ktwlpn 28,622 Views
Joined Aug 17, '00.
Posts: 4,688 (32% Liked)
Pardon my ignorance.
What is "Facebook" and why are people posting food on it??
In the hospitals in which I've worked over the years, liquor (whiskey, vodka) came in 30cc individual dose cups like MOM, dispensed by the pharmacy. Beer comes in the usual 12 oz cans (some inexpensive brand), sent up from the kitchen with meal trays. I've always been amused that, in hospitals (at least the ones I've known), ethanol as liquor is considered a drug and ethanol as beer is considered food.
This was more common back in more sensible times. The patient is obviously a daily drinker and needs his maintenance dose.
My late husband got wine with meals in the hospital to help his appetite thanks to a very caring dietitian to whom I'm forever grateful.
America is still puritanical regarding alcoholic beverages. But with 5% of the world's population we consume 70% of the world's prescribed pharmaceuticals. We are one of 2 nations allowing direct to consumer advertising of drugs. Yet we get nervous at a daily glass of wine or 2.
I've not given whiskey but I have given patients beer. If they are alcoholics and they are acute, it is not the time to detox them. I had a patient who got 2 beers 4x a day. On top of his pain meds. He doesn't have the same reactions that I would have if I mixed narcos with etoh. Or any other medications. As the MD the rationale behind it, it might be to prevent dts.
The thing you're most likely to catch is chronic back pain. Don't take chances with it, always use proper m+h techniques.
You are more likely to catch something from a shopping cart.
The first day was your error, but the next eight days; that was a system error. Other nurses looking at the MAR should have seen that she was on Coumadin, but there wasn't an order for that day. The pharmacist should have picked it up. There should be a double checking system on night shift for just this type of issue.
At the LTC where I worked the noc shift was responsible for a chart audit. You have to have layers of redundancy where orders are concerned.
Yes, the University of Toledo referenced it, but I cannot find any legal case (aka legal precedent) or actual verbiage in HIPAA to support the interpretation.
Please keep in mind I'm not for or against the situation; I'm just trying to find an actual source document that either comes from HHS or is a legal precedent. So far I just have people telling me no, and citing anything but HHS or a legal case were it was proven to be a HIPAA violation.
Let me break it down for you. Assume = Ass out of you and me. I don't share any identifying patient information with my spouse, friends, classmates, etc. Before I leave clinical, any paper containing any PHI (which was required for the clinical on patients under my care) go to the shredder; and, I'm usually the one passing on HIPAA do's and don'ts to classmates.
In terms of research, read my opening post; I am doing my own research.
Now, unless you want to be a bully and continue to assume negative thing about people you don't even know whatsoever, how about you knock it off!
My patient did ultimately pass this evening on my shift. Family was present at the time of passing but still fighting any and all comfort medications up until her passing. They did permit me to give the lowest dose of morphine about 2 hours prior to her passing but once she was gone attempted to blame it on me and my medicating her. Of course I understand their grief. I'm just more upset that it just truly wasn't a peaceful passing and I wish I could have done more.
Facebook didn't exist then.
Keep home at home and work at work, best wishes
My friends and family im sure are tired of my complaints and most people say " just leave" they will never understand....you dont just leave nursing its in you.
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