MunoRN 37,659 Views
Joined Nov 18, '10 - from '.'.
MunoRN is a Critical Care.
She has '10' year(s) of experience.
Posts: 7,790 (69% Liked)
I wasn't arguing the merit of the bill. I also thought it was not a good alternative to Obamacare and I am glad that the vote was cancelled.
I was merely pointing out that it was inaccurate to say that coverage for those items was being "eliminated".
Sounds like most is us agree.
The new proposal eliminates the EHB as a requirement of all policies. You'll still be able to buy coverage for those items, if you choose.
If I was in your shoes and handing off a comfort-measures-only patient to another nurse who felt that something needed to be done about the patient's O2 sat of 45, I would hesitate to give them that patient, instead I would suggest they not take this or any other comfort care patients until they had the proper training.
I would say you need to balance how much you enjoy working on this unit with the benefits of looking out for your health. The health effects of night shift on you would appear to be more immediate and apparent than in most nurses, but keep in mind working night shift is a significant health risk to all nurses, it's a known cause of cancer, heart disease, stroke, and diabetes. As a result, arguing for reasonable accommodation isn't likely to get very far since skipping over someone else's place in line to get off nights or rotating shifts would negatively affect that employee, which would make the accommodation unreasonable.
Call respiratory for a stat albuterol then while the RRT is assessing the patient for a pneumothorax explain to the M.D. how you saved the patients life thanks to your impeccable assesment skills.
There's not really any good reason why fentanyl has to be limited to use in the ICU. I know there are places where there is hesitation to use it on the floors, but I think it's just due to lack of familiarity. Fentanyl is actual an ideal opiate for those with renal issues or whose BP doesn't tolerate other opiates well. Where I work now, it's the only option for PCA's, which makes more sense than using something with a 3 hour half life.
Typically inpatient units will have a handout with this sort of information, I would check with them since it doesn't really need to be different for ER. A social worker or chaplain should be able to help you.
Clearly you've not been reading this thread.
I have defended my position admirably. I'm shocked one of you finally acknowledged the existence of drug seekers. Now, will you be courageous enough to say that physicians should not order them narcotics for the sole reason of feeding their addiction?
In my experience sitting for suicide attempt patients is usually considered the easiest patient to sit for, so I'm not sure why anybody should get written up for having you sit for this type of patient.
It seems like you're feeling fully responsible for this fall because the bed alarm wasn't on, and if the bed alarm had been on then the patient wouldn't have fallen. Keep in mind there's no evidence that having the bed alarm on would have decreased the potential for a fall.
Because I cannot wrap my head around how someone could even ask if we ever give blood because a family member tells us the patient's blood type. As if we would ever bypass type and screen except for emergencies.
Comes a time....when the federal bloat has to be reigned in. The time has come, the time is now. Party's over, we broke, folks. Can't just keep printing money.
You have a lot to learn yet. And you will learn these things in nursing school. In a trauma if the patient needs blood you begin infusing oh negative. Prior to that, however, you would have drawn blood it to type and screen. Once those results are in you than administer the same type of blood. Antibodies, etc.
"Pressure bags" aren't really for infusing and I don't consider them all that useful for that purpose. A rapid transfuser, which is different from pressure bag, is for infusing fluids rapidly.
A pressure bag is used to create an constant elevated pressure on one side of a transducer in order for it to work properly. In a pinch, it can be used to rapidly infuse a large volume of fluid, but I don't find it all that useful since the pressure must be constantly replenished while the fluid is infusing, which makes no more convenient that just standing their applying hand-held pressure to the bag.
A rapid transfuser on the other hand is intended for rapidly infusing large fluid volumes and is far more practical and helpful.
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