I just need some advice on this one, and it's making me NERVOUS. I just need some advice on this one, and it's making me NERVOUS. - pg.2 | allnurses

I just need some advice on this one, and it's making me NERVOUS. - page 2

I am a new grad LPN. I started my very first nursing job last week, and have been orentating since last Wednesday. On the wing that I will be working on, I have 1 resident in particular that asks for... Read More

  1. Visit  Sun0408 profile page
    #13 9
    I don't know,just a thought here but why not just give it q6h if it is safe to do so. Who knows maybe after a few days her "neediness" and on the call light 6-8 times an hour will decrease. Of course I don't know this person or other assessment information re her but if its ordered and safe, why lie. At least giving q6, she wouldn't have to ask and this could free all of you up to do other things. I treat these types of meds just like pain.. Even though I can't see it, doesn't mean its' not there.
  2. Visit  LynnLRN profile page
    #14 6
    what was wrong with just giving her the ativan? So unprofessional I can't believe people actually do this. No integrity.
  3. Visit  Ruas61 profile page
    Quote from squatmunkie_RN
    Wow that's kinda harsh punishment. I've told a pt that I'm giving pain medicine when in fact I was just pushing 5cc of NS. But that was because the MD didn't want to order iv pain medicine. It was a last resort and miraculously that solved her problem lol.
    You think this is funny?

    You are proud of this?

    You think this was a right thing to do?

    I am sure your licensing board thinks otherwise.
  4. Visit  klone profile page
    #16 5
    Quote from squatmunkie_RN
    Wow that's kinda harsh punishment. I've told a pt that I'm giving pain medicine when in fact I was just pushing 5cc of NS. But that was because the MD didn't want to order iv pain medicine. It was a last resort and miraculously that solved her problem lol.
    Yikes. Not good. Not only is it deceptive to the patient, but if it ever came to light that a patient claimed you gave him/her narcs, and it somehow gets discovered that they did not, in fact, get any narcs, you could be under suspicion for diversion.

    Some of the things people admit to here boggles my mind.
  5. Visit  Ruas61 profile page
    #17 0
    Quote from klone
    Yikes. Not good. Not only is it deceptive to the patient, but if it ever came to light that a patient claimed you gave him/her narcs, and it somehow gets discovered that they did not, in fact, get any narcs, you could be under suspicion for diversion.

    Some of the things people admit to here boggles my mind.
    Look at a thread she started about a coworker and narcotic restrictions.
  6. Visit  Palliative Care, DNP profile page
    #18 2
    First, please use correct grammar. You orient to a position not "orientate". It is difficult to read posts when I am not able to see past the usage of the English language.
  7. Visit  FlyingScot profile page
    #19 6
    As discussed numerous times "orientate" is actually a real word and in this case is being used correctly. It seems to be a regional thing In the US and is common across Canada and the UK.
  8. Visit  Amnesty profile page
    Quote from Mom To 4
    First, please use correct grammar. You orient to a position not "orientate". It is difficult to read posts when I am not able to see past the usage of the English language.
    I can understand being a grammar nazi when the post is clearly written like this:

    "I cn understnd...... yes, sometims its dificult to understnd this....."

    But come on. ONE word you don't agree with, and suddenly her post is unreadable because she can't use the English language well enough for you?

    Sticks in bums, I say .
  9. Visit  WhereIsMyCallBell profile page
    #21 6
    It is NOT for us nurses to decide what an alert and oriented patient needs, or how often. If there is an order for it and it is time, give the patient their dang med! Never lie to them because you decide they don't "need" it. Shame on the nurse you were orienting with for teaching you bad habits from the get go.
  10. Visit  WhereIsMyCallBell profile page
    #22 3
    Plus there should be a check and balance for PRN's for behaviors, or psyche issues. Don't you have to document effective, or not? hmm that opens a whole new can of worms
  11. Visit  NurseDirtyBird profile page
    So she's on the call-light all the time...did you ever think that maybe THAT was a sign of, oh, I don't know, ANXIETY??? She seems pretty ANXIOUS to get her Ativan, doesn't she? As a chronic anxiety sufferer, I take offense that anyone would think that because someone doesn't "look anxious," then she must really not need her medication. Do you know what I'm able to do with my medication? The stuff I need to get done during the day: cleaning, cooking, working, caring for my family and myself. Do you know what I do when I'm not on my medication? Lay on the couch in front of the TV, desperately trying to "relax" and calm myself down. Sounds backwards, I know, but you'd understand if you thought about it a little. You don't know what's going on in my head, and you have no idea what's going on in your resident's head.
    I hope you learned your lesson.
  12. Visit  anotherone profile page
    #24 1
    I do not understamd why nurses were not giving it when it was ordered. I can not stand that . unless pt seems too unstable for sedating meds than what is the point of this?
  13. Visit  anotherone profile page
    #25 2
    Quote from sherabear
    If things go well for me, I am going to talk to the doctor about possibly scheduling it BID or TID depending on what he thinks; she asks for it like clockwork, regardless of whether or not she actually needs it, which in my honest and professional opinion, she does not. She is a higher needs resident and has her call light on at least 6-8 times per hour, which definitely indicates a need for human contact, and I have stayed in her room on more than one occasion, even making her forget that she requested the ativan, which is why I've only administered it once. I think she relies on the idea of the ativan more than the effects of it...that doesn't excuse the whole not administering it thing, I know. And I've had the last two days to have my heart pound and think about the outcome, and really regret being a lemming. I don't agree that she needs it. But like you say...it's not my call. It's the doc's and her's.
    I would suggest no such thing to the dr . frankly this seems offensive to me. You have no idea how she is feeling . mayb e she is a benzo drug seeker or maybe she is very anxious and could bennifit from ativan as the prescribing provider thought. wow. some people can hide their anxiety, depression, delusions and hallucinations (to an extent) very well.

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