WILLTHEMURSE

Thank you for a civil response. A lot of the nurses on here are fast to eat their young. how disappointing. Now I understand where I went wrong. again thank you

sounds like she has trust problems

thanks for putting words in my mouth

i did

i did.

ive been a CNA for 5 years, i can tell sometimes even better than the RN that a patient is confused sometimes. they are only there for a few minutes and leave. im there constantly assessing the patients LOC. the pt was not confused. the RN and i communicated about her care. i didnt agree with the way she witheld those meds (because the RN thought she was drug seeking) and the way she acted towards the patient. im just trying to provide the same standard of care to everyone. if the meds or interventions are inapropriate for a patient, then you tell the patient its inappropriateat the time for X reasons.. you dont criticize or talk down to ANY patient. i didnt just tell the pt everything first you asses the patient's knowledge... cmon guys idk how i became the one in the wrong. i guess i should just be a mindless sitter smh... do only what is asked of me and nothing more. 99% of nurses love me because i provide them with a lot of information they probably wouldnt have gathered. i do everything im supposed to do and more. i let nurses know when their IVs are infiltrated etc...

i didnt check because im the "sitter" the patient asked information about her care. is it normal practice to withhold patient care information from said patient? or is it normal practice to inform your patients and have them involved in their care? im apparantly not learning what i'm supposed to

i didnt give her any i formation.

how am i violating HIPAA? i am assigned to that patient. i am not looking at any other patients. she asked me if she had her anti anxiety ordered because she takes them at home. i checked (need to know basis) i m sure checking my patients mar more unethical than what the nurse did... (sarcasm). the patient also asked me why she was at the hospital, so i checked the H&P. i am not using any patient identifiers. we only know that shes a female. so how is that a hipaa violation? so are all case studies hipaa violations too? based on 2018 hipaa, thats not a violation.

It wasn't .5-2 GRAM it was .5 of a tablet to 2 tablets i dont remember the stength of the tablet though

ive met sitters/CNAs and nurses who are like that. i however am not like that. i a nursing student and i fully understand that we cant give everything all at once or everything thats ordered. we have to asses and use our judgement. they might need an increase in pain meds.

i saw all of that in the H&P and the MAR i have access to the patient's EHR. im a nursing student so i wanted to learn everything i can about my pt

I usually feel like im walking on egg shells and have no say on anything because im registry. they just look at me like (how do you know ur just a registry cna). ive spoken up before but i ended up getting DNR'ed (do not return) even though i did nothing wrong. they might do an internal investigate but they wont un-DNR registry personnel. at least not me. so i usually just say yes mam and continue to do my work as competent as i can. i need to pay for school, rent, and my bills so getting DNRed is not in the equation for me. i dont encounter situations like this often. usually nurses are more competent than that. they were trying to send me home too because the pt had not gotten up all day... well maybe because i was there calming her down and holding her hand reassuring her and distracting her. they were also trying to downgrade her to a lower acuity since she was mostly on PO meds now.

I have been a CNA for 5 years. i am also a nursing student (BSN/RN) on my last quarter. i work as a registry CNA right now, so i see a lot of different nurses and units etc. I was on an ICU unit with a elderly female pt who was there for encephalopathy after trauma to the head. she fell outside a liquor store. she has history of alcohol abuse but she denies recent consumption. the liquor store owner states she regularly buys alcohol. she takes anxiolytics at home for anxiety. shes also on SSRI antidepressants. she has a history of chronic lower back pain, neck pain, and states she has pain all over. I was called in to sit with the patient. when i came she was really agitated and anxious and kept trying to get out of bed. she is A/O X4. shes been there for 5 days now. she continuously asked for her pain and anxiety meds. she had, tylenol q4hr prn (mild to moderate pain 1-6) norco q4hr prn (sever pian 7-10), lorazepam q2hr agitation (on a scale CIWA scale 0.5-2g). she knows her meds but doesnt know what times theyre suppposed to be given. she asked the nurse but the nurse refused to give her the times because she thought the patient was addicted and drug seeking. the nurse would say "thats all you care about is your painkillers to get off. you dont ask about anything else". i was sitting with her the whole time and she was shaking and visible anxious the whole time. the nurse would refuse to give her lorazepam or pain meds until she was literally ready to get out of bed. based on her CIWA she was suppsoed to get at least 0.5 to 1g q2hr however she only gave it twice the whole shift. at the beginning and at the end. the mobile xray came. from her xrays i saw she had plates pins and other surgical metals in her neck. so that explains the neck pain. the nurses excuse for withholding the pt meds was that her blood pressure was too low and her respirations were too low. her blood pressure and respiration would naturally lower when she fell asleep but shot up to normal when she was awake. so the pt is anxious so is constantly looking at the clock, so i advised her to relax and try to sleep so that the time passes faster. now, the nurse comes in to assess the patient but every time she would come, the patient was napping. the nurse would write down pt's v/s and leave. then the pt would wake up and ask for her meds and anxiolytics. the nurse would come in and say that her v/s are too low even though they arent when shes awake. so this goes on for the whole shift. i told the nurse that shes axious and in pain but the nurse just shrugs it off and says shes an alcoholic, all she wants to do is get high. this RN was floating from another unit to the ICU. shes from a medsurg floor. in my head this is not ethical practice. is it? pain and anxiety are subjective. sometimes objective data can help us assess a patient's pain or anxiety but the patient's word should be taken as truth when it comes to pain or other subjective data. or at least thats what our nursing school teaches us. im always learning so please do provide constructive criticism thanks! Thank you for any feedback!

Hello! I am doing my care plan. We have to submit the pathophysiology of our patient's diagnosis. My patient's Dx is Trauma Fracture to left olecranon, acetabulum, and talus. (auto accident) I have no idea what to write for a patho paper.. do i say something like. blunt force trauma to the olecranon bone excerted excessive pressure and fractured the bone... Anything will help. Thanks!