carolmaccas66

carolmaccas66 BSN, RN

Med/Surg, DSU, Ortho, Onc, Psych

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All Content by carolmaccas66

  1. Drug seeking or real pain? How do you tell?

    carolmaccas66 replied to JudyPRN's topic in Pain Management

    If in any doubt, the senior nurses I've worked with call the APS (Acute Pain Service). Of course we get drug seekers - despite what people think, these people are chronic drug seekers as most have...

  2. Sometimes it's hard to tell a drug seeker from a patient in pain.

    carolmaccas66 replied to tiroka03's topic in General Nursing

    It's very hard when u just know someone wants drugs. You could refer them to the Acute Pain Service, but that's not practical in an ED situation. The ED physicians I worked for not long ago will not...

  3. In your opinion, which is more addictive tylenol 3 or tramadol?

    carolmaccas66 replied to Blackheartednurse's topic in General Nursing

    Tramadol is great & is a very underused pain killer. But our govt down under is getting rid of it off the market next year, as it's causing cardiac problems - in cardiac patients!! And I like to...

  4. Is becoming an RN still worth it?

    carolmaccas66 replied to round12tko's topic in International Nursing

    no. i honestly think being a rn is not worth it. here's something i put on another post (some of this may not apply to you): i went into nursing because i thought - and was told by people who were...

  5. Job searching is DISCOURAGING!

    carolmaccas66 replied to Cammy84's topic in Medical Assistant, CNA/MA

    Can u put yourself on job boards, like monster.com? Or go thru nursing/health care agencies to get work? Sorry I'm not in the US so can't be of much

  6. Do Not Send to Hospital From Nursing Home

    carolmaccas66 replied to toughjob,nurse's topic in General Nursing

    Your DON is SO wrong! I would never not send a patient to the ED if necessary. She has no right to say that. How on earth can anyone write out a 'valid' order NOT to send someone to emergency? This...

  7. Failed Med/Surg by 3/10 point

    carolmaccas66 replied to Ciale's topic in General Students

    Yes I failed a subject and couldn't go on to the next semester. It is very disappointing I know, but I decided the past was the past & to revise my study. I got a plan of action together, studied...

  8. Ever Think Nursing Might Not Be Enough?

    carolmaccas66 replied to FattyMateo's topic in Nursing Career

    Care plans etc are a joke as 1st poster said. When ur in charge of 100 patients, with 10 staff under you, you have no time at all to even look at ONE of those care plans. And ur too worried re (a)...

  9. American Indian health care a national embarrassment

    carolmaccas66 replied to Thunderwolf's topic in General Nursing

    I cannot believe that a country such as the US who prides itself on being 'modern' and a 'leader in the world' has such backward health care. To bill someone for chest pain is the height of insanity...

  10. clear liquid

    carolmaccas66 replied to mrnewman's topic in Nursing Student Assistance

    Clear liquids have nothing to do with body temp. Why r u so stuck on this? Pts can have clear broth hot or cold. They can have hot or cold water - a clear liquid. So the question is moot. I don't know...

  11. First Med Error Blues...

    carolmaccas66 replied to cyb3rRN's topic in General Nursing

    I can't read all these responses as I have to go out. This is why I refuse to work LTC in places with a 60-100 or more residents. It is too busy & there is not enough time to do anything. It...

  12. Personal advice needed!

    carolmaccas66 replied to bailee4's topic in General Nursing

    Your wisdom & experience in caring for ur dad will be a blessing for others. You are stronger than u think. The fact that you are ABSOLUTELY determined to do nursing is a giveaway! You will have...

  13. Looking for INSIGHT/Your OPINION THANKS

    carolmaccas66 replied to promote.health's topic in General Nursing

    You have to make you happy, not everyone else. I have had many gf's who had to work/did shiftwork, who missed out on their kids parties, first time walking etc. They didn't realise how precious these...

  14. Dilemma about reporting some no-no's

    carolmaccas66 replied to DogWmn's topic in Patient, Colleague Relations

    Just send an anonymous letter to the DON/NMs. You don't have to say who you are, just say you work or were in the hospital & say you observed the above

  15. unknown terminology

    carolmaccas66 replied to clearblue3's topic in General Nursing

    It's probably: complaints of pain. We aren't allowed to use too many abbreviations as people get confused and it can be dangerous. For your info, don't do this in the future with medical notes. If u...

  16. IV Questions from a New Nurse

    carolmaccas66 replied to BowHunterRN's topic in General Nursing

    You can always flush the cannula with 5mls NS to see if it is infiltrated. But if it's red, swollen, looks like it's leaking & really hurts, the IV site is stuffed and the vein will be irritated...

  17. Hygiene disaster areas

    carolmaccas66 replied to canoehead's topic in General Nursing

    You could try putting baby oil on first. That would keep their skin moist & help remove dirt etc gently. I feel sorry for some of these people. They may be homeless with no access to clean water....

  18. What can you run iv tylenol with.

    carolmaccas66 replied to evolvingrn's topic in General Nursing

    I've run IV panadol with many other different drugs, esp ABX. But you need to check your facilities drug/med book to check what u can and can't do. Obviously you wouldn't give it with any drugs that...

  19. Getting blood on your hands

    carolmaccas66 replied to ribeyesteak's topic in General Nursing

    CANDY STRIPERS, not strippers!!! lol! I hope ur wife isn't reading this! Treat everybody as infectious. Universal precautions apply (the WHO keeps changing the term but it all means the same). I don't...

  20. No less than what I expected...

    carolmaccas66 replied to AngelfireRN's topic in General Nursing

    What a bummer for you to hear they're paying the other NP more! I'd certainly be ringing them & asking where my extra money is! If you signed a timesheet, or kept a pay log which I presume you do,...

  21. Freaking Out a Bit....

    carolmaccas66 replied to LTCPCA's topic in General Nursing

    I don't understand why a PCA is responsible for someones patch, especially nitro. Is this a US thing? The nurse who does the meds is responsible. Also you should not be letting the pt take his own...

  22. 9 rights of medications

    carolmaccas66 replied to Jonesskky RN's topic in Patient Medications

    The rights of meds has got ridiculously wrong. You do not need 10 or 15 rights! This is why errors happen, cos students/nurses are trying to learn and integrate too many things at once. Keep it simple...

  23. From honeymoon to hell in a few short weeks...

    carolmaccas66 replied to TLSpaz's topic in First Year After Licensure

    Nursing is very, very hard, especially if you're young, but I really think you should have given it at least 3 months or so. You will never, ever find a bedside nursing job that is all roses and nice...

  24. Share The Weirdest Reasons Patients Push The Call Light

    carolmaccas66 replied to RN06-NP09's topic in Nursing Humor

    Ha, ha, ha! She was playing you and you fell for it. Be more assertive next time, simply say 'no you can do that for

  25. New Grad RN with no job and HUGE dilemma

    carolmaccas66 replied to froggy8's topic in Job Search, Interview, Resume

    What on earth are you waiting for? Call your old boss, & explain the situation. Be up front re it all - lying doesn't get you anywhere. I honestly don't see what your dilemma is - you are worrying...