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description= 2 posts published by Tara Nipe during September 2014;
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Text of the page (random words):
employment or reporting to the board examples of those exceptions are primarily criminal activities like assault or theft and i explained that the hospital needs to reassure the patient that their complaint was taken seriously and that there are consequences to prevent this happening again none of which i finished meant that management necessarily believed juan had done anything inappropriate he would need to wait until his morning meeting for that but clearly the patient perceived inappropriate behaviour and that s not what we want juan had in fact handled this patient less well than he could have when the patient arrived on the ward he greeted them with something he thought was cheery and light but which had the potential to be misinterpreted particularly as in this case by someone who was being admitted with something significant the patient reported nausea and pain juan palpated the patient s upper abdomen but didn t explain why or ask for permission that arms across the shoulder and back rubbing that juan meant to be comforting was interpreted as sexual and because juan wasn t thinking about the patient s discomfort he didn t pay attention to any signs the patient may have given finally juan added to his notes after being informed of the patient s report his addition was defensive referenced and denied the complaint and recommended the patient be seen by psychiatry a referral that was appropriate for this patient for other reasons but which read as though it was related to a false accusation his note should have been patient centred documenting the pain and distress the patient had the measures he took to resolve them and not have included juan s own concerns juan told me he felt much more comfortable after our discussion and was able to sleep for a couple of hours before his meeting he was fortunate that his manager and her manager saw this as a cultural and communication issue heightened by the additional layer of difficulty many men in nursing have when acting in a care delivery role a topic i d like to address at another time because it s important juan was issued a verbal caution which will go in his file for a year then vanish if there are no further issues he was already scheduled for a fortnight s leave and has been encouraged to do something he enjoys that s unrelated to work when he returns he ll be booked into a communications workshop his hospital runs that includes role play and these kinds of scenarios and he was reassured that his management team see him as an asset juan was fortunate to have a supportive understanding and experienced management team who value his work and who saw the situation from a number of perspectives not just the patient s and not just from a pr perspective but he had several days where he was far more distressed than he needed to be had he been a member he could have rung the union the morning he was told of the accusation and been given all the information i gave him he would have had someone go with him to the preliminary meeting the next day either a job rep like me or an organiser from the union who would have explained the process to him and been able to reassure him that his managers were being fair and even handed juan joined the union between our conversation and his meeting when we spoke about it afterwards he said that the nurses union where he did his undergraduate training overseas didn t do very much so joining seemed like a waste of money especially as he was a good nurse a strong clinician he said that this experience made it clear to him that anyone can need representation that false accusations or misunderstandings are less common when you re a good person and a good nurse but that alone is not protection this is something i hear more often than i d like last year a colleague contacted me about an accusation from a nurse on another ward that she d accessed a patient s notes like juan wai li was hurt and outraged that her management team didn t know that she wouldn t do something like that like juan she called me the night before a disciplinary hearing unlike juan she was a member of the union and i was able to advise her wai li had been asked by a friend to find out what was happening with her friend s father a patient on a ward she had previously worked on the family spoke english as second and third languages and they were concerned that they may have missed valuable information rather than suggesting the family ask for a family meeting or speaking to the nurse unit manager wai li approached the nurse caring for the patient and asked about her the nurse appropriately said she couldn t disclose information about the patient to a third party and left the nurses station when she saw my colleague still there on her return several minutes later on the staff side of the desk where the patient histories were she believed wai li had accessed the notes and reported this to her manager patient confidentiality is taken very seriously nurses and midwives have been fired and sanctioned by state boards here and overseas for inappropriately accessing information of patients whose care they re not involved in wai li was told she could be reported to the regulating authority if this accusation was found to be true i asked wai li what she d said to the family and she replied that she d said the nurse wasn t prepared to disclose any information so they should probably ask to speak to the treating doctors perhaps with an interpreter i explained to wai li as i did to juan that there s a process managers have to follow it s not personal it s professional and feeling hurt and defensive gets in the way of hearing what the problem is in this case wai li did act inappropriately in that she shouldn t have approached the nurse the other nurse a graduate is to be commended for maintaining her patient s confidentiality and for reporting what she thought was a breach i was unable to attend the meeting with wai li the next day and it was too late in the evening to contact anmf i recommended wai li write a statutory declaration which has the same weight and consequences as testimony explaining what had happened including the reason why she was behind the nurses station she called down to her ward to let them know she was going to be late back from her break as she visited her friend s mother while she was up there i also recommended she contact her friend and ask him if he d write a stat dec too in his native language if his english wasn t sufficiently fluent if he agreed she could tell her managers at the meeting and if the investigation went to the next step that could be professionally interpreted as supporting evidence that she hadn t accessed information fortunately wai li s own statement and the willingness of her friend to provide supporting information was sufficient for her managers and the matter rested there in both these cases well intentioned nurses were accused of significant charges that could have effected their employment and their registration both wai li and juan left seeking help until the last minute instead of at the time they became aware of the process starting causing unnecessary angst and distress and in both cases they had management teams who were fair impartial and reasonable i am well aware that there are other outcomes nurses as innocent of actual wrong doing as juan and wai li who have been accused of contributing to a patient s death by giving extra narcotics of stealing drugs for their own use and of giving medications without an order last week prompted by juan s case i asked on social media for examples these are just three and one of them is only a fortnight old nurses and midwives are very concerned about the legal ramifications of errors particularly of coroner s cases but a survey of victorian branch members looking at what topics and areas members would like more information about as part of anmf victoria s e learning portal didn t contain a single request about disciplinary proceedings even though they are not only vastly more common but also more likely to result in career consequences there are bad nurses and midwives out there people who assault patients who are drug dependent who are driven by motives other than altruism and professionalism the public and the professions have to be protected from them which is why we have laws regulating agencies policies reporting processes and alert responsive managements there are also poor managers unpopular but skilled nurses malicious patients and false accusations anyone can make a mistake i know that i still feel nauseated when i think of the handful of potentially life threatening drug errors i ve made anyone can be involved in a communication conflict we know that from the rest of our lives our relationships and certainly from social media anyone can be thoughtless let their attention drift at a pivotal moment regardless of how responsible and essential their role is anyone can be the victim of a false accusation whether genuine misunderstanding or motivated by malevolent intent anyone can need representation even good nurses and midwives identifying information including names and specific details has been changed fear or reason we have a choice 21 sunday sep 2014 posted by tara nipe in uncategorized leave a comment tags australian politics fear manipulation police power terrorism federal police escorted a melbourne man off a tiger flight yesterday not because he was armed not because he triggered a security concern not because he had some affiliation with a known suspect organisation not because he d been under surveillance but because his doodles included words about terrorism this is what fearmongery is turning us in to on thursday 800 police raided 25 homes in sydney and brisbane that s 24 officers per building fortunately there was a lot of spectacle and movement including helicopters search lights and shouting for the omnipresent media who did their part with a lot of largely uncritical coverage the impetus for the raid was apparently a tapped phone conversation that has been construed as an intention to behead a random victim in a public place and in no way coordinated with prime minister abbott s photo op sending australian armed forces back to the middle east or a bill to extend the sunset clause of howard era anti terrorism legislation due to apply next year used last week for the first time in nine years nope just coincidental timing it s unfortunate then that while a number of people were detained and released without charge so far only two men have been charged and one of those with illegal possession of ammunition of course dr mohamed haneef was also charged it may well be that some or all of these men were indeed going to behead someone to fan an atmosphere of terror after all the definition of terrorism is 1 the use of violence and threats to intimidate or coerce especially for political purposes 2 the state of fear and submission produced by terrorism or terrorization 3 a terroristic method of governing or of resisting a government source and what does it mean to terrorize 1 to coerce or control by violence fear threats etc 2 to inspire with dread terrify source terrorism is a real thing it s been used for millennia to cow populations one of the most infamous examples is the troubles the three decades of sectarian violence in and about northern ireland that included a series of ira terrorist attacks in london during the early 1970 s a time i don t remember but when my parents and i lived there my father s office was in the city and he quickly got used to bomb warnings he tells me that after the first alarm not an experience a boy from brisbane was used to they worked around it often not even downing tools my father s response is not atypical of those in the uk after the july 7 bombings on 2005 there was a determined attitude of unity and perseverance with everyday life in terms of attitude and behavioural change the effect on everyday londoners not directly affected by the bombs which was almost all of them lasted less than a fortnight america s response to the biggest terrorist attack in their history was more in line with the perpetrators intent in that coverage blanketed the news for weeks and over a decade on it s still an emotive divisive distressing topic for many but it didn t see a de escalation in us intervention in the middle east or a change in western behaviour what s my point while there have been plots for terrorism on australian soil including the sydney five the benbrika group and the holsworthy barracks plotters the last act of terrorism here was by peter james knight in 2001 what we re doing works and yet from the media and the attitude of our politicians you could be forgiven for thinking that terrorists lurk around every corner that our lives and liberty under constant threat people who are afraid lash out and australia s been subject to the better part of a decade of orchestrated ramping fear that plays on underlying xenophobia we ve seen it with every wave of immigration from china during the gold rush from greece and italy after the second world war from vietnam in the 1970 s and the concerns are always around difference lack of assimilation and changing our culture as though what australia is is static every other group of migrants has made us richer cuisine in the first instance but also music literature perspective diversity culture fashion talent why do we think this will be different instead of learning from the blind misplaced prejudice of our past resist the hysteria focus on facts reason what s actually happening look back up at those definitions of terrorism and ask yourselves in whose interest is an atmosphere of anxiety fear and dissent who benefits from our focus being on defence war and restriction of expression and rights here s a hint it s not the man or woman in the street search recent posts it s not only icu under pressure the 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