Toadette

Instead of an incorrect note, can you find a few examples of stellar notes? I've used this strategy for group documentation teaching/in-services with the employee's permission and it works really well for me. I still block out patient identifiers and the nurses' names for the presentation. This is a win-win, in my opinion; you've boosted someone's morale with positive feedback AND you're able to demonstrate exactly what elements of the note need to be included in the documentation.

From my understanding, those that were in the chart were not potential caregivers working on the unit of the individual; they were curious hospital employees who had either seen the media coverage of his hospital visit or had heard about it. There are lots of people who are in charts all the time who are not direct caregivers--managers, supervisors, QI, billing, case managers, UR. They're all OK as long as they're viewing only the minimum necessary information to do their jobs. Recently, a non-clinical person in my place of employment had the responsibility to view demographics information to make a patient assignment based on geography (I do not work in a hospital). This person viewed the medication list out of curiosity and received appropriate discipline and re-training when it was discovered on an audit. HIPAA covers teamwork within a unit for those who would be caregivers or have a reasonable need to be in the chart. It does not cover every hospital employee for every patient that is in-house. I can see this as a true violation of the patient's privacy - rather than the suggestion that we do not provide great care as a healthcare team.

It's in Nursing Informatics. Thank you for the advice!! I'm a member of ANIA and HIMSS. I'm studying for the ANCC exam. I definitely expect to be learning a lot as I move forward! :)

Hi everyone! I just accepted an offer for my first official job in NI! I'm really excited and really nervous. ? Since 90% of the questions in this specialty page are about getting into NI, I'd like to share how I got here. First, I've had both bedside experience and leadership experience in multiple areas over the last 13 years. I've been with my employer (not a hospital) for the majority of my nursing career. After being pulled into multiple committees that deal with the EMR and leading a couple projects that deal with changes to the EMR, I decided that NI is something that I'd like to pursue full time. I started an RN-MSN program while also communicating with my boss and the IT leadership - I got more involved. I completed my preceptorship experience at my place of employment and worked closely with my mentor on a project that truly did benefit the organization - not one that just checked off my project requirements for the class. Once I finished the MSN program, I stayed involved in the IT/informatics department as much as I could. Several months later, there was an opening and here I am! If any of the experienced nurses in here have any advice for a newbie - I'd really appreciate it!

I agree with caliotter3. That doesn't sound like an environment where employee feedback is welcome. If you don't see a positive response from your corporate compliance report, it might be wise to look for employment elsewhere. Good luck!

I appreciate the response. As a non-religious person, I don't have a full appreciation for the glory that you're speaking of, but I can see how important that one on one care is to you - it's the most spiritually rewarding. As a nurse manager, all the thank you cards to my team come to me first. The cards are always addressed to the direct care staff - CNA, SW, LPN, RN, chaplain, nurse practitioners, and doctors. I find reward in passing along the recognition and knowing that my team is out there making a difference. I'm also certified in my specialty and I'm currently finishing up an MSN program for nursing informatics. I'm not seeking more recognition or a feeling that I'm better than anyone else - it's a feeling of personal achievement for me, that is rewarding. In my career, I want to help as many people as possible. I won't be a direct caregiver, but supportive in a way that will allow the best care for many patients. Thanks for sharing your perspective and allowing me to discuss mine. í ½í¹‚

I see where you're coming from in terms of semantics. Expert nurses should be respected for their experience and knowledge and our healthcare system often disregards these nurses. Other than Senior Nurse, there really isn't a title designation to honor nursing years of service. However, I don't know any nurse or other healthcare professional who "basks" in the presence of other more "advanced" healthcare professionals. Your perspective of "manipulating" providers to get what you need for your patients is interesting. Healthcare is a team sport and the patient's care is the goal. We're all needed equally. I work WITH providers to care for our patients. We have a respectful and collaborative team and common goal. From the CNA to the social worker to the chaplain and to the Medical Director (and, yes, the RN, LPN, and APNPs too) we're all in it together. I don't understand your designation of importance here. We all need to do different jobs to care for the whole patient. If everyone placed the highest value on personal care, there wouldn't be anyone advocating for more health clinics in the community, preventative care, or making health policies that impact our children and seniors.

Student loans of more than 100k is pretty excessive. One option is to complete the RN program at your local community college. When you're finished, you can earn your BSN from any number of reputable programs for a fraction of the price. Best of luck to you!

I was 17 when I started the ASN program (was required to be 18 before starting clinicals) and 19 when I graduated. You're never too old to go back to school. You've got this!

I think that KrCMommy gave good direction for the question you posed. I will just add that if your assignment is to specifically give an elimination diagnosis that you should look at the appendectomy procedure, recovery, and common medications (including their side effects) that are given after this procedure. Do any of these factors lead you to a nursing diagnosis for elimination? Good luck with your assignment.

It sounds like the school's decision stands, based on what you said. When you apply again, can you call and comfirm that all your documents have been received and the staff are able to open them?

I joined my hospice as the youngest employee they'd ever hired - I was a 23 year old case manager with 4 years of acute care experience under my belt. It was tough but it was the best decision I ever made. I love my job and know that I'll enjoy it for years to come. Stick with what you love and do your best. You can do it!

Personally, pet names drive me crazy. When people use pet names it seems disingenuous, demeaning, and rude. So, I normally ask my patients or their family what their preferred name is because this is how I would like to be treated in a similar situation.

Nursing is my first career and I would most definitely do it all over again. One of the things I love about nursing is the flexibility. With my nursing experience, I can do so much with my career. You could spend a lifetime as a nurse and not even scratch the surface of career possibilities. I don't depend on the warm, fuzzy moments. As others have noted, they're few and far between. I come home knowing that I've done my best and sleep well at night.

Congrats! Enjoy it - it goes by so fast! I took a statistics class recently. YouTube was my savior. Best of luck!!!