Munch

Munch

Med-Surg/Neuro/Oncology floor nursing.

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  1. 100 mile commute. Worth it?

    If the commute is your only concern I would take it. 50 miles isn't so bad. I commute daily from the suburbs to the city 45 minutes to an hour each way. Most of the time I take the train though do to traffic. But on days I take a PM shift I drive in ...
  2. Was I wrong?

    Bear with me for this is going to be a little long. I was covering part of a shift for a co-worker on my scheduled day off. The shift was 7am-730pm and I was working 9 to 3:30 for her on the regular med-surg floor(I work Neuro med-surg normally). I ...
  3. "Safe Injection Houses"- What's This?

    Enabling? You think not having a supervised injection site around is going to keep drug use down? They will just use in pubic restrooms or in the park or wherever. Having a place to do drugs is the last thing on an addicts mind. These places just hav...
  4. "Safe Injection Houses"- What's This?

    I haven't read all of the responses yet apologies if I am redundant. I am all for harm reduction. As a nurse anything to help keep a person alive can't be a bad thing. The idea that safe injection sites or needle exchage programs encourage drug use a...
  5. Was it verbal abuse? Y/N or maybe?

    Definitely NOT verbal abuse. Part of being a nurse is to EDUCATE our patients which is exactly what you did. You didn't say anything that wasn't true and while I wasn't there it doesnt seem like you said anything in an inappropriate manner. Telling p...
  6. This is not what I thought it was

    Jeez I'm so sorry no rest for the weary when it comes to nursing huh? I really had to adjust when I first started with my medical problems. I had a craniotomy that fixed the original problem but left me with scar tissue and nerve damage causing excru...
  7. Was I wrong?

    Me too I would never want her as my nurse either. Thankfully the patient I was talking about will be going home tomorrow. A good friend of mine that floats on that unit often told me the patient is going home tomorrow on her oral regimen that they tw...
  8. Did you contract anything from a patient?

    I had a couple of co-workers get stuck with needles one from a HIV positive patient and one from a Hep C patient. Luckily they both came back negative. Both of them left direct bedside care as they were freaked out like your co-worker. I think both o...
  9. Should nurses be able to listen to music at work?

    I'm the same way. It drives me nuts when I hear people singing or humming especially because more often than not its off key and out of tune!
  10. Was I wrong?

    Thank you for that information! We see such a huge population of sickle cell patients in my hospital as well. Actually when I came on that day I was covering I found it odd the patient wasn't on a PCA. When we get med-surg overflow on my floor(which ...
  11. Was I wrong?

    I totally agree with what you are saying. I am a big believer in harm reduction and while I DO NOT think we should be giving every addict that walks through their doors a fix but we aren't going to cure addiction in an acute care setting. Also my hos...
  12. Was I wrong?

    I was reading an old thread about a patient that was an addict and was prescribed something like a Vicodin for a really painful condition and the Vicodin wasn't working. One of the nurses on this thread replied that maybe they should think about the ...
  13. Was I wrong?

    I was reading an old thread about a patient that was an addict and was prescribed something like a Vicodin for a really painful condition and the Vicodin wasn't working. One of the nurses on this thread replied that maybe they should think about the ...
  14. Was I wrong?

    That's the thing though the patient didn't really show signs of being a drug seeker. She had maybe one or two admissions to the hospital since 2016 and maybe 4 or 5 visits to the ED since 2016. She isn't on the radar at all before 2016 actually. Afte...
  15. Was I wrong?

    Yes the whole diverting theory is all speculation and is nothing more than a theory. I would never report her unless I had hard evidence she was diverting medications. She has been working at the hospital for quite a while and my guess is if she is d...
  16. Was I wrong?

    Yeah I am definitely in agreement. She really did overreact. The thing is I don't have any hard evidence and making an accusation like that with little to no proof can really have damaging consequences to her career if for some reason she isn't diver...
  17. Was I wrong?

    The nurse can call the doctor and try to get the order for the PCA discontinued. I dont think he would do that because after I started the PCA I was on the phone with him a few times giving him her status and I told him that the only side effect she ...
  18. Was I wrong?

    What is it with some nurses(and docs) that think that just because someone abuses drugs and or alcohol that 1) they can't possibly be having real pain and 2)if they really are having pain they are addicts so no addicting meds for them like they shoul...
  19. Was I wrong?

    Thanks for the article I am definitely going to check it out. Being an inner-city hospital with a huge amount of SCC patients I get young people on my floor all the time with the disease. Luckily the doctors have experience with these patients so the...
  20. Was I wrong?

    You know that really is a very good point. A case of let me point my finger at this patient before the fingers are pointed at me. I was also wondering why she didn't try to get the order changed. Q2hr dosing is a lot and takes up a lot of time. We ge...
  21. Was I wrong?

    It makes me sick to think of how many patients who were genuinely in pain were dismissed by this nurse and others like her who are quick to judgment. I know the whole drug seeker and pain medicine topic has been discussed before but its like my co-wo...
  22. Was I wrong?

    Thank you. This patient didn't seem irresponsible or even tolerant to a huge amount of narcotics anyway which says to me that she was responsible and trying to take care of herself. Her home meds were nothing crazy she was taking oxycontin 40 TID at ...
  23. Was I wrong?

    Exactly my thoughts. She wasn't in the hospital on the clock working. Her patients were now MY responsibility. I was on the clock on the floor using my license to care for them.
  24. Was I wrong?

    Thank you guys. I will definitely NOT be covering for this nurse again(though maybe its better for the patients if this nurse isn't around much). I will definitely be saying something to the manager about this. I work in an inner-city hospital with a...
  25. Diversion

    Its the oldest interrogation trick in the book. Police do this all the time when trying to get info out of a suspect. They always say it will go better for the person if they cooperate. Its not true! The board is not your friend. Now that they have a...