MichaelFloridaRN

There are very few meds that do not tolerate the rubber like plugs that are used in common single dose units. I think Thorazine is one of them, it may also, if used IV, and yes it can be given IV, may not remain in the bag over 30min or so, at least so a pharmacist tells me.

No, but I would take higher pay along with a lower patient to nurse ratio and more support personnel.:roll

depends on the type of drug! with cocaine or most of the time its crack-cocaine you will see very high blood pressures, and CVAs even in the users younger years are common. The users tend to be very agitated when coming of their fix, violent, uncontrollable to say the least. Most users of illegal drugs also have many psychosocial issues, like unstable living situations, homelessness, diseases like HIV, malnourished, felony charges, no insurance, no support system(families disown them, and their peers are not a great support group). Many have psychiatric issues, mainly paranoia, or substance induced dementia, the list goes on. Illegal drugs, and some of the legal ones like ETOH have devastating effects on the user, his families, and society as a whole. The negative effects on the economy is also visible in every part of the country. I have no answer to how to fix the problem, but the law and order stance of building more jails is not working to fix the problem either, the war on drugs was lost many years ago.

Actually I have seen someone on several drips including Cardizem for almost 2 weeks, the guy also had dead bowel syndrome. So in case of non-absorption or an absorption rate that is uncertain or unstable would be such a case. Also I have seen people who had major bowel surgery get put on IV meds only order so their bowel can "concentrate" on their tube feedings without having to absorb chemicals. Depends on the doc's philosophy.

most of my hair fell out, hope thats ok.....

management-one word says most of the story

Didn't they tell us to never write that in the nursing notes? From what you describe, I see no big deal, and not even sure if that would an incident on a big person since it was not pulled out. Or did the neonate pull out his tube:wink2: Now for the real thing, if my facility and their policy caused something very dumb to happen then I would write Incident Report Filled in the chart in large letters, underline it and highlight it, but so far I have not found any cause worthy of doing just that. Like someone else said, normally what would you NOT write in the chart, that matters to the patient, and is part of the report? And remember things like the doc cursing do not matter to the patient, neither does the fact that you had to call the pharmacy 29 times to get a med, unless the delay hurt the patient. Get my drift?

I am when they are pointed at me. Why? cause they hurt

ah what the heck who cares, our your secretary puts in ICP bolts when our neuro-surgeon on call does not want to be woken up (IRONIC NOT TRUE) thats not only scary but illegal, and its not the secretary thats to blame, no matter know short staffed we have been I would not think of doing something like that. Our unit clerk as we call her/him, will get the patient some water, or a pillow, blanket, but only after checking with the patients nurse each time a request is made, even with a small request like that it is important that the nurse be asked, well in ICU anyhow.

I would not say that or do that. No matter how we may feel about it, remember Alcohol is legal and the other is not!

exactly that ! I have been called many times and asked to come in to fill a call-in or whatever and told them sorry its my day off I can't come in, if they ask why, which is actually none of their business then I will tell them that I have had a glass of wine or two. Same would go for a disaster, if you had something to drink you can go in and help 12 hours later or whatever. No one can expect you to foresee a future need.

sounds like an interview for Nursing school, correct? I went in to the interview for my LPN class, I was an LPN before becoming an RN, and told them straight up, I like working with people, sounds and smells don't bother me, I love overtime and have always been good at what I do. I don't know jack but am very willing to learn. I am looking for a secure job that will always be there and pays enough to keep my family fed. My interview lasted less then 3 minutes. I got in first try, no glorification of Florence Nightingale or anything like that. I know 3 friends who went that route and I know their test scores were better then mine, who had to wait till round two to get in.

Poo does not bother me, the only time I really hated cleaning poo was the day I put a patient on his bedside commode and forgot the make sure the bucket is there, was a nice mess since he was in the middle of a course of go-litely, this will never happen to me again I will check, trust me:nuke:

Are you sure that it was B-12 and not B-1 ? because it is normally B-1 aka Thiamine that must be given to ETOH abusers before re-hydrating them.

I give myself and my wife IM one month, then SC the next. How did the HCP order it to be given ?