heron ASN, RN

Hospice

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All Content by heron

  1. heron

    Vitamins are a controlled substance?

    heron replied to Volley88's topic in Patient Medications

    He may not have been paying for employee stock, but as dept head he's responsible for controlling his budget. I don't necessarily agree with his decision, but it was his to
  2. heron

    Support Planned Parenthood Today!

    heron replied to elkpark's topic in Activism, Healthcare

    Then there are the somewhat euphemistically named crisis pregnancy centers being funded with tax dollars to use junk science to scare women out of getting abortions, while providing pretty much...
  3. heron

    Too much Morphine-scopolamine+stesolide

    heron replied to KarinBe's topic in Geriatric, LTC

    There's no one size fits all answer to that ... it takes the time that it takes and depends on the underlying disease process(es). I was trying to explain one reason that morphine would have no effect...
  4. heron

    I Inherited A Bully

    heron replied to Natkat's topic in Nurse Management

    And there's your ace in the hole: saying thank you. As a lifelong underling (you couldn't pay me enough to take a management job!) I have to say that controlling bullies and deadwood is only half the...
  5. heron

    Patient called me idiot WWYD?

    heron replied to 321Ken's topic in Patient, Colleague Relations

    Don't engage ... the pt is just miffed that he didn't get his own way. He knew full well that the nurse would not go along, which is why he asked
  6. heron

    Too much Morphine-scopolamine+stesolide

    heron replied to KarinBe's topic in Geriatric, LTC

    Kussmaul respirations continue as long as the patient is acidotic ... it's the body's way of correcting the imbalance by blowing off carbonic acid. I see it most often in people dying of end-stage...
  7. heron

    Chris Christie in charge of Trump's Opioid Commission

    heron replied to Emergent's topic in Activism, Healthcare

    What worries me is the potential for yet another War on Drugs that uses draconian, inappropriate and ineffective measures to create big drama (and big $$ for enforcers and pushers alike) and little...
  8. heron

    I Gotta See If He Is Dead!

    heron replied to spotangel's topic in General Nursing

    Wouldn't have a clue ... the issue might be that the morgue was never set up to allow public access, for administrative, financial or even forensic reasons. It's a pity that the facility had no...
  9. heron

    I Gotta See If He Is Dead!

    heron replied to spotangel's topic in General Nursing

    It takes an expert, even gifted, manager to know when a power struggle over enforcing a rule will just escalate the damage being done and to go ahead and break it. Compassion (not pity) + skills = a...
  10. heron

    What is your "pearl of wisdom"? Tips & Tricks!

    heron replied to nursejaxn's topic in NICU, Neonatal

    Miss you ... I remember that thread
  11. heron

    When Your Patient is an Addict...How to Deal

    heron replied to Nurse Beth's topic in General Nursing

    When you characterize any effort to place the issue of addiction into some kind of larger context of intertwined care issues as "enabling", then you are, indeed advocating for inappropriate care....
  12. heron

    When Your Patient is an Addict...How to Deal

    heron replied to Nurse Beth's topic in General Nursing

    Oh, please ... can the drama for a minute and try to understand that no one has claimed that addicts don't try to get over, especially in the ED. What we are tryng to explain is that righteous...
  13. heron

    Anyone know about Labor Laws?

    heron replied to iowaALF-RN's topic in General Nursing

    A benefit is not a gift - it is part of the compensation package offered to employees and is earned right along with the paycheck. But, yes, the employer gets to set pto
  14. heron

    Should I report the person who scheduled me to a patient I should not have been sitting?

    heron replied to Rayrayma's topic in Patient Safety Issues

    Murphy's Law is an excellent guide, especially for folks who are new to this field: if something can go wrong, eventually it will. Every situation is different ... best to stay on your toes even (or...
  15. heron

    Should I report the person who scheduled me to a patient I should not have been sitting?

    heron replied to Rayrayma's topic in Patient Safety Issues

    Here's an additional thought: most acute care facilities maintain a policy/procedure manual. Consider showing up 15 or 20 minutes early for your shift so you can actually read the facility policy ......
  16. heron

    new job, no support, feeling very upset and overwhelmed

    heron replied to laura3093's topic in Nursing Career

    I didn't read anything about character in Ruby's post ... but I guess no good deed goes unpunished. Not having been there, I have no idea whether your supervisor's assessment that you were floundering...
  17. heron

    When Your Patient is an Addict...How to Deal

    heron replied to Nurse Beth's topic in General Nursing

    So, how do you deal with people who have both medical and addiction issues? This is the point that PPs are trying to make, I think. It's not a strict either/or algorithm. Which issue gets
  18. heron

    Nurse opinions on "Birth Rape"

    heron replied to EKUGRAD's topic in Ob/Gyn

    What makes you think it's not "forcible, intentional degradation"? Who sez "the issue" must be one or the other and both can't be valid at the same
  19. heron

    Don't wake the Dr, Or maybe I should?

    heron replied to Beautiful_Soul's topic in Geriatric, LTC

    As a long time night-shifter here, I want to say that calling at 3am for an issue that can wait until daylight is a great way to train an md to send your call to voicemail and go back to
  20. heron

    10 months as An assistant nurse, still getting scolded.. so discouraging..

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

    Can we back this truck up a bit and acknowledge that not everyone responds to the adrenaline jolt (and subsequent chaos) of a code in the same way? When I was 10 months in, I reacted the same way:...
  21. heron

    Should drug diverters be prosecuted?

    heron replied to Emergent's topic in General Nursing

    Once again, diversion programs exist in order to divert certain offenders - in this case nurses who steal meds from a care setting - out of the criminal justice system. The point being that first-time...
  22. heron

    Should drug diverters be prosecuted?

    heron replied to Emergent's topic in General Nursing

    I want to point out that these programs are referred to as "diversion" programs because they are intended as an alternative to (IOW, a diversion from) criminal prosecution, not because they are for...
  23. heron

    Sleepy Coworker... Patient Incident!

    heron replied to All4NursingRN's topic in General Nursing

    Have you talked to her about it? I have a similar ongoing issue with a co-worker. We are able to talk about it quite frankly and come up with strategies to help him stay alert. He is fully aware that...
  24. heron

    Dealing with the DEA , any advice?

    heron replied to mississippiRN71's topic in Nurses Recovery

    When my partner, who was taking Percocet and OxyContin, died at home, I was advised by the police officers present to refrain from publishing an obituary. Apparently, the theft of leftover narcotics...
  25. heron

    Lidocaine infusion for pain

    heron replied to nurse2033's topic in Emergency

    My guess is Pendulum Syndrome: from narcs for everything to no narcs at all, instead of a rational middle course of narcs only when they're known to be