TonyaM73 ASN, RN

MED/SURG STROKE UNIT, LTC SUPER., IMU

Member

  • Content

    249

  • Visitors

    7,199

  • Followers

    0

  • Likes

    6

All Content by TonyaM73

  1. TonyaM73

    Narcotics pyramid/tier

    TonyaM73 replied to TonyaM73's topic in General Nursing

    I got ya. We have had conversations recently on my floor about equating this verses that, but what really got me was that I recently had surgery myself and was prescribed percocet. I would take 1...
  2. TonyaM73

    Narcotics pyramid/tier

    TonyaM73 replied to TonyaM73's topic in General Nursing

    That would be why the statement "I have been told..." I was trying to give an example of the information format that I am looking for. I thought that it was more than that, but this is the rumor...
  3. TonyaM73

    what chain of command?

    TonyaM73 replied to supervisorhatchet's topic in Geriatric, LTC

    The only other thing that I can say is IF the MD will call back, explain the situation and see if you can get an order to send them to the ED so they can get the meds and the
  4. TonyaM73

    what chain of command?

    TonyaM73 replied to supervisorhatchet's topic in Geriatric, LTC

    Sounds like maybe BOTH! I am so sorry! It sounds like a real cluster over
  5. TonyaM73

    School wait..

    TonyaM73 replied to derekfitness's topic in General Students

    double post
  6. TonyaM73

    School wait..

    TonyaM73 replied to derekfitness's topic in General Students

    No. For an Associates in Nursing you have to spend 2 years for prereqs and then another 1 1/2-2 years of actual nursing school. The thought that a 2 year degree actually takes you 2 years is a
  7. TonyaM73

    A-fib protocol

    TonyaM73 replied to beckster_01's topic in General Nursing

    Very informative. Thank you. I work on Med/Surg and have had a few go into RAFib. I call the doc and try to get them on the cardiac floor since we don't do cardiac drips on my floor. They have had...
  8. TonyaM73

    I'm so sorry guys I did not want to create all this mess

    TonyaM73 replied to mon74's topic in General Nursing

    Don't worry about it! My daughter is taking Italian in high school and I was trying to get her to translate it for me. She hasn't gotten that far yet though. :) I hope we are all able to talk on...
  9. TonyaM73

    Deathbed visions **UPDATED**

    TonyaM73 replied to ag_man's topic in General Nursing

    Wow Esme! Just WOW! What a wonderful story! Gave me goosebumps and made me smile all at the same
  10. TonyaM73

    Labs

    TonyaM73 replied to username33's topic in Geriatric, LTC

    WBC, RBC, Platlets, BUN, creatinine, Potassium, Magnesium, Calcium and glucose. Those are the main ones I look at for everyone. Also, when lab work is done, they will have a range next to them to...
  11. TonyaM73

    Deathbed visions **UPDATED**

    TonyaM73 replied to ag_man's topic in General Nursing

    I've got one for ya. This was a few years ago when I was in school. We were doing clinicals at the hospital and there was a code blue called. Well of course all of us students get right in there to...
  12. TonyaM73

    Ever had a patient or family members fire you?

    TonyaM73 replied to KeepItRealRN's topic in General Nursing

    Had a pt and his wife that wanted to dictate the dose of medications (sometimes a little more than prescribed and sometimes a little less.) I repeatedly told them that I could only give what was...
  13. TonyaM73

    MORAL DILEMA

    TonyaM73 posted a topic in General Nursing

    So what if one day you go into work on your med/surg floor and have a pt that has sats of 87% on NC 4L. You check everything, place a mask, call the MD with no results, call respiratory, respiratory...
  14. TonyaM73

    MORAL DILEMA

    TonyaM73 replied to TonyaM73's topic in General Nursing

    DeLana, That is good! I was throwing a fit, but no one was listening. I was trying to get the family to choose hospice for them and for the pt, but they didn't seem to understand. If he had been...
  15. TonyaM73

    MORAL DILEMA

    TonyaM73 replied to TonyaM73's topic in General Nursing

    Crunch, Thanks so much. That really means a lot!!
  16. TonyaM73

    MORAL DILEMA

    TonyaM73 replied to TonyaM73's topic in General Nursing

    Delana, I whole heartedly agree. I had another patient come up recently that was slated for ICU, but since he was comatose and the family signed a DNR, he came to med/surg. HUH??? This pt came in...
  17. TonyaM73

    MORAL DILEMA

    TonyaM73 replied to TonyaM73's topic in General Nursing

    Absolutely correct! The problem with this case is he stated NO O2 at all. I asked from bipap all the way down to nasal canula (and everything in between) and finally asked him "can I put any oxygen...
  18. TonyaM73

    MORAL DILEMA

    TonyaM73 replied to TonyaM73's topic in General Nursing

    The O2 sat was mid 80s and resp rate was anywhere between 26-32. Anytime we have a pt that is sating less than 90%, we have to make a call to the MD on the med/surg floor. I knew why he was sating...
  19. TonyaM73

    MORAL DILEMA

    TonyaM73 replied to TonyaM73's topic in General Nursing

    Thank you for this prospective. This particular patient was offered hospice the day before and told that untimatley he would need to go to a vent and fairly quickly (he was end stage lung disease)....
  20. TonyaM73

    MORAL DILEMA

    TonyaM73 replied to TonyaM73's topic in General Nursing

    Thank you guys. I wasn't beating myself up, but I was having some introspective thoughts that needed to be clarified by more experienced nurses. I really like and normally respect this co-worker and...
  21. TonyaM73

    MORAL DILEMA

    TonyaM73 replied to TonyaM73's topic in General Nursing

    If I was in that position, I would want that for me and my loved ones as well. Pt refused all morphine, ativan and haldol when he was concious. I don't know what he was punishing himself for, but it...
  22. TonyaM73

    MORAL DILEMA

    TonyaM73 replied to TonyaM73's topic in General Nursing

    ),.....then after everyone leaves, pt decides they don't want oxygen anymore because they are end stage emphazema? This pt refuses all O2 at this point and you explain that they will die today with...
  23. TonyaM73

    MORAL DILEMA

    TonyaM73 replied to TonyaM73's topic in General Nursing

    EXACTLY RIGHT!! Like I said it was a very emotionally draining day, but I felt that I did the right thing by the pt. It's just when this co-worker mentioned the suicide thing, it made me question my...
  24. TonyaM73

    MORAL DILEMA

    TonyaM73 replied to TonyaM73's topic in General Nursing

    No, the pt refused the oxygen, then was educated that he will die, then was asked if he wanted CPR if/when his breathing were to stop. Pt stated he wanted no oxygen, no cpr, no ventilator, no...
  25. TonyaM73

    MORAL DILEMA

    TonyaM73 replied to TonyaM73's topic in General Nursing

    Thank you!! That was the way I felt as well. I was talking it over with another nurse yesterday when she happend to mention that she would not have helped a pt to commit suicide. It was a hard case...