Steve123

Steve123

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About Steve123

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  1. RN patient ratio in dialysis

    I am thinking about moving to dialysis but I do not know much about this field. I have 10 years of RN experience. What is RN patient ratio in outpatient dialysis? How many dialysis techs help one RN and for how many patients is one tech responsible f...
  2. Pain Medications

    . I've seen nurses who wouldn't give PRN valium because the pt. wasn't displaying "anxiety". I just don't have that mainframe. If it is ordered and they request it by name I will generally give it, within reason and if its safe. By other words, yo...
  3. Pain Medications

    Yes. I read in New York Times several years ago that someone became addicted after taking few pill of Percocet after tooth extraction. If you want to know more barrow from library books "American Pain" by John Templer and "Drug Dealer, MD" written b...
  4. Pain Medications

    What I can say... the less opioids the better. if your friend's mother develops opioid induced constipation (it is not fun at all) neither your friend nor your friend's mother should complain... One of my patient died of opioid induced constipation....
  5. Pain Medications

    Thank you for your input. So called "pain scale" is criticized a lot on doctor's forums but most nurses still believe in pain scale. It is my personal observation.
  6. I hate the politics in nursing

    I hate politics in nursing too. But I also understand that if nursing organizations do not participate in politics, RN's wages were on the level of phlebotomist. Or may be on the level of LPN while LPNs wouldn't exist.
  7. Pain Medications

    That's exactly I wanted to say. it is better one patient to suffer from pain than prescribe opiates to 10 people unnecessary. You may disagree, but emergency situation has been declared and this approach is suitable for emergency situations. Also rem...
  8. Pain Medications

    In war time someone has to die to protect the nation. Now we have opiate crisis and emergency situation has been declared. By other words, it is better to undertreat one patient than over treat many. In some cases even 1 tab of Percocet is enough to...
  9. Pain Medications

    I am happy to notice that doctors prescribe much less pain medications now then they did even five years ago. Some nurses say that new approach makes some patients to suffer unnecessary. Well, lets compare pain medications with antibiotics. Antibioti...
  10. I started nursing school in 2004. Even in 2004 it was absolutely clear for me that wide use of opioids for absolutely all types of pain was not safe and I did not believe that it was "evidence based". And now a lot of books published revealing that ...
  11. evidence based???? Wide use of opioids also was "evidence based". We all were brainwashed to give opioids to treat all kind of pain. As a result prescription drug abuse kills tens of thousands every year. And it is only one example. Nurses who know h...
  12. Legal elderly abuse

    Yes, I am sure, PT's WBC was normal, no fever, no puss around the lesion. No signs of infection. I have a lot of stories like that. I write a diary, it is just one story from my diary, some time I will publish them all.
  13. Irritated MDs: to SBAR or not to SBAR?

    You've been in the hospital for 1 year. You should know doctors and be flexible. When talking to a mean doctor, start conversation from SBAR, when talking to an adequate doctor, skip it. I once was yelled by doctor for having all 4 rails up. The doct...
  14. Legal elderly abuse

    A confused patient from a nursing home was admitted to hospital with skin lesion. According to the color and irregular form of the lesion it was obvious for doctors that it was skin cancer. The surgery was planned only in 4 days after admission. (Tim...
  15. rate of pay in ohio

    I quit home care a year go. At that time they paid 35$ per routine visit and 50 $ for the first visit. Ad a little bit more if a patient had a PICC line. A routine visit used o take me one hour, it included a visit itself, driving time, and documenta...