Congratulations! You are now a
Registered Nurse. All of your sacrificing, studying and suffering have paid
off. Take some time to celebrate your success – you deserve it. However, now
that you’ve received your nursing license, you have to start thinking about how
to protect it.
Many State Boards of Nursing used send out publications with a
list of nurses who lost their licenses and WHY they lost them. I can
remember being a new nurse, reading those reasons and thinking that I wanted to
make sure I didn’t make the same mistakes. I don’t think they publish these
lists anymore (do they??).
So, it’s important that you
understand the reasons why nurses lose their license and what you can do to
make sure that doesn’t happen to you.
Protecting your license: Top 3
1.
Administer
medications correctly
Nurses have inadvertently caused serious harm and even patient deaths
because they didn’t administer medications correctly. Nurses get distracted constantly
leading to mistakes. Giving meds is a big-ticket item and requires your time
and attention. When giving meds,
stay focused.
Bottom line: NEVER give a
medication unless you understand why your patient is getting it; if there are
any labs or assessments you need to check before given it; how it is to be
given (especially IV); and what you expect as a result.
2.
Recognize changes
in your patients and report them.
The quintessential gift nurses bring to the delivery of health care is
our assessment. Assessing your patients is where you need to spend your
time. Most legal action occurs when a patient deteriorates and either the nurse
doesn’t recognize or the nurse documents the problem but fails to document
action.
Bottom line: Assess your
patients frequently – noting any change in condition. Communicate findings to
the physician - no matter how subtle.
Bonus documentation tip: If you document that a patient complains of
anything, then you MUST document what you did about it and what the outcome was.
For example, “Patient complained of chest pain…..Dr. Rossi notified. SL Nitro
given as per order. Pt states chest pain resolved.”
3.
Follow policy and
procedures
I’m a professional speaker and talk to nurses all over the country about
creating a successful nursing practice. I can’t tell you how many times I get
asked if nurses should get their own malpractice insurance. Here’s what you
need to know: You are covered under your employer’s insurance IF you follow
policy. If you don’t, you are on your own. If you don’t follow policy and you
make a mistake that causes patient harm, you could lose your job AND your
license.
Bottom line: Never do
procedures if you’re not sure how to do them according to policy. It’s not
enough just to ask another nurse. Know the policy. Ignorance isn’t a defense.
Now that you’ve got your license – keep it! These tips will
help you to have a long and healthy career as a nurse.
Thanks so much for reading. If you find this blog helpful,
please share it with your colleagues.
Thanks for becoming a nurse – I’m
cheering for your success!
Renee
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