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Cdonocdo

Cdonocdo

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Cdonocdo has 7 years experience.

Cdonocdo's Latest Activity

  1. Cdonocdo

    Asked to change my Nursing Note...

    It is electronic nursing notes, nothing was hand written.
  2. Cdonocdo

    Asked to change my Nursing Note...

    Well just a follow up, I changed my note the next day. I did write an incident report up and gave it to my DON, only to find it in the shredding box later that day. Very frustrating.
  3. Cdonocdo

    Asked to change my Nursing Note...

    @NRSKarenRN thank you. On a personal and professional level, I felt blindsided because as the SDC- I couldn’t even educate the staff or alert them about the kits being taken off the floor. We hadn’t started with the new pharmacy yet, they take over the first off the month. The kit really shouldn’t have been removed. @Been there,done that yes I did want to know- because I had to screen him for readmission. I am allowed to access charts to review prior to admission. Not a violation.
  4. Cdonocdo

    Asked to change my Nursing Note...

    I’m going to redact my note so you can see what I charted, I did not include that the DON had not informed staff.
  5. Cdonocdo

    Asked to change my Nursing Note...

    That is why I’m reluctant to change it. I’m the SDC/ADON so it is my role to do the investigation. It may be over the top, but when I was charting I was infuriated that when I called the DON to let her know what was going on- she very casually stated she had the pharmacy remove them... this really needed to be communicated with staff. The patient had received a total of 16mg of Dilaudid in the 24hrs prior and NEEDED the narcan.
  6. Cdonocdo

    Asked to change my Nursing Note...

    Hi? guys, I just wanted a sounding board for this. I worked this weekend as a Supervisor, I’m an RN. We had a patient who needed Narcan, he had an order for it and we have a Narcan policy in the building. I went to the Med room to get it and it wasn’t there, 911 was called and the patient ended up getting admitted to the hospital. I documented that the Narcan was not given because there was none in the building and MD Informed. I documented that I informed the DON, who stated that she had the pharmacy remove the Narcan from the floor. I included that I sent the order to the pharmacy to be filled for house stock. I got a nasty email this morning saying to change my note to just say, “Narcan not given and unavailable”. I think that’s unacceptable, it’s a doctors prescribed PRN medication that we were not able to give because it was removed from the floors and the DON had not communicated that with any of us (and I’m a supervisor). When a patient is missing a medication, I always charted the reason why it wasn’t given and included the resolution- meaning order sent to pharmacy etc. I feel like I protected myself and my license, but I’m uncomfortable changing my note. Let me know what you guys think... thanks
  7. I just accepted a new position for SDC/infectious disease officer and I'm wicked excited! I have been working in this facility for almost 3 years and was just "taken off the cart" for this job. This is the first time I have had a role in this capacity and I'm not sure where to even begin. The previous SDC/ADON left approx. 3 months ago and nobody has been in the role since- so there is some catching up to do. Are there any websites or classes anyone recommends that are good resources? I'm in Massachusetts, and if I can pick anyone's brain I would really appreciate it! I know that everyone is super busy, but having a mentor or mentors on this site would be great!
  8. Cdonocdo

    Skills/Competencies

    @CapeCodMermaid I would love to pick your brain! I'm on CC too. I just accepted the role of SDC/infectious disease and I don't know where to begin, this is my first time in a role of this capacity and I'm at a complete loss. I started on Monday and was literally given the keys to the office and told good luck- the DON was with me about 15 minutes in total. I previously worked as a staff nurse and then Supervisor at the facility- so they are well aware of my background and lack of experience in this role. Are there any good websites that I should know about for resources? Any help would be greatly appreciated. Thank you so much!
  9. Hi everyone. I'm hoping I can get some support and maybe an answer to the situation I'm currently in. I'm a brand new nurse, and I've currently been employed by a Home Agency as a Private Duty RN. The patient we are working with has 24/7 nursing care provided by RN's and LPN's. We administer her medication, which also includes Morphine Sulfate (which is kept in a locked box) Every time a dose of morphine was used, we wrote the amount and signed inside the Medication Count log as well as the administration record sheet. Part of this count records the amount in the bottle, the amount being administered, and the amount left in the bottle. This serves as our med count of the controlled substance. I worked with her on Friday 7-3 and kept record of all medication and administration of the morphine and signed off for 3 pm at the end of my shift. The next girl administered the proper amount of morphine, stated the correct amount was in the bottle no problems etc.. and signed her signature for her morphine administration at 4pm. Please keep in mind that this is a homecare case- and the agency did not even provide us with a bound medication count book- it was a half-ass binder that the nurses put together just to have record. So the weekend goes by, and I return Sunday morning for my 7-3p shift. The nurse I was relieving was rushed to get out, and the patient was laying in the hospital bed (completely raised) with both side rails up and urine was seeping through onto her comforter. My priority was to get the patient safe at that moment, so I took 10 minutes to clean her up etc... I then go to count the meds for 8am, and the morphine sulfate was missing about 6ml's. The first thing I did was call my supervisor and inform them of the disc., I called the patient's health care proxy as well as her Doctor to inform them of the potential medication error/med diversion that I came upon. I was scared that the patient received 5ml's of Morphine instead of the 5mg's that her 0.25ml dose is made up of. Her resp. were fine, and there was no sign of opiate overdose etc. The supervisor then called the nurse I relieved, and she stated "yes I knew it was short, and I forgot to tell the on-coming nurse" But this girl has even signed off with her signature at 0600 stating there amount that there was suppose to be, not the actual amount of morphine inside the bottle. So my supervisor starts an "investigation" of the med loss, and suspends everyone (including myself) until the matter is handled. I was not given grounds for suspension and have called several times, but no return phone calls have been made to me. The brief explanation I received was along the lines of "two nurses have to double check the med count and sign each time", which I can understand. But we are alone with this woman all day, and there isn't a second RN around to account for it. I always track the last shifts morphine usage amount and ensure that it matches up to the recorded amount being in the bottle. I did research online about this, and Yes- two nurses have to sign for narcotics.. but this was only applying to Accredidations of Long Term Care Facilities and Hospitals. I would just like some opinions on the matter, I thought I was doing the right thing by reporting the discrepancy but then got suspeneded.... I'm upset, this is my first nursing job and I'm heartbroken.
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