Content That SoldierNurse22 Likes

Content That SoldierNurse22 Likes

SoldierNurse22, BSN, RN, EMT-B 50,091 Views

Joined Mar 29, '10. Posts: 2,217 (67% Liked) Likes: 7,001

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  • Jul 26

    Quote from macawake
    Yes... What's your point?

    Does naming a post a vent automatically mean that no one may ask for clarification or challenge the contents of said post?
    yes_basically...it_is_tradition_here_at_AN_,that_o ther_posters_DO_NOT_stomp_on_a_vent.

  • Jul 26

    I can understand your frustration... There will be times where we get those patients that no matter what we do... If it isn't what they want they will not be happy, and be sure to complain about it.

    i think medicine in general has gone too far into the "customer service" industry than sanely necessary. Patients should not be calling the shots on what is being ordered for them and done for them at the extent it is! Physicians being bullied into unnecessary tests or writing scripts they aren't comfortable with for the sake of not having a "customer is always right" lashing from management..

    Basing so much off of satisfaction scores, and even recently reimbursements by satisfaction?! You didn't die how about that for satisfaction? (Sorry for the sass). In cases like this all you can do is document as completely as possible, keep it moving, and try not to take the "what you could have should have done" criticisms drive you further down. Deep breaths and recharge, we can ALL learn from one another even if it's sometimes not what we want to hear in the moment.

  • Jul 26

    Many patients do want narcotics whether they need them or not. Many need them and do not get them.For nurses that can not prescribe we assess and then report to providers and hope that those with acute and chronic pain get what they need. It sounds like you did assess and report and the provider did not believe the patient needed narcotics.

  • Jul 26

    OP FWIW I sensed that your post was a vent before you declared it so. Have to agree with everything you have related. Recently was reminded the hard way that when the pt says they want what they want and they want it hours before making their demands, That Nurse better jump to it and hope that the pt does not go into respiratory or cardiac arrest before the shift is over. That Nurse will be wrong if s/he does, and wrong if s/he does not.

  • Jul 26

    Quote from EaglesWings21
    I assessed her to the fullest. Her pain she described seemed chronic. She was not on meds at home. She was not hospitalized for any reason for the pain. I presented her case factually to the physician three times and charge called as well. At least four interventions were presented to her to treat the pain that were not narcotics to which she refused them all. And by the way, most of the shift when I went into her room she was sleeping. She also threatened to leave AMA if narcotics were not given to her and only stayed when I told her insurance would not cover her stay if she left. So no, I don't feel like I undertreated her pain and feel I do my best to provide pain relief for my patients.
    Unclear if she was drug seeking or attention seeking.
    As long as you documented everything.. YOU will be fine.
    In the future , let them leave AMA. Don't play the insurance card... insurance still pays.

  • Jul 26

    Well it was more of me saying I did everything in my power to relate the concerns of the patients as well as my assessment to the doctor and that after four pages the doctor still did not feel the situation warranted an order for narcotics.

    What at I mean about this is a vent is that I am not looking for someone to dwelve so deep into the topic that you are having me answer questions I already assessed and know the answer to. Whoever posted that this is an Internet forum is correct, people can post whatever they want. Including myself. I came here to vent because I figured it is a good way to let out my frustrations at work but maybe I need to reflect in a real life perspective rather than on an anonymous forum where everyone is right in their own mind. Thanks for the thoughts and considerations.

    I have learned a lot from this site, including that many people become completely different on the internet than they are in person. This thead is probably going nowhere fast so I am out ✌️.

  • Jul 26

    Quote from EaglesWings21
    I also want to add that this is a vent. I am not looking for all the possibilities of what I could have possibly done right or wrong. I have just had a rough week or so at work and am venting. That is all.
    eagle,have_one_on_the_mods_edit_(vent)into_your_he ading...

  • Jul 26

    I also want to add that this is a vent. I am not looking for all the possibilities of what I could have possibly done right or wrong. I have just had a rough week or so at work and am venting. That is all.

  • Jul 26

    Quote from EaglesWings21
    Yesterday, I was that nurse. That nurse that your patient will one day complain to you about. That nurse who wouldn't give her pain meds even though she "really needed them." That nurse that was an example of everything that a good nurse isn't.

    Well, that nurse heard the patient say things like "I want pain meds so I can sleep" and also "You must not care about me because you won't give me pain meds." That nurse also paged the doctor and related all these things to her as well as the patient's repeated requests for narcotics. That nurse offered alternative pain relief measures all of which the patient refused.
    Well, was the patient experiencing pain that made it difficult to go to sleep?
    If you think not, what did you base that belief on? What type of pain did the patient say that they had? Acute or chronic? Where? Severity? Were they regularly taking any narcotic pain medications prior to being hospitalized? What were they hospitalized for? Do you think that the alternative pain relief measures you offered would have been effective in treating the patient's pain? How did you present the patient's case when you talked to the physician? How did s/he respond? What meds, if any, did s/he order?

    I have no idea if you were "that" nurse/a "horrible" nurse, but from what little information you've provided it is possible that you undertreated pain.

    Next time you hear a patient complain about "that horrible nurse", believe none of what you hear and half of what you see.
    I seldom believe everything I hear, especially if I'm only getting one side of the story. I do however tend to trust what I witness with my own two eyes, I just keep in mind that I might not be aware of events that led up to/preceded what I'm now seeing, meaning that I could be missing pertinent facts.

  • Jul 26

    Yesterday, I was that nurse. That nurse that your patient will one day complain to you about. That nurse who wouldn't give her pain meds even though she "really needed them." That nurse that was an example of everything that a good nurse isn't.

    Well, that nurse heard the patient say things like "I want pain meds so I can sleep" and also "You must not care about me because you won't give me pain meds." That nurse also paged the doctor and related all these things to her as well as the patient's repeated requests for narcotics. That nurse offered alternative pain relief measures all of which the patient refused.

    Next time you hear a patient complain about "that horrible nurse", believe none of what you hear and half of what you see.

  • Jul 25
  • Jul 25

    Quote from BadwomanM
    "House" used to drive me nuts. One patient, surrounded by several doctors, almost never a nurse in sight.
    And the doctors are hanging the IV drugs, the same doctors do neurosurgery and cardiovascular surgery, plus they also exam specimens under the microscope and do all the CT scans and MRI personally.

  • Jul 25

    My two big ones have already been covered: codes and labor.

    He's in v-tach!
    *monitor flatlines*
    Shock!
    *dramatic pause*
    *normal heartbeat returns*
    *patient gasps and regains consciousness fully oriented*

    "My water just broke!"
    *agonized screaming from a contraction*
    "THE BABY IS COMING RIGHT NOWWWWW."

    It's not on TV, but I have another pet peeve with things that are supposed to be EKG rhythms that bear no resemblance to an actual cardiac rhythm. Hospital cardiology billboard? Random scribble. Name badge holder? random scribble. Fancy nail decal? Random scribble. Come on people, normal sinus rhythm is not trademarked!

  • Jul 25

    I have posted several times that one of my pet peeves is when a patient yanks out their IV, gets dressed, leaves the hospital, and there is no bleeding from the IV site.

    The other day I was taking my patients IV out, (it had only been in maybe 5 hours?) and was commenting about my pet peeve, I intentionally did not put gauze immediately over the d/c'd IV....and one very slow drop of blood oozed out!!!!!

    Kind of defeated my point!

  • Jul 25

    Quote from Been there,done that
    I stopped watching anything in a medical setting years ago. Already spent way to much time there in real life.
    I know, right? Everyone's all, "You'll love Nurse Jackie" or whatever but I might as well just stay at work.


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