JustBeachyNurse 75,216 Views
Joined Aug 5, '10.
Posts: 36,365 (21% Liked)
Thank you for responding! I did graduate with my associate's, but I will also be graduating with my BSN this August 2017, and as of then I will have 1 yr experience.
I appreciate your response, I just feel the urge to venture somewhere because at 27 without a family & having studied a long 7 years without much self-exploration is motivating me.
Once upon a time, long ago, and far away, new nurses and future nurses actually respected and listened to experience. Those days are gone. It's all about ageism and bashing old nurses for even having an opinion on the threads where they ask for----opinions. Times have changed. Everyone wants to shoot straight to the top and experience or wisdom be damned. I worry for the future of advanced practice. It's going to lack experience, wisdom and maturity. Makes me really worry for primary care in the near future. I will stick with my "old" PA and MD. At least they have experience and time and know more than book and school knowledge. As these guys retire, I will have to worry that the practitioner will even know what they are doing. Questions will be asked. If there is no real nursing experience, I will move on to another NP or PA ( with some actual medical experience) who have them. Sad.
The easy answer...you prevent the need for an enema in the first place.
I worked in the nursing home industry for six years. Most demented elders received a daily combo of a stool softener, usually Colace or Surfak, plus a senna glycoside laxative to prevent constipation.
If a demented elder became constipated, they received a "butt blaster" concoction of PRN Dulcolax chased down by warm PRN Milk of Magnesia mixed with prune juice.
If a demented elder with combative behaviors ever reached the point of needing an enema (which was rare), we would premedicate with a PRN benzodiazepine or antipsychotic prior to administration.
Hi, I'm supposed to make a case study presentation about burn victims with complications! I would love to hear your experiences about burn complications and how you handled the situations. The hardest part of this assignment is that we should use humor in presentation and that is where I am gonna need help.
Any help would be appreciated. For those who's gonna call me lazy student, you're not being helpful. I do my readings I just want to come up with a realistic story and one with HUMOR..
So you happen to "see stuff on this persons phone" which seems like an invasion of privacy to me. This person did nothing to cause suspicion. His care was all outstanding. His charting was all good. He even was HELPING YOU! No one had anything bad to say about him, he gave you no reason to suspect he was high. But you saw something private on his phone and felt the need to go tell on him. Investigation was done and Jon was found to provide excellent care and charting and is clearly a team player. You then hear him joke with a co-worker and run to tell on him AGAIN after apologizing to him for telling on him the first time?
I suggest you stay in your lane and mind your own business unless someone does something at work to cause concern and pt safety that isn't from you seeing private things on their phone or inside jokes with friends.
Where you can get in trouble with your license in the OR:
Forgetting you're on call, drinking, and showing up drunk when you're called in. Affidavit: Pennsylvania VA nurse drunk on call and likely during surgery
Acting outside of your scope of practice and running a c-arm when you're not an x-ray technician or surgeon with privileges to do so.
I worked with a nurse who took a patient into the OR before the surgeon on call assessed the patient and got consent (the case was booked by the off-going call surgeon; the surgeon doing the procedure needed to get consent). She lost her job, but that was it. There were no repercussions to her license.
I've made med errors. Fortunately they were small and the patient was not harmed. I still have my job and license and didn't even receive a write up for them. A coworker made a major med error that resulted in a teenager now being on a cardiac transplant list. She was not fired for that, but did eventually get fired for attendance issues. No BON involvement.
Seriously, this fear of losing a license is far more than it should be. Know your nurse practice act, know your scope of practice, practice as a prudent nurse should, avoid illegal activities or showing up to work when impaired, and your license will be fine.
Patient was having burning with urination. Discovered her contraceptive ring had been somehow inserted in her URETHRA. All of us were scratching our heads on that one. Had to have been some lube involved somewhere, surely.
I just did my final role transition in the ER. A nurse grabbed me to start an IV on a guy with reported abdominal pain. The nurse started questioning how long the pain had been affecting him, the patient replied "an hour" while texting away lol!! The nurse told the patient we would be back and then told me "We will let the doctor deal with that one." Its not a crazy complaint but I was amazed someone would come to the ER after having a stomach ache for an hour!
I'm back, too.
The Legal Definitions of "First Responder" | The Legal Definitions of “First Responder” | The National Academies Press
I totally agree. There is is just no way to incorporate humor into this scenario. If I was a student with such an assignment I think THIS would be the hill I would choose to die on. I'd rather take a zero than make fun of one of the worst possible things that can happen to another human being. I'm actually sick to my stomach just thinking about it and I too have an extremely developed gallows humor. OP if you catch any flak about not having humor in your presentation maybe you should show your instructor all of these replies from nurses who are absolutely horrified at the prospect of learning about burn care through humor.
i understand what you mean. i was in tears watching cases of burn patients. and yeah im almost done with my case study. i jsut dont know how or when i can incorporate humor in my presentation.
What an awful assignment!!!
I wonder if alteration in body image will prove funny when suicidal ideation occurs!
I would have to say that one of the most challenging things for a burn victim is not only the need for good IV access and to beware of losing body heat dependent on the degree of burns, but to look out for compartment syndrome which can occur from the swelling. A much needed fasciotomy will help to alleviate that potential problem.
Wow...there is nothing humorous about burn injuries. What a boneheaded thing to assign. If it were me, I would probably leave humor out on principle and accept the lost points.
So in your reading that you have done, what burn complications have you learned? I see you are making a connection between facial burns and airway -- good start! But yes, let us know what you've come up with so far, and we can go from there.
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