NayRN 5,710 Views
Joined: Oct 26, '11;
Posts: 127 (60% Liked)
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if they've had it before and the same dose as before, slam it within the hosp policy or your guidelines and be done. Hospital admissions where the treating diagnosis is not addiction; nurses have no standing to try to treat and control narcs if a patient is in pain. Hanging it in an IV? I'm happy I'm not there!
If I'm in pain, give it to me over a minute or slam it or whatever...who cares?
So they get a high feeling at first; big deal. That's what narcs do!
Hanging it in an iv to avoid a high is an asinine policy. Push it and watch em and if they get a high feeling, you know it's working. Treating addicts is no big deal if you know how to deal with them but it's apparent the label has more power than reasonable treatment. My guess is a place like that is weaning them day one postop if they've got a tolerance. When it comes to pain relief, I don't mess around. If they say they're in pain or an addict that's in pain (addicts have pain, too) then I don't delay, give whatever it takes within the standing and scheduled orders enough to stop their voicing pain. It's soooo easy!
If they need to address their addiction it will be initiated by them when the time is right and that's where I come in. Post acute admission is the time to address their addiction. Controlling narcs like control freaks in a physical acute setting WILL create more anxiety and therefore more pain. They should read the pain control guidelines. Pain is subjective but when they're obviously calmed, they bother me less then on discharge day we can address their plan for addiction treatment and instruct them how to wean down at home before addiction treatment.
I see what you're saying but, I also see it differently. Yes I agree medicine & nursing are different. But it's not impossible nor unheard of to start from the bottom and work your way up.
I can't choose either answer to your poll as neither one fits.
This decision doesn't mean women will not have access to birth control.
Hobby Lobby only had issues with four of the 20 contraceptive methods approved by the FDA, specifically those that are proven to interfere with uterine implantation of a fertilized egg, such as hormonal contraceptives like Plan B or IUD's. Because of the belief that a fertilized egg is the act of conception and therefore stopping the egg from implanting into the uterus causes the death of that embryo, a human being dies.
Viagra is not the same thing as this at all. An erection and a fertilized egg are simply not the same.
People can certainly disagree about when human life begins. However, in order to understand why people think the way they think, understanding where they come from helps us all.
The ACA (Obamacare) doesn't guarantee that health plans cover it - Obamacare would never have passed with such a guarantee. And this is based on the Religious Freedom Restoration Act passed overwhelmingly by both houses of Congress and signed by Prez. Clinton:
The high court's decision in the Hobby Lobby case refocused attention on the Religious Freedom Restoration Act that passed Congress overwhelmingly in 1993, with the support of some lawmakers still serving in both the House and Senate. The statute requires federal laws to accommodate individuals' religious beliefs unless there is a compelling interest at stake that can't be attained through other means.
One of our emerg docs is also a cardiologist, and happens to practice acupuncture... He uses it frequently on people with migraines in emerg and the patients love him/it. I don't think it's a load of crap and I'd be happy to see someone tell him they think he's practicing nonsense!
She did not have "dispoable income" as a CNA. She was getting handouts from the govenment. Now she has a job that gives her enough to pay her own bills so I don't have too. Sorry, but that whole paragraph with the income breakdown is a big fat welcome to the real world and grow up.
1 Nursing school is a guide but not reality.
2 You are not really expected to know everything.
3Listen to others experiences but develop your own practice.Every nurse has something valuable to offer including you!
4 Remembering the phrase "Everyone is doing the best that they can in this moment with what they have,
(This will lessen your judgement of other staff,pts and most importantly yourself! )
5 Don't strive for super nurse. You are enough as is (that took me 10yrs!!! )
6 Frustration is normal tomorrows a new day.
7 Choose to be kind.
Well, speaking from a Christian point of view, IF you apply and IF you get the job, my guess is that God is truly LEADING you TO that job! He has reasons for all He does. May you hear His voice in the choices you make!!!!
It's All About Women
A sweet lesson on patience.
A NYC Taxi driver wrote:
I arrived at the address and honked the horn. After waiting a few minutes I honked again. Since this was going to be my last ride of my shift I thought about just driving away, but instead I put the car in park and walked up to the door and knocked.. 'Just a minute', answered a frail, elderly voice. I could hear something being dragged across the floor.
After a long pause, the door opened. A small woman in her 90's stood before me. She was wearing a print dress and a pillbox hat with a veil pinned on it, like somebody out of a 1940's movie.
By her side was a small nylon suitcase. The apartment looked as if no one had lived in it for years. All the furniture was covered with sheets.
There were no clocks on the walls, no knickknacks or utensils on the counters. In the corner was a cardboard
box filled with photos and glassware.
'Would you carry my bag out to the car?' she said. I took the suitcase to the cab, then returned to assist the woman.
She took my arm and we walked slowly toward the curb.
She kept thanking me for my kindness. 'It's nothing', I told her.. 'I just try to treat my passengers the way I would want my mother to be treated.'
'Oh, you're such a good boy, she said. When we got in the cab, she gave me an address and then asked, 'Could you drive
'It's not the shortest way,' I answered quickly..
'Oh, I don't mind,' she said. 'I'm in no hurry. I'm on my way to a hospice.
I looked in the rear-view mirror. Her eyes were glistening. 'I don't have any family left,' she continued in a soft voice..'The doctor says I don't have very long.' I quietly reached over and shut off the meter.
'What route would you like me to take?' I asked.
For the next two hours, we drove through the city. She showed me the building where she had once worked as an elevator operator.
We drove through the neighborhood where she and her husband had lived when they were newlyweds She had me pull up in front of a furniture warehouse that had once been a ballroom where she had gone dancing as a girl.
Sometimes she'd ask me to slow in front of a particular building or corner and would sit staring into the darkness, saying nothing.
As the first hint of sun was creasing the horizon, she suddenly said, 'I'm tired.Let's go now'.
We drove in silence to the address she had given me. It was a low building, like a small convalescent home, with a driveway that passed under a portico.
Two orderlies came out to the cab as soon as we pulled up. They were solicitous and intent, watching her every move.
They must have been expecting her.
I opened the trunk and took the small suitcase to the door. The woman was already seated in a wheelchair.
'How much do I owe you?' She asked, reaching into her purse.
'Nothing,' I said
'You have to make a living,' she answered.
'There are other passengers,' I responded.
Almost without thinking, I bent and gave her a hug.She held onto me tightly.
'You gave an old woman a little moment of joy,' she said. 'Thank you.'
I squeezed her hand, and then walked into the dim morning light.. Behind me, a door shut.It was the sound of the closing of a life..
I didn't pick up any more passengers that shift. I drove aimlessly lost in thought. For the rest of that day,I could hardly talk.What if that woman had gotten an angry driver,or one who was impatient to end his shift? What if I had refused to take the run, or had honked once, then driven away?
On a quick review, I don't think that I have done anything more important in my life.
We're conditioned to think that our lives revolve around great moments.
But great moments often catch us unaware-beautifully wrapped in what others may consider a small one.
Years ago I accompanied a very distinguished OB doc to do a vag exam on a grand multip (her 11th baby) also this patient was rather large. Outside it was a raging thunderstorm, just as the doc started the vag exam a clap of lightning and boom, the lights went out. Without missing a beat I heard this very quiet little voice say, "Oh my God, I've fallen in." I thought I would die laughing. Even the patient and her husband thought it was hilarious. I never looked at that rather stuffy, dignified doctor the same after.
Unfortunately, I don't think your butt-kissing HR departments would be real happy with it!
Another poster has mentioned that Paul Ryan has proposed a plan that cuts the same amount from Medicare. Yes, this is true. However, it should be realized that 1) in acting as a leader, he has a plan (which can be debated and modified) and is putting his name to it, and 2) there actually is a plan, in contrast to Obamacare in which the plan is to have someone else who is immune from the voters come up with the plan.
... By law, a panel of government officials will be empowered to make changes to Medicare ...
Good answer, Online.
However, melly asked that question over 2 1/2 years ago and hasn't visited AN.com for nearly two years.
I wonder if melly ever found out the difference or is now a practising Nurse continuing to confuse Wellness and Promotiuon nursing Dx.
Perhaps we'll never know...
You can't fix stupid.
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