The problem I have with "pain as a vital sign". Is that the "1-10" scale isn't measureable. Someone mentioned a patient with "10/10" pain, that later rated as "20/10". Someones pulse can go up....
I shake also, sometimes pts. notice and ask if I am ok/nervous/etc. I believe in my instance it is a side effect of one of the meds I am on. It doesn't get in the way of my skills. I am a pretty...
Pat_Pat RN replied to nitenite's topic in Nursing Humor
"The confused patient" is what gets me. I can't stand working with the confused little old lady or man that can't remember anything, except that they have this call button. Or the ones who just yell...
Pat_Pat RN replied to littleRNthatcould's topic in Emergency
We don't have security. I'm the only male RN in the place. We do have a locked unit though. But like someone else said, all anyone has to do is say, "I need to see a doctor." and in they come....
I also have read the website, and am confused. I thought it was to facilitate SQ infusions, but the pictures show IV's in the AC's. So I don't know exactly what it is
Pat_Pat RN replied to srknurse's topic in Emergency
I almost always start my cath, pull the needle and connect a 7"? (we call it a pig tail) with an empty 12mL syringe via a PRN adaptor. I then draw blood via the syringe, slowly. Filling the 12mL...
How are you able to believe anything a patient tells you when you have proof that they have lied about some of the things they tell you?? How can you care for someone when you never know if anything...
I don't care about this type stuff on a general basis. And it never affects the care I give. I do my job very well, I treat it as more than a job. I don't WANT to touch these people, much less...
If you are up front and when you are triaged say, "I'm on Oxycontin". Then when it comes back in your system (at leastt in my mind), I don't care. You have an RX for it. It isn't prudent to the...
I remembered something about a drug causing false positives for THC. Turns out tthat Protonix can cause false positives on urine drugs screens. This pt. is taking Protonix. So, I will admit, it...
I believe they have pain. I also believe they should get with a doctor and get it taken care of, not self-medicate with illegal substances, then come to the hospital sayinng they hhaven't taken...
What about someone who is wanting pain medicine, who has a drug screen positive for opiate and cocaine that is still telling you that they need something for the pain......"Oh, it's killing me....the...
Potassium this last weekend, sent to the floor from the ER, 7.6. Essentially not treated. I called the doc, he said they'd talked to a cardiologist, they said he'd be ok.....okie
Pat_Pat RN replied to cherubhipster's topic in General Nursing
I've often wondered if I was normal because people dying doesn't bother me. I had two pts. die this last weekend, and two more I thought were going to. We are just a small hospital, I had 5 pts....
I often said when I was a Basic EMT, "It is amazing that I can triage patients in the field, in a car, upside down, in the dark, in the rain...but I can't when they walk in the ER??" One of the nurses...
Pat_Pat RN replied to Proverbs 16:3's topic in General Nursing
Our needle-stick packet has all kinds of info on this. I'm at home though. But I've had two needle sticks so I've read it before. If I remember right the papers say HIV is 0.01% chance an Hep C was...
When I worked ICU I hadn't passed the boards yet, so I didn't get to do a whole lot. So I don't have a whole lot to base anything on. Med/Surg is "ok", not my favorite. ER is by far my favorite....
how hard is it to get into a field you want to...(i would like to work in icu or er or surgery...although i know this might change after nursing school and being exposed to different areas)? this will...