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Joined: Jun 21, '10;
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Funny story about diversion (b/c most of them aren't) - I worked a pool shift at a free-standing hospice facility. they had their own pharmacist and they didn't count narcs!! this was in the mid 90's. I worked there for a week and we kept running out of Lomotil. I knew when I had gotten the first dose of my shift there was a full bottle. I asked the other nurses if they were using it (it's rare to use Lomotil a lot in hospice) and they said no. I reported it to the manager, who said she would look into it. One of the nurses was accused and fired. A week later, a pick up a pool shift in a private psych/AODA unit on the noc shift and who's there? the pharmacist from the hospice, who tells me he was severely addicted to Lomotil!! I guess they had started counting narcs, so he went into treatment. Lomotil, seriously?
What is the survival rate for 87 year old arresting outside of hospital? If a defibrillator is on hand...even if you try it you do no harm. But CPR can be devasting when applied to the wrong patient and an out-of-hospital arrest in an 87 year old is a lucky death for her. I can't believe so many people are willing to participate in CPR in someone who has zero chance of intact survival. We are supposed to people of science and do the best for the patient by using FACTS, not moral one-upmanship. And besides, we have no knowledge of the facts in this case and probably never will.
I'm a white dude (and a minority by a LONG shot where I live), and I have been removed from caring for a baby twice at the request of parents. Once because I was a dude, and once because I was white and they wanted only Hispanic nurses.
I neither sued nor ended up on CNN either time. Hmm. Maybe I should have. Or maybe I should have gone on about my business, not letting it bother me...just as I did.
That awkward moment when you're collecting a UA via straight cath on a 60 y/o psych patient who thinks she's pregnant and as you're removing the cath she looks down and says "Did you get the whole baby out? I really don't want it."
Or...that awkward moment when you walk past a male room and hear your CNA exclaiming, "Congratulations it's a boy!" then you walk in just in time to see the CNA removing a bedpan with the biggest BM you've ever seen.
I used to have a CNA who would describe to me the residents' BM's by comparing them to the length of her arm. So funny...
I agree that I would love to see the proprietary borderline-scam "schools" outlawed. Beyond that, I still think it is the responsibility of the student to make informed choices. No one tells people they can't major in music or philosophy if they want to, because there aren't many jobs available -- I don't see this as any different. A basic aspect of adulthood is that you make choices, and you live with the consequences.
A fellow nurse approached by a family member at the nurses station looking for his wife, she got the name and then said "oh I'm very sorry, she passed away". The guy went chalk white, then she grins and in her usual chirpy voice said "i was only messing with you, shes in bed two". I stood by speechless.
It is great when a family member understands that nurses are only human and the great majority of us are doing the best we can. The family member that is just there to help the patient and is friendly and a partner to the nurse can be a huge blessing. But as society gets more demanding and hostile there seems to be an ever increasing number of very unhelpful people who want to jam up the patient rooms and use the opportunity to demand red carpet treatment not only for the patient but for themselves as well. We are not staffed for this. If the facilities want these people there then the hospitals need to hire hostesses and life care coaches etc. for the family and let the nurses get back to trying to nurse the patients. Sure it's rough on the nurses when the hospitals put "customer" satisfaction above patient care but it's even worse for the poor patients.
Well this pt who disconnected her IV cental line tubing was a little "off" and I am sure she did it at other hospitals. I think she just did whatever she wanted. Sometimes it is impossible to reason with a patient. She ambulated to the bathroom but she just did not want to wheel the IV pole. I also once had a youngish patient who faked her way into the hospital (again some mental issues) with bowel obstructions and the amount of IV pain meds/anti anxiety, anti itch, etc. was a killer. I was drug pushing all night. She always said she threw up but no one ever saw it. She refused NG tubes and she had a hidden stash of food. What can a nurse do? Some people are just not mentally with it and unable to ever reason with.
"at the other hospital they let me"
So why did you come here then?
Just last night, a pt asked one of the nurses for one of our "star" cards so that she could write one for the nurse "with the dark hair that's in a bob," which is me. I had had the pt the previous 2 nights, and the pt mentioned my name when the charge nurse rounded at the beginning of the shift. However, by the time she asked for the card and wrote on it, the name on the card was "Nika." Nika is not my name, and in fact, only the 'a' is even in my 5 letter, fairly simple, fairly common first name. The charge nurse did clarify that she was actually talking about me. For the rest of the shift, I was referred to as "Nika" by my co-workers. I guess I should be happy that I'm not being disciplined for her not remembering my name. =)
So I told the CI "no because I don't feel comfortable doing it and I dont think I should be doing it alone as decision making and participation should include the group". The CI wasnt happy and insisted that I do it and I finally said "ok it will be done as a group"..I also pointed out to the CI several errors she made and questioned her reasoning..
In this circumstance I would certainly give the insulin, then check the glucose later in about 30 minutes. Food is not the only thing that makes glucose rise.
I'd suggest, if you haven't discovered it already, avoiding all threads/posts with the words "CA BON" in them. It's my small contribution to your overall peace of mind.
Med/surg IS my specialty, though people don't always think of it that way. I'm always being asked, "When are you going to specialize?" The answer is, I'm sticking with med/surg!
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