"Best Of" Thread - page 2
I read a post by brownbook that seemed to contain a pretty good idea: brownbook was complimenting and referring to a post by KatieMI. This was my favorite part of Katie's post: So, I thought,... Read More
Apr 2From:Wearing gloves with HIV positive patients
Quote from LeekriYesterday during my clinical, I was interviewing a HIV positive patient. Half way through, the primary nurse asked me to talk with her in the hall, and when we spoke she told me to wear gloves whenever I was with the patient or touching things in his environment.
The patient didn't have any open cuts or bodily fluids out, and I didn't have any cuts and was just talking with the patient. There weren't any signs saying to use any special precautions either...
I personally don't think that situation necessitated the need for gloves, but I was hoping to get someone else's opinion on this.Quote from TenebraeI can't like this (ElvishDNP's post) enough:Quote from ElvishDNPIf you don't want to contract HIV from your patients, don't have sex with them, share tattoo or IV drug needles with them, or transfuse yourself with their blood. If you don't do those things, you will be fine.
Furthermore, the CDC's most recent statement suggests that if the pt's viral load is undetectable, then they really can't transmit HIV.
Years ago, when I was a brand new nurse, I had a pt whose AV fistula had abscessed. He was HIV+. His fistula ruptured on my shift, and I ran into his room and instinctively slammed my bare hand down on top of the artery shooting blood shooting out of his arm onto the walls and ceiling. He yelled at me to grab gloves, but I wasn't moving my hand, and at that point my hand was already covered in his blood.
If I didn't get HIV from that, there is no way you will get HIV from a pt interview.
Apr 8This is from "The Pain Scale Has Been Harmful":
Quote from not.done.yetI feel so much emotional angst and ethical conflict inside over the current opioid crisis. There is little doubt that healthcare providers are part of the problem and that the impression of a pain-free life or full access to endless narcotics is the other part. At the same time though, people are hurting. I want to say that people just need to accept that pain is part of life and if you are unlucky enough to have severe Crohn's or arthritis or migraines or fibromyalgia or whatever the diagnosis is, that pain is going to be part of YOUR life. And then I put myself in those people's shoes and the compassion and sorrow for them is near to crippling. Sadly though, behaviorally I see these same populations often medicating in anticipation of pain rather than in treatment of it. And then they want benzos for that anxiety because benzos work AND potentiate the pain meds. And then they start to develop tolerance to both the benzos and the opioids, so then we send them to pain management, who enact a contract with them and manage high doses and/or dangerous prescriptions. And then the patient begins to hoard or hide meds and other "addictive" or "manipulative" behaviors begin.
I have family members with this problem. Genuine pain. Out of control need for meds combined with a sense of being entitled to them. Subsequent mistrust of any and everyone in the medical field because we try to put the brakes on the consumption of these meds. Manipulative behavior to get around having the brakes put on. That anxiety leading to increased need. If one is counting pills, hiding pills, searching for reasons to go to the doc to try to get more pills....there's a problem ....
Round and round it goes. I don't know how to stop it. I feel cruel to say "Some people are going to have to live in pain". But right now, that seems to be what needs to happen. And that sucks. There has to be a middle ground. I need there to be a middle ground. And I don't see one.
Apr 11The question is, "Can nurses live a luxurious life?"
Quote from Sour LemonYou can project an image of living luxuriously if you want to work 80 hour weeks and max out your credit cards. Freedom is luxury, to me. I have to work very little to maintain my modest lifestyle.
Apr 16This is in answer to a first-year night nurse who says. "I'm so tired all the time, all I want to do on my few and far between days off is sleep. I feel so alone. I want to meet new friends, I want to meet a guy, but how the heck do you do that when your life is the opposite of everyone else's?"
Quote from not.done.yetNight shift never worked for me either. I loved my coworkers and job but became very depressed on night shift. I was lonely and felt separated from "normal" life...and I am in a good, strong marriage! Having a significant other would not solve this. It is very possible you just need to get on days. In the meantime, do what you can to improve sleep quality, make sure you are exercising and focusing on nutrition and start reaching out to other nurses who work nights to "hang out" at Waffle House at 2 AM or your local late night Thai/sushi joint or whatever floats your boat. They might not be boys, but chances are they know some, so why not get to know them just in case?
As an aside, it has been my personal experience that the more you yearn for and chase "love", the more elusive it is. Use this time to really get to know yourself and enjoy being single. Romance yourself. You will be happier - Happy women are confident and confidence is sexy.Last edit by Kitiger on Apr 16 : Reason: trying to fix the quote
Jun 13Advice to a new nurse with school loans to pay, trying to decide whether to stay with parents while working at a small hospital or to move to the big city with all the opportunities there.
Quote from WuzzieStay at home for 1-2 years. Work OT if possible. Pay your nice parents some sort of rent even it it's just a token. Throw as much money as possible into paying off the student loans. Remainder of money goes into savings. Do not go on spending sprees. Get nursing experience to make yourself marketable. After gaining said experiencing and paying off loans land job in city of your choice with no financial worries. Get on with the rest of your life continuing to be a financial smarty pants so you don't go into retirement with nothing to live on but social security. Enjoy your life.
Jun 13We need to get this thread going again. We used some quotes from this thread in the Spring Issue of the allnurses Magazine. I am looking for more posts that you find to be the most interesting, inspiring, funny.....whatever.
Jun 15Quote from tnbutterflyNominating hppygr8ful's recent thread!We need to get this thread going again.
Jun 15Quote from Davey DoI second that emotion!!Nominating hppygr8ful's recent thread!
Jun 15Come on over to the School Nurses' forum. So many wonderful, helpful posts I wish I could post them all here.