Jump to content
Woodenpug

Woodenpug BSN

MPCU
Member Member Nurse
  • Joined:
  • Last Visited:
  • 734

    Content

  • 0

    Articles

  • 7,423

    Visitors

  • 0

    Followers

  • 0

    Points

Woodenpug is a BSN and specializes in MPCU.

CNA (5 years) then LVN(15+ years), finally BSN on May 23, 2007.

Woodenpug's Latest Activity

  1. Woodenpug

    September 2019 Caption Contest

    Healthcare from the patient's perspective.
  2. Woodenpug

    Is it like this everywhere now?

    If protecting your license puts the patient in jeopardy, having a license offers no protection.
  3. Woodenpug

    2019 Salary Survey Results Part 1 - Demographics

    Seriously, You can make this very complicated. On the other hand, you can simply use your research skills and the mostly accurate, very transparent government site. Yeah, da gobment , knows stuff. Just use your skill and check out bls.gov. No need to drink the Kool aid, Just your brain and very transparent results, that no one else can get.
  4. Woodenpug

    Is it like this everywhere now?

    This once was a very active site. I remember being afraid to say something, because i would look stupid for expressing the same sentiments as the previous 10 posters. Then the administrative nurses showed their control. Too bad, that which is best for the patient.... is not so great for administration. And straight up, if you are not a direct care nurse, it's because you can not handle direct care. Nobody believes that you have an agenda that is not self centered.
  5. Woodenpug

    Is it like this everywhere now?

    That seems to be the issue. If you can do, then do; if not teach; if not then administrate. Got a 'bad nurse' for saying that before. Awesome how not saying what admin wants to here is considered disrespect.
  6. Woodenpug

    Is it like this everywhere now?

    PROTECT YOUR OWN BUTT AND LICENSE FIRST. Not sure I agree with this part. I feel we should protect the patient first. They are the most vulnerable. Even, if not especially, the wealthy/VIP patients.
  7. Woodenpug

    Is it like this everywhere now?

    Only five pages before the Saviors of nursing (unions) are given credit where it is not due. I appreciate the idea of unions, but the reality is they are just another corporation out to make money exploiting the workers. Unions could work for us, but they really do not. A model similar to the skilled trades unions for example, could work for us. If we quit hating or loving unions and worked on a system that worked..... And before it is said, I have done the union rep thing, full participation, worked hard. It works just like the magnet thing, they only listen when you tell them what they want to hear.
  8. Woodenpug

    2019 Salary Survey Results Part 1 - Demographics

    I guess, like everyone else, we like to hear what we want to believe. The government has a very transparent and b/c of gov advantages more accurate database. You do need to think for yourself, yeah, life is hard. More accurate and reliable information is just a few clicks away. I do not disagree with the conclusions, though they are mostly right, missing just a few points. Simply, I disagree with the concept as a whole. Let's reinvent the wheel, or think for ourselves. Naw, let's make a survey that is less accurate, that way when something does not meet our needs, we can make a new survey.
  9. Woodenpug

    Is it like this everywhere now?

    So very true! Also, just to be sure, documentation is the very least important thing I do as a nurse. Sure I'll start compression, but first I need to be sure to document the time and depth.
  10. Woodenpug

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    O.K... really, I hope (fingers crossed), I would never make such a mistake. I have been in the position of saying, no, that is too much. "better to lose my job than lose my license." I can completely understand a nurse put in the same position and saying "fine, I will do my best." The truth is I could care less about losing the license or the job, I do care what happens to people. The difficulty is ... does taking a chance and doing something, possibly wrong, outweigh doing nothing?
  11. Woodenpug

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    "Something else that wasn't really addressed was the complete lack of requiring the patient's bracelet to be scanned and then medication to be scanned prior to administration." - WVUMtnDude Great post! The challenge in always scanning is that the technology is not that reliable. I have scanned a bar code and it the computer thought it was a different med. That happens fairly frequently, the work around is to click the med box and after the warning to scan, scan the med. I have been without a working computer. The culture of blame is more an issue. I also find that all the ridiculous warnings get in the way, something like alarm fatigue.
  12. Woodenpug

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    My epic allows the option "provider administered." It is very useful in emergencies when another nurse actually gives the med. It is also useful when a np/pa or md gives a med. because they do not have pyxis access. Intentionally misusing this feature would be one case where I would seriously consider a nurse deserving license revocation.
  13. Woodenpug

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    Any near misses related to this event? Seems something would have been brewing before this "perfect storm" landed.
  14. Woodenpug

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    Punishment only teaches people to avoid getting caught. The rules are guidelines, not written in stone. Many "rules" are nothing more than ways to assign blame if something goes wrong. Best practice is to understand the "why" for the rules. Understanding "why" allows the nurse to know when the rule does not apply. The nurse in this situation did not know the rules and / or did not know "why." Punishment makes "why" = so you do not get in trouble. This culture is common place in hospitals here in the U.S.A. Remediation such as a restricted license could be helpful to the nurse and the culture. Losing her license only addresses one specific nurse in one specific situation.
  15. Woodenpug

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    Could the technology itself be partially responsible? BCMA seems more focused on assigning blameand less on preventing errors. Availability of scanners was mentio ned. Some other reasons could also have prevented the nurse from scanning. (eg. Do I really need the several hard stops (sepsis possible, pt has known sleep apnea, etc.))?
  16. Woodenpug

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    The RT reported: "[Patient #1's] nurse asked if our nurses could give it, so I asked them and they said no because the patient would need to be monitored." I think, that nurses could, by policy, be prohibited from administering meds "off unit."(non-emergent) It is possible that the patient could have waited for the pet scan. At least, until after being tucked-in on the ICU. It seems that, in this situation, a p.o. medication would have worked well. The report said that the patient was in a quiet room waiting an hour for the tracer to circulate.
×

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.