thisnurse123

-error it should read 0.25 ml not 0.25 mg

Hopefully no more causing trouble because no matter how much I try to avoid it I find myself in trouble. And I aspire to be professional and well put together.

What are the best ways to keep yourself quiet at work?? Self talk down isn't working out too well for me.

Just be honest on your application and see what happens.

this makes since if they passed 4 hours after or even the next shift after

Over heard a convo, basically someone stabbed someone else and got away with it. Then the other nurse was talking about true crime shows and patient murders. Can these people lose their license or??? I looked the other way but wow

Is 0.25 mg of morphine enough to cause a death if you administer only one dose and it's the only dose the patient had? My other coworkers are calling this nurse the angel of death and I think it's inappropriate.

The death bath is apparently a myth: Association between Bathing and Survival in Patients with Advanced Cancer in Their Last Days of Life: A Prospective Cohort Study

Recently it seems ERs do not want transfers from nursing homes for GI bleeds. Thoughts on how bigger cities can get these patients the care needed? I understand nursing homes can monitor labs but outside if a bleed is bad 10/10 transferring for a transfusion is the best. The EMTs tend to have bad attitudes about this and the hospital providers. I am not understanding why.

Yep after DON waited four hours to give me a login. "I couldn't do the med pass on time.

It's called charting by exemption. Most SNF's are focusing on the skilled patients for charting and vitals. Outside of this when I give report I don't add extra fluff. If a patient has a coc I call write an SBAR and report. Never give report about something unless it's charted. It causes problems and gossip.

Most nurses and doctors have sociopathic personalities/ narcissism according to studies...but not more than the general public. you'll fit in. Keep patients safe. Be respectful. "Nursing professionals exhibited a significantly higher level of secondary psychopathy than medical professionals (p = 0.04, mean LSRP score 20.3). Within the cohort of medical professionals, surgeons expressed significantly higher levels of narcissism (p = 0.03, mean NPI score 15.0).” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4674404/ https://www.hcplive.com/view/medical-profession-is-attractive-to-psychopaths

Recently more hospice patients have been admitted to the unit. A few nurses have pointed out improper training for care. The director wants morphine 0.25 ml/5mg q 4 hours scheduled for some and PRN for others. The seasoned nurses are requesting 0.25 ml/ 5 mg PRN q 4 only. One nurse has voiced concern after a sentinel event in the past where they had a patient on the PRN dosing. I guess another nurse gave the PRN dose and after 4 hours one more PRN per the patients request and the patient passed that day after the second dose. Well apparently she was blamed for the patient death following policy. The patient had a last rally and didn't show signs of passing. Some nurses don't even feel comfortable giving the morphine. What is the best way to navigate this situation?

Thanks for teaching :) hopefully another student will find this useful as well and not assume crackles are from the eldery being mostly bed bound :) This feedback defintitely helped me think deeper about the patient.

Haha yeah urosepsis which isn’t funny? but hard to prevent in elderly https://www.thoracic.org/professionals/clinical-resources/quick-hits/dyspnea-and-recurrent-urinary-tract-infections.php Made my noodle think ? https://www.news-medical.net/amp/news/20131009/Asthma-infection-risk-goes-beyond-the-airways.aspx