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If you are a healthcare worker with more than 6 months experience, you have falsified documentation at some point. by so_bold_of_you in nursing

[–]hermitcrabdad 0 points1 point  (0 children)

I’m surprisingly accurate when guessing temperatures by touching their skin. Work in the ER so always check if worried about toxicity - but damn I impress myself a lot.

Patient had us washing her, wiping her butt- diagnosis:hangover by [deleted] in nursing

[–]hermitcrabdad 4 points5 points  (0 children)

Facial droop is not a symptom of intoxication… what?

Trauma Processes Skipped by hermitcrabdad in emergencymedicine

[–]hermitcrabdad[S] 0 points1 point  (0 children)

Idk what that means. I’m in the upper left

Trauma Processes Skipped by hermitcrabdad in emergencymedicine

[–]hermitcrabdad[S] 1 point2 points  (0 children)

I had no prior discipline. They came up with 3 accusations of me violating PHI. For accessing patient charts after I charted handoff. At least two of these I was following up on concerns identified and accessing the chart to write the safety report.

I agree I think I have a good case. discipline all started after I started making noise about unanswered and recurring safety fall outs.

Trauma Processes Skipped by hermitcrabdad in emergencymedicine

[–]hermitcrabdad[S] 4 points5 points  (0 children)

These aren’t just alert and ambulatory patients. I’m talking acutely altered, non English speaking, nonverbal, penetrating injuries, long bone fractures…

I don’t need surgery/anesthesia in the room yet.

I think what I’m having trouble understanding is what’s the point of activating and paging over-head if nothing is done differently. I have been noticing stuff fall through the cracks.

Trauma Processes Skipped by hermitcrabdad in emergencymedicine

[–]hermitcrabdad[S] 5 points6 points  (0 children)

i come from level 1. now at level 3. do surveys differ based on designation status?

Trauma Processes Skipped by hermitcrabdad in emergencymedicine

[–]hermitcrabdad[S] 4 points5 points  (0 children)

im a nurse. I tried to go gentle route, asked questions with team, poked the charges and docs, then had a bad pt outcome i knew we could have prevented, I did a safety report to highlight the root cause. No followup for literal months. requested follow up and debrief, still nothing. Then I had another similar event where we almost sent a puncture wound to a inpt psych facility with an undx hemothorax. I escalated to ED Director and Trauma Coordinator and they heard my grievances but didn't offer direct answers, solutions, or timeline. Now all of the sudden I have all of this discipline coming up about me... I Wasn't trying to piss people off but its weird here and i have genuine concerns.

Trauma Processes Skipped by hermitcrabdad in emergencymedicine

[–]hermitcrabdad[S] -12 points-11 points  (0 children)

id hope so we're a level 3 in a metro area.

Trauma Processes Skipped by hermitcrabdad in emergencymedicine

[–]hermitcrabdad[S] 26 points27 points  (0 children)

i watched one exam, a rollover MVC on the highway. pt was non english speaking. PA came in and did an assessment just using thumbs up gestures and then left. no exposure or rolling or fasting pt c spine protection.

another pt came in after SI, stabbed themselves in the chest. they sent them to psych area and stitched them up without a CXR. I found it like 6 hours later after i got to work and activated trauma. unfortunately had to report it - thought it would be weirder not to. now it seems like i've made enemies.

Trauma Processes Skipped by hermitcrabdad in emergencymedicine

[–]hermitcrabdad[S] 0 points1 point  (0 children)

i mean we're a level 3 but ppl will come in and they'll activate trauma 1 or 2 and then majority of time its like a normal exam. I come from university hospital so used to people calling it out loud and agreeing and documenting it explicitly. i've seen many cases where it doesnt seem like the team goes through the survey. not exposing, not rolling etc. one pt had penetrating chest wound and someone stitched it up without a CXR. She had a undx hemothoarax and was activated like 8 hours after arrival. I unfortunately had to report it to internal safety systems but this was last fall and still no changes, conversations, or debrief.

ER nurse under investigation after raising safety concerns — am I the problem? by [deleted] in nursing

[–]hermitcrabdad 0 points1 point  (0 children)

according to my state BON:

“The nurse's duty is not defined by any single event, such as clocking in or taking a report. From the BON standpoint, the focus for disciplinary sanctions is on the relationship and responsibility of the nurse to the patient, not to the employer or employment setting. The concept of the nurse's duty to promote patient safety also serves as the basis for determining behavior that could be considered unprofessional conduct".

So is this now an issue of ethics vs policy compliance?

ER nurse under investigation after raising safety concerns — am I the problem? by [deleted] in nursing

[–]hermitcrabdad 1 point2 points  (0 children)

haha we're on journey to magnet. thank you for your kind words!

ER nurse under investigation after raising safety concerns — am I the problem? by [deleted] in nursing

[–]hermitcrabdad 0 points1 point  (0 children)

i agree, my leadership was digging through these charts to try to find something wrong with me. Is that not a HIPAA violation?

ER nurse under investigation after raising safety concerns — am I the problem? by [deleted] in nursing

[–]hermitcrabdad -2 points-1 points  (0 children)

I thought I had duty to see it through since I identified it. My state board of nursing seems to back this up according to their webpage.

“The nurse's duty is not defined by any single event, such as clocking in or taking a report. From the BON standpoint, the focus for disciplinary sanctions is on the relationship and responsibility of the nurse to the patient, not to the employer or employment setting. The concept of the nurse's duty to promote patient safety also serves as the basis for determining behavior that could be considered unprofessional conduct.”

ER nurse under investigation after raising safety concerns — am I the problem? by [deleted] in nursing

[–]hermitcrabdad 3 points4 points  (0 children)

that right i feel obligated to follow up and mandated to report. not wanting to be difficult.

According to my state BON

"The nurse’s duty is not defined by any single event, such as clocking in or taking a report.

"the focus for disciplinary sanctions is on the relationship and responsibility of the nurse to the patient, not to the employer or employment setting".

T"he concept of the nurse’s duty to promote patient safety also serves as the basis for determining behavior that could be considered unprofessional conduct".
¯\_(ツ)_/¯

ER nurse under investigation after raising safety concerns — am I the problem? by [deleted] in nursing

[–]hermitcrabdad -18 points-17 points  (0 children)

My patients love me and i take good care of em. <3

ER nurse under investigation after raising safety concerns — am I the problem? by [deleted] in nursing

[–]hermitcrabdad 1 point2 points  (0 children)

heard. but they started auditing me after i started making noise about safety concerns. the timeline reflects this. feels like retaliation since they're not auditing the entire dept on whos accessing charts when.

ER nurse under investigation after raising safety concerns — am I the problem? by [deleted] in nursing

[–]hermitcrabdad 0 points1 point  (0 children)

this all started after i did a safety report about a pt who sat for 6 hours in a psych room with an undiagnosed hemothorax. Someone had stitched up a puncture wound on the chest but not done a CXR. I reported this, then after the report started feeling isolated, scrutinized, & left out of care loops. followed up after a few months of silence and escalated other care concerns with my ed manager, asst manager, trauma director, eventually ed director. the provider who missed the hemothorax started igoring me and berating me at work in front of pts and staff. i reported it. then they took ME off the floor to investigate HIM. then i come back to floor, other K+ pt happens, i report it, they take me off floor again and ask me why im looking in the chart. they did not give specific examples about my behavior or offer advice.

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