heron ASN, RN

Hospice

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All Content by heron

  1. heron

    Treat the Patient, not the Monitor.....Really?

    heron replied to jk2185's topic in General Nursing

    Seems like you're saying the same thing, then. Your first response to badness on a monitor is to actually look at the patient and suss out what's going on before deciding to assault her with...
  2. heron

    Has pain scale contributed to opiate problem?

    heron replied to Emergent's topic in General Nursing

    I pretty much agree with everything you wrote. As an aside, I should have said no script/no narcs instead of no-fly. That being said, almost by definition EDs are not dealing with addicts who want...
  3. heron

    Has pain scale contributed to opiate problem?

    heron replied to Emergent's topic in General Nursing

    They already exist - two of 'em that I know of. The flacc scale and the PAINAD scale, both developed for the assessment of pain in non-verbal or demented patients. While your suggestion is a good one...
  4. heron

    Has pain scale contributed to opiate problem?

    heron replied to Emergent's topic in General Nursing

    These threads may be about addicts, but they always conflate addiction with pain in ways that betray profound ignorance of both conditions. No excuse for it in my opinion, as the information about...
  5. heron

    Has pain scale contributed to opiate problem?

    heron replied to Emergent's topic in General Nursing

    The problem being that the ED really is swamped with addicts seeking to score, so they have no choice but to address addiction behavior. I actually agree that easy access to legal drugs thru the ED...
  6. heron

    Has pain scale contributed to opiate problem?

    heron replied to Emergent's topic in General Nursing

    That's a good idea, at least for the ED which shouldn't be treating chronic pain anyway. My concern would be the behavioral aspects, even for acute pain. Too many of us are stuck in the narrow...
  7. heron

    Has pain scale contributed to opiate problem?

    heron replied to Emergent's topic in General Nursing

    So ... what alternative to the pain scale do you
  8. heron

    Has pain scale contributed to opiate problem?

    heron replied to Emergent's topic in General Nursing

    I tend to agree with you, there ... but I don't think the pain scale is anywhere near the root of the problem of addiction in general or opioid addiction in
  9. heron

    Has pain scale contributed to opiate problem?

    heron replied to Emergent's topic in General Nursing

    To answer the OP's question - no, I don't think so. Active addicts will use any effective tactic, including lying, to obtain their drug of choice either to get high or at least avoid withdrawal....
  10. heron

    CNA's and Drug Use/Dating known Felons

    heron replied to jadedncynical000's topic in General Nursing

    Well, hurry up so I can put both on my ignore
  11. heron

    CNA's and Drug Use/Dating known Felons

    heron replied to jadedncynical000's topic in General Nursing

    Another
  12. heron

    I hate night shift, need some advice :(

    heron replied to chocolateistheanswer's topic in General Nursing

    Night shifter, here ... And I agree with the above posters. After more than a year, no one can say you didn't give it a serious effort. Go for the float
  13. heron

    Mixing Cefuroxime and Metronidazole

    heron replied to preshee92's topic in Patient Medications

    What are the potential complications of a cutaneous infection or antibiotic therapy? What else is going on with the patient that might put him/her at increased risk of developing such a
  14. heron

    No more rudeness!

    heron replied to WheatGerm's topic in Patient, Colleague Relations

    jadelpn: the OP was listening in on a conversation between strangers at a public
  15. heron

    Nursing Supervisor is Inappropriate

    heron replied to Shelby, BSN, RN's topic in Patient, Colleague Relations

    "Boss of all the nurses in the hospital" is the CNO/DON (titles vary), or the administrator/CEO, neither of which includes a part-time weekend position. A weekends-only supervisor could certainly...
  16. heron

    Nursing Supervisor is Inappropriate

    heron replied to Shelby, BSN, RN's topic in Patient, Colleague Relations

    This guy is the DON/CNO and likely a serial abuser - it's gonna get a lot more complicated than a simple report to HR. Organizations tend to protect their upper echelon officials. It's likely he's...
  17. heron

    Nursing Supervisor is Inappropriate

    heron replied to Shelby, BSN, RN's topic in Patient, Colleague Relations

    OP, you need to know how to protect yourself from retaliation. That he's done this once before that you know of tells me that this is his m.o. and there are probably more survivors of his attentions...
  18. heron

    Nursing Supervisor is Inappropriate

    heron replied to Shelby, BSN, RN's topic in Patient, Colleague Relations

    If your story is true, then no - you are not overreacting. Seek a lawyer's advice. Sexual harassment is fiendishly hard to prove. It's also a huge liability issue for business organizations and they...
  19. heron

    Working 12's with small children

    heron replied to karo07's topic in General Nursing

    Having walked that walk, the reality is that you need full time, as in 24hour around the clock, childcare on the days you work. If hubs can't do that and family isn't available or willing, you'll have...
  20. heron

    No more rudeness!

    heron replied to WheatGerm's topic in Patient, Colleague Relations

    It may be that it was overheard at a zoo - not at work. The OP seemed at first to feel entitled to police nurses' every word, thought and deed on and off the job. It sure put the hairs up on the back...
  21. heron

    Drama at new job

    heron replied to sungrl01's topic in General Nursing

    Rotating doctors at a cancer treatment center?
  22. heron

    Am I a bully?

    heron replied to haron54's topic in Patient, Colleague Relations

    First post on a controversial topic by a new member on the first day of membership. Sure fits the profile. Not buying
  23. heron

    The right to an opinion

    heron replied to ElectricCabbage's topic in General Nursing

    But what if family dysfunction intervenes? Not every family is healthy enough to cope effectively with emotional issues like end of life decision. Two true stories from my years in hospice: I was...
  24. heron

    Animal Vets Sterilizing Human Females?

    heron replied to Skayda's topic in Medical Assistant, CNA/MA

    At least through the early seventies, immigrant, minority and poor women were being sterilized not only against their will but often without their knowledge. This is a major factor in the requirement...
  25. heron

    A simple reminder of why we do what we do, for everyone to reflect

    heron replied to Bedside_Life RN's topic in General Nursing

    OP, I'm really ambivalent about your post. I think it's important to find meaning in what we do ... after all, we spend so much of our waking time doing it. Your post is an eloquent statement of what...