Matt8700

Matt8700 RN, EMT-B

ER, Corrections, Mental Health

Member
  • Content

    62
  • Visitors

    4,194
  • Followers

    0

About Matt8700

Matt8700 has 11 years experience as a RN, EMT-B and specializes in ER, Corrections, Mental Health.


Latest Activity

  1. Outpatient Nursing for New Grads??

    You need some bedside experience to gain the assessment and technical skills.
  2. Rounds and patient expectations

    Hello! Question for everybody who works in rehab. I recently began working in a Post acute Care facility which is really a skilled nursing facility that focuses on Post acute Care only, no long-term care patients. when I am receiving a new patient fr...
  3. Medically necessary care

    Let me just preface this all by saying I am new to corrections. My previous field was ER, so I am having to learn and adjust to the prison culture. I am the sick call nurse where I work, so I am lucky and get to see a lot of different things. One of...
  4. Pain control

    We had people on naproxen and ibuprofen 600mg for 365 days a year. The problem is, they say, that there are risks associated with long term use of these meds, mainly kidney issues. They were not reassessed at 90 days and when they were reassessed, th...
  5. Pain control

    So everyone at the prison I work was just recently taken off of their naproxen and Motrin because of all of the new literature that shows how dangerous they can be. Needless to say we have some very unhappy customers to say the least. We have been t...
  6. Job stability

    For those of you that might be able to add to this discussion..... I recently left hospital nursing and took a full time job at a local prison. I had never worked in this sort of environment before, so it is all new to me. I am not a job hopper, so ...
  7. Pain management

    You make good points here as well. I do agree that the wait should not dictate the meds you are given. But when I see a 60 or 70 year old get wheeled back to my room in wheelchair for something that they perceive an emergency, my first thought is "h...
  8. Pain management

    KeeperMom, thank you for your response. I appreciate your input. I have my ever worked in one ER and I hear from our travel nurses that the nurse/provider relationship in the er I work in is very one sided. There is never any discussion of the pat...
  9. Pain management

    KeeperMom, I understand your point. And again, I was not suggesting a narcoticnfor these patients. What I would suggest would be things such as toradol, ultram, etc. Non narcotic medications, buttoned that will offer some relief. I feel bad when you ...
  10. Pain management

    This particular provider is of the mindset that their orders stand and that they should not be questioned. I am not suggesting narcotics at all, but the other medications that you mention could be very helpful and satisfying to the patient. I guess ...
  11. Pain management

    How do you maybe a provider that is either unwilling to treat a patients pain or is under treating a patients pain. Example: patient waits 8 hours in the lobby to be seen. Provider orders Motrin for the patients chronic hip pain. I know the conditi...
  12. Beyond Bedside? Advanced Practice? Really?

    The RN and APRN are two very different roles. It does not mean that the RN is less educated than the APRN. You can have an MSN and not be a practitioner. APRNs, in my opinion, do not provide nursing services, they provide medical services, and we are...
  13. Beyond Bedside? Advanced Practice? Really?

    So many mis-spellings. Sorry guys
  14. Beyond Bedside? Advanced Practice? Really?

    I think that it is very confusing to patients when a nurse walks in the room and tells them they will be the nurse providing their care, then comes the NP and explains to the patient that they are the advanced nurse. It sore of does make the bedside ...
  15. Patient education question here. How do you all approach the ER patient that is admitted and awaiting a bed on the floor, it has no active interventions taking place when they tell you that they "might as well just go home since nothing is being don...