hjmcenti

It really hurts me to hear this! I would like to know what school you are going to!! I work on a med/surg unit and at least 5 out of my 6 patients receive a narcotic pain med at least once in a day. If someone is laughing that does not mean that they are not in pain, it simply means that they are finding ways to deal with it until relief comes. You will always get your "drug seekers", but for every 1 drug seeker you will have 10 that are in true pain. For the sake of your patients, PLEASE do not judge them. Everyone has their own way of dealing with pain. Put yourself in their shoes and think of how it must feel to have to ask for Morphine every 3 hours. Of course they're watching the clock, they are in PAIN!

Heparin is ginen anywhere on the abd, but keep lovenox on the outside areas of the abd, "love handles" due to hematomas. Lovenox can be dangerous if given too close to the belly button?

We learned about ztrack method in school. It supposedly is less risky to the sq tissue because the med is less likely to leak out after injection. I don't think that it makes much diff with pain or bruising? I try it with heparin and lovenox when I have the time!

It is important to stop a transfusion if the pt gets a temp during the transfusion because this can be a sign of a reaction. But most likely a patient in need of a transfusion is pretty sick and will have some abnormal vitals to begin with. Definately give Apap, but only worry if the temp increases significantly during the transfusion.

By wasting the first 10 cc you ensure that it is clean venous blood c no contamination from the outside port. Also, it is very important to clean the port c betadine and let dry a full 60 sec before taking a sample when drawing blood cx.