wooh 32,484 Views
Joined Feb 12, '04 - from 'GA, US'.
wooh is a RN & Critter Mama.
Posts: 4,988 (74% Liked)
Fabulous idea. Alternative is anoxic brain injury or death. I think if someone gets the narcan and the education that goes along with it, it's like an epi-pen. Waiting for EMS for narcan is subjecting the person to the exact same risk that waiting for EMS for epi does. Brain cells dying.
Of course, we see people with allergies as "innocent" and drug users as "asking for it."
Some might not call EMS after giving it. Person that OD'd is in no more danger there than they would have been when nobody called EMS after NOT having narcan available. Some might be surprised by the agitation. Nobody hanging out with someone that would have narcan is going to be surprised by agitation from a drug user. Especially if they've gotten the narcan education.
Instead of basing this on moral outrage at enabling drug users, we need to look at it practically. And practically, this is a great plan.
I'm kind of an angel of death. It's not that I make patients die, but I don't mind if patients die on my watch, so I tend to get assigned to ones that are going to die. (After all, if wooh doesn't mind, why give the patient to someone that will spend the whole shift saying, "Hold on until shift change!")
I've noticed, you can be with someone nonstop, then they go the second they're alone. My spiritual side kind of feels like it's a moment for just them and their maker. Families will stay, the step out for coffee, for just a moment, that's when they go. Actually saw a patient, overnight the nurse just didn't want her to die on her watch, and she did, for about 5 minutes, was even pronounced, then big old breath, came back until I kid you not, that nurse had given report, clocked out and walked out the door. Died AT that moment. If they need someone with them, someone will be with them. It will happen the way it's meant to happen.
Here's why I think I can handle being the one that handles a lot of "expiration" paperwork better than a lot of my fellow nurses. I know one thing well. Death is not a failure. It's hard for those of us that do a lot of "healing" to keep that in mind. We take our CPR classes and we watch our monitors and we do all the things needed to keep people alive. It's what we do. And even if you know that there are worse fates than death, even if you know that people are going to die, I think that it takes some real pondering on that to KNOW it so deep down that you can counter all that training that tells you, "Gotta save them!!"
I think it helped that I started my healthcare career in a nursing home, where death happens a bit more frequently than elsewhere. There's really something very special about knowing that you kept someone comfortable in their final moments. You don't have to be there with them at the moment. Just knowing that someone's last moments on this planet were warm, dry, as comfortable and painfree as possible... And knowing that you were a part of making that happen for them... It's a privilege. It's as far from "failure" as you can possibly be as a nurse.
You did good. You made her last moments more comfortable. In my opinion, THAT is what being a nurse is about.
Have yourself a good cry, there's nothing wrong with that. And feel good about your work, you were far from a failure. You were a nurse.
workingharder, I'm glad you were prepared. I wasn't as prepared one day. No N95 mask. No nitrile gloves. I grabbed some lysol on the cleaning products aisle, but it was too late. I died. I am a fomite victim. And to top it off, I was arrested for shoplifting. When should I report it to the board of nursing? And do I need to tell them that I'm dead?
Well obviously they're floozies if they're drinking beer and dancing. Not to mention they're GIANT FOMITES!!!! They'll take the bar germs into the hospital. Grandma will probably get drunk off the second hand beer on their scrubs.
I've been at work all day, knowing what rooms I need to wear gowns in to avoid the germs. You've been to Wal-Mart. Who knows who had the buggy before you. Who pawed the banana you're picking up. Who sneezed while looking at underwear. Who was just released from the hospital with a still oozing wound and picked up some gum on their way home.
If my scrubs keep you and your Wal-Mart worn FOMITE clothes sitting further away from me, all the better for me.
Great, another "let's rant about every bad nurse we've ever met" thread where we all get to feel superior because we're so much more caring.
We have a problem with cell phone usage at my facility. They won't ban them, because they say a child might need to call, or some other emergency. Staff is on their phones constantly. It is unprofessional, and rude. There is no excuse for anyone having to wait one hour for a dilaudid refill. I would be knocking some heads over that.
He had been up at the bedside almost an hour before I got there ... (mental status was a little shaky at times) ... I stood at the door looking out toward the group and finally after 15 minutes someone acknowledged me. ....
If you're on a regular floor (ie not the ICU), you do realize your nurse probably has 5 other patients, in addition to your granny?
Yes, I hate when physicians touch my pumps, monitors, side rails, bathroom lights...
Why do you say pee instead of urinate?
That's right there with the doctor that always writes, "This x year old formerly well male patient," forgot the "well" and wrote, "This x year old formerly male patient." We asked him what the patient was now.
Thanks for all the input and suggestions! Its still a work in progress...We are very limited on our "fun" activities. We have to stay in the dress code unless specified by the whole hospital to be "sports team friday". This is def not meant to be a popularity contest, we are possbily using it as a platform for our nominations for the once a year hospital awards. We would like to keep track of them and be able to use the information to nominate bedside nurses for the good work they do.
Especially if they're already anesthetized. Most people who are awake (in my experience) ask about the red band and what it's for.
I'm sorry, but why would a JW patient consent to be type/crossed/screened if they knew they were going to refuse transfusion?
You know for a fact that if anyone wanted to torture you for information, that all they need to do is stick you in a room with a beeping IV pump that you couldn't turn off.
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