Griff1950

Latest Activity

1. Fentynal patches

   Griff1950 replied to mrhrn06's topic in Pain

   Some newer studies have been done which indicate that it is better in some cases to change the patches more frequently than to increase the dosage. If the patient seems to be comfortable for the first day or two with the 50mcg. patch, then becomes un...

2. Career ladder for RNs in LTC?

   Griff1950 replied to EMM1's topic in LTC Directors

   Our facility did not have a career ladder as such, so I manufactured one of my own. After much study on my own time, I drafted a pain management program and presented it to my DON. I was given room and time to run the program, which evolved into rest...

3. Borrowing Narcs in LTC, ok?

   Griff1950 replied to rogle34's topic in General Nursing

   Sleepy, I don't mean to come off as hostile, it's just not acceptable procedure. And as for quitting jobs every 6 mos., I have done that too! My license means too much for me to lose it over some one else.

4. Borrowing Narcs in LTC, ok?

   Griff1950 replied to rogle34's topic in General Nursing

   #1, I've never seen a situation where it's legal to "borrow" any meds from another resident, let alone narcs! #2, here in Arkansas, we have to have a 24 hr. backup pharmacy. In the case of a "surprise" admission, we have to have meds in the building ...

5. dilaudid

   Griff1950 replied to CoffeeRTC's topic in Pain

   Question re: Fentanyl patch? I assume you are changing the patch at the recommended 72 hr. intervals? If so, is there an association of this time period with breakthrough pain? There are some new studies of Fentanyl transdermal dosing that suggest a ...

6. dilaudid

   Griff1950 replied to CoffeeRTC's topic in Pain

   Opiods have no ceiling dose.

7. RN won't give pain meds

   Griff1950 replied to Laught3r's topic in Pain

   As a pain management nurse in a LTCF, I would definitely adjust that nurse's attitude. She apparently needs to be in-serviced on pain and medication administration.

8. A CT to make you feel sick

   Griff1950 replied to gwenith's topic in Neuro

   First, do no harm.

9. Any Nurses with COPD and Heart Problems?

   Griff1950 replied to FranEMTnurse's topic in Disabilities

   Blew a disc 2 weeks before I finished LPN school, went thru the pain and finished, then had lumbar laminectomy. Oh, yeah this was 1999 after having 5 bypasses in '92, and a gastric bypass in '97. Had the laminectomy as an outpatient and recovered in ...

10. Husband wants to try nursing at 44

    Griff1950 replied to mstigerlily's topic in Men

    :balloons:I am a male RN, and was 48 when I started. Now 56, and can't imagine doing anything else. I manage a 70-bed nursing home on weekends, also do pain and restraint management, along with a few other duties.