monkeybug 10,938 Views
Joined Feb 26, '10.
Posts: 726 (60% Liked)
As a side point I kind of want to get one of those strap on bellies. I swear it made patients nicer to me. Especially the little grumpy old people.
I worked L&D when I was pregnant, and it was a badge of honor among the L&D nurses to work up until the absolute last possible moment. In fact, several of the nurses I worked with came to work, finished a shift, clocked out and took a shower, and then got in a bed and were admitted in spontaneous labor. I was tired, I was miserable, and I was advanced maternal age. I finished my pattern on a Tuesday and then my water broke on Thursday. I was 38 0/7 when my water broke. The heavy lifting was tough. I dreaded the days I was assigned to do c-sections. So many of our patients were obese, and most of our patients had epidurals, so we had to move dead weight a lot.
The only complaint I know of was from a family member. I was in the middle of a long treatment on another patient. This lady wanted me to come listen to her husband's cough, despite the fact that I hadn't heard a cough for the first 7 hours of my shift. It took me probably 20 to 30 minutes to finish the treatment that I'd been doing, then I came to listen. No cough. I stood in his room for fifteen minutes (that I didn't have) just to hear his 'cough'. His lungs were clear on auscultation.
The next day she complained to the administrator that she had to wait for 2 hours for the nurse to come listen to her husband and then the nurse 'didn't even do anything.'
I think she wanted me to get an order for cough syrup or an antibiotic that he didn't need. Or maybe she just wanted me to act all excited. I don't know. Needless to say, I didn't get in trouble. But it's annoying when you're doing everything you can to help people & families have these unrealistic expectations of you.
What the young nurses should be worried about is the status of their personal malpractice insurance. You are much more likely to be sued for something that stems from a med error or understaffing than you are to have your license revoked. The BON doesn't worry me too much (not dealing or diverting! ) but trial attorneys worry me plenty. In our state the bar is set pretty high for even getting a med mal case into court, but who wants to deal with any part of a lawsuit, even if it's eventually dismissed?
My experience with IV infusion of mag sulfate comes strictly from the OB setting (as a nurse and patient), so I can't offer any insight on office practices or standards of care.
But I don't understand the use of IV mag sulfate for the treatment of a migraine in an ambulatory patient. The side effects of this drug (especially with rapid infusion) are horrific, and include intense dizziness, nausea, vomiting, weakness, flushing, tachypnea, tachycardia, etc., etc., etc. I can't imagine a migraine so bad that I would be willing to add these symptoms to the mix. Nor do I understand how you would then discharge this patient from the office without a lengthy recovery period, a ride home, and a caretaker.
Aren't there plenty of other options for migraine treatment that are less invasive, and leave the patient in a more functional condition?
I'll check back on this thread. This is very interesting to me
I think you handled it well, but that doesn't mean she got the answer she wanted, and it could affect your job prospects. Illegal or not (and it most definitely was), if you don't get the job, how in the world could you prove it was due to religion? She can always say she didn't think you'd be a good fit, someone else was more qualified, etc. In some areas of the country, and in some facilities, your religion can definitely give you a huge leg up. If it's an LDS (or Seventh Day Adventist, or Catholic or whatever) facility, some nurse managers are honestly going to prefer the idea of a nice Mormon (or SDA or Catholic or whatever) over an equally qualified Wiccan or whatever. And in this job market they can be choosy.
We have in fact been reading the same thread. My point is that today the pharmacist is giving injections, tomorrow they will be doing your job at the hospital for you just like they do at my facility.
There are nurses I work with in the level I trauma I work at who have NEVER pushed code meds and have NO IDEA how to start a drip because the pharmacist always does it. The next step will be to prevent nurses from ever starting drips because pharmacy can do that now and oh! we will be increasing your patient load since you don't have to worry about the drips.
Advertise With Us