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pggrn

pggrn

Triage RN, Cardiac, Ambulatory Care
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pggrn has 30 years experience and specializes in Triage RN, Cardiac, Ambulatory Care.

Live with my wife, daughter, her husband, their two daughters (ages 5 and 11) two dogs, a cat, tropical fish, and a garter snake

pggrn's Latest Activity

  1. pggrn

    Drug seeking or real pain? How do you tell?

    I agree totally. We, as a society, tend to be stingy with drugs that someone might also "enjoy" in addition to treating their symptoms. As an example I would point to the very limited research that has been done with marijuana and the right wing frenzy to stop the use of it.
  2. pggrn

    Drug seeking or real pain? How do you tell?

    I gotta say, I have been to a few rodeos and my feeling is, "You just never know!" Several years ago we had a fellow come into our ER that I would have sworn was totally drug seeking. He c/o abdominal pain and then said, "I need a shot." The I would ask him anotehr question and he said, "I need a shot." He always came back to his premise statement, "I need a shot." So, what would anyone think? Drug seeking, right? Well anyway, we sent him for x-ray and he had quite a bit of stool, but not by far the worst I had seen. Anyway, the doc says, "Give him a couple of soapsuds enemas." I almost said something about going to a plan "B" but it was late and slow and I thought what the heck, at least when he meets up with his other drug seeking buddies at the local pub he can tell them, "Jeez, you wouldn't believe what you gotta go through to get a shot of Demerol over there!" So, anyway, by the time I finished with his second soapy 3-H enema (and I made sure they were the epitome of the 3-H enema) he came walking out of the bathroom and said, "I don't need any shot, I feel fine now." Ten minutes later he was walking out the door a happy camper! Like I said, you just never know! But on a closing note I have to say, it is one of my better stories that I like to tell.
  3. pggrn

    Calling all maternity nurses!!!

    75 sounds good to me!
  4. pggrn

    21 year old male with tachycardia

    I would say F/U with a GP and cardiologist. Don't leave it hanging from what they said in the ER. This definitely needs follow up.
  5. pggrn

    Milk and Molasses Enema

    Indy, I think your success with this procedure evolved around "and an old OB nurse to tell me the process." I'll tell you right now, the old OB nurses are great at bowel work! If I may editorialize, I would say, "Beyond compare!" In my opinion you can learn more from an OB RN in two weeks than you will learn from a med/surg RN in a year. But hey, that is just my opinion.
  6. pggrn

    Patient - RN Sexual Harrassment

    It is indeed incredible how many men out there think they are being cute when the reality is that everyone listening to them is terribly embarrassed for them because they are making such huge jerks of themselves. My experience is that I do not worry about my fellow RN's. Trust me, the group I work with can more than handle themselves and don't put up with crap for one second! What does cause me concern however is that on occasion they want to start talking their s--t with one of my NA's and then I go balistic! I am in that room like a beam of light when that happens, and giving them the lecture on appropriate and inappropriate behavior, etc. They usually say something like, "Oh I was just kidding." and then I like to say, "Would you kid with your daughter like that?" which usually drives the point home. Another line I have used is something to the effect, "Well if she decides to sue you, the check you end up writing out to her will make your hospital bill look like a pittance." Everyone likes to be friendly and courteous, and everyone has their own sexual comfort level. However, I think the best course is a zero tolerance level for any of it. That is to say that even the RN that is comfortable with the sexual tone of a conversation and does not feel harrassed needs to still intervene and remind that patient that the behavior is inappropriate. That way everyone is on the same page and there are no misunderstandings by the patient as to what is and what is not acceptable behavior. In summary, there needs to be zero tolerance and every staff member needs to be on the same page.
  7. pggrn

    Milk and Molasses Enema

    This seems like a somewhat dated discussion, but I thought I would throw my 2-cents worth in anyway. I will preface this by saying I have never given or received one of these enemas, but I have heard they are very effective. My understanding is the mechanism as to why they are so effective evolves around the osmotic pressure effect of the solution combined with the solution itself, which is very high in sugar. The bacteria in the bowel feed rapidly on the sugars thus creating a lot of gas and bowel extension creating a somewhat explosive result.
  8. pggrn

    Let's play I Remember When.....

    Does anyone "remember when" you went to the hospital you used to get an enema about as quickly as they now days ask for your insurance card?