lucki_star7

Honestly, regardless of whether or not you are clean and whether or not you want to continue working as a nurse or not, it would be wise to do the rehabilitation program. I don't want to be negative but drug addiction is so dangerous and it can be very easy to relapse. Why not just do the program and then you don't have to worry as much. In a way I feel like you are trying to take the easy way out and trying to avoid getting the help you need.

I agree with GrnTea. In my opinion it would be violating HIPAA if the healthcare providers told Donnie. However, if Serena had sex with Donnie knowing that she had an infectious disease and did not disclose this information she would be breaking the law, because this could potentially kill him if he ended up becoming HIV+ and developed AIDS. I have heard of people going to prison for having sex with other people and knowing that they were HIV+ and not allowing the other person to make an informed decision!

Thanks for that long winded response, but I really think you misunderstood what I said or that I wasn't clear in my response. I wasn't saying that they derived the nursing dx from the medical dx. What I was getting at was they wrote nursing dx that could be possible for someone with a certain medical dx. Obviously you would have to base your nursing dx off of facts and your findings in their assessment. I wasn't giving the OP a definitive nursing dx. She didn't include much info to start off with, I was just giving possible ones provided that they matched her assessment data and could be used. However, Let me give you an example from my book. Lets say I have a pt with Parkinson's a possible nursing dx could be Risk for injury r/t tremors and altered gait. Would this work for every single pt with Parkinson's? It would seem so, but possibly not if their tremors are kept under control, but if upon doing the assessment you notice tremors and an altered gait then it can definitely be used. What you are trying to get at is that I am just making up nursing dx with fake information. There was hardly any information given to begin with and I didn't perform this assessment. As I said before, I was just giving examples of what could be used if the data matches. Thank you for the recommendation and advice, but honestly I am not about to confuse the crap out of myself when it comes to writing a nursing dx. I get where you are coming from, but I really think you are misunderstanding me. I may just have a hard time explaining myself because I haven't been at it as long as you have. Anyways thanks again.

While I do understand your concern. We use the ninth edition Nursing Diagnosis Handbook, and I got all of these from the book relating to substance abuse. In my book the first 100 or some odd pages have examples of nursing dx for different medical diagnoses and other health concerns and these were all listed under substance abuse. However, in my program we were told to use our assessment data as the evidence. Which is what I did above. I am sure this is probably an ongoing issue with different people because not every school teaches it the same way, and not every book probably words everything exactly the same either. Believe me I am not saying that I know more than you because, I certainly don't as I am only in my first year of NS. I guess I am just trying to figure out if we HAVE to use a defining characteristic that is exactly as it is in the book, then how are we able to use statements from the pt as the evidence?

Here are a couple possibilities:Noncompliance r/t denial of illness AEB (any statements he makes to you about not having a drug problem). Compromised family coping r/t codependency issues AEB family kicking pt out of house. Dysfunctional family processes r/t substance abuse AEB lack of familial support.

I don't know how all schools teach writing a nursing dx. We were taught using the PES format (Problem, Etiology, and Signs/Symptoms). It would be written as such Problem r/t Etiology AEB Signs/Symptoms, when writing an Actual dx; however, when writing a Risk dx you would write it with only the P and E (Problem r/t Etiology). A good risk dx would be Risk for injury r/t psychosocial development. ​I hope this helped! Good luck!

Okay now that is more understandable. However, you wrecked your credibility and confirmed what I already thought, that this wasn't a true story. In the original post you stated that the other nurse was a male saying "he" throughout, and in your last post you referred to the nurse as a "she." Based on your last statement I was more understanding of the situation; however, please don't plague these boards with untrue stories claiming it to be true, for attention seeking purposes. This forum is for us in the healthcare field to learn from each other, offer advice, and to be entertained and take a break from all of the hard work we put in.

IMO, you seem like one of those charge nurses that just wants to sit at the nurses station and do nothing. I will agree that the way he handled the situation was inappropriate; however, it was inappropriate for you to take on one patient and dump all of the other's on the other nurse. If you are going to be in charge then take charge responsibly, instead of being lazy. If you want respect from your fellow nurses, then you need to earn it and this is not the way. I am sorry, but if you are looking for sympathy, you won't get any from me.

I was the girl who hung out with all the guys, not because I was a tomboy but I just always got along better with guys. I skipped school, acted out a lot, and almost didn't graduate because I went into my junior year with just over a 1.0 GPA. It was then when I moved to a new school at the beginning of Junior year that I realized that I needed to take school more seriously, so I buckled down and excelled in all of my courses, and graduated with like a 2.4 GPA (not great but much better)! When I first graduated, I didn't really care about going to college everyone just told me I needed to go so I did, but my boyfriend and I moved to Minnesota and he was going through a rigorous program and couldn't work. So, I quit school and worked full-time as a CNA, made a bunch of financial mistakes, and damaged my credit! He graduated 4 years later and now we are living in SC and I am kicking butt in school, I have a 3.86 GPA and starting the ADN program in a week, and we are buying a house! I would say I have come a long way since H.S, but wish I would have taken it more seriously, that way I could have probably sped my education up a little quicker!

Lol they usually call those "buggies" med-carts! At least that's what every facility I have worked for has called them!

I have several patients that have been admitted due to Thanksgiving cooking mishaps, now the next time one of you decides to put on the call light it better be for a better reason than wanting another piece of pumpkin pie!

Thank you!!! Congrats to everyone else that has gotten accepted thus far!!!

YAY!! I finally got my acceptance letter today and couldn't be any happier!! Where are you attending? Greenville Technical College in Greenville, SC What are you most excited for? Learning new things and clinicals What are you most scares about? the unknown, such as things that I may not be prepared for What planning do you need to do? I don't start until March (I am in group two of the accepted nursing students, they start the first group in January and the second group 7 weeks later in March!) so I will be able to work and save money and also brush up on my Anatomy and Physiology!

YAY!!!! I got accepted into my program!!!! My school randomly puts all the new nursing students in two groups and starts the two groups at different times I am in the second group so I will be starting in March!!! I couldn't be happier! God is GREAT!!

Our letters are supposed to be sent out today so hopefully I will get mine tomorrow!!!! xFingers Crossedx