CIWA woes - page 2

I don't really have any complaint with the CIWA protocols, I am grateful they exist and enable me to sorta get a handle on the ETOH'ers when they decide it's time for withdrawal. It's a lovely... Read More

  1. Visit  netglow profile page
    7
    I'm with you on everything OP.

    I also hate "How dare you" posts - sign of lack of experience. Funny how it all changes with the first bloody nose. Heh.
    Sadala, canoehead, GrnTea, and 4 others like this.
  2. Visit  jadelpn profile page
    0
    By what? Working in an occupation that is full of patients who make choices that are less than desirable? ETOH addiction doesn't hold the exclusive rights.

    And Netglow.....lots of experience, I happen to like addictions nursing.....

    It takes all kinds and experiences. If you don't want to deal with the good the bad and the ugly, then I am not sure what kind of a job one could tolerate working.....
    Last edit by Esme12 on Nov 15, '12 : Reason: TOS/removed quote
  3. Visit  BluegrassRN profile page
    4
    Eh, I don't mind the detoxers. At least we have CIWA protocols now. To me they're like all my other pts who have contributed significantly to their poor health and shortened life span. I don't get ruffled over them (though I can certainly understand it), I figure most everyone could be living better than they are, myself included. COPDers, CHFers, diabetics, and others who have been unhealthy and noncompliant for years don't really disturb me, either.

    Years and years of treating these people has made me realize that whether I get my panties in a wad or not, makes no difference. I can worry, cray, cajole, rage, fret, and pray, but in the end, I'm only responsible for doing my job. I can't chenge most people, and I refuse to bear their burdens. I will give then good care and a smile, and support when they tell me they're quitting drinking, smoking, eating at McDonalds this time. Even when I know 99.9% of the time it's absolute crap. It's no skin off my back one way or another, so I might as well take them at their word.
    ackiepieRN, unreal, subee, and 1 other like this.
  4. Visit  BluegrassRN profile page
    3
    Sorry for all the typos. I have fat old fingers.
    unreal, NutmeggeRN, and Esme12 like this.
  5. Visit  traumaRUs profile page
    0
    Lets move this to addictions nursing.
  6. Visit  Esme12 profile page
    1
    OP.....I sounds like you have had bad few shifts. I hope you feel better. There was a time when we as professionals that we didn't try to cure everyone. We had orders for a cocktail or two.....or used alcohol drips to help them while they were under our care. Alcohol is an addiction....like any other addiction. whether from food, drugs, sex, pets, or alcohol. It is a chemical response that they really have no control over. Some people DT and some will not.

    Some act crazed and others do not. I think the was they are snowed with Ativan disturbs their psyche and they wake up combative and confused. I think now that we try to help them by taking away the alcohol....I have seen an increase of these crazed individuals. While they suck up a ton of our time.....we still need to have empathy for their plight. But I do feel your pain.

    To the poster asking about CIWA....Clinical Institute Withdrawal Assessment for Alcohol Appendix A€”Pharmacotherapy - A Guide to Substance Abuse Services for Primary Care Clinicians - NCBI Bookshelf

    That utilize standard assessment criteria and medication protocol. Appendix C€”Screening and Assessment Instruments - A Guide to Substance Abuse Services for Primary Care Clinicians - NCBI Bookshelf

    With standardized orders.....http://www.reseaufranco.com/en/asses...hol (ciwa).pdf
    lemmyg likes this.
  7. Visit  Anoetos profile page
    0
    Quote from netglow
    I'm with you on everything OP.

    I also hate "How dare you" posts - sign of lack of experience. Funny how it all changes with the first bloody nose. Heh.
    Yeah, "how dare you" is a bit dramatic, but I was struggling to capture my utter disdain for nurses who pass judgment on their patients. I'm not a 22 year old kid, I am a new nurse yes, but I am looking down the barrel of fifty and I can say with absolute certainty that I will never do this.


    Yes, this makes me better than you.
    Last edit by Esme12 on Nov 15, '12
  8. Visit  That Guy profile page
    3
    I dont mind detoxers. Although the floors I send them to hate me
    GrnTea, Esme12, and lemmyg like this.
  9. Visit  lemmyg profile page
    2
    If you go to any colonized country, South Africa for example, the health disparities are huge between the classes. It is not a coincidence that more people who have had their culture and families torn apart have more social/medical problems.

    These are you patients, they have an illness, sorry their ilness if so distastefull to you.
    Last edit by Esme12 on Nov 15, '12 : Reason: TOS/edited quote
    jadelpn and diva rn like this.
  10. Visit  Creamsoda profile page
    2
    Quote from BluegrassRN
    Eh, I don't mind the detoxers. At least we have CIWA protocols now. To me they're like all my other pts who have contributed significantly to their poor health and shortened life span. I don't get ruffled over them (though I can certainly understand it), I figure most everyone could be living better than they are, myself included. COPDers, CHFers, diabetics, and others who have been unhealthy and noncompliant for years don't really disturb me, either.

    Years and years of treating these people has made me realize that whether I get my panties in a wad or not, makes no difference. I can worry, cray, cajole, rage, fret, and pray, but in the end, I'm only responsible for doing my job. I can't chenge most people, and I refuse to bear their burdens. I will give then good care and a smile, and support when they tell me they're quitting drinking, smoking, eating at McDonalds this time. Even when I know 99.9% of the time it's absolute crap. It's no skin off my back one way or another, so I might as well take them at their word.
    Well put, of course no one "likes" the ETOH population, they are downright obnoxious, but how is it any different than the people not taking care of themselves wether it be they, smoke, compulsively eat, bla, bla bla. Yeah we see em again and again, but we see the same diabetics, come back to have another limb lopped off, the same CHF'er with a 20% EF who still feels the need to go to McDonalds every day. Im here to take care of em, I may roll my eyes at them (behind closed doors) at the choices they continue to make, but it is what it is, we would have jobs otherwise.
    canoehead and jadelpn like this.
  11. Visit  brandy1017 profile page
    1
    Wow! Looks like you stirred up a hornets nest! How dare you not want to deal with a swearing, cursing, hitting patient! Give me a break! I don't care why a person is altered, dementia, etoh, drugs, bipolar, whatever! Most of us didn't go into nursing expecting to work in a psych ward and worry about being physically attacked by some altered mental status patients. It is dealing with people like this that is a major factor of burnout in nursing! It's ridiculous for you to be offended that someone doesn't like dealing with drunks. A normal person would not want to deal with this. Sorry the CIWA protocols don't fix the situation, many of these people should be on an ativan drip, not allowed to remain as agitated and combative as they are!
    canoehead likes this.
  12. Visit  Aurora77 profile page
    2
    Quote from Anoetos

    Yeah, "how dare you" is a bit dramatic, but I was struggling to capture my utter disdain for nurses who pass judgment on their patients. I'm not a 22 year old kid, I am a new nurse yes, but I am looking down the barrel of fifty and I can say with absolute certainty that I will never do this.

    Yes, this makes me better than you.
    No you can't. Everyone (even we saintly nurses) pass judgments on others. It's human nature. Anyone who says they don't is lying.

    It's what we do about those judgments that matters. Every practicing nurse has those trigger diagnoses or patients that aren't their favorite or that they simply don't like. We then make a choice, do we treat them badly or do we act as professionals and do what we need to to care for them.
    canoehead and RxOnly like this.
  13. Visit  wyogypsy profile page
    3
    With so many different areas of nursing to work in, there is no reason we don't find an area we like. In fact most of us would find more than one area we like. Thankfully we each like/don't like different areas. I would quit nursing tonight if I had to work labor/delivery. I don't want the screaming mothers and I don't want the babies that everyone thinks are so cute. BUT let me take care of their grandma or great-grandma any day. I love the elderly.

    I loved correctional nursing. I hated rehab. So many of the staff - nurses, aides, therapists, physicians, etc. would make comments about how the drunk driver did it to himself, how the person not wearing a helmet deserved it, and the list goes on. I didnt hate rehab for those reasons because I didn't feel that way - it was that those patients just broke my heart. No matter how much most of them improved, they were never going to be a shadow of what they used to be. I couldn't take it.

    We spend a huge quantity of our lives working, I feel life is too damn short to waste it working in a job that I don't like. There are always bad days, but if that is the majority of the days then I know it is time to move on.
    macfar28, echoRNC711, and jadelpn like this.


Nursing Jobs in every specialty and state. Visit today and find your dream job.

Top
close
close