TazziRN

yep.......i was caught in a routine pharmacy audit. my coworkers were stunned.

A lay person has a sat monitor?

No, she was pretty much dead when she got hit, there was nothing that would have saved her.

Doll's eyes?

You have a sat monitor in your car? 22% is not compatible with life. I've worked ER 19 years and I have never seen a stomach pumped for alcohol. On the flip side, a few years ago there was a teen here who went to the lake with friends, with alcohol that her father bought for her, who jumped in a truck and sped off. Windy two-lane road, she hit a family in a car head on and killed the mother. She's in CYA for the max term and her father is also serving time.

I was caught diverting. My drug of choice was codeine. Most people who divert PO stuff choose TyCos or Vicodin. People who divert injectables often go for Demerol and Morphine.

No luck needed, you'll do it on your own merits!!! You can do this!

Unfortunately ERs have learned the hard way never to believe the pt until proven otherwise. We have seen way too many Immaculate Conceptions. Any female on her menses is considered pregnant until proven otherwise.

I fell into the ER by chance and stayed there for 19 years, before jumping ship and going into home health. I loved the ER and love home health.

Doesn't matter where he's from, if he's practiced in the US for any length of time then he should know that we hold a dim view of slapping anyone, no matter who it is. He needs to learn right quick that slapping someone is unacceptable, and the best way to teach him that is to hit him back with a police report.

Contact the company that supplies the bags, they may know of a support group in your area. No special clothing, sorry, the only thing I can think of is wrapping gauze or a piece of material around his body under the appliance.

Call the cops and file an assault report. Then file a complaint with the hospital for assault and let it be known that this will not be tolerated. Fill out an employee injury report......yes, I know that a pop like that will not result in any after effects physically, but if this messes with your psyche you want the hospital to pay for any counseling you may need.

I'm sorry, I do not consider 2 drinks a day (I'm assuming every day?) to be "moderate".

Only when they get in the way or disturb the roomie

Once you are no longer employed you do not have a right to the charts anymore. As for your employee file, you do have a right to see everything in there. Go for it. I was once falsely accused of diverting morphine and was on admin leave for 3 weeks while it was investigated. I was cleared and went back to work. A year later, after I left, I found out about a termination letter that was filled out and signed, all it needed was the date. They were so convinced I was guilty that they were ready to terminate me and were just waiting for the proof they were so sure was coming. Someone goofed and didn't remove it from my file when I was cleared. I was able to prove harassment because of this.

Expect the end to come soon, if it hasn't already. What a beautiful way to leave this Earth!

If the pt or family finds out and raises a stink, the supe will be the one with her patootie in the hot water tank, not you.

Visits can be anywhere from 20 minutes on, depending on what you're doing. I expect my field staff to call me whenever anything is out of range and tell me what they did about it. They're very good about letting case managers know about abnorms, calls to docs, etc. I will call the doc or suggest a call when "home remedies" don't work for the abnorms......increasing fluids on a hot day for hypotension, taking an OTC binder for diarrhea, etc.

I do in home health. Is that what you mean?

Most nurses are not like this but those few can make a work environment downright uncomfortable. I have been very lucky in that the unpleasant nurses have been few and far between in my career, but there have been one or two that I absolutely dreaded working with. In my current environment toxicity is literally not tolerated, if the attitude doesn't change then the employee is invited to leave by the owner.

I'm sorry, I must be dense this morning........what's wrong with clear but diminished breath sounds? You don't hear rales, you don't hear rhonchi, you don't hear wheezing, but the bases are not inflating as much as they should/could........clear lung sounds but diminished in the bases. No?

The bags are safe until they're full. The larger bags are meant to be used at night since most people sleep through the night. Unless he kinks the tubing somehow it would be difficult to block the urine. Suggestion: ask his doctor for a home health referral, the nurses can come in and teach you how to manage everything.

Don't know how many questions but it's 75%

I opened a home health pt who was allowed weight bearing as tolerated, per MD orders. He had just had his second BKA and had no prosthesis.........

I agree with the one about the decub, but an amputee or bedridden pt does have an impaired gait. The gait is not normal, therefore it is impaired. We have to evaluate the gaits of home health pts, and those fall under "abnormal gait" and "decreased endurance". "Impaired" does not mean there is room for improvement, it means abnormal.