Jump to content
2019 Nursing Salary Survey Read more... ×
medteleER

medteleER

Registered User

Reputation Activity by medteleER

Reactions Received

Like 12
Haha 2

  1. Like
    medteleER got a reaction from Workitinurfava in Written Up   
    i'm not sure if there were adverse effects, but according to allnurses.com there might have been or was.  believe it or not, the patient dropped off a daisy award nomination for me. 
  2. Like
    medteleER got a reaction from Workitinurfava in Written Up   
    i'm not sure if there were adverse effects, but according to allnurses.com there might have been or was.  believe it or not, the patient dropped off a daisy award nomination for me. 
  3. Like
    medteleER got a reaction from Workitinurfava in Written Up   
    i'm not sure if there were adverse effects, but according to allnurses.com there might have been or was.  believe it or not, the patient dropped off a daisy award nomination for me. 
  4. Like
    medteleER got a reaction from Workitinurfava in Written Up   
    i'm not sure if there were adverse effects, but according to allnurses.com there might have been or was.  believe it or not, the patient dropped off a daisy award nomination for me. 
  5. Like
    medteleER got a reaction from Workitinurfava in Written Up   
    i'm not sure if there were adverse effects, but according to allnurses.com there might have been or was.  believe it or not, the patient dropped off a daisy award nomination for me. 
  6. Like
    medteleER got a reaction from Workitinurfava in Written Up   
    i'm not sure if there were adverse effects, but according to allnurses.com there might have been or was.  believe it or not, the patient dropped off a daisy award nomination for me. 
  7. Like
    medteleER got a reaction from Workitinurfava in Written Up   
    i'm not sure if there were adverse effects, but according to allnurses.com there might have been or was.  believe it or not, the patient dropped off a daisy award nomination for me. 
  8. Like
    medteleER got a reaction from murseman24, BSN, RN in Written Up   
    and i'd add some dilaudid for pain and benadryl for the itch. lol.  believe it or not we have patients here that receive all of that.  maybe it's just where i'm working.  
    anyway.  thanks everybody for the posts.   
  9. Like
    medteleER got a reaction from murseman24, BSN, RN in Written Up   
    and i'd add some dilaudid for pain and benadryl for the itch. lol.  believe it or not we have patients here that receive all of that.  maybe it's just where i'm working.  
    anyway.  thanks everybody for the posts.   
  10. Like
    medteleER got a reaction from KatieMI, BSN, MSN in Written Up   
    how exactly would you approach this?  i am asking, not being contentious.    we care of patients like these frequently, with "patient advocates" who somehow manipulate (maybe that isn't the correct word) the MDs into prescribing meds like dilaudid, benedryl, trazodone, xanax, ativan, librium, phenergan, seroquel, gabapentin, amitriptyline, restoril in 1 sitting. most are scheduled and cleverly labeled PRN.  
    i once questioned some orders being "not safe" and was grilled by the an MD and charge nurse. roughly, "if the vitals are stable, you have no reason to deny a patient their medication."   even if i spread medication out an hour apart, some do not metabolize out in an 1 hour.  and i'll get terminated for time management issues.  any ideas?
  11. Like
    medteleER got a reaction from Daisy4RN in Written Up   
    all i wanted to do was help my patient sleep and not wig out.  the patient told me "the MD ordered 1mg of xanax for me", but the orders didn't reflect this.  so i took their word for it and got creative.  i figured 0.5mg+0.5mg = 1mg, so let's try that.  since 1 was for sleep, and 1 was for anxiety, it would be OK, i thought. i did take into consideration 1mg of xanax isn't going to kill the person. but now i'm not so sure.  i actually feel bad about this.
  12. Like
    medteleER got a reaction from Davey Do in Written Up   
    The oncoming shift charge nurse got on me about "double dosing" a patient.  MD had (2) specific orders PRN:
    1) xanax 0.5 mg for sleep
    2) xanax 0.5 mg q8h for anxiety
    I gave BOTH of them because the patient claimed being anxious and wanted something to sleep.  My charge nurse pulled me to the side afterward and stated she was going to write it up.  The patient was VSS in the morning.  I'm not sure how I should be feeling about this. 
  13. Like
    medteleER got a reaction from Daisy4RN in Written Up   
    all i wanted to do was help my patient sleep and not wig out.  the patient told me "the MD ordered 1mg of xanax for me", but the orders didn't reflect this.  so i took their word for it and got creative.  i figured 0.5mg+0.5mg = 1mg, so let's try that.  since 1 was for sleep, and 1 was for anxiety, it would be OK, i thought. i did take into consideration 1mg of xanax isn't going to kill the person. but now i'm not so sure.  i actually feel bad about this.
  14. Like
    medteleER got a reaction from JKL33 in need advice, telemetry and ER   
    it IS NOT the policy to spend time on the tele unit, prior to transferring to the ER.  though  it IS POLICY that I have to spend 6 months there if I do transfer... meaning I will be stuck there for 6 months.  
    I am going to make contact with the managers as soon as I can.  I would definitely want to shadow somebody in the ED, if I can. 
     
×