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DATE 2007-11-01

HANGOUT

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Key: Value:

Key: Value:

MESSAGE
DATE 2007-11-08
FROM Ruben Safir
SUBJECT Re: [NYLXS - HANGOUT] Narcotic Ordering
Try this

http://video.google.com/videoplay?docid=487048892571306473&q=Spring+Awakening+Totally+Fucked&total=20&start=0&num=10&so=0&type=search&plindex=1



or

http://video.google.com/videoplay?docid=4307542752780988181&q=Spring+Awakening+Totally+Fucked&total=20&start=0&num=10&so=0&type=search&plindex=0



On Wed, Nov 07, 2007 at 03:45:27PM -0500, einker wrote:
> I guess you are having a bad day. What was the fall-out following this
> email?
>
> On 11/6/07, Ruben Safir wrote:
> >
> > With regard to the Narcotic situation on the overnights, prior to my
> > working the overnights, a large amount of time and resources were spent
> > filling narcotic orders and I was instructed clearly from both Suzanne and
> > Tony that no Narcotics were to be dispensed except PCA's and Fentynl
> > patches.
> >
> > We had a rough go of it for a while, but the narcotic distribution on the
> > overnight
> > is now only those items and the situation now managable and in accordance
> > with
> > hospital policy and procedure.
> >
> > After over 30 minutes, 51 still hasn't returned for the narcotic
> > order. So I'm not
> > certain of the emergency. Less hysterics and a more rational and calm
> > aproach towards
> > this problem improves patient care, not lessens it.
> >
> > The only truly fustrating part of this is not any short coming in patient
> > care, because
> > a plethoria of Narcotics are available to physicians even when nursing
> > fails to stock
> > properly their narcotics, but that I'm being repremanded by the nursing
> > supervisor
> > because as she said, "Ruben until you came on we never had a problem
> > getting anything
> > from the Pharmacy. Wing gives us whatever we ask, any narcotics we need".
> >
> > My shift is, for the most part, being run according to policy and is
> > functioning
> > better for it. Drugs are being delivered every 2 hours, stats are being
> > handled
> > better, nurses spend less time at the pharmacy and spend more time with
> > patient
> > care.
> >
> > Just now, as I'm writing this, a different unidentified nurse comes for
> > the drugs
> > without an ID card and expected to have the narcotics dispensed. She is
> > telling
> > me, with great hostility that she's been here for 35 years and everyone
> > knows her.
> > I told her I need an I'd to dispense. It's the hostility which really is
> > upsetting.
> >
> > I've been doing my job according to policy and the hospital has been
> > providing
> > better care because of it. It's inapropriate to make comments such as "on
> > the
> > overnight we are a big family", as that would be a reason why Pharmacy
> > should not
> > follow policy, or, "I've been here for 35 years and everyone knows
> > me. Who are you
> > to come on board and change things". These kinds of remarks are not only
> > inapropriate
> > and start to enter the murky waters of Coperate Complience issues.
> >
> > I wasn't hired, nor do I work here in order to make a family. I have 6
> > children which
> > is family enough. And although I like to be friendly, I'm not here to
> > make friends,
> > to play politics, or to the opposite. I know its a lot to ask of people,
> > but I expect
> > conversations to remain strictly professional. I expect to do my job
> > according to
> > hospital policy, and through judicious use of my professional
> > judgement. I do not
> > prefer my arm to be twisted and statements of personal attacks made when
> > policy doesn't
> > suite someone who's asking for something which they are not entitled to
> > under hospital
> > policy, or for that matter, under state law or federal law, or even JAACO
> > guildlines.
> >
> > The overnight staff, although often reluctantly, has worked very hard to
> > provide superior
> > serivce for the floors, especially floor 51 where for perhaps the first
> > time they are getting
> > regular delivery service, on time, and my personal attention. Rather than
> > taking jabs, perhaps
> > the administration should start to notice the wide and vast improvement in
> > service that
> > Pharmacy is now providing and determine to work closer with us to continue
> > to refine improvements.
> >
> > Tonight's HIPAA PRIVACY.
> >
> > All the floors should stock adequate narcotics in order to assure that
> > they can cover all resonable
> > and expected events. They often do not do this and act as if the
> > aquisiton of a sickle cell patient
> > on the 8th floor would be an unexpected event. If nursing is to
> > irrationally decide that they can't
> > ask Physicians to change orders from one reasonable narcotic to another
> > just as reasonable narcotic
> > which they have in stock, than as hospital policy is, and as one should
> > also reasonably expect even
> > without this policy, they must order more broadly then they currently do.
> >
> > The Nursing culture has been very negligent with regard to narcotic
> > responsibilities. Our technicians
> > and pharmacist are constantly spending inordernate amounts of time sending
> > out narcotics, taking in
> > narcotics. In and out, up and down, and for what reason? Why are
> > narcotics being returned to us
> > just to be redispensed the enxt day when a cancer patient is on the
> > ward? This is one of the major
> > contributers to our large error rates in the narcotic counts.
> >
> > Ruben Safir
> > --
> > http://www.mrbrklyn.com - Interesting Stuff
> > http://www.nylxs.com - Leadership Development in Free Software
> >
> > So many immigrant groups have swept through our town that Brooklyn, like
> > Atlantis, reaches mythological proportions in the mind of the world - RI
> > Safir 1998
> >
> > http://fairuse.nylxs.com DRM is THEFT - We are the STAKEHOLDERS - RI
> > Safir 2002
> >
> > "Yeah - I write Free Software...so SUE ME"
> >
> > "The tremendous problem we face is that we are becoming sharecroppers to
> > our own cultural heritage -- we need the ability to participate in our own
> > society."
> >
> > "> I'm an engineer. I choose the best tool for the job, politics be
> > damned.<
> > You must be a stupid engineer then, because politcs and technology have
> > been attached at the hip since the 1st dynasty in Ancient Egypt. I guess
> > you missed that one."
> >
> > (c) Copyright for the Digital Millennium
> >
>
>
>
> --
> Regards,
>
> Evan M. Inker

--
http://www.mrbrklyn.com - Interesting Stuff
http://www.nylxs.com - Leadership Development in Free Software

So many immigrant groups have swept through our town that Brooklyn, like Atlantis, reaches mythological proportions in the mind of the world - RI Safir 1998

http://fairuse.nylxs.com DRM is THEFT - We are the STAKEHOLDERS - RI Safir 2002

"Yeah - I write Free Software...so SUE ME"

"The tremendous problem we face is that we are becoming sharecroppers to our own cultural heritage -- we need the ability to participate in our own society."

"> I'm an engineer. I choose the best tool for the job, politics be damned.<
You must be a stupid engineer then, because politcs and technology have been attached at the hip since the 1st dynasty in Ancient Egypt. I guess you missed that one."

© Copyright for the Digital Millennium

  1. 2007-11-01 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] Multimedia Organizations to invite to Freedom-IT
  2. 2007-11-02 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] New Classes and Space
  3. 2007-11-02 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] Audio Project Resource from Upstate NY
  4. 2007-11-02 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] Re: [Freedom-IT] Audio Project Resource from Upstate NY
  5. 2007-11-03 Elfen Magix <elfen_magix-at-yahoo.com> Subject: [NYLXS - HANGOUT] Dead Suse Mouse
  6. 2007-11-03 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] Dead Suse Mouse
  7. 2007-11-03 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] Dead Suse Mouse
  8. 2007-11-03 Kevin Mark <kevin.mark-at-verizon.net> Re: [NYLXS - HANGOUT] Dead Suse Mouse
  9. 2007-11-05 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] google phones
  10. 2007-11-05 Elfen Magix <elfen_magix-at-yahoo.com> Re: [NYLXS - HANGOUT] Dead Suse Mouse
  11. 2007-11-06 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] Narcotic Ordering
  12. 2007-11-07 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] Narcotic Ordering
  13. 2007-11-08 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] Narcotic Ordering
  14. 2007-11-09 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] NYLXS Board Meeting
  15. 2007-11-09 swd <sderrick-at-optonline.net> Subject: [NYLXS - HANGOUT] Can I "fool" a browser into thinking I am not in America?
  16. 2007-11-09 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] Can I "fool" a browser into thinking I am not in America?
  17. 2007-11-09 Paul Robert Marino <prmarino1-at-gmail.com> Re: [NYLXS - HANGOUT] Can I "fool" a browser into thinking I am not in America?
  18. 2007-11-09 email <ray-pub-at-rcn.com> Re: [NYLXS - HANGOUT] Can I "fool" a browser into thinking I am not
  19. 2007-11-10 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] Re: Journalist inquiry about Linux and Google
  20. 2007-11-11 Kevin Mark <kevin.mark-at-verizon.net> Re: [NYLXS - HANGOUT] Re: Journalist inquiry about Linux and Google
  21. 2007-11-12 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] NYLXS and Freedom-it planning meeting for tomorrow
  22. 2007-11-13 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] [nyc-at-workatjelly.com: Jelly this Friday (11/16) in Manhattan!]
  23. 2007-11-13 Amy Coleman <acoleman-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] NYLXS and Freedom-it planning meeting for
  24. 2007-11-13 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] NYLXS and Freedom-it planning meeting for tomorrow
  25. 2007-11-13 Ron Guerin <ron-at-vnetworx.net> Subject: [NYLXS - HANGOUT] [Fwd: [nylug-announce] TOMORROW! WEDNESDAY: NYLUG presents James
  26. 2007-11-13 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] [Fwd: [nylug-announce] TOMORROW! WEDNESDAY: NYLUG presents James Vasile on GPL3, FOSS Legal Primer & The Interaction of Licenses & Communities]
  27. 2007-11-13 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] NYLUG MEeting Tomorrow
  28. 2007-11-14 Ron Guerin <ron-at-vnetworx.net> Re: [NYLXS - HANGOUT] [Fwd: [nylug-announce] TOMORROW! WEDNESDAY:
  29. 2007-11-14 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] [Fwd: [nylug-announce] TOMORROW! WEDNESDAY: NYLUG presents James Vasile on GPL3, FOSS Legal Primer & The Interaction of Licenses & Communities]
  30. 2007-11-14 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] NYLUG Meeting Tonight
  31. 2007-11-15 From: "Michael L. Richardson" <mlr52-at-michaellrichardson.com> Subject: [NYLXS - HANGOUT] Resluts of GNU/Linux Demo
  32. 2007-11-15 email <ray-pub-at-rcn.com> Subject: [NYLXS - HANGOUT] VPN Issue
  33. 2007-11-15 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] Website Updates
  34. 2007-11-15 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] Freedom-IT: GNU/Linux Multimedia Conference
  35. 2007-11-15 Kevin Mark <kevin.mark-at-verizon.net> Re: [NYLXS - HANGOUT] Website Updates
  36. 2007-11-16 Ron Guerin <ron-at-vnetworx.net> Re: [NYLXS - HANGOUT] Website Updates
  37. 2007-11-16 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] Website Updates
  38. 2007-11-16 Kevin Mark <kevin.mark-at-verizon.net> Re: [NYLXS - HANGOUT] Website Updates
  39. 2007-11-16 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] Website Updates
  40. 2007-11-16 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] Website Updates
  41. 2007-11-16 Ron Guerin <ron-at-vnetworx.net> Re: [NYLXS - HANGOUT] Website Updates
  42. 2007-11-16 Ron Guerin <ron-at-vnetworx.net> Re: [NYLXS - HANGOUT] Website Updates
  43. 2007-11-16 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] Website Updates
  44. 2007-11-16 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] Re: [nylug-talk] Getting rid of old computer bits?
  45. 2007-11-17 Kevin Mark <kevin.mark-at-verizon.net> Re: [NYLXS - HANGOUT] Website Updates
  46. 2007-11-17 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] Website Updates
  47. 2007-11-17 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] Ripping DVD's
  48. 2007-11-17 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] [nbs-at-sonic.net: [vox] Freedomware Gamefest 2007]
  49. 2007-11-17 Ron Guerin <ron-at-vnetworx.net> Re: [NYLXS - HANGOUT] Website Updates
  50. 2007-11-17 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] Website Updates
  51. 2007-11-18 Ron Guerin <ron-at-vnetworx.net> Re: [NYLXS - HANGOUT] Website Updates
  52. 2007-11-18 Ron Guerin <ron-at-vnetworx.net> Re: [NYLXS - HANGOUT] Website Updates
  53. 2007-11-18 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] Website Updates
  54. 2007-11-18 Ron Guerin <ron-at-vnetworx.net> Re: [NYLXS - HANGOUT] Website Updates
  55. 2007-11-18 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] Website Updates
  56. 2007-11-18 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] Website Updates
  57. 2007-11-18 Ron Guerin <ron-at-vnetworx.net> Re: [NYLXS - HANGOUT] Website Updates
  58. 2007-11-18 Ron Guerin <ron-at-vnetworx.net> Re: [NYLXS - HANGOUT] Website Updates
  59. 2007-11-18 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] Website Updates
  60. 2007-11-18 Ron Guerin <ron-at-vnetworx.net> Re: [NYLXS - HANGOUT] Website Updates
  61. 2007-11-18 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] Website Updates
  62. 2007-11-18 Ron Guerin <ron-at-vnetworx.net> Re: [NYLXS - HANGOUT] Website Updates
  63. 2007-11-18 Ron Guerin <ron-at-vnetworx.net> Re: [NYLXS - HANGOUT] Website Updates
  64. 2007-11-18 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] Website Updates
  65. 2007-11-20 Ron Guerin <ron-at-vnetworx.net> Re: [NYLXS - HANGOUT] Website Updates
  66. 2007-11-21 Elfen Magix <elfen_magix-at-yahoo.com> Subject: [NYLXS - HANGOUT] Sorry (WAS: Dead CPU)
  67. 2007-11-21 Elfen Magix <elfen_magix-at-yahoo.com> Dead CPU (WAS: Re: [NYLXS - HANGOUT] Website Updates)
  68. 2007-11-22 From: "Michael L. Richardson" <mlr52-at-michaellrichardson.com> Subject: [NYLXS - HANGOUT] [Fwd: FW: Something cool that Xerox is doing to say Thank you*marvin*]
  69. 2007-11-22 From: "Evan Inker" <eminker-at-gmail.com> Subject: [NYLXS - HANGOUT] FSM newsletter: FSM Newsletter 19 November 2007
  70. 2007-11-22 From: "Evan Inker" <eminker-at-gmail.com> Subject: [NYLXS - HANGOUT] FSM newsletter: FSM Newsletter 19 November 2007
  71. 2007-11-23 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] Kernel Update and USB Mouse on SuSE 9.3
  72. 2007-11-23 Ron Guerin <ron-at-vnetworx.net> Re: [NYLXS - HANGOUT] Sorry (WAS: Dead CPU)
  73. 2007-11-27 Ruben Safir <ruben-at-mrbrklyn.com> Re: [NYLXS - HANGOUT] Website Updates
  74. 2007-11-23 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] Re: [opensuse] Kernel Update and USB Mouse on SuSE 9.3
  75. 2007-11-23 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] Re: [opensuse] Kernel Update and USB Mouse on SuSE 9.3
  76. 2007-11-23 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] Re: [opensuse] Kernel Update and USB Mouse on SuSE 9.3
  77. 2007-11-24 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] Re: [opensuse] Kernel Update and USB Mouse on SuSE 9.3
  78. 2007-11-24 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [NYLXS - HANGOUT] Re: [opensuse] Kernel Update and USB Mouse on SuSE 9.3
  79. 2007-11-16 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [ruben-at-mrbrklyn.com: Re: [NYLXS - HANGOUT] Website Updates]

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