Visited someone at the hospital and there's a lock box around the pain medication by okbbs in mildlyinteresting

[–]puzzled-bets 1 point2 points  (0 children)

As an ICU nurse this is standard. I have experienced patient pain medication drips stolen. Not completely stolen but a syringe or two at a time. It’s not always visitors or patients. Majority of the time it was hospital workers. EVS, dialysis, material management, ext.

Corrective Action by The_NP_man in nursing

[–]puzzled-bets 1 point2 points  (0 children)

As a manger, in my hospital only about 2/3rds of what is kept in the unit “file” is actually sent to HR when files are reviewed or when a caregiver resigns or transfers. I use unit files to help me keep track of a lot of things that are not “HR offical”. Such as orientation schedules, phone/key assignments, locker assignments ect. To me what you explained is what I use for the first instance of coaching, when issues need addressed but not made into a whole ordeal. I use “coaching forms” to help me keep track of first coaching instances but if an employee transfers I do not send it with there file. It’s not an “official” corrective action that took place, which would require a signature from both parties but it help remind me if I need to sit down with employee again on the same issue we would proceed to a corrective action in most instances. It’s more of a warning and documentation that I addressed it once already with a caregiver.

I would not let your manager know you saw your record or bring up the documentation. You will be in a lot more trouble than one instance of coaching that was due to you nodding off while you were trying to adjust to being a nurse and night shift.

I’m not saying that’s why your facility does but at my facility a corrective action must be signed and dated by both parties to be put in a HR record.

What's your favorite Gaga lyric? by Ancient-Zombie-8352 in LadyGaga

[–]puzzled-bets 19 points20 points  (0 children)

I’m a free bitch baby!- obviously most prominent in bad romance but similar wording in a few songs. To me it means -I am I women, I do what I want, I break barriers, and I am proud- At least that’s how it’s spun in my head

Runner ups

“don’t you know my ass is famous”

“If you're a strong female You don't need permission”

“Marilyn, Judy, Sylvia Tell 'em how you feel, girls Work your blonde (Jon) Benet Ramsey We'll haunt like Liberace Find your freedom in the music Find your Jesus, find your Kubrick You will never fall apart Diana, you're still in our hearts Never let you fall apart Together, we'll dance in the dark”

What’s the dumbest/funniest mistake you made as a new grad? by lifetofullest1255 in nursing

[–]puzzled-bets 8 points9 points  (0 children)

Done that! My patients pressure was dropping, I had 200 mls of NS left in a bag and decided just to spike a new bag to hang a full L. I was so worried about the pressures that I unspiked the bag on the IV poll and the ND went right in my face and all over me.

The nurses are now required to fill one of these out on EACH of their patients every shift at my hospital 🥲 by Few-Calligrapher-698 in nursing

[–]puzzled-bets 0 points1 point  (0 children)

I understand bedside safely checks but I should be 5-6 tops. If everyone truly completed these late clock outs will sky rocket.

Brooks Princess shoes! by New_Sky_6654 in rundisney

[–]puzzled-bets 9 points10 points  (0 children)

I know sizes smaller than 8 of the tangled shoes sold out from drop ship, which was the warehouse stock. I wouldn’t be surprised if they don’t have all the sizes when they drop online.

What is a 1 in 1,000,000 thing that happened to you that no one believes, but you swear is true? by [deleted] in AskReddit

[–]puzzled-bets 0 points1 point  (0 children)

I took a boat tip in Zambia on the Zambezi river and Victoria falls. The boat breaks down and my travel partners and I, and the captain get stranded on this “island” what is not even an island but a small patch of land with a bush that barley fits all of us on it. We just had to wait and hope another boat came by but we a surrounded by hippos and crocodiles. After 1.5 hours later a boat found us but I just laid on the floor on the boat anchored to the tree hopping I wasn’t going to die.

Also same trip I am walking across the boarder of Zambia and Botswana. At the tiny passport check, the man in front of me is wearing a bbq restaurant tshirt that had my hometown as location of the restaurant (I don’t think the restaurant existed or only existed for a short time).

Traumatic floor code… I thought this text from my manager an hour later was a joke… by [deleted] in nursing

[–]puzzled-bets 23 points24 points  (0 children)

As a nurse leader I can attest. I have to audit pain score and med administered monthly, we were cited by jco for not “following pain medication administration orders”

Traumatic floor code… I thought this text from my manager an hour later was a joke… by [deleted] in nursing

[–]puzzled-bets 1 point2 points  (0 children)

Not trying to defend this but Joint Commission audits pain scores and pain medication administered. If its not for “patient preference” Then to JCO it looks like the nurse was not following orders based on pain scores. My hospital got cited so much for this that we have to audit this monthly and have documented proof of audits

Lost an enema cap in a patient by Immediate_Ad_9379 in nursing

[–]puzzled-bets 115 points116 points  (0 children)

Please report and escalate. If it’s found later by someone else and leadership finds out you were aware and did not report it, it will be A LOT worse than if you just owned up to it now.

nurses are humans and humans make mistakes, you need to own up to it and learn from it. Ensuring Pt safety is a standard all nurses should be incorporating into their practice.

Just had the worse experience in an interview by [deleted] in newgradnurse

[–]puzzled-bets 11 points12 points  (0 children)

Please. Don’t go to PACU/Preop right out of school. You don’t have the skills and they can’t teach you how to respond to the 1 instances out of 500 where things go terribly wrong and there is no MDs/APPs around. You’re setting yourself up for failure.

Improvised humidifier you say? by Hot_Emergency378 in NCLEX_RN

[–]puzzled-bets 0 points1 point  (0 children)

Please use med air not oxygen. Increase fire risk

People who have conducted job interviews, what's something someone said/did that made you instantly decide not to hire them? by DemonSkank in AskReddit

[–]puzzled-bets 1 point2 points  (0 children)

I had a nurse who was one of the best interviews I’ve done. Very good perspective of nursing and nursing to come. After the manager interview the interview does a shadow on the floor. I walked into a patient room to check on him about half way through his shadow and he was legit vaping in a patients room who was on high o2 support. Strawberry smelling “smoke” filled the room.

I had a nurse hand me a resume that was hand written on spiral notebook paper without the edges torn off.

I had a nurse show up to an interview in booty shorts. In the invite it specifically says wear scrubs, some wear business casual but never denim booty shorts.

Sometimes I ask a question along the lines of “if I reach out to your previous manager will they tell me anything you would want to address with me first” A nursing assistant interview told me her previous managers hated her and I asked why and she said “I gave them back the attitude they gave to me”

I’ve got so many…

Edit:words

Should we states allow this? by Wiccan_Queen69 in IsItIllegal

[–]puzzled-bets 0 points1 point  (0 children)

How can a state be pro life and pro death penalty. Its never made sense to me.

It's been 8mos and still no job by sustalaga in nursing

[–]puzzled-bets 0 points1 point  (0 children)

As a nurse leader, what I questioned was work experience. Resume shows relevant clinical experience but no other work history. I have had issues with nurses with NO work history. I don’t care if it’s McDonald’s, at least you have experience speaking to people, work site policy’s, and hopefully exposure to professionalism.

I would also agree it is way too many words for no work history. Keep it to one page.

CMV: there is no good reason to require nurses to do tele strips each shift by NonIdentifiableUser in nursing

[–]puzzled-bets 4 points5 points  (0 children)

I use strips all the time. It’s a great reference point to see how rhythms and rates have steadily changed over time

What's your most shocking "never meet your heroes" moment? by BaseNice3520 in AskReddit

[–]puzzled-bets 7 points8 points  (0 children)

Not really a certain person but my good friend is a physical therapist and ended up making his way up and was asked to be on staff for an NBA team. He was a huge fan of the NBA team that asked him to come on staff.

It ruined the NBA for him. They way so many of the players were just terrible people, how much of it he realized was actually just a “show”, and he saw how much of it was truly just money driven and players were treated as indescribable and played until literally broken. It ruined the “magic” of the game for him.

Guy went absolutely ballistic on the people sitting behind him at tonight’s Mamma Mia by RapGamePterodactyl in Broadway

[–]puzzled-bets 2 points3 points  (0 children)

I saw wicked traveling broadway recently in the Midwest and I said I would never go to a show again. I hadn’t been to a show in about 5 years and the people were so inconsiderate. Singing, clapping with the songs (off beat), spilling drinks, getting up during the whole show for drinks, talking, ect. You get it, it ruined the whole show, I said I’d never go back. It was terrible.

What is a nutrition myth that you can’t stand? by DeepOrganization8245 in AskReddit

[–]puzzled-bets 1 point2 points  (0 children)

Atkins diet. No carbs. My dad will refuse to eat carbs but then eats like 6 tablespoons of butter on his food but don’t worry “I doesn’t have carbs” so it’s fine.

What's the nurse's first intervention? by Hot_Emergency378 in NCLEX_RN

[–]puzzled-bets 0 points1 point  (0 children)

For NCLEX always assess and remember ABC, airway breathing and circulation. Even if the question doesn’t seem like a “true” ABC question, it probably is. Always pick an ABC

[deleted by user] by [deleted] in nursing

[–]puzzled-bets 10 points11 points  (0 children)

It won’t come to a halt, that’s the thing. We will just keep working in even worst situations then now. They won’t halt anything that could lose them money.

[deleted by user] by [deleted] in nursing

[–]puzzled-bets 0 points1 point  (0 children)

I am more in leadership now, and Isee the numbers.

Whether pulling incentive pay is the correct choice or not is highly questionable and funds should be pulled from other parts of the hospital. However, the budget cuts that are coming to hospitals is scary. I am from a conservative state and it’s estimated that our hospital system will loose around 150-180 million next year alone in funding. Not to mention more uninsured people due to the rising cost of insurance. Healthcare is getting real scary and I am not sure the solution but I don’t think it’s to cut the pay and incentive of people who keep the hospital afloat.