nopainNurse

nopainNurse specializes in pediatrics, palliative, pain management.

Latest Activity

1. Management of Epidural Analgesia

   nopainNurse replied to nurs1ng's topic in General Nursing

   No you can't see an epidural hematoma at the insertion site. An epidural hematoma is not just a hematoma at the insertion site (i.e. a hematoma just under the skin). The hematoma occurs in the...

2. Do we have to give IV pain meds if patient requests when PO meds are ordered?

   nopainNurse replied to VegRN's topic in Patient Medications

   A patient falling asleep mid conversation is overly sedated. Passero has a opioid sedation scale that is really useful -- Assessment of Sedation During Opioid Administration for Pain Management I...

3. VIP treatment. Ethical dilemma for paper?

   nopainNurse replied to metfan's topic in General Nursing

   What about something around the fact that we know people in lower economic situations typically have poorer health (lots of stats about this) and typically receive poorer care. The poorer care in...

4. New grad living in misery r/t nurse managers and educator

   nopainNurse replied to maxdog's topic in Patient, Colleague Relations

   I wish there was a "strongly disagree" option next to the "like"

5. To the cynical nurse

   nopainNurse replied to EDrunnerRN's topic in Patient, Colleague Relations

   So what is the fear around giving the Dilaudid pre CT? That the patient isn't "really" in pain? Or that some how the dilaudid will change the CT results? There is so much lately about requiring...

6. My horrible hospital stay. What would you do?

   nopainNurse replied to Carebear77's topic in General Nursing

   Wow 4 hour bed rest after dilaudid IV? Is it only dilaudid or all opioids? And is it only IV? WHat about SC or PO? What is the rationale behind such a

7. Guilty for pursuing a nursing career

   nopainNurse replied to outonalimb's topic in General Nursing

   I agree with the earlier suggestion to screen for depression. Very common thoughts/ patterns that exist with depression. Also look into Cognitive Behavioural Therapy, will help you to see which...

8. morphine,dilaudid,demerol

   nopainNurse replied to EJSRN's topic in Patient Medications

   answers to the why phasing out demerol http://www.ismp-canada.org/download/safetyBulletins/ISMPCSB2004-08.pdf

9. asking for meds?

   nopainNurse replied to backatit2's topic in General Nursing

   YES! Exactly!!! You said it perfectly ... especially "Nursing care shouldn't be something that patients get only when the ask specifically and repeatedly" If I could 100X Kudos your post I

10. asking for meds?

    nopainNurse replied to backatit2's topic in General Nursing

    Just Googled PRN -- Here are the first 3 definitions. as needed: according to need (physicians use PRN in writing prescriptions) As the situation may require, more particularly directions on medical...

11. asking for meds?

    nopainNurse replied to backatit2's topic in General Nursing

    The PRN discussion just about made me crazy, so I had to post without finishing this whole thread -- so I apologize if this has already been stated: PRN does not mean a patient must ASK for it! It...

12. pain management, how do I get better with this?

    nopainNurse replied to Kitty Hawk's topic in General Nursing

    Yes, great book! Actually She just wrote a new one that came out this summer. I haven't gotten it yet, but have heard it is very good. "Pain Assessment and Pharmacological Management" Chris Pasero...

13. Nurses Deserve More Respect!

    nopainNurse replied to natasharostova's topic in General Nursing

    I can totally relate. My family is very similar. I grew up thinking my aunt was a nurse (was told so by her and various family members). When I decided to go to university to become a RN, the aunt...

14. Funny doctor orders

    nopainNurse replied to laurenicoleRN's topic in Nursing Humor

    This one recently from an older surgeon who really doesn't believe in pain management.... "Absolutely NO NARCOTICS" Next line...... 1-2 tabs of t3s q 4h prn That left us wondering........ does he not...

15. Distrust of Dr's-Paxil Withdrawl

    nopainNurse replied to KimGau's topic in General Nursing

    Kim, I really feel I can relate to your experience. I am not angry at my doctor though, (she is fabulous), and we did talk about withdrawl. Actually when I came off paxil it was a 4-6 week taper...