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No Stars In My Eyes 33,940 Views

Hi! Thanks for checking out my page. I've been a member of allnurses since Apr 8th, '11. I have no blogs or journals to follow, but you are welcome to find me on the threads I follow, where I love humor and silliness to counter the seriousness of life. Feel free to chime in. Currently work PD/Geriatrics.

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  • 12:05 am

    Quote from tigerlogic
    Put a brief over the bedpan before putting it under your patient. Softer, no splashing, easier clean up. Less risk for skin breakdown on the little ones that take forever to go. (If you don't need to get a sample or accurate I/Os)
    Your other hacks were great, too, but THIS one is BRILLIANT! If I only knew this back then . . . WOW!

    Adding two of my own:

    Newborn-size disposable diapers are really good for draining heel wounds, because they are form-fitting and very absorbent.

    Superglue works well for keeping paper-cuts clean et al., per my dentist. "A little dab'll do ya!"

  • Dec 8

    Got several paragraphs into the article and thought one word:

    BUH?

  • Dec 8

    Elderly dementia woman, PDN case......called a cab , but the first I knew of it was the taxi honking out in front of the house....so. I went out with a questioning look on my face , the cabbie said, "I'm supposed to pick up a fare to go to the airport. " I told him that the lady only had kleenex, crayons and a comb in her purse, no money, and she had alzheimer's, so he called in to his dispatcher and told them they'd better put a note to double-check any further cab requests from that address. Thank God for short-term memory loss, because the pt. never mentioned the cab or her trip, so neither did I!

  • Dec 7

    Everyone is guilty unless proven innocent by random, mandatory checks, and even then they are under suspicion because WE CAN DRUG TEST YOU AT ANY TIME, just because.

  • Dec 7

    I would be quite amenable to any available alternative therapies like you mentioned.
    But, NOT EVERYONE is abusing their prescriptions. Some people are actually able to use the meds, PRN, during an acute episode of pain, for the reason given, without taking any more than prescribed, and have no problem taking/using it for the time period prescribed, and then, even if there are 'leftover' Vicodin tablets or whatever, stepping down to an OTC.
    Simple.
    We are not all raging addicts whose only desire is more, more, MORE...pills, dosages, etc.

    Medication is medication when it is used as ordered, with discrimination, for a finite period.
    Drug-seeking is certainly a problem because some are more into getting 'high'.
    But 'some' does not equal all.

  • Dec 7

    Ahh, jeeezzz!
    Sure, yeah, just cram the genie back into the bottle, right?
    That'll make the problem disappear, right?
    If nobody has access to the meds, that'll solve everything, right?
    Pffft.

  • Dec 7

    Hubby has had chronic knee pain, pre and post-surgery (TKR). Has been on routine maintenance dose of a 'popular' opiate for 8 years. It doesn't make the pain go away, although in some people's opinion (remember the "everyone has one" saying about opinions?) at the dose he takes, it certainly should. But it does keep the pain at a livable level. It DOESN"T make him "high" in the least.

    If I see his reddened and sweating face, that's my clue he's in pain. He seldom even talks about it, though.

    But , if others were to only notice his joking and laughing, they wouldn't think he was in pain. What they don't see is the man in the privacy of his own home, sitting for long periods of time resting his head on his hand, eyes closed, quiet for hours at a time. He looks, but is NOT "relaxed", because using his bonhomie to rise above the pain is as tiring as the pain is exhausting. But if there are others around he will make the effort and act sociably, trying to make people laugh. So what you 'see' is not necessarily what he's got!

    His primary recently retired .

    The new doc says her new office policy is that anybody prescribed any kind of pain med has to have a pee-test before any prescriptions are written. Maybe the next 'thing' in this War On Drugs via your primary doctor's office will be Lie Detector Tests? And they can call it what they want to, but it's a War On Prescriptions and Patients who Require Drugs. Guilty until proven innocent, possibly innocent between this pee-test and the next...who knows? But we are ever alert, thinking the patient is hanging around that dreaded "Gateway To Other Drugs", and any minute they may put one foot over that threshold and become a total JUNKIE!

    Do you know that Heroin is so much easier to get, and is cheaper, than jumping through hoops at your doctor's office?

    Could the War On Drugs BECOME the actual 'Gateway' itself? Tune in next time....

  • Dec 5

    Yup, as a brand new nurse on my first job I often thought, "OMG! If these patients only knew!...."

  • Dec 4

    Quote from NICUMurse87
    Wtf is going on here? Haha!
    My guess is better than yours.

  • Dec 4

    I was on Levbid for many years, and it worked well. Then it seems many pharmacies quit stocking it, I could not fill the prescription written for me by my Gastroenterologist. Levbid fell out of favor because it contains belladonna. GASP! Belladonna could be addictive! Therefore let's err on the side of caution and NOT prescribe something that works, and put the patient on an alternative,,,that does not...by the way...'work'. Medication is medication. The OMG "DRUGS!" Freak-o-mania has left responsible medication users out in the cold because of the possibility that someone MIGHT abuse something.
    Sugar, salt, chocolate, beer and alcoholic drinks, coffee...really, the list of things people can abuse goes on and on. Humans, being human, there are always going to be people who take things too far.
    I'm back to taking Milk Thistle, which only works sort-of-okay; it was what I was using before the gastro doc put me on Levbid, which gave me real relief.
    Sorry for the rant; it's been years since this all took place and I guess you can tell it STILL makes me mad!

  • Dec 4

    I was on Levbid for many years, and it worked well. Then it seems many pharmacies quit stocking it, I could not fill the prescription written for me by my Gastroenterologist. Levbid fell out of favor because it contains belladonna. GASP! Belladonna could be addictive! Therefore let's err on the side of caution and NOT prescribe something that works, and put the patient on an alternative,,,that does not...by the way...'work'. Medication is medication. The OMG "DRUGS!" Freak-o-mania has left responsible medication users out in the cold because of the possibility that someone MIGHT abuse something.
    Sugar, salt, chocolate, beer and alcoholic drinks, coffee...really, the list of things people can abuse goes on and on. Humans, being human, there are always going to be people who take things too far.
    I'm back to taking Milk Thistle, which only works sort-of-okay; it was what I was using before the gastro doc put me on Levbid, which gave me real relief.
    Sorry for the rant; it's been years since this all took place and I guess you can tell it STILL makes me mad!

  • Dec 2

    "But this is the way I alwaystake them at home..." (May I have a dollar for every time I've heard this one? After 40+ years, I could buy a new car on this comment alone.)

    "I don't have any red pills! I'm not taking any red pills!" (this, after an explanation that the med is the same as the ones she's been taking all along, just manufactured at or received from a different company.)

    The patient with Macular Degeneration who holds the round, white pill in their hand really close to their eyes, and still can't identify it except to say that it is not what the doctor prescribed. (And this decision is based on what criteria?)

    The people who CHEW time-release meds.

  • Dec 2

    For me, night shift's a killer. When I worked 8's, I always did 3-11's. So, I could stay up late AND sleep late! Or get stuff done in the daytime and still work. Of course I was single, and that made it easier all the way around.
    Since I was already used to working weekends and Holidays, when 12's became the thing (ie, no choice), I worked a deal where I would do 3/ 12's in a row, only day shift, every Sat, Sun, and Mon. Employers were so happy to have a permanent weekend employee who was reliable, and who voluntarily worked Holidays, I never got any grief from anyone.
    Couldn't do it if I had kids though, which I don't. It also helps to have an understanding husband.

  • Nov 29

    Don't think this is a 'hack', just a warning from the voice of experience. If you have a tube feeding to do, and cough medicine is part of the meds you are to give, make double sure you've got ALL the feeding out of the g-tube. I just poured it in on top of the feeding, thinking it would just go on down like everything does. Well, it didn't. It solidified. Coca-cola did not work, nor any other soda. Suction and/or pushing a bolus did not work. Just remember that cough syrup and G-tube formula turn almost to cement. Don't try to shortcut like I did.

  • Nov 29

    Quote from Supernrse01
    I gave up on those tiny little screws a couple of years ago. I can barely see them, and my not so skinny fingers make it extremely difficult to even get the thing in the proper place. I now use dental floss to repair them until they get home. It's strong, it threads right through, and it can be easily clipped with nail clippers when they can be properly repaired.
    That's exactly what I was thinking of posting myself, when I read the thread right above yours! Thanks for explaining it so well!


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