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We lost a mom to HELLP!!!
I'm so sorry. I really hope that your unit does some kind of debriefing for the staff.
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Mat Leave
I'm in Ontario. We get a year off, with job security. Employment insurance pays 55% of your wage for the year. Our hospital pays a top up to 95% of your wage, for the first 6 months. Canada Rocks!
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What squicks you out?
Post mortal eye enucleation, for cornea donation. I CANNOT assist with this procedure. Just the thought of the doc puttng forceps and scissors anywhere near an eye freaks me out.
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DNR means Do Not Treat
My facility is getting away from that term, DNR. We use a Level of Treatment form, which specifies if the patient wants comfort measures only, all the way up to if they wish to be intubated or not. It is filled out by the physician when they wish to order a DNR.
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Ativan usage?
We use ativan as well, but never as first line treatment. We use anzemet and zofran for preventing nausea. We use ativan, haldol, stemetil and maxeran for prn nausea.
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Duramorph/astromorph for C/S
I had duramorph after my section. The pain control was excellent. I didn't need any other pain meds post op. The itching was terrible, I wanted to rip my nose off my face, but the worst part was not knowing what was causing it. I thought I was allergic to the linen or something. I found out days after that it's a side effect. If I'm ever blessed with another pregnancy, I hope they are still using duramorph. I'll take the itching as long as I'm not in pain.
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Chemotherapy: Peripheral IV or PortaCath??
Our patients typically have a PICC line inserted. I would definitely recommend anything other than a peripheral IV. I hope her treatment goes well.
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Need help with 12hour shifts.....
My advice, if you don't think you can do it, don't. It will be too hard on you and your family, not to mention your patients. On the other hand, sometimes you just need to get into the groove of 12 hour shifts. I work 3 12's at least once a week, and sometimes 3 times in 2 weeks.
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Tetanus Booster, OUCH!!!!!
I had my booster a few months ago, I last had it in 1992. It honestly hurt like h&$$! :uhoh21: My arm was hot and swollen to my elbow for 2 weeks. It was finally healed in a month. It felt like deep arthritic pain. I almost called off sick from work but I managed. Try ice on it, and remember it WILL get better. :)
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Tetanus Booster, OUCH!!!!!
I had my booster a few months ago, I last had it in 1992. It honestly hurt like h&$$! :uhoh21: My arm was hot and swollen to my elbow for 2 weeks. It was finally healed in a month. It felt like deep arthritic pain. I almost called off sick from work but I managed. Try ice on it, and remember it WILL get better. :)
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Lifting Patients
I hurt my back a few weeks ago with a patient. I was walking into his room to give him his meds and found him climbing over the siderails. By the time I got to him, he was falling backwards. I had to catch him. I am ALWAYS very protective of my back, but some situations can't be predicted. Nursing is hard on your back. It's not just the lifting. It's the long hours on your feet, the bending, twisting, reaching etc....Procedures at the bedside can be hard too. Maybe you could ask your doc if your injury is a contraindication to this type of job. Good luck.... :)
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Mandatory Meetings :(
Exactly what I'd do. Either that or bring a blanket and pillow with me and snore REALLY loud during the meeting. :zzzzz
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NG canisters:Do you empty at change of shift?
It would never occur to me to NOT empty it. If the fluid is produced on my shift, it's my job to get rid of it.
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Drug Testing
Canadian here. I've never been tested at work, or when I was in school. I did have a co-worker once who had drug issues. The hospital asked her for weekly urine tests. This when on for months, then she began having "issues" again, and the hospital gave her the option of quitting or being reported to the College of Nurses for disciplinary action. She quit the hospital but still works in nursing.
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Working the night shift with young children?
I work steady nights. If I worked days, my daughter would be sleeping when I left and in bed again when I get home. On my last shift, she goes to the sitter for a few hours while I sleep, then I pick her up around noon. I usually go to bed early that night. It wasn't that hard to adjust, my body was exhausted, I could sleep anytime that I needed too. :chuckle