shewolfnm wrote:Let me spill a little personal stuff here.
I dont have my nursing license anymore. I will never get it again.
4 years ago I fought with a doctor, almost literally, over the treatment of a patient. This patient had no bowel sounds and yet he wanted to give a type of laxative for treatment. He could have killed this person.
I got angry and arrogant and I took one of his RX's and wrote out what i think that patient should have had.
I was right. That person lived.
He charged me with felony charges... and won.
Because of that, i can not rent at 90% of the apts in Austin.
I can not get state assistance.
I can not get checking accounts.
I can not work in almost ALL places in austin.
I was an idiot. but i am no 'felon'.
but i have to pay for my arrogance for the rest of my life.
and because of that, it is a HEAP for us to be able to move.
That is why we were so excited about moving here because we were able to save money and just buy a house and not worry about trying to find a place to rent.
if this changesyour view of me.. sorry.
I didnt hurt anyone, i just got angry.
But, so everyone understands.. this isnt an easy thing for us to do.
and now that bean is here it is even harder. All because, a few years ago, i got arrogant, and thought I knew it all.
![Crying or Very sad](https://cdn2.able2know.org/images/v5/emoticons/icon_cry.gif)
Happened upon this thread and given my profession, found it extremely interesting. I have a couple of questions:
1) The proper procedure for a nurse who disagrees with a treatment plan proposed by residents or attendings in my hospital is as follows:
a)As the nurse being asked to administer a medication, it is entirely
within your rights to refuse to complete an order or
administer a medication that you feel would harm a patient.
This situation, in fact, had happened to me on occasion when I
was a resident and still gaining knowledge and experience, and
in my case, the nurse kindly suggested that I rethink my plan
given information that I may have overlooked. In the absence
of that communication, proper procedure would dictate that you
complete an incident form which would be
turned into your senior nurse who would then discuss the
complaint with the attending physician. The attending physician
would then come and review the patient and would agree, or
disagree with the order and change the management of the patient
or decide to stay the course.
Why did you choose not to follow procedure?
2) In my years of practice, lack of bowel sounds has usually signified small bowel obstruction, which could be due to many things such as cancer, mechanical obstruction (ie, stool) or a viral ileus (slowing of gut motility). While laxatives are contraindicated to treat cancer or viral ileus, bowel rest along with nasogastric tube placement is the appropriate treatment. On the other hand, in a situation that is caused by a mechanical issue such as stool impaction, use of enemas and slow-acting laxatives are indeed indicated. So the question is - what did you prescribe that saved this man's life? I'm not aware of a medication that would be indicated - instead as I said, a more pallative treatment is called for, unless further tests reveal the need for surgery. Why did you need a prescription pad, when the correct treatment was not something that needed to be prescribed? (Incidentally, historically, stolen prescription pads are used to gain illegal access to narcotics, and certainly not to write orders for patients. As I stated - there was no prescription to be written for this man in his situation. Are you absolutely sure you did not use it for your own personal purposes?)
Your indiscriminate and illegal use of a prescription pad does not make sense in this instance, and is certainly concerning, illegal, and indeed a felony. It is not the resident's ego that got you into trouble, but your own lack of ability to follow hospital protocol and your indiscretionate use of a prescription pad in your attempt to practice medicine beyond the scope of your education and experience. You stated that you have a history of addiction issues and obviously are not able to control your emotions or your impulses. It is interesting that you have a fan club here who speaks of your heroic efforts in saving this man's life at the same time they condemn your partner for enabling your mother-in-law in her impulsive, irresponsible and addictive behaviors. Curious that they do not recognize the fact that they are as enabling to you in your destructive impulses as your partner is toward his mother.
I for one, am relieved that you will no longer be working in a hospital setting. The patients will be safer.
And to clarify and provide accurate information for all those on this forum who are taking your word as gospel- in the states in which I have practiced medicine, a physician who is convicted of a felony related to the practice of medicine,
is in fact stripped of his or her license to practice medicine- as he or she should be.
And if you don't like your mother-in-law- get the hell out of her house and stop mooching off her. You talk about the example she is setting for your daughter - what about the example you are setting. Get a job, and try to be law abiding next time.