Interesting thread. I appreciate the many atriculate and thoughtful comments. I absolutely do not think we should pander to our patients and their biases. I've had patients who are racist, too - and I ignore their comments just as I would ignore any...
Same problems here in rural Washington state - I work at a public hospital, where all the addicts go when 1) they can't score any more drugs and realize they are sick and/or 2) they try to kill themselves/OD and/or 3) they come in with amazing wounds...
Thanks for the tip about injecting the jelly, I've never heard that one before. I picked up a tip from a very experienced LPN that might be helpful for cathing women. You have the woman bear down just prior to insterting the tip - "Just like you are ...
In my facility, we don't always have aides if the census is low, so we to total patient care alone on those days. I had a patient just this week assume I was an aide becuase I was changing her bed and wiping her behind. She was quite startled when I ...
mellomom replied to firstyearstudent's topic in General Nursing
This is such an interesting thread. I have seen these end-of-life pts die a long agonizing death like most of you. The worst was a 90 + yo with multiple medical prob who developed an ileus with end stage dementia, they ended up doing surgery but ther...
mellomom replied to HappyNurse2005's topic in General Nursing
I've read my own chart too... while in the room, waiting for the ARNP who was called out for an emergency. While she was "suprised" I didn't feel she was angry. I discovered she had a horrible transcriptionist! Once I read my son's chart and found a...
Well, I'm (sort of) glad to know the same crap happens someplace other than my facility.... The pain thing makes me crazy, we have alot of orthos and I can't count the times I have started the shift with a furious, painful patient and phone calls fro...
We also have the lopresor 5 mg q 5 min x 3 protocol at our hospital, but I've learned to watch those vitals carefully (in addition to having tele on)... The drop in BP can be very rapid, so i do vitals before i start and before each dose to be sure t...
So does narcan always cause the delirium I saw? It seems when we've given it before, it just wakes folks up (and increases their pain...) but this was so violent... we were wondering if psych hx or anesthesia reaction played a part as well... and it ...
clee, I had to laugh at your post. I've noticed I can tell the addicts by how they respond to ivp narcs - the addicts looove the rush, and everyone else is mad and wants the next dose slower!! lol
Thank you so much! For awhile I thought I'd killed her! Apparently she told the doc/her family that she was "weaning off everything" when in reality she was not only taking her own med but her dead husband's meds too!!
Hello everyone! I am new to this site, and wanted to get feedback on narcan use from other people. Gave some ivp the other day for post surgery respiratory depression (RR