SNRCM

Talk with other nurses/staff support one another, support the family. If the pt is a DNR and it is expected, it can be very peaceful for all. In nursing school I remember my instructor telling me there will be times when all you can do is sit and hold a hand and that is so true. You will probably surprise yourself in how well you deal with it, it is part of what we do everyday.

If you are in it for the cash then get out! Simple as that as far as I am concerned.

What are the symptoms of ripivocaine toxcity? I had a patient who had extensive elbow surgery and was given a block with ripivocaine. Post - op day 3 the patient was very aggitated, his room was a mess-he was taking linen off the bed, moving things all around. We called his wife and asked if he drank alcohol (the pt denied) she stated "he drinks all day long, and hides it all around the house." And then she told us that he had called her through the night complaining that there was water on the floor of the room and that someone was watching him. The Dr made rounds we expressed our concern and the fact that we thought he was going into withdrawl, he did not think the pt was but after repeated concerns, and additional consultation with another Dr. The patient was transferred to a unit to provide one on one care. The following day we were told it was not alcohol withdrawl but ripivocaine toxcity......any thoughts????