CoffeeRTC, BSN 19,417 Views
Joined Jan 22, '03.
CoffeeRTC is a RN LTC.
Posts: 3,733 (24% Liked)
Hi - I'm a Director of Nursing in long term care. Yes, if she is competent she can very well decide to go home. If she is competent, she should also be able to manage figuring out HOW she is getting home and HOW she is going to survive at home.
She can demand to go all she wants, but she can't demand you or anyone else take her & take care of her. (Sorry, I know this puts you in an awful spot and one she's likely really going to give you a hard time about).
Is she getting good care where she's at? Or is this frustration about not being taken care of well? Maybe a different facility might be a better fit?
Does she have the funds to go home with a private care giver 24/7? It is easy enough to buy or rent a hoyer lift for home use.
Does she just need an outlet to voice her frustrations about being dependent and deep down she really knows she's in the best place to meet her needs?
I'm sorry I can't give you an answer on what to do with the meds but just keep an eye out that she isn't taking those meds in addition to what she is prescribed. My friend is a correctional nurse and she says neurontin is sought after by the inmates. Apparently if you take enough you can catch a buzz. Especially in a drug rehab..some people will do anything to get high.
I WANT to believe something this ridiculous could not be real.
I can't even...I. Just. Can't.
Convince yourself you're going for the food and then hope they put out a good table.
Well handled, NurseDisneyPrincess!
Reminds me of a story when I worked in Chemical Dependency Treatment 30 years ago. A Patient said he'd pay any staff member $100 to give him a ride home. Of course no staff member took the Patient up on the offer except the Program Director who said, "I'm holding out for $150". I was shocked and asked him why. He replied, "Anybody who'll pay $100 for a ride home will surely pay $150!"
The good news is the Patient never got a ride home, completed treatment and had a long sobriety.
I found it useful to be told that the resident had a tape recorder hidden in her nightstand drawer that she activated when she turned the call light on.
Resident had an iv catheter to have morphine administered subcutaneously via a butterfly needle on the abdomen. Before the nurse administered the morphine, he mentioned out loud that he had to get the heparin first (referring to the flush). I then witnessed the nurse flush the iv butterfly with the heparin, then the morphine, followed by the heparin flush.
Don't suppose there is a local TV station that would be interested in this situation? A little public outcry could go a long way.
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!
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