Sensibility, BSN, RN Pro 2,293 Views
Joined Sep 9, '11 - from 'South, Florida'.
Sensibility is a Staff RN.
Posts: 98 (34% Liked)
I was thinking later about cocaine and the effects on the lungs and circulation especially if there is already an underlying condition. I am not that knowledgable on this topic but I am wondering what the effect would be if the patient had something involving drug abuse going on and was lying about home Lasix med because they wanted a quick fix to the side effects of what they were doing. I think a complete metabolic panel would be better than just a basic metabolic panel to see if something is happening in the liver. A lot of those drugs are laced with fillers that can harm again especially if there is an underlying condition. Then add a whopping dose of Lasix and what would that be? Could that throw such an individual in a state of ODing because the fluids in the body are needed to process the drugs? With cocaine too, I have a family member that used to be an addict. When these folks are on a high, it is not like, for example, being drunk. They seem like they are normal as rain when they're not. They have those same characteristics of any drug abuser though such as irresponsibility and lying. Pot causes the bloodshot eyes. I am totally ignorant on other types of drug abuse and what it looks like. Pot is something one would have to smoke and again, some of it has fillers. Could this effect the lungs in an already compromised patient? Another thought I had was whether the pitting edema was due to malnutrition versus the CHF? Cocaine addicts will go a long time without eating.
I am going to take a bit of a different approach because Emergent, RN said later that they did what everyone is pretty much agreeing is the right course of action and I am assuming that something happened.
This is is a drug abuser with poor coping skills. These types of individuals are prone to lying. That is one classic of their "poor coping." What are we talking about though? Pot? Cocaine? PCP? Meth? Crack? So we're first of all assuming the patient did in fact run out of Lasix. Is that true? What goes through the mind of a drug addict can be totally out of touch with reality. I am not an ER nurse but I would like to know if and what he/she's using and a BMP result to ensure he/she's telling the truth.
What is really sad is that these young nurses are exalted in the eyes of the leadership. The leadership goes so overboard to try and get these people to stay. I am not asking for people to be treated disrespectfully. I am asking for those same people to notice what's going on and do something about it. Oh, and did I mention that these girls get nurse of the year for doing absolutely nothing over and above the call of duty? People such as myself who are no longer cute or young but do many extras get not even a thank you note. LOL. The system is definitely flawed. All those kudos do not change the fact that many of the young people that get into nursing are not inclined to bedside nursing. They are prima donnas who thought that taking care of poop and vomit would be glamorous and lucrative. It is hard to have to make up the difference to give the best nursing care in that environment. You would not believe the standard that I am held to.
Keep work at work and your life outside of that.
Excellent post. I could not have said it better. What the writer identified is so common place that it is scary. I have only met a handful of young nurses who come to night shift for their first position in nursing that really embrace the whole concept of what it is to be a nurse. They immediately enroll in a college for their MSN degree. We had several openings for day shift. I was not asked by upper management if I wanted this. But these nurses who have been there for a year or two were. I do believe they gossip and bad mouth the very people that invested their lives into them to make them successful. I won't say all but many of them do. They want to get out of bedside nursing as quickly as they possibly can. Most of the ones I have met are not as ruthless as the one mentioned above. The scenario of doing something personal while others work is also commonplace. It is one thing if there is some downtime for everyone. No problem. It is another thing if they could so easily take some of the burden off of others but instead without conscience sit there while others are working their b-hinds off.
So true. Workplace bullying amongst nurses has become a real art. I almost prefer the in your face approach vs. the passive aggression. Hospitals invest so much money into every employee and so they are reticent to fire these people. Wish you the best. There are no easy answers to your question.
There is a balance in what I have to say. On the one hand, our job as medical professionals must be to preserve life; but on the other hand, we have to accept death as a possibility. We are often not in control of that outcome. We do what we can and that is all we can do. Death is not in our hands and we cannot stop that process if it is going to happen. None of us will be here forever and all of us at some time will experience death. I have seen babies die. I have experienced death in family and friends. The longer I live, the more people that die. My mother, my best friend, passed away 3 years ago. My father passed away a year and a half later.
I believe our society is not prepared for death as a part of life. We think that death is abnormal. It's not. So many people today have unfortunately embraced atheism; and even if some don't believe they are atheists, they wonder if this is all there is? Judging from the lifestyles and ideologies of many medical professionals, I don't believe many of them make God a priority or know Him. Is it just about being here, being married and then leaving the planet? I know there is a heaven. I know that being prepared for this eventuality is probably the most important aspect of a person's life that they can do for themselves. I know that I will see my mom again for all of eternity. My mom had faith in Jesus Christ and I know that I know that she is there as is my dad and so many of my friends who have gone before me. I believe in Jesus Christ and have been changed by His grace. That's all that matters.
We can't expect that the pain of death will go away. Nobody will ever be able to replace that person who died. Some deaths are very tragic. Other deaths are so desired due to the pain and suffering the person is experiencing. We who are left though miss that person. I believe that it is unrealistic not to embrace that pain and shed some tears of sorrow. I am crying for myself because of that loss and how much I will miss that person. That is what should happen. We live in a world that does not embrace pain and sorrow. We are expected to bounce back and be our jovial selves again instantly. Nobody can accomplish this and so there is the frustration of wanting to be happy but feeling that intense sorrow inside. People say things trying to make us feel better but really can anything take that pain away? I don't think it can. The hardest part of losing someone is not that moment of death but the moment six months down the road when we wish they were here to talk to and share a moment with. As medical professionals, we too experience that loss. We meet these people and they become a part of us to a certain extent. Mourning the loss of a patient is a real aspect of being a nurse. It is normal.
I had a situation
Again I apologize for the length of the post, just trying to paint a picture.
Some people, Ruby, are not as good at others at blowing people's reactions off. They don't teach that in school and when we do act that way, we become the very people we dislike so much. It hard to stay above it. My husband, God bless him, has listened to me on more than a few occasions share some of my frustrations. He prays for me. I don't know what I would do without a husband that prays for me night after night. God has woken him up on some of my worst nights to pray. That is the truth. The thing that works for me is forgiving my offenders and giving it to God to handle. And trust me, He has handled things for me in ways that I could not have. It doesn't help me though when there is so much pressure, anger, abusive talking from patients and the overwhelming responsibility. One thing I am grateful for is that my hospital has zero tolerance for negative behaviors. If an employee wants to get in trouble, just start giving people a hard time of it and that includes the physicians. Nevertheless, when one situations is resolved, another seems to arise. The better we are at patient care and knowing what we are doing, the better we are in other areas. In other words, experience helps. I am a nice person. I don't like nursing either when people aren't nice. I don't like to be yelled at or for people to take their frustrations out on me. These are things that people should know when they sign up for nursing. It is not easy to live day to day in the pressure cooker.
I will tell you why I love nursing. I love seeing a child come in super sick and then get better. The stories I could tell. I love babies and all that is involved with them and their unique physiology. It is rewarding to see that healing process and to see that it was a team effort of many people coming together to make it work. I love the mystery aspect of figuring out what is wrong and why. I love challenging cases that are interesting. I love the way the human body can react and adapt especially in children. I love making a difference for a parent that is stressed or just needs some support with basic understanding of children. I love it when they listen and it makes a difference for that child. I love the technology and the evidence based practice that we are now initiating because it supports what we do. I have a daughter that is being paid $15/hour to manage a Starbucks. She came home in tears last night from the workplace stress she's under, the mean spirited boss, the nasty customers, and trying to manage people. It just goes to show you that everyone is trying to run businesses with as few people as possible. I am probably on my feet as much as my daughter is. I get paid a whole lot more than that. For some reason, I believe that many nurses think that nursing is a dream job because of the higher pay. Like so many today, they want to sit and do nothing and get paid for it. LOL The minute things get tough, they are ready to quit. And that is not just work. It is other things as well. How about sticking it out and getting beyond that moment? Nursing is stressful at times. But to me, it is a stress that has a better feeling of accomplishment than making a cup of coffee not to say that this is not a worthwhile profession. It is. I am just saying that I am encouraged when I see someone healed because we intervened. In the olden days, children died of many of these illnesses.
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