Darknights

Darknights

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  1. is this within my scope?

    Darknights replied to sweetieann's topic in General Nursing

    I am not familiar with your laws but a quick look at the "nurses Legal Handbook" indicated that Elkpark is right. I'd actually interpreted it as your giving the injection the next time you worked with...

  2. Help!!

    Darknights posted a topic in General Nursing

    Help!!!!! I recently had a pt admitted with an large fungating SCC of the face. When he was handed over to us via the community pall care CNC we were told that the pt would die within two days. This...

  3. Pt choking and DNR....

    Darknights replied to Beachbum2010's topic in Geriatric, LTC

    I've only seen it twice. The first time I was a student CNA, many years ago. The pt had advanced dementia and could be extremely aggressive. I was showering her and she said she'd always loved me...

  4. Help!!

    Darknights replied to Darknights's topic in General Nursing

    Well I was a nurse when I had the scope done. But I'd had no experience with such procedures so I assumed what I'd been through was the norm, that it would be far worse if I hadn't had the midaz. This...

  5. Pt choking and DNR....

    Darknights replied to Beachbum2010's topic in Geriatric, LTC

    :-) Reminds me of another pt with dementia who had expressive aphasia, but when she got angry she spoke, or yelled, perfectly clearly. Anger was usually the result of us not letting her escape the...

  6. Pt choking and DNR....

    Darknights replied to Beachbum2010's topic in Geriatric, LTC

    I just remembered something about a pt with advanced dementia. She had expressive aphasia so what she said was not able to be comprehended at all. One day she became agitated and said she was going to...

  7. Help!!

    Darknights replied to Darknights's topic in General Nursing

    I wonder how often these situations occur. I once had an endoscopy. I was given midazolam first. I choked right through the procedure and wondered if it would ever end. Tears were streaming down my...

  8. Pt choking and DNR....

    Darknights replied to Beachbum2010's topic in Geriatric, LTC

    This would be an interesting scenario........what if a pt with advanced dementia has an NFR (DNR) documented by the doctor. There are no relatives for him to consult with. The pt is dying but before...

  9. is this within my scope?

    Darknights replied to sweetieann's topic in General Nursing

    Whoops

  10. Pt choking and DNR....

    Darknights replied to Beachbum2010's topic in Geriatric, LTC

    Also, directly relating to the scenario, have you ever choked on a bit of food or drink? Compassion alone should have you doing something about it to relieve suffering. If they then code, you let them...

  11. Pt choking and DNR....

    Darknights replied to Beachbum2010's topic in Geriatric, LTC

    And how many have heard 'old' nurses advise young ones that when an elderly or terminal patient codes without a not for resuscitation order just don't notice, shut the door and walk away? I've heard...

  12. Pt choking and DNR....

    Darknights replied to Beachbum2010's topic in Geriatric, LTC

    Twice I've overheard a young doctor speaking to a relative about obtaining an NFR. In Australia these are discussed with family when they are available. I've never seen an Advanced Directive. Both...

  13. is this within my scope?

    Darknights replied to sweetieann's topic in General Nursing

    I wouldn't. If you give it to your colleague at work then the hospital won't cover you if anything goes wrong as she is not a patient. You wouldn't have a med chart or valid med order either. Think...

  14. Help!!

    Darknights replied to Darknights's topic in General Nursing

    The order was changed today. 5mg morphine at very frequent intervals with doses of midazolam also at very frequent intervals. I noted someone said that the patient can still feel pain, even when...

  15. Pt choking and DNR....

    Darknights replied to Beachbum2010's topic in Geriatric, LTC

    It is often said that when an elderly patient codes due to a progressive illness, or old age, nothing will bring them back. For those who are 70 and above: "Outcomes predominately reveal that a mere...

  16. Help!!

    Darknights replied to Darknights's topic in General Nursing

    Sometimes a patient dies and it is a natural progression, from life to death, with little or no need for intervention from us. These deaths have enabled me to see that a natural death can indeed be...

  17. Help!!

    Darknights replied to Darknights's topic in General Nursing

    Thanks everyone, for all your comments and support. Unfortunately my being one of only a couple seniors means I lack the opportunity to obtain feedback from more experienced nurses. It is Xmas...

  18. Help!!

    Darknights replied to Darknights's topic in General Nursing

    All of Australia uses this standard chart: http://www.safetyandquality.gov.au/internet/safety/publishing.nsf/Content/D0DABD9912D44A14CA257516000FDABB/$File/20795.pdf So you get stat orders or prn...

  19. Help!!

    Darknights replied to Darknights's topic in General Nursing

    I know. My partner and friends want me out of there too. I think someone should certify me as crazy, because I keep turning up there. But I can't think of a place that has a greater need for nurses...

  20. Help!!

    Darknights replied to Darknights's topic in General Nursing

    It was the pall care nurse reassuring us that the order would be enough to kill him that had us go looking for information. A toxicology text at work said morphine has an LD50 of 120mg oral. We...

  21. Help!!

    Darknights replied to Darknights's topic in General Nursing

    Off to work

  22. Help!!

    Darknights replied to Darknights's topic in General Nursing

    No pain, incredible considering the SCC was tracking along his trigeminal nerve. 60 mg morph,20mg midaz Euthanasia is illegal in

  23. Help!!

    Darknights replied to Darknights's topic in General Nursing

    It was the NUN and the DON. They didn't say I had to administer it, just that they would themselves. It is a stat order on his chart, to be administered when he does deteriorate. 've had lengthy...

  24. Essential equipment a luxury?!

    Darknights posted a topic in General Nursing

    I need some advice on how to convince health service people responsible for finance that correct sized BP cuffs are not a luxury item. For approximately a year now we've had three automatic obs...

  25. Hyperkalaemia and saline

    Darknights posted a topic in General Nursing

    Sorry about my English spelling and terms...... I wondered if there is any reason why the glucose infusion for hyperkalaemia can't be given via a pump in a 100mL (about half a cup) bag of saline. It...