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 ?

I am not sure about Jax. However, Florida is in general the worst paid place in the US. Here in NW-FL most hospitals are starting out new grads at about $18 per hour, and thats after a "huge" increase. Two years ago it was $16 at both hospitals in my town.

My wife of 21 years and I took a good look at how this surgery would change our family life and agreed that we would be different after the sx. Since we both had the sx at close to the same time and are both loosing weight and looking different, it has not impacted us much at all. However, we can both see that if only one of us had a great change in life then it would have made a difference. The OP did not mention whether weight was an issue with both sides, and I think it could make a difference. I also think that this really needs to be looked into far ahead of having the sx done. I see many families break up because people change something, or to be more specific "become different". That included weightless, substance abuse, sports, other hobbies. Anytime you make a big change in life you risk your relationship. I certainly hope you get everything straightened out and that things will work out the way you want them. Eighter way, make the best of it for yourself. I have to agree with the fact one poster brought up that there is always a double standard. When a guy leaves his wife he is a low down SOB, before anyone even listens to why he left. If a lady does the same thing, even if she leaves her husband for a new guy, then many times you hear go team go girl. Thats just the way it is.

Hey I'm sexy, you should see my hairy legs!

Go for it ! I do think that working as a CNA gave me the ability to look at any situation from both sides of the story. Good luck.

I think that we should look at this in a professional way. The woman obviously has a need that she is attempting to meet, and a right to do so. We must respect this. The item can be ordered via the net, or someone could volunteer to go buy it. I agree that no staff member should be made to go buy one. I would likely have a problem buying this myself. The resident should be assisted in keeping this "item" clean and stored in a way to protect the residents privacy. I did read in one reply that family should go buy this. If this is possible, sure why not. However, the resident may not have family. And even more important, the resident may not want the family to know about this. So we as professional caretakers should step up and assist the resident in this matter. After all this is part of Maslows hierarchy.

:yeahthat::yeahthat::yeahthat::yeahthat::yeahthat::yeahthat::yeahthat::yeahthat::yeahthat::yeahthat::yeahthat: I can start IVs all night, draw blood, give IM injections, no problem. But when the needle is going into me, I get very uncomfortable, and to be honest scared. I turn my head away and cannot watch.

You will find that in many facilities across the country you will not get any breaks. At my hospital most of the staff, for what ever reason, just takes this as a fact and even allows 30 min. to be deducted without having a break.From what I know this tends to be typical. I usually do not have time for a break, but I will take the dirty looks and clock out no lunch. Since we are always short of staff, no one has really ever said anything to me either. But I know most of my coworkers just suck it up. we come to work at 17:30 and leave at 07:30 so we are there for 13 hours. Most of my male colleges will not stand for this, while the ladies are afraid to stand up for their right.

In Germany you do not go to college or a university to become a nurse. It is more like a diploma course. They have a school that is state run or attached to a teaching hospital. It is a vocational concept, perhaps similar to our LPN program. Except that a LPN in the US does more then a nurse in Germany. There most IV drugs are given by an MD, staples removed by an MD and so on. At least it was that way 10 years ago.

Oh, perhaps the ER doctor realized that there was a person in pain requiring medical help instead. I see that your still new, perhaps rethink coming to a quick judgment and looking at all the facts. Maybe the primary nurse above should have called the surgeon, but from what I read in her letter it was clear that the patient was a drug seeker not in need of proper treatment.

Could it be that the patient was in pain? if everyone is quick to judge someone as pain seeking, no wonder they leave AMA and go someplace else for pain control. Seeing people denied of relief of pain makes me sick, even if they were addicts to begin with so what, you did mention they had surgery right? so if your an addict that means you have to suffer? sadly addicts need much more opiates to control their pain. Sorry judgmental nurses make me sick!