Munch

Munch

Med-Surg/Neuro/Oncology floor nursing.

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All Content by Munch

  1. I work neurosurgery/neurology unit and the oncology unit(but I work I'd say 2/3rds of the time on neuro). Our oncology unit is HUGE. Not only do we have an oncology unit, we have a bone marrow...
  2. BABY during School??

    I can't tell you what to do(or even what I would do if I were ine your situation) but what I can do is share you a success story(about someone close to your situation) that I indeed witnessed myself...
  3. This happened when I was was in my teens working in a department store. Employees would put food in the refrigerator/freezer in the employee lounge to eat/snack on for breaks. I worked in the...
  4. overdose on RX meds

    Absolutely NOT. In triage(at least in the hospital that used to work at and the hospital I'm at now), the nurse asks what medications they are on(and if they do indeed take medications at home,...
  5. DC'd narcotics

    Same thing here...destroyed. We do have another problem when we get a person with chronic pain on the floor and we try to get all their meds straightened out(first we call their prescribing physician...
  6. do you ever get tired of being treated like crap?

    I agree it can be extremely frustrating depending on the day and patient load. When I am on the neurology/neurosurgery floor it can be very difficult to care for patients that are a day post-op. They...
  7. Some OB questions

    I don't know if this is medical advice if so I apologize and feel free to delete my post. When my sister had her baby(I have two sisters, one who had a baby two months early and one who carried to...
  8. What is it like to work at Patient First?

    Excuse my ignorance but what do you mean by patient first? Do you mean what is it like interviewing a patient for the first time? or is patient first a place of employment like a
  9. Top three patient complaints?

    I work on the neurology/neurosurgery floor here the top three complaints I get(I had some of the same complaints when I had my brain surgery LOL): 1) "MY HEAD HURTS!" Yeah we kind of figured that one...
  10. Medication given against wishes

    Well I was taught different. Of course this was a mental health class and we were learning about about psychotropic medications which Ativan is. The case of Rennie v. Klein established that...
  11. Medication given against wishes

    thank you! that is my nephew! he was born 2 months premature but thanks to the wonderful doctors and nurses at a hospital in chicago he was born with no complications. no lung or heart problems and...
  12. Caring Under Pressure

    I had a crani a while ago and suffered a few complications(swelling of the brain, infection of the incision site) requiring a few ER visits and admissions. One time when I went to the ER where I had...
  13. Can NPs prescribe medication?

    I live in NY and when I had my neurosurgery the NP the works with my neurosurgeon prescribed all the discharge meds, including oxycodone(without APAP) which happens to be a CII controlled substance....
  14. Question...

    I agree it was a very nice thing to do...on both your parts. The emailed welcome letter you received and the fact you replied. I would have done the same
  15. Medication given against wishes

    It's actually against the constitution to give medication to a patient if a patient doesn't want it. Hopefully the Ativan that was given was documented if not then it's the patients word against the...
  16. I failed my patient

    I think most of us at one time or another had made a mistake or two when it comes to patient care. I personally don't think you failed your patient at all or made a mistake..but that's my opinion. I...
  17. What's the task you like doing most on the job?

    I love starting IV's...I'm pretty good at it, but when I see a nice vein and I can't get it started...what an ego blow. I also love flushing IV's and pushing meds through IV's(basically anything that...
  18. Drug seeking or real pain? How do you tell?

    All doctors/PA's/NP's are completely different when it comes to pain management. In April I had a crani for trigenimal neuralgia. After I got out of the OR they put me in a PCA but the dosing was very...
  19. How do you decompress/debrief?

    I kind of do what Akeos does. Instead I don't run I go to the gym since the hospital I work at gives me 4 days off in a row(so a membership isn't a complete waste of money). Also ever since I was 16...
  20. Increase abuse of Bath Salts

    Many people will do anything to get a buzz. I remember when I was in high school(11th grade health class) we were learning about drugs and alcohol. My teacher told us about a story about a fifteen...
  21. Mentorship in ED, Advise Please

    I don't work in the ED but it's pretty much the same being the new nurse on all units. Just like Mimilo said..SPEAK UP. If you don't something don't be afraid of looking inept. Everyone at one point...
  22. Ok..vent..advise...dunno

    Both hospitals I work(ed) at required the nurses to work three days in a row, twelve hours at a time. After those three shifts in a row we got four days off in a row. I loved it. Of course we did...
  23. What a night!

    You are so lucky. The nursing supervisors at the hospital I work at now are pretty much ghosts. They only come out to reprimand you. This is also New York City..so I guess that isn't a surprise...the...
  24. Ketamine for adults while intubated?

    Ketamine in used a lot in peds patients for minor procedures(for example bone marrow biopsies or aspirations). In my hospital it is sometimes used as rapid induction for intubations. When I had my...
  25. Drug companies are ridiculous...

    Never had darvocet but I have had darvon(without the APAP) before. It was an okay medication. It was prescribed for me after I was hit in the head with a softball during softball practice when I was...