CoffeeRTC, BSN 18,312 Views
Joined Jan 22, '03.
CoffeeRTC is a RN LTC.
Posts: 3,691 (24% Liked)
for the love that is all that is holy...
please mods lock this thread. I don't understand why it hasn't been before.
This is an old thread OVER A YEAR AGO
she knew, she wanted confirmation.
Sounds to me as if you were just managing her symptoms to provide comfort. I've suctioned hospice patients and given oxygen.
I would rather do documentation while I am supposed to be on break, than to waste my personal time by staying after the end of the shift to get it done.
I don't know how old you are, but a job that offers state retirement benefits? That's almost unheard of.
A lot of Patients don't want to hear they've been prescribed an antipsychotic such as olanzapine: "I'm not psychotic!" they say, whether they are or aren't.
So I say, "This med is prescribed for racing thoughts and to help with other mental processes". They're more accepting of that.
I am a student nurse and I was pulled to work in the ED the other night to be a sitter for a psych pt. The pt has had a history of being very aggressive and claims to have seizures (which were determined to be fake by RN and MD). The pt was very agitated/anxious at the time with security on stand by. The nurse had drawn up olanzapine (antipsychotic) to give IM. The pt asked for anti-seizure med and insisted the RN tell him the name of the drug and the drug class in which he was about to receive. The RN told him the correct name of the drug, but told him it was an anti-seizure medication. I understand that if the pt had been violent, he may not have had a choice in whether he received the drug or not. However, I feel like it was wrong for the nurse to lie about the medication. Any thoughts on this or how the situation should have been handled? Thanks!
Yup. I'm the fluid restriction educator, not the fluid restriction enforcer. if the patient is A&Ox4, aware of the restriction and the reason for it. Educate. Document. Move on.
A power struggle with a patient is very unlikely to end well for you. Customer satisfaction, complaints, long, miserable shifts...I don't have the energy or the time. And I'm going to lose any way.
To be honest, I would have just given him the cup of coffee when he asked for it, and educated him on his fluid restriction and why it is in place. If he wants to follow it great and if he doesn't you can inform the physician and document.
I think that everyone saying let me ask your nurse/let me check your chart/let me talk to the doctor probably made him feel like people were avoiding him and his request.
I never withhold an inhaler even if the kids seems perfectly fine. That said, and it's easy to play Monday Morning Quarterback...the kid didn't have the proper paperwork filled out. And then it's somehow the nurses fault. The parent didn't do HER job. So, if it had been me and the child was seemingly fine, I'm talking VS, WOB, lung sounds, and if the kid had the original box with his name and directions, I probably would've given him a dose, regardless. If just a random inhaler I would've called mom and said "Johnny said he feels like he can't catch his breath, this is what I observed, if you feel like he needs his inhaler you will need to come and give him a dose or I can call EMS." Had he been struggling, I would've given him a dose. I'm not letting a kid struggle over paperwork.
BUT, this is why it is so important to have your child's paper work completed. Don't put it on someone else, and then blame them for doing what they are legally supposed to do. What would this mom say if the inhaler hadn't been his, but Uncle Joe's and the nurse gave him a dose and he had some sort of reaction.
You're right. I work sometimes 60-70 hours a week between my two jobs and still do not make as much as my classmates because one job pays $17/hr and one pays $26/hr. I keep the $17/hr job so I can get a nursing job with that employer, since they pay nurses $32/hr. .
At $26.52/hr, the wage is not what you would expect a nurse with a BSN to be making, nor is this type of nursing really meant for nurses who have BSN degrees.
So, I am in the process of searching for a full time nursing position so I can leave my second job. So far, there are no offers except for numerous shifts at the nursing job I currently work part time at, a skilled nursing facility. At $26.52/hr, the wage is not what you would expect a nurse with a BSN to be making, nor is this type of nursing really meant for nurses who have BSN degrees. Because of this, I have been applying to the employer I have always dreamt of working as a nurse at, to positions that would pay at least $32/hr, which is more reasonable for a BSN nurse to be making. So far, all of decent paying positions have sent rejections. One possibility would be to apply to a skilled nursing facility associated with this employer so I could just have one job. However, the pay, at $23/hr, is unacceptable. I am looking to increase my pay, not decrease it. I do well in these types of nursing jobs, but as I mentioned, they do not meet my pay expectations. The jobs that meet or exceed my pay expectations do not appear to be interested or a good fit for me. Not sure what I should do. Should I possibly leave the nursing profession if I cannot find a good job with good pay?
"nor is this type of nursing really meant for nurses who have BSN degrees"
Okay, I'll go there.
Did you really write this? I guess that means that (inferring from your writing) BSN nurses are more qualified, so patients in nursing homes are not worthy of highly qualified nurses...
I work in SNF, and we look at these things on a case by case basis. We look at what they were taking in the hospital, and what they took before that at home. Some people have been taking narcs, sleepers, anxiolytics, and an anti-emetic all together in a handfull every night for years. It's no problem in those cases.
But with new meds, it's a totally different story. Also different if the patient is palliative/hospice. There's no one answer for you.
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