kew_11

being a new nurse i am soo scared and careful with this stuff, and working on an oncology floor we give a lot of narcotics (i think, ive never worked on a different floor)...but i always document the actual time the pt gets thier med on the medication administration record, i bring the paper with me, write the time, give the med, and then cross off the time before i leave the room. also i dont pull anything until i need it. and with partial doses, i always make a nurse waste with me at the time i am actually wasting the med in front of them, and have them document the witness....and for the hospital i work at, if you pull a narcotic and dont document it in the medication administration record paper, it is assumed that you took it for yourself. DOCUMENT. or it wasen't done. :)

I work on a medical/oncology floor, so i have encountered some of what you have mentioned. Of course, pain is what the patient says it is, and I always stick with this, and do my best for every patient. however, i have had some encounters with some pain seekers, and i really think that puts nurses in a tough position, especially when doctors only want to give a certain amount/dose/frequency of a pain med to a patient, which is understandable, and then there you are in the middle, and the patient's upset. i did have a recent encounter with a pain seeker/drug abuser who was so manipulative, that i felt i couldnt function properly after 3 days of that..it was so bad to the point of the patient purposely occulding the IV to make it beep, to make me come faster with pain meds, even though i always came on time anyways..

for skin break down purposes...i would want my patients cleaned up. if night after night they are constantly being wet and not turned, they are going to breakdown fast, and thats another problem on top of everything... ..when im old one day and cant control my bowels i pray that someone comes in to turn me frequently and change me often, i dont care if im sleeping or not :)

firstly, 40 patients..i cant even imagine how many meds that is or how long that would take me to pass those, so good job to you! however, as far as the CNA's i would kindly ask them to only talk when on a break or something, unless it is important and involving a patient. with family phone calls, i would ask someone to take a message, and kindly tell the family member that you will call back once you have been in to see your patients and their loved one, and follow through with your word. as far as family members physically coming up to talk to you at the cart, i would redirect them and sort of say that you can go to their family members room next, after finished with your current patient, and then talk with them while doing your assessment/seeing that patient. also you mentioned you do accuchecks? our CNA's are able to do accuchecks, do you physically have to do the accuchecks or are you just getting the readings that the CNA's have done for you?