved a life? So now I think I understand that better. Of course I will hash and re-hash all this, but only for the better. That's how we learn :) . If I kept this whole thing to myself I know it would have just eaten me up!
  2. Jrgt312

    rescue breathing on the toilet?

    I think you hit the nail on the head... Initially his head was forward, the OTA tried to straighten him up and lift his head so it was level and I could face him (even though I was kneeling below him), that's when he stopped breathing. As I did a sternal rub and jostled him his head shifted forward and he started gasping for air. There was a ton of snot and drool which I cleared out manually so he wouldn't aspirate and kept him leaning forward. But I bet that's what happened with the breathing... And this is the type of answer I was looking for, a literal description of what to do first. Thanks for your response!
  3. Jrgt312

    rescue breathing on the toilet?

    No doubt gravity would help. But there definitely would have been major injuries. So it's the age old risk vs. benefit inherent in being a Full Code. I did have a sobering talk with the rsd and his wife after all this to make sure they still want to be full code in spite of the risk of possible injury. Fracture is better than dead, objectively speaking, but loved ones don't always feel that way after the fact and look for someone to blame! But knowing my only chance to save them is to get them on the ground I will not hesitate next time, where there's a will there's a way...
  4. Jrgt312

    rescue breathing on the toilet?

    Thanks for your thoughtful response LuvScience, and for yours beentheredone that, I am asking for opinions! There was absolutely no room for a lift and no safe way to get him to the ground. I've been through a hundred vagal responses and this one presented pretty much the same, we always wait it out (within seconds, not minutes). This one had a seizure component, which threw me for a loop when he stopped breathing. The supervisor didn't think I should have done anything different but I just doubted myself after the fact. It scares me that I didn't immediately go into rescue mode, I don't know when that instinct would have kicked in. So I guess this has prepared me for the next time, "better to be safe than sorry" and start rescue efforts asap. I did review BLS/ACLS, believe me! I think I'll hash it out with a couple EMS guys (on their next non-emergency trip), they usually love to tell nurses what's what!
  5. Jrgt312

    rescue breathing on the toilet?

    After 6 years of nursing in hospice/LTC/skilled nursing today was my first code blue and I was the first responder. All I had was my young med nurse with 1yr doctor's office experience, and an OTA who originally left the patient alone on the toilet mid-seizure to discretely ask me to come to the room. So the patient could have had a vagal response possibly, he has hypotension at times and was on the commode, unconscious. But he had his arms/hands drawn up and had been shaking like a seizure. At this point he was flaccid and drooling. He didn't come back around for several seconds* even with painful stimuli. Then he just stopped breathing, for about 20 seconds. His heart was steady at 84bpm apically. I knew he was a full code and didn't have a history of anything like this. But I didn't know where to begin, at what point do you give up on them coming back around? You start rescue breathing right away? I don't think there was any way for me to get him on the ground, in that tiny bathroom this 240lb dead-weight, and what if he started shaking again mid-transfer and we dropped him, or hit his head? So can you do rescue breaths sitting up? Just then he suddenly started gasping for air like I've never seen before, I'm surprised i didn't scream because it shared the crap out of me, and I was in his face! He started spewing snot and drool everywhere, I had to help him clear it so he could breath. Now all I can think of is what if I had been doing rescue breaths when THAT happened? Holy cow! So PLEASE: what would you do, so I can do better next time?? I know it worked out but I feel like I should have started rescue breaths or been calling out important sounding directives or something to save his life...?? I did have the med nurse summon the aids while she called the supervisor who got on the phone with the doctor, so don't assume I tried to handle this ALL alone but I'm talking about before anyone else could get there... Thanks in advance!! *seconds not minutes - oops!
  6. Jrgt312

    accused of falsifying documentation

    Thanks for the feedback, it puts my mind at ease a little bit. It's just embarrassing to have to go through and defend myself when I didn't mean to do anything wrong. Hopefully the powers that be will see it that way too...
  7. Jrgt312

    accused of falsifying documentation

    Yes, this unit is a mess! This was my second day there, I was put in position as team leader to help work out the wrinkles. This med nurse was on the last day of working out her notice and apparently burning all her bridges along the way. I found out after the fact that I wasn't the first one but I didn't know at the time to be on guard. So fortunately this won't happen again with that nurse, but I definitely learned not to 'help out' like NursesRmofun said!
  8. Jrgt312

    accused of falsifying documentation

    It was missed at 0730 but I accidentally charted someone else's on his chart and my med nurse discovered it before I did. Instead of asking me about it she went and reported me to DON and HR, like within the hour. My DON questioned me and i filled out paperwork. The DON was fine with it but HR is involved now. And yes, that nurse has a axe to grind!
  9. Jrgt312

    accused of falsifying documentation

    I charted a wrong blood sugar in error. Once I realized it I disclosed it, to the doc and on the chart, but my med nurse was suspicious and reported me to the DON and HR as falsifying documentation. Her evidence is her statement that the glucometer didn't match the BS reading I documented. I submitted an incident report, med error report, and a statement at the time. But now HR is investigating. What should I expect, are they likely to fire me due to being a potential liability? Is it up to my DON or does HR play a big role? I don't have any other marks on my record, an occasional med transcription error but am overall in good standing. I'm worried sick, it's 1am and I can't sleep thinking about this... any advice is appreciated!
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