grantw9066

1. I prefer to recieve my injections in the dominant arm, but I believe you should ask the patient for their preference. 2. An interesting trick I have used is applying pressure to the site of the injection approx ten seconds before injection. It reportedly fatigues the nerve receptors in the skin and causes less pain during needle insertion. Good Luck!

The only thing that really affects me is a bad upper GI bleed. It is something about the smell of the blood that turns my stomach.

After triaging a pt. from a minor mvc 12 hrs pta with c/o neck pain, I informed the physician of the pt's complaints and questioned the appropriatness of a c-collar. The physician stated, "If she walked in, she doesn't have a break. It is not necessary" I charted exactly what he said. I KNOW I should have just placed the c-collar and let him worry about clearing the c-spine; but I didn't. The doctor saw my entry on the nurses note and stated " Dont put stuff like that on the chart" I stated " I just charted what you said, I just wanted to document that I informed you of the pt's complaints and you did not feel it necessary to place a collar." The physician then stated "If you do it again, I just wont talk to you" ARE YOU KIDDING ME? ARE WE 12 YRS OLD, HE IS NOT GOING TO TALK TO ME!! Please respond and tell me if you think I was in the wrong. (about what I charted, I know now to just put on the c-collar)

The skin prep prevents friction between the bed and the heels. It also slightly toughens the skin. Podus boots can work very well if used correctly. If left on for extended periods of time it can create new pressure ulcers. The best thing you can do for heel ulcers is to completely alleviate any pressure and keep it dry. Dry intact eschar on heels should not be debrided. If localized signs of infection are present or develop debridement is probably your next step.