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Doing the "right thing" at the cost of your job. (pg. 3)
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Halcyon+On+On
quote:
Originally posted by Fibonacci
a conscious


Whoa, whoa - when did this become a thread about metaphysics?

Keep it on topic, Fibonacci.
iammesol
Jenny you did the right thing. If anything your job is more secure because your employer knows you're responsible enough to report things. It isn't wrong to feel embarrassed either. I hope everything works out!
bas
You could always bring up the issue to the person making the mistake personally before doing anything official. Just say something like "I noticed that there was something wrong on this form, not sure who filled it out but I think it needs to be taken care of" Just make the issue itself the problem and not necessarily the person doing it even if you know they're wrong. This way it gives them a chance to fix it and stop doing whatever they're doing and not get in trouble. Also lets them know that you're paying attention and won't let anything get messed up around the center ;)
Moral Hazard
quote:
Originally posted by Halcyon+On+On
And getting a new conscience is easy. Just takes practice and repetition


I'm Catholic so it's even easier then that... I just have to admit I did something I shouldn't have, promise not to do it again and BAM, my soul and conscience is clean... I mean if God forgives me then why do I need to feel bad about it?
Halcyon+On+On
:stongue:

You are so awesome.
Dr. DAS
You did the right thing. If that costs you your job, or whatever else, so be it.

You have a responsibility to the people you care for, and to protect your employer. If doing so causes some friction, well, she souldn't have ed up in the first place.

Being copmlicit in something that caused an adverse event, and having that on your record (not to mention you concience)would make it impossible for you to find work in nursing again, wouldn't it?

Jenny, you get a thumbs up from me.:D
idoru
Do it. I was in the same situation back in December. Found something really, really bad going on (see: maggots crawling all around my store's deli). Instead, I was cornered by my manager and assistant manager and told to keep my mouth shut. Needless to say, I gave them a week to fix the problem. They didn't, so I made a call one morning. Later that day I strolled into work and who's there? Health inspector. I never told them it was me that did it, because there were a few other people who knew, so I never got in trouble.

*shrug*
Dj O'Callaghan
Your a nurse and your jobs looking after people. So you've done the right thing.

I've been recently getting the blame for a load mistakes which were made before I started my job, the person who brings it up is an older loudmouthed, petty, jealous and ignorant colleague. The reason why I think it's happening is because my fellow colleagues love to bitch and backstab, I was approached to join in on one of their nit picking to set someone up conversations on which I told them to off. They're going to get their comeuppance one day.

I don't rat because it's a principle I've been raised with. If it's in the intrest of other peoples safety etc then it's the most honourable thing you can do.
Silky Johnson
This was definitely NOT a mistake. It was an outright lie.

I'll tell you what happened, for some context here.

There is a resident who gets two kinds of insulin. Normal, or long acting (basically the one that keeps him stable), once a day in the morning, and then rapid acting as needed 4 times a day.

Well when I got to work on Sunday morning, the nurse informed me that his blood sugar was very high, and that he had a standing order for 2 doses of rapid insulin before I'd have to send him to the hospital.

Now, normally the insulin is administered via an insulin pen into which cartridges of insulin go...but I noticed that the new order for this resident was in vial form (to be administered via syringe).

So I mentioned this to the nurse, saying "Oh, I see that Soandso's N insulin gets administered with a needle...". Her response was, "Yes, but I've been giving him Otherresident's old N insulin". Which is mistake number one right there. It's the same insulin but it doesn't matter...we are absolutely NOT allowed to give other people's medications to someone else.

So anyways, I checked the resident's blood sugar 45 minutes later and it was still high, so I gave the first standing order. I checked again another 45 minutes later, and it had only gone down by .2, so I gave the other standing order. I checked again another 45 minutes later, and his blood sugar had actually gone UP!

I knew something was totally ing wrong (duh), so after I called the ambulance, etc. I went back to the nurse's office and looked for the N insulin that this nurse said she gave him.

WELL. First off, there was no insulin pen in the fridge loaded with N insulin. Second, none of the insulin pens we had in the nursing office even fit the cartridges of N insulin. Third, the vial of insulin that was actually prescribed for him hadn't even been opened yet. Which means it hadn't been used....in THREE days (from the time it was delivered from pharmacy).

So yeah, I was pretty ing pissed...because she plain LIED to me about giving insulin. It also means that the other student nurse lied in his documentation as well (they both signed for giving this med).


Anyways...I'm pretty positive about this. I checked everywhere for other insulin and found nothing, cause I didn't want to just go accusing people or whatever.



And, the other thing...my work is not regulated. So yes, they WOULD me over for something like this...because it will ultimately come back to the administrator, and she would never do anything to jeopardize the money coming in.

The administrator is the one I wrote the letter to...but I guarantee she's not going to do anything about for reasons stated above. Especially since the medications were signed for. Would be my word against theirs.


*sigh*



Anyways, yeah I don't care in the long run. Cause if the resident's family chooses to investigate this, I covered my ass.
bas
Isn't messing with patient's medicine against the law regardless of the type of care their receiving (private or public)?

narcism
always good to file an incident report with these things, i spend half my shift writting the ing things.....nothing major will happen to the nurse i dont think, ive seen people give ketamine instead of ketorlac, completely different drugs/ completely and utterly wrong :eek:


Its always good to document everything that happened and everything you done, ie. writting down the patients bsl's everytime you took them ect
issues like this will happen throughout your career and you should never feel obliged to stick up for anyone...that doesnt sit well in the coroners court (if that ever eventuates)
Silky Johnson
quote:
Originally posted by bas
Isn't messing with patient's medicine against the law regardless of the type of care their receiving (private or public)?




Well, it's 100% against best practice guidelines. But my point about this being a private organization is that they don't have the College of Nurses overseeing everything they do. Which means that nursing standards don't always apply. Which is ING GAY.

It's an excuse for laziness and carelessness. Just because we aren't governed by the College of Nurses doesn't mean we still shouldn't practice the way we were taught.

I don't give a though, all I can do is cover my own ass and do the job the way I know I'm supposed to do it. If the hits the fan, everyone else can themselves. I tried to tell them...but they don't want to listen.
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