thehipcrip

thehipcrip

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  1. TSA asks a 95 y/o women to remove brief

    While I agree totally with the esteemed Mr. Franklin, the TSA is terribly behind the curve with even thinking about the various ways problems can occur. For example, I have had a pump implanted in...
  2. Ok, this one hasn't been done in a while....

    I'm an incomplete quadriplegic, and was gifted this moniker by friends a long time ago when I told them I was thinking of getting a vanity handicapped license plate for my
  3. Caring for paraplegic patients?

    While not part of the physical assessment, I had to sneak this in: One of the most important things to remember when caring for a patient with paraplegia is to always put her wheelchair back exactly...
  4. Instead of just having a patient advocate, health care facilities should also have an ombudsman's office to advocate for the rights of and resolve problems affecting nurses and other
  5. As a patient, is it okay to suggest a vein for IV?

    This is a fantastic thread. Thanks to the OP for asking the question and to all those who shared their
  6. im selfish? hmmm

    I'm so with you, and have known that I don't like or want kids since I was a child. That didn't matter to a whole bunch of male doctors in my life, though, who seem to feel that babies are mandatory...
  7. Nursing Diagnosis...the sacred cow that needs to go.

    Not a nurse speaking here, so feel free to mock and chastise me for not getting it. I can understand having some tool that prompts the nurse to think about what interventions s/he can take to improve...
  8. How to get faster at med pass

    Thank you. Unless this is a new admit or the first time a new medication is being given, it really shouldn't be necessary to go into any more explanation than, "Here are your meds: Drug A for...
  9. Speaking as one of those patients who are under a lot of stress when in the hospital, I would be *thrilled* if the nurses who cared for me could tell the self-entitled, whiny malcontents with whom...
  10. Non-verbal signs of pain

    @ShayRN -- BRAVA! While on the subject of pain, let's also work to get the word out that: ** there is a BIG difference between addiction to and dependence on pain medication. The former is a...
  11. Patient's addicted to narcotics

    No, they don't. This is a myth. The percentage of people with chronic pain who become addicted to narcotics is actually very, very low. THIS! And just for the record, THIS! Please make sure...
  12. Perhaps one of the fire fighters or first responders on this thread can clear up a puzzle for me. With a policy in place that prohibited the fire fighters from entering the water or attempting...
  13. An open letter to the ER triage nurse

    When did refraining from being rude and dismissive become equated to "pillow
  14. IV ADMIN

    I read a lot of disturbing information on this site, but this scares the beejeebus out of me! If this is true (and I've no reason to doubt your experience), thank goodness there are dedicated...
  15. Oragel for hemorrhoids???

    Been there, done that. It's not much different than using lidocaine gel except it's much more costly and you don't need a script to buy
  16. Labored Breathing?

    Since he will respond to questions, you could try the age old technique of asking him if he's having trouble breathing. If he doesn't appear to be in distress (assess him using the indicators others...
  17. Fecal Disimpaction

    I'm a bit taken aback to hear that some nurses are being taught that manual disimpaction is "too risky" or requires doctor's orders to perform. Although my experience is primarily in the spinal cord...
  18. Reapply a Fentanyl Patch?

    Regardless of whether a patch that has fallen off is reapplied with an occlusive dressing or a new patch is used, it should be placed in the same location as the one that came off. If the patch is...
  19. How do you induce passing gas post-op?

    If the patient is on a regular diet, have him/her eat a half-3/4 cup serving of prunes, which act as a stimulant to peristalsis and provide much needed fiber. If the prunes don't stimulate the...
  20. The point of the ADA to prevent discrimination on the basis of disability in part by *not* requiring any individual to reveal whether they are disabled or not. The courts have ruled that since there...
  21. What to do for this patient simulation????

    You might want to re-read the patient data, which said the patient had hypo-active bowels, not hyper-active
  22. This is not true. The Americans with Disabilities Act prevents employers from asking about medical conditions and disabilities before a conditional job offer has been made. The employer can ask you if...
  23. Question about enemas...

    Your para definitely needs to change not just his bowel care but his whole bowel program. That means getting 20-25 g of fiber per day and drinking at least 2-3 liters of water. He can also add up to...
  24. Exposed to flesh eating bacteria, scared

    If the urine came from someone with a known UTI *and* some of the urine had actually gotten into her eye, then an antibiotic prophylaxis would seem appropriate. Otherwise the doctors in your ER are...
  25. Can an RN travel on an airplane with detox patient?

    I was just going to ask if I'm the only one who watches the A&E network's show "Intervention". They often contract with an RN to travel with the addict from the intervention to the detox...