[WRRN]

You would Cass... At least you got my drift..


WR,,, three commas for Becca

[lam]

[ QUOTE ]
nursinghumor said:
[ QUOTE ]
WRRN said:Falsifying records is never blurry.. Falsifying records is an intended violation of nursing standards. It has nothing to do with work load. And would never hold up in court of law. "I was so busy I had to put down the wrong number in the chart"??????? If you can't remember the number do it again.. There is always your left hand to write on if you have to.

Unacceptable.

[/ QUOTE ]

Unacceptable huh? Like any nurse that says they've never made a medication error, a nurse that says they have not ever "cut corners" is telling stories.

Signing your name for medications never given, treatments not done, orders in a chart not noted?

These types of things happen on a daily basis, does that mean all nurses that do it are criminals? Or are they pawns in a game that is stacked against them?

Andrew Lopez, RN
http://www.4nursing.com

[/ QUOTE ]I would have to agree with you on this one. I have signed meds and then gone into the room and the patient wasn't there or wouldn't take them and forgot to circle the med on the Mar. I have also missed signing some of those little blocks, and yes it is because of the pace and the distractions. When I went to school we were told that we were not to be bothered when we were passing meds yet in LTC they expect you to watch what the CNA's are doing, answer call lights, answer the phone etc. Some days everything runs smoothly and everything gets done the way it should, other days you have patients falling, new admits come at the time you need to do accu checks and meds, families are upset, pharmacy sends the wrong meds, or they don't send the meds for the new pt., sundowner sets in and pt's are not the sweet people they were at 3pm and during all of this you have an aide refusing to do her job. lol not to mention that at this time the 2 patients in seperate isolation rooms wants something for pain. (full isolation) lol the tube feeding in rm _ _ _ is out, so and so in rm _ _ _ wants her MOM now because she is going out, the pt. in rm _ _ _ colostomy bag fell off and the aides refuse to learn how to put a new one on, I have days that were just like this with out exageration.

[cassioo]

I would have to agree with you on this one. I have signed meds and then gone into the room and the patient wasn't there or wouldn't take them and forgot to circle the med on the Mar.

that's why you take the MAR in the room with you and initial it when it's in. It's not just long term care where families come and peopel want things now and people don't do their job it's everywhere. Here's mine fetal demise delivering in one room so other nurse busy in there with doc then his next pt delivering in next room ok I catch that one and it's a premie so once mom stable nursery nurses all busy with that one then next room delivering so play nursery nurse there and get the baby then mom crashing and emergency c/s in next room...so 4 moms 3 babies in 20 minutes....it's everywhere the busy busy busy we staff by some wonderful grid now that tells us how many nurses we "need" with no accounting for the outpatient clinic we play with 7-8 non-stress tests that get admitted, observed for an hour then discharged but those don't count as patients needing nursing hours.

[1mg.epi]

The GRID!!!!! I can't stand that word. I had to use a GRID when I was charge in CCU. It did not take in consideration the number of IABP's or fresh MI's from the cath lab. I would send my staffing sheet to the nursing supervisor. Next thing I know they would call back, "Your staffing is not according to the grid."

[lam]

Yeah I know nursing is crazy all over, but I have tried everything when it comes to that med pass the only thing that I found that worked 100% of the time was the old way way you poured the meds and took the tray and gave the meds, meds left in tray didn't get signed for, plus the med cards were checked before you passed meds and again after when you signed them out. I have done this in hospital and LTC and it works and less likely to miss a new order as long as it was on the Mar. When I was pouring the meds I was in a closed room away from distractions and most people respected that. Unless there was an emergency no one would bother me. and if there was a problem with an order you could just take care of it right then. some times old is better

[nursinghumor]

[ QUOTE ]
WRRN said:When was the last time you worked LTC????

[/ QUOTE ]

LTC, last week. Subacute Rehab - Yesterday.

Andrew Lopez, RN
http://www.nursinga2z.com

[nursinghumor]

[ QUOTE ]
WRRN said:It doesn't happen in nursing situations where there are no morphine or demerol available.

[/ QUOTE ]

In what world are you nursing in? Any LTC or Acute care environment that deals with live patients, deals with pain management.

Andrew Lopez, RN
http://www.nursingms.com

[lam]

It is a lot easier to control the drugs in LTC, one place I worked there was only one person on Demerol Im and we had 3 unit vials of it, a new nurse came to work and " accidently knocked the cap off" Right, a couple of days later same nurse "accidently knocked the cap off the second vial" Double right, she was caught right away. came with the problem.

[nursinghumor]

[ QUOTE ]
lam said:It is a lot easier to control the drugs in LTC

[/ QUOTE ]

I think you're dreaming. Narcotics are heavily regulated in hospitals shift to shift. In nursing homes, you're dealing with much larger numbers of patients/narcotics, much less accountability. LTC has Percocet, Darvocet, Vicodin, MS Contin, Oxycontin and everything oral that a hospital does.

How are you going to catch a nurse that is pocketing narcotics she says are intended for a confused, disoriented or hospice patient?

Andrew Lopez, RN
http://www.jocularity.com

[WRRN]

I work Hemodialysis. The biggest narcs we have is lomotil and darvocet...


WR,,, three commas for Becca