IKnowYouRider 3,558 Views
Joined: Sep 21, '09;
Posts: 58 (24% Liked)
; Likes: 41
Then don't give out OTC to co-workers if you don't want to. Are you being harassed for not giving out OTC meds? If not I really don't understand the issue here.
I've been a nurse for 6 years. Three years LTAC, three years IMCU. I have a strong work ethic, and really commit myself to serving my patients for the 12.5 hours I'm at work. When I start my day, I ask, "How can I best help my patient progress towards a safe and healthy discharge?"
This being said, I checked my email this evening and there's a message addressed to all RN staff about how we need to solve people staying over late. He expresses in the email that this is not a matter of staffing shortages. The hospital has cut positions left and right since I started 3 years ago. It IS a staffing issue and I'm simply done with being a pawn to these hospital systems. I love my work, and do it well, but I love myself and my life more.
@wtbcrna: You're right, only the nurses who have been to Guantanamo are able to question the ethical nature of force feeding prisoners. Also, civilians who have chose not to serve in the military should never question its actions because it's an infallible institution. Thanks for the update.
@nurse2033: Again, I appreciate your post. I wish more intelligent responses could have followed.
Edit: "Where a prisoner refuses nourishment and is considered by the physician as capable of forming an unimpaired and rational judgment concerning the consequences of such a voluntary refusal of nourishment, he or she shall not be fed artificially" (Declaration of Tokyo, 1975).
Unlike the poetic post below by ckh23, I can respect your answer even though I disagree on a few points.
First, I misspoke by stating that 'they haven't been convicted'. What I meant was that many have not been charged, which is even more appalling. But, anyway, that doesn't really relate too much to the subject at hand.
What I don't understand is that you seem to equate involuntarily detainment of mentally ill patients with prisoners at Guantanamo Bay. The only relevant similarity between these two populations is that they are both being held against their will. What really matters when speaking of patient autonomy is mental capacity. Clearly, patients in psychiatric units don’t have mental capacity, but I would argue that the prisoners of Guantanamo do.
How do we know they have mental capacity? Well, they make understandably sound arguments as to why they’re participating in their hunger strike, and their reasoning remains consistent on a day-to-day basis despite being persuaded to change their behavior. Due to their present mental capacity, I think a better comparison would be the hospice patient who decides to stop eating due to unresolved pain, hopelessness, etc. What does the medical profession do in this situation? Well, typically, we let them die. Therefore, I believe we should allow the prisoners at Guantanamo to do the same.
Is this torture? I would have to think so, especially since many of the prisoners being held there have not been convicted of a crime.
Every time the media covers this story, it's always a nurse administering the feeding. What is this doing to the integrity of our profession?
If the military wishes to move forward with these practices, they should leave nurses out of the picture. And of course, military nurses should refuse to take part in such behavior.
I just started working at an LTAC facility and have a lot of patients on vents, so I'll probably have a lot of posts in this section for a while.
Yesterday I had a patient on a trach collar, SaO2 95% on 4-6L of O2 (I don't remember exactly). He had recent bacterial pneumonia infection. LOC probably x1, restless, agitated.
So, he was expelling a lot of secretions through his trach by coughing all throughout the day. I would clean around his trach frequently. Still, he sounded pretty coarse and I asked my orientating nurse if I should maybe deep suction him a few times to help him out. She told me not to because he was expelling a lot on his own and his SaO2 was normal. Is this what your recommendation would have been, or would you have deep suctioned?
I regret going against my best judgement and not suctioning because I now feel maybe his agitation/restlessness was somewhat low Pa02. He was also getting a lot of opiates/benzos, but still....
Pt presents with childlike behavior and jaw-dropping speed.
The side effect of 'osseous mandibular hypertrophy' was just too much too much to bear.
I started my nursing career at a psych facility and then moved to another state. Since then I've been trying relentlessly to get a job and have had tremendous difficulty.
This morning I got a call from a well-known LTAC facility to come in for an interview tomorrow. Thank God. I'm staying open to the possibility that this might not 'be it', but then again, who knows.
For those of you searching, this thread: https://allnurses.com/nursing-job-se...ot-689384.html was priceless. No, really, I was told by the recruiter that she had received my resume from the online application AND from and email forwarded to her by the nurse manager. It works!
Whoa...I'd suggest taking a week to detox cold turkey
There's a lot of ways to be more alert without slowly killing yourself.
I have a lot of personal experience with replacing substances with healthy alternatives. PM if you need some help/advice.
Ha, I've thought about how cover letters for specific jobs might come across this way (as I've done this myself).
I personally think it'd be a little harsh to judge somebody as insincere though if they are taking that much time to write out letters. I know I'd 'sincerely' be interested in working Oncology as I would Cardiac right now.
Anyway, funny to see you've had the same thoughts.
2 years as nurse tech.
Graduated Dec. '11.
Worked as RN for 5 months in Psych.
Tonight I just worked my first agency position. It was the hardest I've ever worked to make money. I'm completely spent, yet I feel I did not provide the care the patients deserved.
I've worked with a Pyxis and electronic charting during most of my hospital experience and this facility I worked at tonight used med carts and paper MARS.
"Oh, so that random, unlabeled obscure binder in the corner is where the vitals are...thanks"
"Which key out of 10 opens the narcotics box?"
I feel pressured to continue to work with the agency because I have no other source of income and money is getting thin. I've applied to SO many positions and haven't even got an interview. Not sure if I should continue to work agency or not..
Thanks for taking the time to defend the article.
Hopefully the article will stay active for a few days.
"Thought the General Petraeus scandal was shocking? You haven't seen anything yet!"
Thought the 'Tom and Kate' divorce was shocking? You haven't seen anything yet!"
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