Ok....don't flame me ....questions for ya...

Nurses General Nursing

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Hey all,

Ok...so I interviewed for this telephone triage job yesterday and I'm really, really excited!!! It's at the same facility...just clinic versus hospital med/surg. Anyways....while I'm excited...I'm also kind of nervous. I just love my current nurse manager...she is so kind and good to me! I have endometriosis and my "cramps" (sorry for the TMI) are just horrible. Currently..I am taking vacation days and/or requesting off days during my period...which my NM is very supportive of...she says it's better than calling in sick. Anyways...I'm not so sure my new NM (if I get the job) would be this flexible. I'm hoping I will just be able to work during my time of cramps because face it...it's not nearly as physical as med/surg. I'm wondering though...since I'm not dealing in direct patient care.....would taking a Vicodin if I absolutely needed to...be permissable?? I would never do that while working on med/surg....but could I in tele triage?? I only take one when I absolutely cannot stand the pain....I've been taking them on a very prn basis for a few years now..so I know how they affect me. I don't get "wacked out" on them....if anything..my husband says I just talk more...which would be good in tele triage right...lol.

Now..I'm not saying that I would definately take one at this point....I'm just curious of what you guys thought?? I really want this job and if I get it....I don't want to be missing a lot of work right away..u know? I don't really want to mention the endometriosis for awhile either..(again..if I get the job)...or do you think it would be better to bring up the fact that I have it and do have a lot of chronic pain because of it??? I just don't want her to reget hiring me or anything...u know? Endometriosis stinks!!! Any advice, help,etc would be appreciated....thanks so much..

luv,

snoop'

Specializes in Education, Acute, Med/Surg, Tele, etc.

I have adhesions from a c-section...if I move the wrong way I torque my insides and start bleeding, and blood in the abdomen/pelvis that isn't suppose to be there...well as you know with your condition...causes 10/10 searing pain!

I found...and I would ask you MD about Toridol! I couldn't believe a non narcotic could work so darned well! Best if done IM injection (which my MD allows me cause lets face it..I am RN and he knows it..LOL!) and I go from 10/10 on the floor rolling and trying not to scream pain when it happens...to okay in 15 minutes!!!!!! (well still feels like someone kicked me in the gut...but that I can handle!).

A smart ER doc...after three years of going to the ER for this finally put me on it...it worked so well. Nice anti-inflamatory that takes care of the REASON behind the pain vs just masking the pain with narcs! Heck, after 15 minutes I can even work (slowly but can).

Why don't you ask your PCP about it...I am so glad I did!!!!!!!!!!! (and I have friends with endometreosis that tried it and finally FINALLY found relief!).

Good luck, hope this suggestion helps you find an alternate solution to narcs!

HI everyone,

Thanks for your insightful advice. Yeah....the more I think about it...the more I personally do not feel it's right to take Vicodin at work. I feel so stuck between a rock and a hard place. I really want the new job but I'm very afraid of not having my new NM understand my situation. I do agree with what a previous poster said though....I do feel that I could give better advice "comfortable" and not in pain than in pain. That's why I've been taking vacation days during my "cramp time".....the pain is so bad that i literally cannot concentrate or think even. The job is four shifts a week so hopefully I wouldn't always be scheduled during times of pain...(wishful thinking :) I do have a fair amount of vacation (pto actually) time saved up and since I"m staying in house...all of it will transfer over. Maybe I'll just try to stick it out for awhile and then eventually maybe I could start requesting some pto time again. It is my pto time to use...right? I just happen to take one or two days at a time versus taking three weeks off in one crack. Actually...you would think that it would be better for them that I do it that way....that way they don't have to worry about covering a long amount of time at once...u know? Now this is all contingent (sp?) on me actually getting the job..lol..I haven't gotten it yet... :uhoh21:

As far as those asking about what treatments,etc I've tried....I've tried everything....Lupron, continuous bcp's, and have had two surgeries. It just keeps coming back:uhoh21: We have been trying to conceive for awhile now too..which also isn't going very well. I also have pcos which gives me sort of a double whammy in that respect. Now...I certainly haven't said anything about me trying to get pregnant...eeek. I'm almost tempted to stop trying for awhile...if I did get pregnant right away after starting the new job...I would feel bad about that too. Gosh...I just wish I could be normal!!! This is just a very stressful time for me right now....and I guess I basically need to vent..so thanks for listening to me. I would also be very interested in starting a forum for nurses with chronic pain......I'm sure there are a lot of us out there!!!! Ok...I best go..thanks again...

Luv,

snoop;

Specializes in Med-Surg, Geriatric, Behavioral Health.

ILoveSnoopy, since this thread has answered your question and that you have started a new thread regarding dealing with chronic pain (how do others cope with it?), may I close this thread?

Wolfie

Specializes in med/surg, telemetry, IV therapy, mgmt.

Hi, IloveSnoopy

The triage line I worked on was busy all the time with calls waiting to be answered with the exception of the night shift when there would bit a little bit of a lull during the middle of the night. It didn't last long because we took calls from all over the country so it is a different time zone in different places. I don't think they would be hiring people into telephone triage positions if there wasn't enough work for them. Also, unless your company is very, very behind the times, everything you will be telling callers and charting will be on the computer screen in front of you, or you will have some kind of written protocols right in front of you that you will be required to refer to. So, you will be busy looking up information to tell callers one way or another. I'm sure you will be busy during your shift if you get offered this job. So, you know yourself better than anyone if you should be taking any pain medication while you are at work. You also have the option to take only half a tablet of a pain medication. Just a personal thought for you. . .I had a lot of GYN problems and bleeding over the years. The best thing to happen to me was a hysterectomy. It was like magic, cleared up all my problems and I stopped contributing to the yearly sales of Kotex. :yeahthat:

Thunderwolf,

Yes you may close this thread if you wish. I understand what you are saying by this not being a forum for 'medical advice' but I did find many of the replies very helpful. Thanks:)

Hugs,

snoop'

Specializes in Med-Surg, Geriatric, Behavioral Health.

Thread closed.

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