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All Content by JKL33

  1. JKL33

    Broke My HCA Contract

    It's kinda not like that.
  2. JKL33

    Two-Headed Snake Bully Nurse

    That is an interesting assessment given that you don't know what we have or haven't experienced. Pressured to drink mystery coffee? No, you're right I would never have experienced that because they can't pressure me in that way. But had my patie...
  3. JKL33

    Daylight Savings - Are You Ready to Spring Forward?

    I 💛 DST, absolutely love it.
  4. JKL33

    Leaving Job - Advice For Giving Notice

    1. Yes 2. No It's simple, change mental gears: You are leaving to go toward something good. Life is too short to waste on others' pettiness and problems that you can't fix and don't need to fix. Very often the thing that would tempora...
  5. JKL33

    Seeking Constructive Feedback

    "Well, there's your first problem..." 🙊 Anyway...I can't see myself being in this situation. I would've headed it off long before anyone touched my hands. Either my help is needed or it isn't and I would be direct, though without any intention ...
  6. JKL33

    Two-Headed Snake Bully Nurse

    Any good reason to think the ex-coworker isn't the chief pot-stirrer? In any case I agree completely with those advising you ignore/go on as if you know nothing. The types of people who perpetuate this type of nonsense are some of the most pitif...
  7. And that would generally be illegal in the case of probably the majority of people reading this. https://www.nlrb.gov/about-nlrb/rights-we-protect/your-rights/your-rights-to-discuss-wages ETA: UGH. Glad I clarified that 10 years...
  8. I remember once questioning a coworker who was leaving the ED for outpatient. She had several years' ED experience on me and was one of the best nurses I've worked with, so I was disappointed that she was leaving. I was also naïve enough that I truly...
  9. JKL33

    Wanting to get trained in ICU. Have I messed up?

    The poster isn't talking about sick pay, they are referring to the idea that in addition to the orientation being cut short because the hospital wanted them to take a full assignment due to poor staffing, the training shifts missed for mandatory covi...
  10. JKL33

    Change Triage/ESI After Visit Complete

    No it is not right. If the work-up is eventually overkill or otherwise not appropriate, that is not your problem or your concern as the person performing the triage. The process of assigning ESI is not meant to be influenced by knowledge of indi...
  11. JKL33

    A Sticky Wicket

    I wrote out an answer but erased and have a question instead. Are these two fine specimens of humanity actually employed by or affiliated with a covered entity?
  12. JKL33

    Charting Inquiry

    Tough situation. No specific recommendations but you could consider carefully choosing an appropriate nursing diagnosis (yes, I just said that 😮🤭) and documenting your assessments and interventions being careful to be objective and use professio...
  13. JKL33

    Feeling Unvalued

    Don't forget to make sure your legislators know that your hospital routinely makes decisions that encourage RN turn-over while hospital systems are spontaneously complaining about the cost of temporary/contract nursing staff. 🤡 🤷🏽‍♀️
  14. JKL33

    Pros and cons of RN clinic nursing?

    They work under the direction and supervision of the provider. They are not nursing assistants so it's different than inpatient/ED where everything a tech/NA does has supposedly been delegated by an RN and and RN is ultimately responsible to see that...
  15. JKL33

    Will I Lose My License? | Knowledge is Power

    I understand this has been a chronic concern and the idea that one could lose one's license, in theory, is not always realistic as applied to scenarios people are worried about. That said, no one wants to be messed with, no one wants to appear b...
  16. I think people would like to believe what is in your last paragraph. That's what we want to believe, we want to see justice being served and people being protected. I don't think it's realistic. I do not think that's how the world works and I don't t...
  17. I went back and am going through the CMS report again. You are right. I think what stuck in my mind was a few little things like the regulatory officer telling the CMS investigators, when asked whether safety committees reviewing this incident had lo...
  18. I listened to a good deal of it (using fast forward PRN so I'm sure I missed a bit) and I think one or both of them are nurses. I heard the female relating some blah, blah, blah about a physician with whom she had worked. I don't know if they wrote i...
  19. I do. Keep in mind both things can be true at the same time, I.e. feeling that this is playing out the way it is because it best serves the interest of another party that also did wrong doesn't mean that RV didn't do anything wrong or that she wasn't...
  20. Separate--and cannot excuse RVs actions--but relevant if you need a defense. If I were her lawyer I would aggressively present information about the culture of that corporation, especially in a scenario where (whether any of us agree with the decisio...
  21. No...I think they were there to investigate what happened. But the way those elements were portrayed by VUMC was ridiculous. They were the ones with the agenda. I'd have to review, too, but I had the impression CMS was there because they were tipped ...
  22. Agreed. But the statements in the CMS investigation regarding the override (and the help-all nurse) were so ridiculous, basically just broadcasting that there was an agenda and they were straight up lying.
  23. I have no idea what kind of/how large an audience this podcast really reaches, but with angles addressed in the podcast it might not be a bad move at all from the standpoint of defense and public sympathy. I agree with you about all the stupid. ...
  24. JKL33

    Contracts: Worth the paper they're written on?

    Yes, that's definitely problematic too. My opinion on that is pay or stay.
  25. JKL33

    Contracts: Worth the paper they're written on?

    I think you asked one fair question (do contracts mean anything any more) and failed to ask and equally fair question that would apply more evenly to both entities involved: Does anyone's word mean anything any more? I am not sure if your last s...