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Empowering Nurses at the Bedside and in Business

Category: Workplace Issues

Is It Nursing Malpractice?

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Is a med error considered malpractice? “Malpractice” is a fancy word for negligence, but involves a professional. There are 4 elements of malpractice: Duty (the standard of care) Breach (you didn’t do what you were supposed to do or did something that you should not have done); Causation; and Harm. So, let’s put it in layman’s terms. You have a […]

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Creating A Positive Culture

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Recently a study was performed which determined six individual factors that lead to human errors. Three factors were contributed to the caregiver, 1) fatigue, 2) emotional stress and 3) multitasking. If you think about situations in your work place, when you are tired or when you are stressed, or you’re trying to do too many things at once it can […]

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I frequently get asked what should I do if my unit is understaffed.

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I know how difficult it can be to be understaffed on a busy medical surgical unit or for that matter, any unit and I know that hospitals and nursing homes discourage overtime.  Unfortunately, most state laws do not have any minimum staffing requirements.  You’re in between a rock and a hard place because you are required to accept the assignment […]

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Should I Carry Malpractice Insurance?

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“Should I carry my own malpractice insurance?” That’s a question I hear quite a lot. As an employee, your employer is responsible for your actions as long as you are acting within the scope of your responsibilities. If you do something that is clearly outside that scope, your employer will not cover you. Some extreme examples are having inappropriate relations […]

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Is Your Co-Worker Impaired?

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Substance abuse is one of the most important issues in nursing because access is so easy. Even with Pyxis machines that distribute medications with a thumb print, there still are ways that a determined nurse can divert medication. According to the Indiana State Nurses Assistance Program [ISNAP]: Impaired nurses demonstrate mood swings and irritability. He/she may seem depressed for no […]

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Questioning An Order

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What would you do if your supervisor asked you to do something that you think may be questionable? Would you follow the order or would you question it? Let me give you some examples to consider: You work homecare and you never see your supervisor. She tells you to sign her name on your time card so you can get […]

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Are You Being Heard?

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A nurse, Maria, was working in the ICU. There were 8 patients with 4 nurses. The acuity was very high and for everything that needed to be done for each patient, they needed more staff. One patient coded and 2 nurses were assisting with the code while the other 2 nurses were caring for the remaining 7 patients. One of […]

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Are You Crazy?

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The definition of “insanity” is doing the same thing over and over again while expecting to get a different result. Sometimes I feel like a hamster on a wheel – I try to escape the wheel but it keeps going round and round. I also am thinking that if I keep going on this wheel, I’m going to get somewhere, […]

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Battle Of The Sexes

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It’s estimated that almost ten percent of all nurses are males. And, for whatever reason, I represent more males in my practice than in the general nursing population. I don’t know whether it is because men more readily hire an attorney than do women. I’m not really sure. But what is interesting is the male perspective on the practice of […]

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