taramayrn

The physiotherapist my mom sees uses this technique as well as acupunture as part of her practice. My mom has had good success with both these techniques as well as more "traditional" physio techniques.

You obviously weren't in the vein or you had perforated the vein during your IV start.

Are you "blowing" the vein? You shouldn't have a lump or anything if the cathalon is in the vein.

I wouldn't be concerned.

I have worked on an oncology/palliative care unit for almost 4 years now. I love it, but yes, it can be hard. We do not see the miracles on our unit, we don't see the success stories, we don't see people cured from cancer. Not on our unit anyways. We take comfort and joy in managing symptoms of the cancer or following chemo/radiation or at end of life. Our "success" comes from making death as peaceful as possible and extending the quality time people can spend with their loved ones. We do build strong relationships with our families and patients. It can be very emotionally and physically draining. It has taken me almost 4 years to learn how to take care of myself in both these areas and how to reach out for help when I need it. So yes, it's hard, it's tough, but it's so rewarding.

I believe we normally give this drug at 0800. I certainly wouldn't give it at 0600 (unless the pt requests it at that time, etc) and wake the pt up unnecessarily. We normally do not use this drug for n/v or diarrhea but to suppress the growth hormone therefore hopefully decreasing tumor growth. In this case, I believe it is dependant on the pt. If the pt is constantly c/o nausea (and if that is what the drug is being given for) then I would, as a previous poster mentioned, gently give the medication and offer analgesic and repostioning at that time as well. Also a nice warm blanket to help them resettle. Consult the pt - what would they prefer? Do they mind getting woken for the medication or would they prefer to wait until they wake?

Honestly I don't know any school in AB still offering the diploma program.

No time clock here. If we stay late or miss our break, etc. we fill out an overtime slip.

Dexamethasone -should avoid giving it after 1800 otherwise pts are "wired" for the night. Lasix - another one to avoid giving past 1800 unless the pt has a foley. If giving Maxeran to prevent nausea, it is usually given qid, but it should be timed before meals and at hs.

Another medication that could have been used along with the morphine is Versed. It is especially helpful in terminal patients who are air hungry and feel as though they cannot breath.

I think it can be seen either way. However I would have not checked his sats, but would have put the oxygen on for his comfort only - not to bring his sats up.

Here are a few ideas: - increasing staff morale -preventing back injuries -preventing patient falls -changes in the policy and implementation of restraints Good luck!

Some things for you to think about that might help you answer the question: - does blood get "stuck"? -does heating an area cause edema? -what are the causes of a perforated/ruptured bowel?

Seems like a heavy patient load and alot of responsibility for a new grad. I think the orientation sounds great, however that doesn't change the patient load.

I suppose if they don't want you to mix drugs then there needs to be a pharmacist on call when the pharmacy is closed or have some policies in place for the use and mixing of night cupboard medications. - Tara