Luke79AU

This is a positive post, to encourage other males, in a male section of the forums. Why are you in a men's nursing forum making inflammatory comments that have no relevance to the conversation?

Sounds like you were screened with an ELISA dipstick? These are a screen only. Many drugs can cause a false positive. They are presumptive only, until a GCMS lab confirmation is performed. I'd also ask to see the chain of custody forms.

In Australia, only a nurse who'd been brought under a charge or genuine suspicion has to undergo drug screens. Is drug screening for nurses everywhere in the USA? How long has it been that way?

Misogyny is a hatred. It is not a differing opinion. "In most cases, misogynists do not even know that they hate women. Misogyny is typically an unconscious hatred that men form early in life, often as a result of a trauma involving a female figure they trusted. An abusive or negligent mother, sister, teacher, or girlfriend can plant a seed deep down in their brain's subcortical matter." https://www.psychologytoday.com/us/blog/the-mysteries-love/201502/12-ways-spot-misogynist

This is a "men in nursing" section. At least be respectful.

I've had female colleagues ask "are you okay with a man/boy/guy"? Do you ever hear medical say things like that? We can learn a lot from their professionalism.

- Detox is a medical environment. It is not rehab. - "Repeat patients"? Like the diabetic who isn't adherrent to medical advice? - And by the way, diphenhydramine enhances opioids quite well, just as well as promethazine. You may want to watch for serotonergic overload, considering you are giving multiple serotonergic drugs.

This is honestly highly alarming to read. You've illustrated: - A dangerous lack of pharmacological knowledge - Complete lack of understanding of the issue. - Not just a lack of respect, but contempt for your patients. - Disregard for professional standards That's extremely serious,

And this: "I'm generally sympathetic but we got a lot of "repeat" patients. So each patient has a different story or a different game they are playing with you and the docs. There are people truly physically suffering from detox who are there for their first time. Then there are others who have been there 7 times and think it's a joke. So they are treated differently based on needs. " I'm exiting this thread now, but honestly your comments reflect a few things: - An alarming deficit of knowledge of addiction science and pharmacology. - A "health professional" that treats patients according to her or his personal moral beliefs, preconceptions, and biases. - A belief that you are to "correct" and "teach" people, as though they are young children, or you work in a prison system. - Detox is a medical environment. It's not AA/NA or a strict long term rehab. You are there to detox. If there is any compassion in there, the most humane and professional thing you could do is resign from detox.

Repeat patients? Like a chronic asthmatic who has sometimes poor adherence to ICS and LABA preventer inhalers?

Nursing is a caring profession. Those comments were made by those who lack the necessary compassion, ethics, and integrity to earn a place at the table.

For those not in Australia, a B52 is this, correct? Are the meds all given orally, including the haloperidol? Why are first generation antihistamines used off label for sedation? There are many risks in this. If serious harm in the patient results, medical will also have to explain the use of a H1 antagonist for sedation. I'd rather not be trying to explain that to the coroner. • Benadryl 50 mg (Diphenhydramine) • 5 mg Haldol (Haloperidol) • 2 mg Ativan (Lorazepam) We use IMI midazolam and haloperidol. That chills the ED out nicely

It's like pain. 7.5mg of slow push IV morphine can depress respiration to a dangerous degree in some patients. Others might need 30mg to settle pain. Observe your patient always Also, diphenhydramine exerts clinically significant serotonergic effects. Combine that with another serotonergic drug, and agitation could increase. Ask the next doctor you see about that. Many will not be able to answer satisfactorily.

Because they're assumed guilty, until proven innocent. Demand to see a Chain of Custody? They'd just kick the patient out. It's more like parole than healthcare. Also, remember that dipsticks and the like are a drug screen, not a test. Results are presumptive only, and need to be confirmed in a lab (GCMS)

Any use of product names, not drug names.