nursemarianne

Latest Activity

1. MORAL DILEMA

   nursemarianne replied to TonyaM73's topic in General Nursing

   Nothing I wrote goes against the sources in your link. Did you even read them? A person declared competent by an MD, NP or PA can make their own decisions which includes a DNR. They can aslo specify wha the DNR includes or does not include. They...

2. MORAL DILEMA

   nursemarianne replied to TonyaM73's topic in General Nursing

   you cannot restrain a person to force them to accept treatment -- malpractice. md found the patient competent to make his own decisions which he did after hearing about the course his life would take without further treatment. as nurses we have no ...

3. MORAL DILEMA

   nursemarianne replied to TonyaM73's topic in General Nursing

   The 55mg of morphine did not necessarily hasten the death of the patient. MSO4 20mg. every 20 minutes is fairly common in hospice. This dose is only given if needed for comfort AND if the respiratory rate would support giving such a dose.

4. MORAL DILEMA

   nursemarianne replied to TonyaM73's topic in General Nursing

   Unfortunately there are many responses discussing the use of morphine for en-of-life pain control by nurses who are not aware of the guidelines. Many times the use of morphine at the end-of-life actually extends life for a short time. The morphine ...

5. MORAL DILEMA

   nursemarianne replied to TonyaM73's topic in General Nursing

   Once a DNR was in place putting oxygen on while patient was lethargic or otherwise is battery. It probably can be classified as malpractice, too. Once the patient has been educated, is over 18, and cognitively intact his or her wishes are it and the...

6. Work bags: What do you take and what's in it?

   nursemarianne replied to PediNurse3's topic in General Nursing

   Working for a nursing agency required that I bring different items depending on where I was working. I got sick of packing for each facility and began carrying everything I could possibly think of in my back pack. I carry reference manuals such as ...

7. If a MD says "Don't Call Back"- do you write that as an order?

   nursemarianne replied to proudnurseRN's topic in General Nursing

   I would repeat the order back to the physician and if he stands by his comment/order not to call back, I would document it in my nurses notes. Then if the situation calls for it I WOULD call him back regardless of his order. My patients come first....