dream'n, BSN, RN 7,800 Views
Joined Aug 28, '06.
Posts: 800 (55% Liked)
No, my hospital doesn't dispose of the glove boxes usually. Perhaps they do for contact rooms, that I don't know.
Today I had a patient that was brought to the ER following a heroin overdose. She was extremely combative after being given Narcan. While I was trying to place an IV, she suddenly jerked her arm back and I ended up sticking my hand with the contaminated needle.
She refused to give consent for an HIV test. With her history of IV drug use, I am freaking out. I am also pregnant and am so worried about the potential exposure to my baby. Has anyone else ever experienced a similar situation where a patient refused to consent to an HIV test following a needlestick? I could really use some advice and encouragement right now. I can't believe I did this. I feel so stupid and I'm so mad at myself
You're getting a very long orientation for an experienced nurse. Is this field of nursing totally different from what you were doing before?
Ugh, what a horrible way to go, conscience and aware while your body is assaulted. Where is my DNR paperwork??
I've even heard of Salvia being used lately.
What is spice?
This coming from a former substance abuse nurse...
There is not one scenario in nursing where telling the patient that you think they are "pathetic" is appropriate.
I truly am shocked that any nurse would speak to a mentally unstable patient as the OP did. Do you talk to your confused, Alzheimer patient's like this?? This young man has a MENTAL ILLNESS. Mental illness is as real as dementia, diabetes, or any other disease process. The OP was judgmental to the extreme and let me tell you something; I've dealt with mental illness with one of my children. And yes at times he was certainly not pleasant to be around. BUT, if a nurse had ever spoken to him the way you spoke to this patient, I would have done everything in my power to get them fired and before the BON. And as for the mother being an enabler, you have no idea of the patient's family history. She probably was trying to prevent him from going over the edge and knew that it wasn't the right time to push him.
The HOB needs to be elevated in a tube-feeding patient to prevent aspiration into the lungs.
US healthcare has lost sight of its true mission. I've been around a long time and administration rarely monitors the quality of the care provided, but is more interested in the customer service aspect. Nurses are reprimanded not for lacking critical thinking skills, but for not filling out a form, not writing on the 'white board', or not smiling and giving the warm blanket quick enough.
I read this article on CNN yesterday. Ok, if it is correct, what do we do about it? It sure gets the public up in arms, but changes need to come from the top and the article I read gave very little advice related to solving this problem (well except for recommending patients question their Dr or nurse). I work in acute care and give the best and safest care I can possibly give. I give everything I have for my patients. I also have spoken out to administration concerning staffing, acuity ratios, unsafe conditions, etc. I critically think and prioritize. What else can I, and other hard working nurses possibly do?? Nurses are human, physicians are human.
If the public wants to solve some of this issue, maybe they need to support nurse ratios. Perhaps they could fight Press-Ganey and let the nurses handle real issues, instead of harping on getting ice or a warm blanket quickly. Maybe some of the customer service BS could go bye-bye.
Sounds like the Dr. is extremely burned out right now and I wouldn't take his crazy vent session personally. I'd let it go...not worth my time and aggravation. Then again, my workplace is giving me enough irritation right now that this Dr. would be like a fly in an elephant stampede.
I have been dying to answer this. First I can not think of one reason an answering service would need any part of a ssn. The amount of info that's asked by an operator usually depends on the Doctor some need a novel others just want a name and number. As far as being put on hold I have my own rules about that, I won't put any hospital or medical staff on hold more than once. So if say you call and in that call I get 10 calls that come in, I will really quick put you on hold then answer the other calls but I just say the office name and make sure to say ans service hold please like This is Dr. Farmer's Answering Service hold please, I never say can you hold, cause I'm not giving them a choice and then I get back to you and finish, sometimes I don't even get to all the calls but I would never make you hold more than once. I will explain why I have to hold in a sec I gotta log off and log back in be back soon
Some issues you list in your post sound fairly common in nursing, but certainly not codes every other day?? Seriously...every other day?? I work in the hospital and we have had way less than 10 codes called in the past several years put together.
As for your coworkers not giving a crap about your allergic reaction, that is how it is sometimes. Especially in a workplace where everyone is stressed to the max.
I'm curious, why are tricyclic antidepressants part of the usual drug test? I've kind of always wondered about that. Are they abused substances for some reason I don't understand?
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