kp2016

kp2016

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All Content by kp2016

  1. Management-initiated fraud?

    I read this as the OP was concerned about the request (demand) from management / late charting by other RN's. I took their "ethical dilemma" to be should they report this very late charting as...
  2. Management-initiated fraud?

    I do agree with you that it's hard to believe that anyone could accurately recall this information several weeks later but I have worked with nurses who in a similar situation insisted they had...
  3. Potentially Hypochondriac Sister

    Best answer would probably be to decide on a scripted narrative (finally a situation where the dreaded scripted narrative may actually be a good idea) something along the lines of "it's impossible for...
  4. So we have enough nurses nursing supervisor, really?

    I think part of the problem is a lot of nurses are in no position to give back the money which effectively leaves them trapped. I imagine this isn't news to the hospitals, seems a little predatory to...
  5. It's Driving Me Crazy

    As much as I think HIPAA is over the top and a bit ridiculous it is what it is. If you have not started your shift the patients are not in your care which means accessing their charts would be a HIPPA...
  6. Tired and burnt out from the abuse

    I'm really sorry you are going through this. The Charge nurse really let you down here, particularly given that she witnessed the patients behavior first hand. It was her job to address this patients...
  7. So we have enough nurses nursing supervisor, really?

    Interesting side note. From multiple posts i've read here, The high cost of recruiting and training new nurses is often used as the reason that nurses are forced to sign a penalty clause $$ if they...
  8. So we have enough nurses nursing supervisor, really?

    Sadly the other nurse appears to have Stockholm Syndrome. It depresses me how many nurses are willing to work unsafe patient ratios, work without breaks, be hounded to pick up shifts on their day off...
  9. RN training newly hired nurse.

    Student nurses practise under the license of the licensed nurse they are working with. Licensed nurses are always practising under their own license and are personally responsible for the care they...
  10. Immunocompromised Loved One

    I understand your concern but honestly don't think it's valid. I've been a nurse for more than 20 years. First 16+ in acute inpatient units the last 4 in a ambulatory community setting. The first 6...
  11. PTO not in the budget for remainder of year

    I worked somewhere a few years ago that was using a lot of low census leaving many nurses unable to pay their bills. A manager admitted to me that the sick leave that nurses accrued was not in their...
  12. Aggressive Resident and Alcohol

    When it comes to protecting yourself legally after an issue has already occured getting a lawyer is really the only answer. BTW withholding alcohol from an alcoholic patient is very likely to escalate...
  13. Start as you mean to go on. I have worked at several places that targeted particular staff for extra shifts, floating and last minute changes to undesirable shifts, because we were silly enough to...
  14. This is it in a nutshell for the screening questions and the opioid
  15. My initial response to this was that The Joint Commission deserves a huge share of the blame. The notions that pain is the 5th vital sign, pain is whatever a patient says it is and that pain must be...
  16. Deleted - just realized this post is years old so my comment is fairly
  17. This is a bad situation for both of you. I think you should make both of you happier and find another job
  18. Giving Narcan to Your Own Patient

    I probably would have done a quick reassessment 1 hour after the Dilaudid with vital signs. Honestly 0.4mg of narcan is too much for that clinical presentation. I would have "requested" the Doctor...
  19. Ran out of time on the NCLEX-RN

    How on earth do you remember all that. I got 75 questions and walked out feeling like i'd been hit by a truck, probably couldn't have said what the last question was on if my life had depended on it....
  20. I was honestly shocked that the BON didn't take or at least sanction her license immediately. As a fellow RN i'm horrified to see criminal charges against a nurse who while clearly negligent and...
  21. Standing orders

    Take a deep breath. It’s a hot mess but it will be ok. You followed their established policy, quietly get a written copy of that policy if you can. The Doctor already signed the order so you are...
  22. Performance improvement plan woes

    Med errors, performance improvement plan, not preforming at the level of others.... honestly this sounds to like the paperwork trail that leads to you being fired. Honestly if I were you I would...
  23. RN Recognition & Respect

    I’m a little amazed anyone would have the audacity to mention the “benefits” that military and 1st responders receive so close to 9/11 but as you went there I will answer. Military and first...
  24. I admire your professionalism for waiting to give report to a nurse that is habitually late, but sadly that is just enabling her. I would handover to the charge and leave exactly on time. For the...
  25. right med, right dose, wrong route... ouchhhh

    As an RN I would probably try to find some compassion for the fact that another RN made a mistake. I realize you have had a traumatic experience but it is important to remember that it was a mistake...