Latest Comments by ChristaRN

Latest Comments by ChristaRN

ChristaRN 3,033 Views

Joined Aug 9, '05. Posts: 74 (59% Liked) Likes: 159

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  • 2
    PatchycatRN and TheSquire like this.

    Quote from traumaRNdrama
    Really? All medical professionals should be able to expect that their team members behave themselves professionally and ethically within their scope of practice as outlined by their nursing/professional board. Expecting that the vital signs recorded into the patients chart are true should be the norm, not the exception. Are you saying you delegate nothing? It sounds like you are implying that the delegation of VS to a CNA (all my CNAs are CNA2's, even more qualified) is inappropriate...
    In reference to the previous post that you are referring to, I just wanted to point out that back in nursing school I was taught that the decision to give or not give a cardiac/blood pressure med SHOULD be based on your own assessment of vitals JUST PRIOR to the med being administered. Of course, I do trust my techs, thankfully haven't been given a reason not to, it's just a practice I've always been taught and continue to this day. I think it's a smart practice for me - I just always imagine that if vitals are obtained during 2000 rounds and I have a med to give at 2100, alot could change in an hour and the few seconds it takes to obtain a set immediately before have more than once changed whether I would or would not give a med, had I relied on the previous set of vitals alone.

  • 4
    nursel56, WoosahRN, nola1202, and 1 other like this.

    Thank you, Thank You, THANK YOU! I have to say the posts you were referring to actually kind of hurt, I try my best to provide great care for my patients and relieve as much pain and anxiety in my patient's as possible. It stings to basically be accused of child abuse when in reality we are the ones trying to put so many abused children back together if you will. Thanks again for your support! :heartbeat

    Quote from nursel56
    I have a little brother who had ALL. I worked for most of my career in peds, peds clinics and the "shot rrom". There is quite a bit of difference between a child who must have repeated painful procedures done and a child coming in for scheduled immunizations. We need to pull out all the stops to make it as less horrible than it inherently is. I am so thankful there are now Child Life specialists and drugs that are appropriate for sedating a child (not oral benzos for a 6 mo old). :uhoh21:

    I really have no idea why you would think it's funny to accuse nurses who are using best practice of child abuse and put little smily faces on your comments. I don't find it amusing that someone reading this may have a child who needs these procedures to stay alive. How callous it is to say that they are subjecting their child to abuse when they hand their precious child over to the team who is constantly researching and attempting to find the most effective and least traumatic way of getting it done because not having it done is not an option in many cases. It isn't funny. It isn't cute.

    I don't know if you are a nurse or not, but I do know your comments may be causing needless pain in people who may already be hurting.

  • 1
    NightOwl0624 likes this.

    I love the idea of a Psychiatric Medical Surgical type unit and while they do exist in small numbers it's unfortunately unrealistic to hope for such combination units in all nursing specialties so I don't think we'll be seeing any psych-OB, psych-rehab, psych-oncology etc. It would be great if we had more nurses who are experienced both in the medical aspects of patient illness as well as psychiatric aspects. I think alot of medical minded nurses are uncomfortable with acute psychiatric issues and I understand that. For a non psych nurse I think treating mental illness is quite a challenge. We can't measure mental illness and target a certain number and aim for that as we can with BPs and glucose levels. We can give medications but that's not always really treating the problem. We can be unsure how to communicate with a patient who is acutely psychiatrically ill. I don't think those nurses who are uncomfortable with psychiatric care are talking about a patient whose psych illness is currently well controlled; they aren't trying to cast all patients with mental illness off to an island so they can be avoided. I liken it to placing a patient with an acute cardiac problem on an oncology floor - those onco nurses likely would not be comfortable because it's an acute problem which they are not familliar with caring for. I see acute psych problems in the same way. It is NOT a good idea to keep a psychiatric diagnosis from your treating physician as that disease process or any medications that one may be on to treat it are important pieces of information and can effect current medical treatment or even easily explain a problem that the patient is currently having. I sincerely hope the previous poster will keep in mind that while there may be few colleagues of ours who unfortunately may still stigmatize mental illness most will not allow that to effect the care they give and may actually be able to give BETTER care based on that knowledge. We need to advocate for ourselves in all nursing disciplines to ensure that we get adequate training in all aspects of care that would should be expected to provide and some psychiatric training is certainly something that we and our patients would benefit from us recieving. Perhaps offering a shift of shadowing in a psychiatric unit would do a world of good!