Latest Comments by schoolmack

schoolmack 1,082 Views

Joined: Feb 21, '08; Posts: 28 (21% Liked) ; Likes: 13

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  • 3

    Thank you! For everyone who had constructive advice and specific examples regarding this topic! I believe there was a lot to be learned here. Some should learn how to communicate civilly on a message board but that's another matter
    I think it is easier to know how others deal with frustrating situations at work, whether or not narcotics are involved!
    I think the main thing I gained from this is that pain is real to the pt whether it is physically present or imaginative.. If they think they're in pain and feel miserable then they are... Abusers or severe sufferers! It is our job and oath as nurses to help the pt be comfortable and feel well taken are of!
    The loss of control these pts receive upon admission is my worst nightmare.. I can't imagine being a pt under the circumstances that we put them in! We tell them when to eat, sleep, go to procedures when they can get meds etc... It is a complete loss of personal control!! I truly feel for them!!!
    Thanks again to those who took the time to constructively add to this thread.

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    It is great to get such extensive fees back. It is nice to know this is something other facilities are encountering!
    Thanks to everyone who has contributed!

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    The concern regarding my first thread is being lost on the dosages of medicine mentioned. I struggle to continue to administer medication to pts setting alarm clocks to receive it vs those that are suffering and apprehensive to take meds.

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    I have never not given medication because I "thought" someone was bluffing about their pain status. As stated by other's, the pain is what the pt says it is, and if the PCP ordered it, then if the pt is safe to receive then they will.
    I am just at a point where some of this seems so excessive. I have a CA patient now that is getting 2mg IVP MS Q4, and a pt with SSC who is getting 8mg IVP Dilaudid Q2! Obviously there is a tolerance built with the SSC patient, but some things just don't add up.
    It is truly a customer service issue. We had a patient complain to management because we dilute the pain med. Management then asked that we only dilute in 2cc of NS vs. the 10cc standard flush. It is beyond me at times.
    Frustrating is a mild description.
    Just curious how others felt outside of my floor!
    Thanks for the feed back, it is very interesting!

  • 5
    sharpeimom, nurse671, ksrose1, and 2 others like this.

    I work on a med-Surg floor where dilaudid is prescribed excessively. Especially to chronic drug seeking pts. We have joked that we think some of the pts are setting an alarm to wake themselves up so the can request more IV medication "when it is due" (actually when the time is up and they can get it again) Anyway, we have confirmed this as fact, and I have a problem administering pain medication to someone who is setting a clock to receive it, not because they are genuinely in pain.
    What do you think? How would you handle it? These are frequent fliers and this is a very constant issue!

  • 2
    turnforthenurse and kea98312 like this.

    I hope this shows as a reply to Karen in regards to how over worked and under appreciated Techs are. I just graduated from nursing school in December for my BSN, and I begin my nursing position tomorrow actually. I worked as a tech for over a year while in school. One of the MAIN things I hope to never forget is how difficult and unappreciated the position can be.
    I am not suggesting that the tech who refused to grab the coffee was in line by refusing to do so, but Karen makes a great point. Some nurses become so reliant on techs, that they fail to remember who's patient it really is. When they cry wolf a hundred times a week, the time they really require assistance may be blown off.
    Some techs abuse their ability to pretend like they are too busy... however it is a two way street. I believe that every nurse should have to be a tech before obtaining their RN license. The respect for the position might be a little better understood!
    Working together as a team is the best way to get things done!
    Good thread!!

  • 0

    This thread was super interesting to me. I just graduated from a BSN program and will be interviewing for a surgical services residency.... I think it sounds so interesting... there is a lot of me that feels like I might need the variety that the peri-operative departments will offer or I may go crazy on the med-surg floor! Thanks Colleen!

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    This is an interesting take on your program, and definitely something that I am going to pay attention to as the semester progresses at my school.
    Although I am only in my 2nd year, I wonder sometimes how we are expected to know things, when as you mentioned... we have only just read about the skills etc.
    Thanks for the thread, definitely something I am going to pay closer attention to!

  • 0

    Hi Jennie, Thank you so much! I am going to Mercer's Gerogia Baptist School of Nursing! I am very excited.. and very nervous!
    Congrats on GSU! That is a tough program to get into!
    I am nervous and excited, I am leaving some good friends from the GPC pre-reqs, they are going to Kennesaw!
    I wish you nothing but the best!! Hopefully we will find more Atlanta students going to our schools!

  • 0

    Congratulations on the new addition! I can't imagine going through all of this with 3 kids and one on the way! You are super human!!!
    I have heard the same things as the previous entry... the first semester and the last semester of nursing school are supposed to be the worst! I agree that it is probably to weed out the students that just really won't cut it! I am so nervous about it all, and I am hoping that I can carry it out... but you make me believe more in our ability as woman to achieve everything we want and more!
    Again congrats, and good luck!

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    I would look into it on www.usnews.com they have a list of schools and where they rank etc. I hope that helps!
    Congrats on your acceptance! Very Exciting!

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    No doubt.. I just got to drop my organic chem class.. it cost me about $300 but it is worth it to know that I don't have to agnoize through it all summer....
    Fall clinicals are going to start so soon I can feel it!! Hope all goes well!

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    I live in Atlanta now... I lived in Dallas for about 6 years and moved here about 2 years ago... It is hot hot hot!!! Guess that is why they call it Hotlanta! hee hee...
    My grandparents had a house on the St. Clair River for my whole childhood... I loved it.. I grew up on those lakes!
    I am jealous... Glad to hear someone has no desire to leave the Detroit area! I was so happy when the Red Wings won last week!

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    I am taking Micro this summer too... I love my professor.. he is amazing... Because I am in Atlanta and the CDC is here.. he is an immunologist for the CDC and he is 70 years old.... but he is a classic... if you have any questions or want to bounce stuff off eachother please feel free to touch base for sure!

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    Hi Michiganstudent... where are you located in MI? I was borned and raised in Ferndale, and went to Michigan State for a couple years.. my husband graduated from there in 2000... I miss the lakes big time!


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