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ThePrincessBride, BSN, RN 40,541 Views

Joined Jun 13, '10 - from 'Somewhere'. She has '1 RN, 3 tech' year(s) of experience and specializes in 'Med-Surg, NICU'. Posts: 2,044 (60% Liked) Likes: 5,518

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  • Feb 23

    I had a patient complain that his sandwich took too long to arrive because we were all coding someone. He got told we were all in the middle of a life or death situation and he told us he didn't give a flying f that someone else was dying because he was hungry. People can be truly evil and crazy. There's no fixing those psychos.

  • Feb 23

    I would never think of doing this to a colleague, no matter which gender.

  • Feb 23

    You're not going to fix these individuals, so just do your job, then go home and count your money. I understand they can be frustrating, but they're really not making a fool of you's their own lives that are sad.
    If it helps you feel better, there is a medical necessity- even for addicts. Have you seen what happens when they get a rare doctor who won't give them anything?
    The last hospital I worked at required anyone with Q1H orders to be switched to a PCA or sent to ICU, though ...fair enough, IMO. We simply don't have time to give Q1H anything for days at a time in med/surg.

  • Feb 23

    That's your example of a patient who makes you feel like a drug dealer? Can you come up with someone who isn't a self mutalating young-ish girl who has destroyed her life?

    How do you not fall over in gratitude?

  • Feb 23

    Strongly suggest you educate yourself about addiction, mental illness, and pain management for addicts and people who are dependent. Learn the difference between addiction, habituation, and tolerance.

    And while you're at it, repeat after me: "There but for the grace of God go I." A little compassion is in order here. Learn to feel sorry for people with screwed up lives; you'll see a lot of them the longer you're a nurse (new?) and it'll make you a better one.

  • Feb 23
  • Feb 23

    the short answer is no, you do not have the right to refuse to give medication that the provider has ordered and is appropriate for her diagnosis and condition. The longer answer is that if giving a medication isn't prudent for a specific reason, you need to address that reason. You can hold a narcotic, for instance, if the patient's vital signs, demeanor suggest that giving that medication would be dangerous. It is then your responsibility to notify the provider what the condition of this patient is, why you held the medication, and ask if he would like to change the current medication order. Sometimes decreasing the frequency is in order, sometimes lowering the dose or changing the medication entirely.

    You do not have the right to decide for yourself if the patient's pain warrants the medication that has been prescribed. Your job is to advocate for the best care for your patient, and that may mean a conversation with the provider on how to proceed going forward, but it is NOT to judge whether they "deserve" that medication.

    If you have concerns, address them with the prescribing provider, have your concerns heard, and then go from there.

  • Feb 23

    I think it's ironic that your username is "Thank god for ativan" but you're apprehensive about giving prescribed controlled substances per order.

    You aren't a drug dealer because you aren't personally profiting from the dispense of drugs. She has pain meds ordered and they're indicated.If she is engaging in self-sabotage, self-harm, med-seeking, she will suffer the consequences of those destructive behaviors regardless of whether or not you attempt to control her pain. I think its important here to remember what our job IS and what it is not.

  • Feb 23

    Just wait until someone rips a sock off in front of you, and you experience the wonders of dry foot flakes snowing down upon you/into your mouth/hair.

  • Feb 23

    Keep a stick of gum or a piece of peppermint in your mouth and keep it moving because, Suga, you ain't seen nothin' yet.

  • Feb 23

    You sound like you are new that this and blowing something that was no big deal into something huge. This taste is very likely in your head. If what you were tasting was actually poop, you would likely be vomiting. I have never tasted, but by smell alone I'm going to assume vomit would be inevitable if it got in my mouth.

    Broken down own skin does not generally just float in the air unless her skin was super dry and she had been laying there for quite a while for it to have gotten enough to become airborne with a roll.

    It was likely good crumbs. But as I get further into this answer, a few things come to mind. Did you actually see debri? You were on second clinical day ever and somehow feel experienced enough to want to slap a nurse over what you deemed an improper turning technique? Is this even real or are you trying to get a rise out of people? Just the ridiculousness of this whole thing is out there.

  • Feb 21

    Just be aware that OR is a very in-demand specialty, you'll be much more marketable/desirable for hire after training d/t the specialized experience, it receives higher pay almost always. And if you decide to travel nurse ever, OR is by far one of the best choices.

    Plus all the perks- dayshift, no annoying family members, clean environment, etc. I'd take the OR position. Even with the contract. If something came up.....well I guess that depends on how much the penalty fee is.

    OR's generally have low turnover compared to tele floors. That speaks for the job satisfaction itself.

    And for the record, almost every single new grad has to sign a contract if they hire into acute care. Surprised you found one that doesn't require it.

    Although my situation was rather HR told me as a new grad I had to sign a 2 year contract to stay, I never did, and only stayed a year and payed no penalties. So I think some hospitals bluff.

  • Feb 20

    I think in general, night shifters would like to get to bed as soon as possible, preferably before the sun comes up, the bigger question is how many day shifters would want to start at 3 AM?

  • Feb 19

    I'm a believer that if nurses are satisfied, enjoy their jobs and their colleagues, and have good leadership, then it will trickle down to patient care.

  • Feb 19

    Quote from deebee20
    There are 52 states here so i wanted to know what's out there.
    Huh? 52 states? Where?