BluegrassRN

BluegrassRN

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BluegrassRN has 14 years experience.

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  1. Depends on a lot of factors. In an opioid tolerant pt whose baseline is the scheduled oxy, who is in with something that increases pain, yes I would consider giving them together. It would depend on her current status, her history, her disease proc...
  2. what do you say to patients...

    Just say "No need to apologize. It's our job to help you when you're ill, and we're happy to do it." Be matter of fact and cheerful without being creepy. Move on to next topic; you can get an entire assessment completed when dealing with a code br...
  3. what do you say to patients...

    Lighten up, it was a joke. It was funny.
  4. Medication administration vs Patients wants

    In general, don't leave meds at the bedside. There are exceptions to this rule, of course. In our hospital, you can get a physician's order that the med can be left at bedside. We do this primarily with cough lozenges, inserts for nicotine inhaler...
  5. Pyxis report question...being falsely accused!

    I have investigated discrepancies in my former position. Let me tell you, not wasting immediately but rather after the fact is a big red flag.
  6. Pyxis report question...being falsely accused!

    That could mean up to an hour or more wait for the pt in my facility. The pt needs 4mg of morphing, which comes in 1' 2' and 5 mg doses in our pyxsis. So I would have to send a request to the pharmacy, they would have to draw it up, then, since it ...
  7. Med passing question from a student

    Standard at my facility is to take meds into the pt room, scan them, and as you're opening them, to tell the pt what they are: here's your doxycycine, that's the antibiotic for your infection, here's your coreg, to strengthen and regulate your heart...
  8. Would you be insulted by this?

    I don't know if "insulted" would be the word I would use. If the $10 was at or below the cost of the printing and tshirt, then I don't think that's a bad deal. If the shirts came in colors and a fit I liked, I'd buy it. I would rather have the oppo...
  9. Peer review evaluations

    Well, we're doing them, but they aren't anonymous...we have to put our name on them. At each yearly eval, the person being evaluated fills one out, gives two to other staff to fill out (one on day shift, one on nights) and the director gives one to ...
  10. Movies about Nursing Homes/Long-Term Care Facilities

    Are you looking for documentaries, educational resources, or fiction-yet-realistic movies? For educational, check youtube. For a documentary, I like "Young At Heart", which does not take place in a nursing home, but does center around a group of el...
  11. Is there something wrong with me?

    1) Seek out a counselor who specializes in interpersonal skills. This can be hit or miss, you may have to try a couple of therapists before you hit the jackpot, but once you do, you'll learn so much. 2) Do you have a trusted friend or family membe...
  12. AIDS during the 80s

    We had a nurse the other day who seemed out of sorts that her admit had HIV. Everyone was a little incredulous that it was an issue for her, and there were several comments such as "This isn't the 80s, you don't need to be ignorant about taking care...
  13. Transgender Nurses - experiences/opinions

    You will probably get some unfortunate responses, but for the most part, if your work environment isn't incredibly toxic, I think you'll find that most people won't be phased. Even here in the midwest, we are getting more and more transgender pts. ...
  14. AIDS during the 80s

    I am too young to have been a nurse back in the 80's, but have two stories from family with personal involvement. My great uncle died of the disease in a larger town in the Midwest,sometime in the 80's (I'm guessing earlier than later, because I don'...
  15. Jeez, that was long! The "too long, didn't read" version is: Omega 3, multivit with C, and D3 supplements. Food, activity, and mood journal. Avoid processed foods. Avoid meat. Make own meals. Take meals to work. Tea, water, sparkling water. Dai...