Questionable

[7179]

I work at an outpatient surgery center and a couple of things have happened recently that don’t sit well with me. One thing is communication via group text messaging with employees that contain patients PHI. Another is RNs doing things without having orders from the doctor, ex: hanging IV abx in pre-op. Mind you, there is a high turnover at this place and the longer I stay, the more I see why. I guess I don’t need any validation for my concerns- just needed to vent. Anyone with a similar situation?

[JKL33]

Not in a similar situation but you are certainly not the first who has been in situations where things weren't being done as they should be and most people were participating in the wrong. It's too bad.

I never have and don't plan to use my personal devices for work-related communication. Is this official communication coming from the employer (which would still be a wrong way to go about it) or just people gossiping (also very wrong)? I would remove myself from that regardless.

Don't give medications without a specific order or in accordance with a properly vetted protocol.

Make sure you aren't participating in these or any other seriously wrong things while you decide whether you need to find a new position.

Good luck~

[MunoRN, RN]

It seems unlikely that at an outpatient surgery center there are no established practices regarding perioperative antibiotics.

What sort of conversations about patients, that includes patient names and their medical information, is occurring via group text?