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KaroSnowQueen 10,313 Views

Joined: Oct 12, '02; Posts: 1,176 (21% Liked) ; Likes: 764
Medicare claims review for major insurance company; from US
Specialty: 30 year(s) of experience in telemetry, case management

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  • Jun 23 '15

    I posted this in your RotoProne bed thread, but I'll cut and paste it here as well:

    ECMO, what's your story?

    In the past three days, you've asked some very specific questions about three different types of beds, barium, pump simulators, and other specific brand-name equipment.

    Are you a nurse, a student, a patient, or....?

    Seriously, people - look up the OP's threads. In the past 3 days, the OP has started 6 or 8 threads with VERY bizarre, very specific questions about different equipment.

  • Jun 21 '15

    Please be gentle maybe I am wrong in assuming this is abuse.

    I am currently working at a SNF/Rehab. This is my first nursing job as an LPN.

    I have a patient who has dementia and has recently starting mental declining according to other nurses. I haven't been the nurse in 1 month for them. I came in on sunday and was informed they due to have IM Geodon Q4H. When i got report the nurse said they had been refusing the med.

    When I went in to the room and offered the med, I tried to convincing but patient stated "I have the right to refuse, i don't want those shots"

    This patient recognized me, had conversation with me. Some confusion was evident, but this would be baseline for them.

    I documented as refusal. Well supervisor came to me and said they received a text from the administrator (no medical background) stating this patient was "not allowed to refuse" and I HAD TO GIVE IT.

    I told the nurse that this patient has the right to refuse, they are not a harm to themselves or others and I would not be holding them down and forcing them this is not a psych facility.

    To which response I got "To bad, its a med error if you don't give it, and you can hold them down and give it"

    I refused so the supervisor took my keys from me and administered the med while the patient yelled and stated "this is my right to refuse, this is illegal"

    Please tell me I wasn't wrong in refusing to give this med. I was absolutely devastated that a fellow nurse would not advocate for this patient when they were doing NOTHING. They got the med and were so sedated they wouldn't even eat or wake up.

    Is this not considered a restraint? Abuse? What do I do?

  • Jan 18 '14

    I am a woman of faith. Faith gives us Grace and strength to walk thru lifes challenges.
    Denial is a different story.....I think the people you are talking about are using denial as their coping mechanism...which is one of the first stages of grieving...

    So Sad for everyone involved. :'(

  • Jan 18 '14

    "I can't keep my own house clean because of work and I am going to clean your house? I think, no."


  • Jul 17 '13

    Quote from jmll1765
    I've often thought that if the hospital would mist Valium through the air vents every night, nurses and patients alike would be much happier.

  • Jul 17 '13

    I love/hate them but mostly love. I don't want to do 5 days a week at the bedside...just no!

  • Jul 14 '13

    I work in long term care and have seen my share of deaths.
    We were in Helen's room. She was a cranky old Southern woman, but we all liked her. She was getting sicker by the day. One afternoon the aide came out and said "You better come in here." So a few of us went in basically to say goodbye.
    Her blood pressure was falling, her pulse was weak and thready, she was gray. She was looking up at the corner of the ceiling...nodding her head and saying "I'll be right along." I asked her who she was talking to. She told me it was her mom and dad and the archbishop. Then she asked one of us to take her hand and make the sign of the cross for her since she was too weak to move. She then looked to the other side of the room and said, "Oh, okay" Who are you talking to now I asked her. She looked right at me and said, "It was the Great One. He told me there are still people here who need me." The color returned to her face, her blood pressure came up, her pulse normalized. We were all standing there with tears streaming down our cheeks. She recovered and lived for 5 more years.
    Don't tell me it's only a chemical reaction. I KNOW what I saw and I know what I believe.

  • Jul 14 '13

    I know some people say this is the result of the dying brain shutting down. I don't buy it. I am a Christian and believe in Heaven and Hell. I've seen people who have passed with true looks of terror on their faces. And others have such a peaceful happy expression theres no doubt in my mind it comes from their family meeting them at the gates of Heaven.

  • Jul 14 '13

    Wow, 33763FL thanks for rain on this threads parade...

  • Jul 7 '13

    This thread is exactly like watching a car accident. I want to look away but somehow I can't

  • Mar 1 '13

    I very really truly believe that special children are brought here to show us the path we are destined for, just too blind to see it. It takes a lot of courage and strength to bring a special needs child into the world. By doing so she taught you something about yourself, and look it stuck with you all these years later. You will be a great nurse, your baby taught you the empathy that so many others do not have, and she gave you strength that so many more will never find. Work hard and get good grades and any hospital will be lucky to have you.

  • Mar 1 '13

    Quote from dirtyhippiegirl
    That poor baby. I can't imagine the five hours of torment that she had to endure being on this planet.

    Really!!! Nurses should not judge. Every person has the right to make their own choices and nurses must respect their autonomy. The OP was sharing a moment in her life that broke her heart and inspired her all at the same time.

  • Mar 1 '13

    I wanted to be a nurse because I was inspired. When I was 15 and very naive, I got pregnant. I was scared but my boyfriend at the time was very nice, as were his parents. Everything was going ok. I had plans to finish high school and go to college with their help. Then, I had my first ultrasound.

    The tech put the wand on my then 22 week tummy and said, "Lets see what we have, shall we?" After about 20 seconds, she turned the screen away from me and said, "I'm just going to call the doctor, ok?" She seemed very shaken. I waited nervously for the doctor to come back.

    They explained to me that my baby girl had Osteognesis Imperfecta Type 2. They told me that my baby had 22 fractures at that time, her femurs were growing severely bowed, and that she would die within moments of birth due to lack of collagen in her body. They told me I need to have an abortion or my child would die screaming in pain.

    I left the office numb. Sure, at 15 a child would complicate my life but I loved her. I had wanted her. I was supposed to think about my options and come back 4 days later. I talked to my boyfriend's family and him that night. As first generation Irish Catholic immigrants, they couldn't condone an abortion and I couldn't either. We decided to name the baby Aisling (Gaelic for "Beautiful Dream") and go through with the birth. We grieved.

    The doctor was wrong. My Aisling lived for 5 hours and 22 minutes. She was born with several fractures and received another just putting a diaper on. She cried. I couldn't pick her up and comfort her. I saw the nurses in that NICU cry for me and my little broken girl. As she breathed her last breath, one of those nurses placed her in my arms. She told me I could say good bye now. She held me as I cried.

    I want to be that nurse. I want to comfort and be the angel that other people need during the best and worst moments of their lives. Isn't that why we all want to be nurses? The difference between these wonderful people and a nursing instructor is that teachers make expoentially more of those life touches. For every one student, they touch hundreds of lives. Call me selfish but I want this for me. I want to touch thousands. Can you imagine? Isn't it our duty?

    This is how I fight the nursing shortage. I'm going to make more nurses. We need more teachers. I hope my story inspires you to help me!

  • Jan 31 '13

    DH refuses to watch anything medical related with me. I critique the whole thing.

  • Jan 31 '13

    My grandmother used to get after me about going outside in the winter with wet hair (she really didn't like it if my hair actually froze...) Did I WANT to get pneumonia?!?! Even as a teenager I know this wasn't possible, but she wasn't the type you argued with.

    This may be off topic, but, if I ever have to write a big research paper... I am going to study the efficacy of a bar of soap in the bed to prevent restless legs in elderly women.