jetscreamer101

I have taken provigil iin the past though it wasn't because of working nights, although I was working nights at the time. I really didn't feel that it helped me at all. I know others swear by it.

I understand that sometimes the Bi-pap is better tolerated because of the decrease in pressure during exhalation, not as hard to breathe out. There is also a difference in C-paps, they can be a constant one that is always set at the same pressure or a variable one that can be set to like 9-13 and will vary the pressure based on need during sleep.

For me, the repeated looking up of meds eventually gets them to stick in my brain.

Is it possible that patients on assistance programs have been treated poorly in the past so they anticipate problems? I've had to be on assistance programs many years ago. I was treated differently, and yes, it hurt. I can still hear some of the comments directed toward me replaying in my head. With that said, I did have an experience in an ER. A woman and her young son (11-12) came into the ER because he had vomited yesterday. Was fine today, but mom thought he should be checked by a doc. If I remember correctly she was a frequent flyer.

In my previous LTC facility, the dietary dept (I'm not sure who spearheaded this program) eliminated all special diets. No cardiac diets, diabetic diets, none, nada, zilch. Who in their right mind would give regular syrup to diabetics? They did. And whose fault was it when we would get blood sugars over 350? Nursing of course. So we wheedled a smaller portion diet, which really didn't solve the problem. What diet did we have for ESRD and on dialysis residents? Regular diet. No kidding. We ended up having to go through their food preference list and mark those they shouldn't have as dislikes so they wouldn't be served those things. (Dialysis got really irritated when we sent someone with a banana for a snack (dietary did it). I guess No potassium rich foods didn't apply to the banana? Save me from this craziness! (I have since moved on to another facility.

I've seen this on a psych unit that you aren't served caffenated drinks without a dr's order for soda or coffee.

i like that. hope you didn't get hurt falling out of your chair. i used to doze off in the early morning. doesn't happen much anymore.

That's what I do.

Most facilities have something in policy about being able to alter schedules as they need. Unless you are unionized, that might be different. (maybe other states are different though.

I have always had health issues so have tried to at least be covered under one health insurance. I've had many surgeries and illnesses. In 2005 or so, I ended up on a vent in ICU for awhile. Between meds, chopper ride, homehealth, dr's fees, many CT's, etc, when I figured up what was billed to my insurances was over 300,000 dollars. Out of pocket was 500-600 dollars. I'm not sure what I would have done had I not been covered. To make a long story short, go with the one that has benefits.

If you are in management, you could check with your local police and get them involved. The one time I remember it happening (stuff going missing) we involved the police. FYI it was a housekeeper. Good luck. I'm not counting accidentally leaving my locker unlocked and cash went missing. Though it should not of happened, I kinda felt I was asking for it.KWIM?

For many years, the facility I was in only kept schedule II narcs under double lock. Being as I always worked the same unit, I started to notice vicodin being used frequently on someone who had only ever asked me for tylenol. I asked her about her pain, PRN use. She said she only took tylenol. I reported it, and eventually through cart checks, schedule monitoring, and the local police, we found the culprit- staff nurse. (Diverters sometimes take for someone elses use.)

I am starting nights soon. I have such a terrible time with day shift. Early mornings are not for me. I've done evenings before and they were ok. I just know that hubby will have a hard time with it though. He'll wake me up to scratch his back. Well maybe not that, but it's usually for something I see as trivial.

I recently sent 2 people to a pain clinic on the same day. One who is already overmedicated (IMO) came back with lots of orders. The other, no med changes. Pain is so subjective. If you tell me your in pain, I'll medicate. One story though. Upon sitting up, 1'st time 3 days post-op back OR, 3 days of laying flat , my nurse commented that I was the first person she had cared for who smiled when getting up. Not everyone in pain responds the same way, and those pleasant chronic pain sufferers don't stick in the memory as often as the nasty ones.

I have often wished I could read the 11-7 nurse's notes for that night... You can, with her permission, review her medical file from that stay. I found it interesting when I've read my files from hospital stays.