Can you believe this? - page 3
I understand the push for "customer satisfaction" but I think that the following situation is taking it too far. A few days ago we had a patient on the floor who was in constant pain. She had MS... Read More
Mar 12, '04Occupation: RN. RPN. RM. general gofer Joined: Feb '03; Posts: 81; Likes: 2I do smoke but not in the workplace and I would never stop my patient care to watch some body have a drag but non smokers have to understand the addiction. I have cared for heroin users who say smoking is harder to give up.
On the other hand- if they can't walk out under their own steam they don't go out.
Mar 12, '04Occupation: RN, ICU, CRNA student Joined: Jan '03; Posts: 277; Likes: 2Token Male, the issue with beer is slightly different however in that usually the main reason for prescribing it is for chronic abusers to prevent withdrawels
Mar 12, '04Occupation: ER RN Specialty: ER,ICU,L&D,OR,ETC ; Joined: May '01; Posts: 5,588; Likes: 566I thought we used ativan and librium for that
Mar 12, '04Occupation: RN, ICU, CRNA student Joined: Jan '03; Posts: 277; Likes: 2Do use ativan and librium alot but for whatever course of treatment the patient is in for I see some physicians find it easier to prescribe the beer. Seems to be on patients who are not going to be in as long
Mar 12, '04Joined: Mar '04; Posts: 40; Likes: 1That is total crap!!! Hospitals should have smokers sign a waiver, saying the hospital will not support smoking as the surgoen general has warned it contributes to the development of lung cancer. They should offer a nic patch...period.
If I were ever asked to halp a pt smoke, I would get a note from my doctor so fast about MY asthma, why the heck should I risk MY health by inhaling thier second hand smoke??? How would worker's comp/risk manager's like them apples???
Mar 12, '04Joined: Jan '04; Posts: 55; Likes: 21I guess that the part about her giving in to the patient and letting her leave the floor and making one of us go with her was not as shocking to me as the fact that she didn't even have cigarettes and the HOUSE SUPERIVISOR not only found them for her- she PAID for them and had to find the RIGHT kind-menthol. UNBELIEVABLE!
Mar 12, '04Joined: May '02; Posts: 827; Likes: 42No, it doesn't surprize me in the least that this supervisor bent over backwards. Hospital administrators are not in this business to help people, they are in this business to make money, and if that means giving into patients addications instead of doing what is best for the patient, they will do it.
On a brighter note, my hospital is going completely smoke free in July. That means no smoking in any of the buildings, on the grounds, not even in the parking lot. They are offering smoking cessation classes to all employees.
Mar 12, '04Occupation: Nursing Supervisor Joined: Apr '03; Posts: 39Really makes me mad how whiney and childish some people can get when they don't get to smoke. I've taken care of a few just like the one described. In horrible, awful pain, just eating the nacotics, but boy they could get up and run outside for a smoke!
I used to smoke when I was younger and I'm glad I gave it up! What nicotine makes people do. We used to get the docs to prescribe patches for a lot of them, for some it worked and others, no deal, had to have that cigarette! I think they shouldn't allow smoking in any healthcare facility, it's a little hypocritical to say we are looking out for the health of patients and let them do something that is harmful. Quitting smoking is tough but eventually you get over it, now I can't even stand the smell when someone else smokes around me. Makes me gag!
Mar 12, '04Specialty: all things maternity ; Joined: Jan '04; Posts: 359; Likes: 146Not long ago, I recieved a transfer from ICU at 11 pm. I was extremely busy and had not even recieved report on this patient before they brought her up. The report I recieved from the nurse on arrival was that she had JUST been taken off a insulin drip, her blood sugars were extremely unstable, we were to do hourly blood sugars on her, BUT she had a written order from her doctor to go out and smoke. Sheeshhhhh!!! I tried to fight this one.......did not get me anywhere. Supervisor told me that this woman had been making such a royal hissy fit in the unit about not being able to go smoke that her doctor had been called in and released her from ICU just so she could smoke. The rest of the night she put undue burden on two units because I had to either stop what I was doing and accompany her outdoors....she went out 5 times in the next 8 hours...or the poor ER department nurses had to keep running out the back door to check on her. Thank God that the ER nurse on duty that night had some compassion for me and we were able to work together with this train wreck waiting to happen. I felt that they had no concern for my license so I left that job within 6 weeks. :angryfireLast edit by nurturing_angel on Mar 12, '04
Mar 15, '04Occupation: SAHM, for now. From: WI, US ; Joined: Feb '04; Posts: 2,574; Likes: 322Quote from SmilingBluEyesI know that I'm rather late on this, but I was wondering if the Nic patch was contraindicated, not the smoking. I KNOW that smoking in contraindicated. I'm allergic to cigaretter smoke big time, I have Raynaud's and nothing makes it worse that cigarette smoke.trust me, it is contraindicated. smoking is NOT helpful to most people recovering and who are ILL enough to be in the hospital in the FIRST PLACE. Yes,I concede, there are cases where patients have a psychologic/physiologic need to have their nicotine. IF that is the case, rather than seeing a dr write an order to "assist pt with smoking", he or she NEEDS to instead write the order: "Nicotine patch PRN" . that will do nicely for me.
That's why I was asking if there's any contraindications to the nic patch.
Mar 15, '04Joined: Apr '03; Posts: 235; Likes: 5I believe the original post stated pt was taking Ativan as well?...we use that a lot for smokers who can't take Nic patch (cardiac issues/ BP issues).
Mar 15, '04Occupation: new grad Joined: Jun '03; Posts: 2,637; Likes: 18I'm with you steel magnolia! What about MY health??
And since we KNOW that smoking causes CA and other diseases, why would a hospital ASSIST a pt. to harm themselves? And if a nurse participates in helping a pt to harm themselves, isn't that grounds to lose a license if the pt. were to persue legal action???
I REFUSE to assist!! PERIOD. Like someone else said, I wouldn't help a heroine addict shoot up, I'm not helping a smoker, either.
I understand it's an addiction; however, that's what the nicotine patch is for!!
Mar 15, '04Occupation: ED RN Specialty: Emergency Dept, M/S ; Joined: Jan '04; Posts: 1,462; Likes: 104I just have to comment here! This thread has me chuckling and furious at the same time.
My mother passed away recently at the age of 61. She had been a life-long smoker, and though she didn't die directly from smoking, I'm sure that was part of it. Anyway, she had had many back surgeries, and been a pain pt. for a long time. During her most recent one last year, the doc gave her permission to smoke in her room. I kid you not. I was furious about it - not only that he would go against all hospital policy, but also to ignore the rights of the nurses and other pt's and give her special treatment. It just infuriated me - plus the encouragement of an already sick woman to keep smoking. His reasoning was he didn't want her out of bed, and smoking would have meant many trips down the elevator and outside, with a nurse having to take her, which he knew they wouldn't. The only stipulation was she had to do it in her bathroom. Big deal. Everyone (I'm sure) could still smell the smoke, and was exposed to it. It just chaps my a$$ to think about it!! :angryfire Both doc and my mom were very, very wrong.
As much as I loved (and still do) my mother, I thought it was the most self-centered, irresponsible thing I'd ever seen in my life, and I told her so.
It will be a couple of years before I'm a nurse, but you can be your bottom dollar I will never escort a pt outside for a smoke. I applaud all of you who are saying no.