CoffeeRTC, BSN 18,734 Views
Joined Jan 22, '03.
CoffeeRTC is a RN LTC.
Posts: 3,715 (24% Liked)
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.
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. .
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