Munch

Munch

Med-Surg/Neuro/Oncology floor nursing.

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All Content by Munch

  1. The way we ask for someone's pain level?

    LOVE IT!!!! I guess the pain chart DOESN'T stop at
  2. I was in a similar situation as you(though not the exact same situation). I was working in an oncology only hospital(I thought I would be great working oncology because I took great care of my father...
  3. I have been on both sides..the grateful patient and the patient grateful to me. I mentioned this on another thread, after my neurosurgery I was in the PACU in tremendous pain despite a PCA loaded with...
  4. The way we ask for someone's pain level?

    Sorry to go off topic for a second but this reminds me of an episode of Nurse Jackie I was watching last night...they asked a patient(played by John Cullum) what his pain was on a scale from 1-10(he...
  5. your first "patient emergency"

    This is the emergency I remember the most vividly. I was working at Memorial Sloan-Kettering cancer center at the time(I lasted a year..it was too sad plus I lost my father to cancer so it was a...
  6. Personality At Work vs. At Home

    Oh boy when I am at home I am a slob, impatient, very blunt/curse like a sailor and I take my sweet time doing things that need to get done. Also if the right person pushes my buttons I can have a bad...
  7. I am not in your shoes at the moment but I certainly was. Starting at the age of seventeen I started having medical problems and missed large chunks of schooling(which by the way was not nursing...
  8. First of all..I am absolutely OBSESSED with this book. Second of all..truer words could not be said. I remember after I had my craniotomy surgery I was in terrible pain(besides the PCA of dilaudid...
  9. Sickle cell

    In our emergency room(where I don't work..I'm med/surg) the narcotics are usually pushed in a 10cc n/s flush. It's not just certain patients that get it this way..it's just about everyone..just the...
  10. Everyone is different and the body goes to extremes to survive. My father was placed on hospice after being treated for pancreatic cancer for a whopping three months. My father actually stopped eating...
  11. Real vs fake chest pain

    One of my good friend works in the locked corrections unit in our hospital. The stories she tells me..If I had a nickle for every inmate turned patient that was as healthy as a horse, I'd quite my job...
  12. LTC incident, what are your thoughts.

    I don't get what the problem is. The dose of ativan was on the low side and Tylenol is pretty benign(unless the patient has a liver problem or just received a dose of tylenol which he obviously...
  13. Without hard evidence(like tracks on a patients arms) I refuse to police the patients who state they are in pain and request pain medication. As long as the medication is ordered by the doctor who are...
  14. pt safety question, please help

    I would definitely check out the comment the doctor made about smothering the patient with a pillow. It's hard to believe the doctor was serious in what he said. Of course the comment should be taken...
  15. I remember being hospitalized for 10 days this was a couple of weeks after my brain surgery and I had a Dilaudid PCA up until the minute before I was discharged(the PCA was at a pretty high dose too...
  16. Labor and delivery nurse interview soon! Welp!

    They'll probably ask you why you want that position. Seemingly easy question to answer but one that's actually harder to answer than you might think. "I want to help people" "I love babies"! Are...
  17. What is my legal and Ethical Obligation?

    Nurses can call in scripts to the pharmacy in my state...NY(unless it's a scheduled II drug). I had oral surgery a few years ago and the dentist prescribed vicodin(scheduled III med) and the nurse...
  18. Anyone start out med/surg?

    If you transfer to mother/baby they aren't just going to throw you out in uncharted waters. They will probably pair you up with someone you can shadow. That's what happened to me. I worked med-surg at...
  19. Families that talk about my coworkers

    The first thing I think about is..if they are talking about my co-workers...what are they saying about me when I'm not there? I usually don't say anything or just nod my head when shift is changing...
  20. A Dilaudid PCA for a toothache???? seriously??? I've had root canals and the only thing I get or need for the first two days when it's really sore is percocet. I am at a loss for words why someone...
  21. Christmas gifts for residents

    I thought of a few more ideas...Scented candles are always nice(not sure if they can be lit) but even if they can't they kind of personalize the room(I have a bunch of scented candles around the house...
  22. What was wrong with my patient??

    OH YEAH... steroids can make you change definitely. After I had brain surgery I was put on decadron and it made me a different person. It made me extremely angry, hungry, agitated and just a big pain...
  23. What was wrong with my patient??

    I was thinking if she didn't bring her own stash of pharmaceuticals than something going on in the brain like a tumor, bleed, clot or swelling. I had brain swelling and knew my name, place, phone...
  24. Clinicals, and Job Offers

    Didn't happen to me personally(though I had no desire to work at the hospital where I did my clinical rotations). But my friend is a respiratory therapist and got hired at the hospital she did her...
  25. What career did you have before nursing?

    I actually graduated with my BA in Forensic Psychology and minor in psychology. So right after I graduated I worked for the ATF(Alcohol, Tobacco and Firearms) in their administrative department....