oldnewnurse46

Latest Activity

1. Drug seeking or real pain? How do you tell?

   oldnewnurse46 replied to JudyPRN's topic in Pain

   Doctor and pharmacy shopping are the objective tip offs. Also, when the pain mgt practice tells them they are no longer welcome for noncompliance. That's objective. The rest I suppose is nursing intuition. Now I work in the ER where all the addic...

2. Drug seeking or real pain? How do you tell?

   oldnewnurse46 replied to JudyPRN's topic in Pain

   OK, I'm going to be honest. They are under 40 years old with no serious medical dx excepting "back pain". They call 911 themselves. They convince the EMTs to run a line and request dilaudid the milisecond they are in the hospital. They are "allergic"...

3. Sore Throat, Runny Nose d/t Med Pass??

   oldnewnurse46 replied to Chicklet2's topic in General Nursing

   Try for a few days crushing and passing with gloves and a mask on, as an experiment. Then you'll know.

4. Things you'd LOVE to be able to tell patients, and get away with it.

   oldnewnurse46 replied to AngelfireRN's topic in Relations

   No, you spoke the truth. I'm sick of this PC world. There is a certain segment of the human race that takes no responsibility for their own health. I will work my tail off for my patients, and always have, but there is something wrong when I'm workin...

5. Pre-employment physical

   oldnewnurse46 replied to mlmRN30's topic in General Nursing

   Does anyone know - do the pre-employment drug tests check for SSRIs? I kept this info private because I'm on it and it works and I'm not depressed, therefore it has no relevance to my ability to perform, end of story. But I just switched jobs and t...

6. patient load and other gripes :)

   oldnewnurse46 replied to G'smommy's topic in Psychiatric

   Interesting. What I did was ask my manager to put us on divert. Instead she came in to do the admissions, and it was suggested that I was too new of a nurse to take charge. All I could think of was this is the perfect storm for a disaster. Damned...

7. patient load and other gripes :)

   oldnewnurse46 replied to G'smommy's topic in Psychiatric

   How reasonable is this: 2 RNs, no secretary, no techs, 10 -11 patients all on suicide precautions with 15 minute checks. One homicidal, aggression precautions, two with significant medical issues?

8. My first MED ERROR!!!

   oldnewnurse46 replied to LUVtxNursing's topic in New Nurse

   Any nurse who claims to have never made any med error at all is not telling the truth. They are horrifying. What a scary profession, when we can have one off millisecond, and someone can die. Humans make mistakes, that is reality. We just do the ...

9. DIlantin?! I'm so scared, please help!!

   oldnewnurse46 replied to oldnewnurse46's topic in Psychiatric

   KellieNurse, thanks for responding. Nurse after me called to tell me Doc called to ask her to check Dilantin levels most recent labs, and they were WNL. So, how many missed doses would it take, do you think? This job is too much responsibility, to...

10. DIlantin?! I'm so scared, please help!!

    oldnewnurse46 posted a topic in Psychiatric

    Nurses, been an LPN for 3 months. Charge nurse on a psych unit. Sweet, confused 57 yo pt with ATOH dementia and seizure disorder went into status epilepticus on my shift at 1:30 pm today. He gets 300 mg Dilantin every morning at 8 am. I worked yester...