fab4fan

fab4fan

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All Content by fab4fan

  1. Losing Nurses!

    fab4fan replied to ShayRN's topic in General Nursing

    It's totally inappropriate to tie raises in with "extra shifts worked." Fine if you're single, have no kids; people with families or other responsibilities don't have the same flexibility. And even if...

  2. Can Someone Be a Nurse Without Jean Watson??

    fab4fan replied to Q.'s topic in General Nursing

    SimilingBlueEyes wrote: Ironic, ain't it? Here's how I feel about the ANA and their "position": "Hey you, you loser diploma/ADN...you're not a professional and you are dragging down the nursing...

  3. Friend who's meds are making her worse...?

    fab4fan replied to rambisisking's topic in General Nursing

    Please, please be very careful about disclosing personal info on this (or any other) site. There's enough info here for someone else who knows your friend to know who you're talking about. You've...

  4. Simple Pleasures of Hospice Nursing

    fab4fan replied to Katillac's topic in Hospice, Palliative

    Calling a doc you've never dealt with before for orders for a patient and having the doc say "You tell me what you want...you're the

  5. Please help new grad - situation with pt (long)

    fab4fan replied to mstigerlily's topic in Ob/Gyn

    mstigerlilly wrote: Please tell me this pt was not getting dilaudid and nubain...BIG BIG

  6. Please help new grad - situation with pt (long)

    fab4fan replied to mstigerlily's topic in Ob/Gyn

    Remember this the next time you feel like you can't say something because you don't have anything specific, just a "gut feeling" that something is wrong with the pt. I'm one of those "gut feeling"...

  7. med admin mistake...confused...

    fab4fan replied to GrnHonu99's topic in General Nursing

    Yes, it should have been a red flag. But this is ridiculous; there were people advocating for the nurse's license to be revoked/restricted, or suggesting that the BON be called. And people wonder why...

  8. Narcan and PCA's

    fab4fan replied to dosamigos76's topic in General Nursing

    If the pt was in that much distress, why not just bring the crash cart into the room instead of running back and forth? What if he'd needed more than just Narcan? Valuable time is lost doing that. We...

  9. med admin mistake...confused...

    fab4fan replied to GrnHonu99's topic in General Nursing

    And, while this may sound harsh too, someone who is only just starting nursing school really is not in a position to be passing judgement on the practice of a nurse who has been working for years....

  10. med admin mistake...confused...

    fab4fan replied to GrnHonu99's topic in General Nursing

    OK, so your mom didn't actually witness this; she was told this by the charge nurse, and now you're relating it. So what we have is a third-hand account of something that may or may not have happened...

  11. Palliative Care and Euthanasia

    fab4fan replied to bracken's topic in Hospice, Palliative

    You are obviously not understanding me; I never let someone experience needless pain just to see what dose he/she needs. Those are the same guidelines hospice follows. Again, if you want to deviate...

  12. Palliative Care and Euthanasia

    fab4fan replied to bracken's topic in Hospice, Palliative

    Ehm, those guidelines are far from archaic. And now I really am done.

  13. Palliative Care and Euthanasia

    fab4fan replied to bracken's topic in Hospice, Palliative

    No, I mean if you gave it to the pt once, would you just give it again because you assume since he had it once, he'll have it again? The whole point of pain mgmt. is for the pt to not have intractable...

  14. Palliative Care and Euthanasia

    fab4fan replied to bracken's topic in Hospice, Palliative

    But the thing is, you can't just assume that the pt is going to have a second or third episode of pain. If you were taking care of a pt who was having chest pain, would you continue to give prn nitro...

  15. Palliative Care and Euthanasia

    fab4fan replied to bracken's topic in Hospice, Palliative

    I guess we'll have to disagree on the breakthrough med issue. Just because a pt. has BTP once doesn't necessarily mean he'll continue to have it. Sometimes one dose of a short-acting agent is all the...

  16. Palliative Care and Euthanasia

    fab4fan replied to bracken's topic in Hospice, Palliative

    The original intent of this thread was a discussion about palliative care and euthanasia. I was not implying that you or anyone else are euthanizing

  17. Palliative Care and Euthanasia

    fab4fan replied to bracken's topic in Hospice, Palliative

    OK, let's try this scenario and see if I can explain myself better: Mrs. Smith is on OxyContin 60mg BID. She has OxyIR 20mg which she can have q4h prn for breakthrough pain. Now, I am not just going...

  18. Palliative Care and Euthanasia

    fab4fan replied to bracken's topic in Hospice, Palliative

    Nowhere do I read in Katillac's posts that she allows her pts. to be in pain. She is precisely right that pts needing frequent prns should be placed on long-acting agents, with prns for breakthough....

  19. Palliative Care and Euthanasia

    fab4fan replied to bracken's topic in Hospice, Palliative

    Giving prn meds around the clock to prevent pain is poor pain mgmt. If the pt has that much pain, he needs to be on a long-acting agent, rather than having the peaks and valleys of relief that come...

  20. License plate ideas

    fab4fan replied to virginiarn's topic in General Nursing

    No way would I advertise that I'm an RN on my license plate. Too many nut jobs out there that will think you have drugs and try to break into your car. All kinds of other strange things can happen...

  21. How to check RN status?

    fab4fan replied to Gigglesforall's topic in General Nursing

    They shouldn't list any part of the address; even just the town and zip code is enough to give a stalker all he/she needs. I've had ex-patients track me down (granted, they just wanted to say hello;...

  22. How to check RN status?

    fab4fan replied to Gigglesforall's topic in General Nursing

    Why were you checking other peoples' licenses? This information should not be for public knowledge, IMO. There are too many weirdos out there, and what if the nurse has a spouse/boyfriend who is...

  23. Anyone heard of serotonin syndrome? Anyone experienced it??

    fab4fan replied to passing thru's topic in Psychiatric

    Oh, yes. I was on an SSRI to treat migraines. The first time I had serotonin syndrome, I was in ICU for three days, then m/s for another two. The second time I was in the hosp. for seven days. Never...

  24. ANA rec BSN vs ASN

    fab4fan replied to TypicalFish's topic in General Nursing

    And I would have to say that as a former ANA member and officer when my employer was represented by my SNA, we got bupkis. I went to meeting after meeting, spent a lot of time with our SNA rep., and...

  25. Bad Nurse...Need Advice

    fab4fan replied to luvbug9956's topic in General Nursing

    luvbug9956 wrote: I'm sorry, but it is your responsibility to document. Managers can do nothing if complaints are all word of mouth. There need to be dates, times, specific complaints, witnesses,...