mags-rn

mags-rn

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About mags-rn

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  1. Drug seeking or real pain? How do you tell?

    Ok, I have to weigh in here. You are walking a fine line when you start to label pts as "drug seekers" Granted, they are out there. Because a person asks what medication they will be receiving does not imply they are a drug seeker. Some pts know what...
  2. G C S application

    In the Glasgow coma scale they get a 1 or T for tubed, as it is impossible to assess neurological function accurately without guessing, which defeats the purpose!
  3. Where do you nurse?

    Victorian public hospital - primarily ICU
  4. Things I've learned from my ER patients...

    1. The hospital is the only place that Panadol or Asprin can be obtained 2.I've learned that the first thing a person wants to do after vomiting is "reload the cannon" by eating or drinking and that no pain, bleeding, distress, or illness is too grea...
  5. New PICU nurse

    Ah, you have dealt with stressed parents. But ICU is a different kind of stress. Its one stress to see your child acting out , its a whole other stress to see your child hooked up to machines and drips that are keeping them alive. Parents are stres...
  6. Pain Medicine for a dying patient ...

    I'd give it in a HEARTBEAT - and in fact have done so MANY times over my many years as a nurse. WHAT IF it's the last injection that helps the patient relax and die comfortably?? To me, THEN you are the ultimate Nurse. Nurses CAN'T change the outcome...
  7. how do YOU deal with unruly patients?

    I have heard many people take the matter of fact attitude including myself telling the patient that language like that will not be accepted here we have other patients that do not need to be subjected to it as well as ourselves. Also, you have to re...
  8. Persantine Myoview

    As the in above reply - there is very little danger in this myoview. My understanding is that it will dilate the coronary arteries pharmacologically (instead of through physical exertion i.e. exercise). It has been approved for this use longer than a...
  9. Steven Johnson Syndrome

    Steven Johnsons and TENS tend to be partial thickness wounds and really dont require all those extensive and disruptive dressing changes. I forgot to mention, we started using ACTICOAT! This was excellent! It is a silver coated barrier and the dressi...
  10. Welcome to our new pain management forum

    http://www.vh.org/pediatric/provider/pediatrics/PediatricPainMgmt/index.html http://www.wch.org.au/rch_palliative/prof/?doc_id=1686 http://www.medicineau.net.au/clinical/palliative/palliative3.html http://www.medicineau.net.au/clinical/anaesthetics/A...
  11. Rethinking Pain Assessment

    From experience I have heard MANY men who would say "OH DARLIN, it's OK.. don't worry".... so yes you HAVE to look to the nonverbal cues. I use the 1-10 scale to get them to quantify pain, and then obviously I look at the pulse ox readings, colour, l...
  12. PBS and Free Trade Agreement

    Considering the amount of medication(s) ingested in the western world we are either the sickest bunch that ever lived or the most healthy. While it is true that we are healthier in many respects this is due more to public health and education than pi...
  13. New PICU nurse

    Congrats to you! I am a former Paediatric Nurse - hospital ward. I do ICU primarily adults nowadays. The one thing I can honestly tell you is to always, always take care of YOU...burn out comes to fast in those places. But it is also very rewarding m...
  14. Things that make you go eww...

    There is an old joke. God put a thousand people in one room and filled it 1/2 full of poop. Then sneezed with copius amounts of snot flying. The ones who ducked became nurses, the ones who stayed upright, were RT's/Respiratory physician.
  15. Xygris question

    We've had great success with Xigris, but then it's been started early, and we've had little incidence of bleeding. I think it's a keeper. My only problem has been that thus far, patients have had to stay in the ICU until the whole course was complet...