nopainNurse

nopainNurse specializes in pediatrics, palliative, pain management.

Latest Activity

1. Management of Epidural Analgesia

   nopainNurse replied to nurs1ng's topic in General Nursing

   No you can't see an epidural hematoma at the insertion site. An epidural hematoma is not just a hematoma at the insertion site (i.e. a hematoma just under the skin). The hematoma occurs in the epidural site and can push into the spinal space causin...

2. Do we have to give IV pain meds if patient requests when PO meds are ordered?

   nopainNurse replied to VegRN's topic in Medications

   A patient falling asleep mid conversation is overly sedated. Passero has a opioid sedation scale that is really useful -- Assessment of Sedation During Opioid Administration for Pain Management I would not give any dose of opioid to a patient who i...

3. VIP treatment. Ethical dilemma for paper?

   nopainNurse replied to metfan's topic in General Nursing

   What about something around the fact that we know people in lower economic situations typically have poorer health (lots of stats about this) and typically receive poorer care. The poorer care in hospital may be a bit harder to pull out of the liter...

4. New grad living in misery r/t nurse managers and educator

   nopainNurse replied to maxdog's topic in Relations

   I wish there was a "strongly disagree" option next to the "like" button!

5. To the cynical nurse

   nopainNurse replied to EDrunnerRN's topic in Relations

   So what is the fear around giving the Dilaudid pre CT? That the patient isn't "really" in pain? Or that some how the dilaudid will change the CT results? There is so much lately about requiring "proof" in order to give pain meds. My attitude is t...

6. My horrible hospital stay. What would you do?

   nopainNurse replied to Carebear77's topic in General Nursing

   Wow 4 hour bed rest after dilaudid IV? Is it only dilaudid or all opioids? And is it only IV? WHat about SC or PO? What is the rationale behind such a practice?

7. Guilty for pursuing a nursing career

   nopainNurse replied to outonalimb's topic in General Nursing

   I agree with the earlier suggestion to screen for depression. Very common thoughts/ patterns that exist with depression. Also look into Cognitive Behavioural Therapy, will help you to see which thoughts need to be "redirected" or "changed". Often ...

8. morphine,dilaudid,demerol

   nopainNurse replied to EJSRN's topic in Medications

   answers to the why phasing out demerol http://www.ismp-canada.org/download/safetyBulletins/ISMPCSB2004-08.pdf http://www2.kumc.edu/druginfo/pharmkey/Meperidine%20pharmacy%20key.htm

9. asking for meds?

   nopainNurse replied to backatit2's topic in General Nursing

   YES! Exactly!!! You said it perfectly ... especially "Nursing care shouldn't be something that patients get only when the ask specifically and repeatedly" If I could 100X Kudos your post I would!

10. asking for meds?

    nopainNurse replied to backatit2's topic in General Nursing

    Just Googled PRN -- Here are the first 3 definitions. as needed: according to need (physicians use PRN in writing prescriptions) As the situation may require, more particularly directions on medical charts by doctors for the benefit of nursing staff ...

11. asking for meds?

    nopainNurse replied to backatit2's topic in General Nursing

    The PRN discussion just about made me crazy, so I had to post without finishing this whole thread -- so I apologize if this has already been stated: PRN does not mean a patient must ASK for it! It means as needed at the discretion of the nurse! Do ...

12. What are some questionable/old-fashioned nursing interventions?

    nopainNurse replied to DarkestSamus's topic in General Nursing

    The morphine/ Demerol one would be a good paper. There is +++ research out there about the problems with Demerol and the fact that it really has no different effects on the Sphincter of Oddi than any of the other opioids. Also the history behind Dem...

13. pain management, how do I get better with this?

    nopainNurse replied to Kitty Hawk's topic in General Nursing

    Yes, great book! Actually She just wrote a new one that came out this summer. I haven't gotten it yet, but have heard it is very good. "Pain Assessment and Pharmacological Management" Chris Pasero & Margo Mcaffery, 2010.

14. Nurses Deserve More Respect!

    nopainNurse replied to natasharostova's topic in General Nursing

    I can totally relate. My family is very similar. I grew up thinking my aunt was a nurse (was told so by her and various family members). When I decided to go to university to become a RN, the aunt responded by saying, "Why would you go to school to ...

15. Funny doctor orders

    nopainNurse replied to laurenicoleRN's topic in Humor

    This one recently from an older surgeon who really doesn't believe in pain management.... "Absolutely NO NARCOTICS" Next line...... 1-2 tabs of t3s q 4h prn That left us wondering........ does he not know what a narcotic is????