CIWA woes - page 3

by Indy 12,865 Views | 52 Comments

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 thing. What I really dislike are... Read More


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    I dont mind detoxers. Although the floors I send them to hate me
    GrnTea, Esme12, and lemmyg like this.
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    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.
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    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.
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    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.
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    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.
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    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.
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    But what does C I W A actually stand for?
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    CIWA - What does CIWA stand for? Acronyms and abbreviations by ...acronyms.thefreedictionary.com/CIWA
    Acronym, Definition. CIWA, Clinical Institute Withdrawal Assessment.
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    Quote from Aurora77

    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.
    I disagree. I have never been this way. I have never been one to look down on or judge the ill or those in my care.

    I won't start now.

    Additionally, I am well inoculated by my own poor choices made early in life.
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    Yeah, okay, wow what a hornet's nest. I'm glad someone (forgot which poster, didn't hit reply) is better than me. It's two days since I left that shift, make that three, and my butt still has a bruise on it from where the dude tried to pull my cheek right off. Ever been in a bear trap? I haven't, this made me think of that. It was a rant, it was labeled as a rant, it was done on monday. It's thursday. Take the self righteousness and stuff it back into whatever hole it fell out of, I'm not buying it.

    There is not now, and has never been, any sort of demand on nursing or on me personally to like my patients. There are things about most of them I do like. The alcoholics in violent DT's just aren't people I get all warm and fuzzy for. They aren't in the unit every day, and I don't need a break from ICU just because they exist. What I needed was a heating pad, a day or two of rest, (got that) and it helped to rant a bit. Thanks for being so understanding.


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