maggiernpainnurse

It is a fairly new extended release opoid on the market so that is why so pharmacies may not have been detailed on it and have limited knowledge. As you already know it is a extended release hydromorphone hydrochloride and as with any opoid you shoul...

in our clinic you have to have an established pcp to refer you to the clinic. i am sorry yours seems out of touch with what pain clinics do. i agree to keep up with pt even if you have to do several short period sessions and do abdominal strengthen...

first let me say without being involved with your father's care i would never recommend any treatment over another... that being said i have a couple of questions for you. 1st you said his pain started in his left arm then it moved to his leg, did he...

Jadu1106 you will be an awesome nurse no matter what area/field you go into. Your heart spoke volumes when you saw the need and acted upon it. Thanks for sharing you story with all of us, it helps to remind us, who’ve been nurses for so long, that w...

there is a nice free place to review different subjects on line at www.flashcardexchange.com i have used it for a couple of classes i am taking. not all cards are relevant to my class but i did learn from the different perspectives. just my good lu...

kellie you truly make me proud to be a nurse. thank you for your story and your caring heart. being on the other side of the waiting and hearing of the news of losing a loved one unexpected, you think you know what the team went through but you don...

Angelfire I know what you mean about the referrals that are a waste of time. I don’t know about you, but part of my job is to do prior authorizations. When you go through the time spent going through the automated messages, put on hold, transferred ...

:imbar That is sweet, I wished someone had been there when I did these years ago but I am willing to spare the pain for others. I have sent some so please check to see if you can open them. :typing Most of the information can just be cut and past...

I will send a few today and then check with you to make sure you are able to open them without any problems. I am not very good and may send some a couple of time if I get distracted here. Also I will send the procedures we do here and that will ...

Dan do you have an email address that I can send the policies to? There are several and I have to send them individually. :typing Just let me know. Also just curious where is your clinic located? :yelclap: Maggie

Hey Dan I would be glad to help you out. What are you looking for? The whole manual or something more specific? Maggie

I would suggest going to www.pr.mo.gov/ on the tool bar select the professions drop down arrow, choose E-O for Nursing. Then click on Schools of Nursing when the page comes up select Pass Rates and check the different schools. :typing I would use ...

American Nurses Association, Association of Pain Management Nursing, American Academy of Nurse Practitioners are great places to start looking. Most pain clinics I know work a basic M-F, hours are varied we start at 7 AM and end at 2 PM and only a ...

I have sent some I want to make sure you are able to open them before I load your account too full. Just let me know if you can get them. Thanks Maggie:yeah:

Just because you didn't get the relief you thought you would get doesn't mean it was wrong. You may actually got relief from what he did but with that pain taken care of another area that was mask will now be the primary pain generator. Also if you...

Jackie I had to create my own policy and procedures for the pain clinic I work in now. I wasn't fun and very time consuming even with prior years experience in different pain clinic. I would be glad to help you out any way that I can. Just let me ...

I am curious how many and what nerves did he do did the rhizotomy on. Also when you had your last facet joint injection did he use steroids or just lidocaine? If steroids were used it could have given false impression of a pain generator was found ...

i work in a pain clinic in southwest missouri at a small hospital; we are a complete pain management clinic, doing both procedures and long term narcotic management. i have work in pain management for over 10 years and now work with one anesthesiolo...

Thanks for the up date, keep me informed. This is a great area to work in, most of the time. We do have our challenges, but my job is very rewarding. If you have any concerns or question don't hesitate to ask. I have a great doctor that I work wi...

If the rhizotomy is done by radio frequency there is a ultra thin wire that goes through a special needle. After careful placement and testing done to check the impedence and to ensure no muscle involvement, the wire is removed and lidocaine is inje...

i hope before you have a rhizotomy, you had facet joint injections done to ensure the facet joint is your pain generator. we do rhizotomies two different ways. one is with a radio frequency machine and one is done chemically with phenol. a simple exp...

If we send a patient for a MRI, we order contrast usually only if they have had surgery prior to their MRI. Reason is surgery can cause significant fibrosis and contrast is used to see abnormal tissue more clearly. It helps to distinguish between o...

As a nurse manager I would prefer business attire if you were coming for a job interview. You are coming to me to apply for a job; you do not already have a job so don't dress like you do. Please don't wear flip flops or your flannel pajama bottoms...

:dancgrp:Happy Dance !!!! Always remember the feeling you feel today.

wow! what a great find. as a nurse manager of a chronic pain clinic and working in one for 10 years it is nice to see this forum. there is a vast difference between chronic and acute pain and the treatment of such. i work with a great anesthesiologi...