b eyes

b eyes has 9 years experience and specializes in ER, Med-surg, ICU.

Latest Activity

1. handling complaints

   b eyes posted a topic in Emergency

   I have a quick question for you? How do you handle.complaints? Does anybody use the chain of command anymore? Or does the squeaky wheel get the grease? I was called into the supervisors office today after a nurse acting as recorder during a trauma f...

2. Treating pain in ER

   b eyes replied to Butterfly0328's topic in Emergency

   I just returned from a CALS class and many of the providers were discussing treating their chronic pain patients. Many of them stated that they do not use pain clinics due tot he fact that they feel the pain clinic use too many narcotics and create ...

3. How much morphine is too much??

   b eyes replied to b eyes's topic in Emergency

   Yes, thank you for your input. He was getting antibiotics. The OR was aware of him, surgeon, CRNA, and OR nurses, Scrub tech, etc. Everybody was aware. I think the only thing I couyld have and should have done is get a different medication order. ...

4. How much morphine is too much??

   b eyes replied to b eyes's topic in Emergency

   Gotcha! Thank you again!

5. How much morphine is too much??

   b eyes replied to b eyes's topic in Emergency

   Thanks for your input. The patient was completely alert. got up out of the bed and into a wheelchair independently to go to OR. Able to answer all questions for me and talking to his family appropriately. He was my only patient at the time, which...

6. How much morphine is too much??

   b eyes replied to b eyes's topic in Emergency

   You are so right! I agree with you 100%. Always a difficult situation for nurse, family and patient.

7. How much morphine is too much??

   b eyes replied to b eyes's topic in Emergency

   OK I understand . Another question, If the patient is still experiencing this type of pain after two or three doses of dilaudid, do I give more? I know how to monitor my patient in the ER as far as when to give meds and when to hold off, but I do n...

8. How much morphine is too much??

   b eyes replied to b eyes's topic in Emergency

   Thank you and I will. I have been racking my brain looking up meds for two days, trying to find dose limits, etc and not coming up with much. yu have been a tremendous help! Should have known to contact allnurses first!

9. How much morphine is too much??

   b eyes replied to b eyes's topic in Emergency

   OK thank you. Makes sense to me now. I felt terrible but on my end, what I was doing was OK, not fully understanding anesthesias end.

10. How much morphine is too much??

    b eyes replied to b eyes's topic in Emergency

    Also the boy had been ruptured for about three days the surgeon felt. I really don't feel pain relief was even acheivable for him. But thanks, next time I am giving frequent doses of morphine, will ask for something stronger. I just remember the C...

11. How much morphine is too much??

    b eyes replied to b eyes's topic in Emergency

    Hi and thanks for replying..first, no the morhine did not have a limit. Just our discretion hence pain level, VS, Pts LOC. Pt fully alert and so uncomfortable. So using dialudid or fentanyl would not have created the same issues regarding anesth...

12. How much morphine is too much??

    b eyes posted a topic in Emergency

    The other day in ER, I had a patient with a ruptured appy. Waiting 2 hours for surgery to take him, the patient was experiencing pain consistently rating it between 5 and 10. Pt was alert/orineted, VS, 101.5, HR 116, Systolic BP 140's, O2 saturatio...

13. Support needed

    b eyes posted a topic in General Nursing

    Hello all. Just wanted to talk about something that has been going on. Working in ER recently, received a threatening phone call from a very angry family member about the care his wife received. This person was threatening in that he made a threat...

14. I took a new job and hate it!!

    b eyes posted a topic in Cardiac

    Hello, I will try to make this as short as possible, but I am pretty stressed out right now. I was wondering if any of you know or can tell me the staffing standards for a cardiac stress lab? I currently work in one and have gotton myself in to an ...

15. pediatric conscious sedation

    b eyes posted a topic in Pediatric

    Hi pedi nurses.. Need some help.. I started a new postition and one of the areas I was put in charge of is pediatric conscious sedation. I am in charge of setting up the room with all the equiptment, getting it ordered, etc.. My questions are.. 1. ...