Showing posts with label confinement. Show all posts
Showing posts with label confinement. Show all posts

Saturday, December 20, 2014

Just in time for the holidays...

Ah, it is always an interesting time reading the RehabLand Board of Nursing newsletter. So here's today's edition of what not to do as a nurse.

Don't say those licensing people forget the holidays...be careful out there!

Things not to do as a nurse: the holiday edition.

1. Don't sleep on the job. 
Yes, that nicely made bed looks comfy, but if you forget to wake up, you have a problem. NOTE: some facilities do let you take power naps, but remember, you are PAID to come to WORK (notice the items in caps).

There are some expectations that come with that.

2. Forget to pay your income taxes.
Here in RehabLand, the Department of Take it all Revenue can report you if you don't and you can lose your license. According to the numbers, almost 25% of nurses lost their license last year due to tax issues.

3. Don't force someone to do something they refuse to consent to do, like take a bath.
Do the words assault and battery mean anything to you? I knew they did.  Patient says no, you document to CYA.

4. Drive while intoxicated.
They shouldn't have to tell you "when to say when" if you are a health care provider. But if you tend to be indulgent, get someone else to drive.

5. Fail to monitor a patient and act accordingly.
The example used in RehabLand's newsletter was disgusting. An RN (old one at that--we can tell by their license numbers) flat out did NOTHING for a patient who became sick in the morning. Let him/her throw up, wait until nights when said patient drops the phone, while satting at 82%  (normally 100% person on room air) and passes out.

The night nurse had to call EMS to take this person to the ER.

And finally the topper of this edition:

6. Don't let residents who are supposed to be on the unit (per orders) out.
Another old RN decided to go on a smoke break and six (not one two or three...) residents who were confined indoors got out of the facility. One, Z., was gone for so long that he/she did not get scheduled insulin, had glucose issues, passed out and fell out of his/her wheelchair.

Old RN left Z on the ground, got the other 5 back into the building, hoisted Z back into a chair and told a CNA to take Z to his/her room. No assessment, no documentation, no nothing.

Z sustained a head injury, which was later diagnosed when Z started having other issues.