jetscreamer101

jetscreamer101

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All Content by jetscreamer101

  1. Does anyone working night shift take modafinil?

    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.
  2. C-Pap vs Bi-Pap

    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 ...
  3. Help!!!! Psych Meds

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

    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 co...
  5. Does anyone else see a problem with this policy?

    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. ...
  6. The worst or strangest orders you have seen...

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

    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.
  8. PEG feeds

    That's what I do.
  9. Mandatory 12 hour shifts

    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.
  10. Insurance or no Insurance

    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 ...
  11. to catch a thief?????

    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 m...
  12. Who's got their hand in the Demerol cookie JAR?

    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 ...
  13. Bowel & Bladder Retraining/Maintenance

    Just wanted to let you know the OP last posted in 2003.
  14. Adjusting to night shift--HELP!!

    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. ...
  15. chronic pain patients: pain in the behind to care for

    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. Up...
  16. What kind of error puts a license at risk?

    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.
  17. What kind of error puts a license at risk?

    i do believe that taking someone elses meds to give to someone else is considered diversion. not that most places will report it, but it's still diversion.
  18. Pens

    I prefer these as well.
  19. Nicknames your pt's give you

    I had one LOL that called me "bubbles" (I was quiting smoking so I was popping alot of gum). Her son has always called me "nurse crachet"
  20. Provigil for shift workers

    I took modafinil (Provigil) for about 6 months-1year. I have Sleep Apnea as well as excessive daytime sleepiness. Have thought for a long time that my circadian rythym is screwed up. Anyway, it did nothing for me. I could take it and go to sleep ...
  21. Calling in sick??

    Flame if you must, but an absence is an absence. Doctor's note or not. Sick kid or are sick yourself. Our sick days are for an employee's illness only. I have children, older now, but when they were little I was lucky enough to find back-up sitte...
  22. Cell Phones and Privacy

    I've been in a doctors exam room, he answers his cell, and I heard every part of the conversation regarding the patient they were talking about. (both the caller and the doc I could hear)
  23. legal question

    We are paid for our breaks, and have to stay on site for these breaks. Not that you always get a break....
  24. If you could do it over again, would you choose nursing?

    Do over? Absolutely not.
  25. Non verbal Pt how to communicate?

    There are many different types of communication boards. Do you have a rehab dept? They might have some resources you could tap. I have one patient that is unable to verbalize or make meaningful gestures. She does have facial expressions and is ab...