Macropsia

What about adding a paragraph to resume stating you would appreciate any opportunity, even an LPN duty position to start,to prove yourself before advancing to the RN position you are aiming for? Just brainstorming ideas... Or is there a local Impaired Nurses support group that could give you advice as to how they got through and re-entered the workforce?

I had a similar experience many moons ago and reported it to my instructor and was upset that I wasn't learning proper ways due to the inappropriate behavior of person I was shadowing. I was told that indeed I WAS learning... what NOT to do. True but I felt it should have been addressed. I realized it was better not to for the school-facility relationship in the big picture... It's difficult to find places to host students for clinicals and the schools are at their mercy in a sense to accomplish getting those clinical hours in. So try to lead by example and offer to assist the resident yourself if it is a task you are allowed to do.

GYN told patient that PMS is an old wivestale. She needs to see psych for anti-depressants not a gynecologist!

Keep us posted! Hope it happens :)

I'm in a similar situation; 47 residents. I asked a surveyor about the time constraints and was told she/they realize the magnitude of the task with most facilities cutting staff and they don't really look at it. It is only a concern if it causes or generates a "sentinal event" where a res. was harmed or died directly due to receiving meds. late. After a few weeks I navigated my routine to get through but is it 100% proper? Probably not. Now I'm training a brand new nurse and it is impossible to do everything as if state is surveying and fit it into 8 hours. All I'm told is do the best you can.

I'm living on both sides of this fence. My son requires these meds and I'm a prudent nurse. Regular Ritalin is short acting. If the child needs that much I'd suggest an extend release product in the morning and short acting for mid-afternoon homework or team activities. Of course it can become a crutch to parents but there are kids that genuinely need these meds to slow their chaotic minds. After going to the ends of the earth to exhaust all non-med interventions with little to no improvement and my 1st grader being expelled; I agreed to try meds and with such a drastic improvement evidenced by his less fragmented thinking, actual learning and retention of info. and lessening negative behaviors led to him having friends when he was too hyper and scary before.I'm sharing this because there is a place for this med when it is given and used properly.