heron ASN, RN

Hospice

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All Content by heron

  1. heron

    prescription drug addiction

    heron replied to shedevilprincss's topic in General Nursing

    No one disagrees with that, David. But you still haven't addressed the subject of the thread. Ineffective and prejudiced pain management is a real thing precisely because practitioners get confused...
  2. heron

    Undocumented Patients

    heron replied to srercg6's topic in General Nursing

    I did - and the question is a legitimate one. To rephrase it, what do you think we should do
  3. heron

    prescription drug addiction

    heron replied to shedevilprincss's topic in General Nursing

    No, the real question is how to treat pain effectively without causing or contributing to the life-limiting disease of
  4. heron

    prescription drug addiction

    heron replied to shedevilprincss's topic in General Nursing

    But it's addiction that's under discussion, here - not pain management. Are you proposing that prescription drug abuse doesn't exist? If not, how would you approach the
  5. heron

    Undocumented Patients

    heron replied to srercg6's topic in General Nursing

    Agreed, stepney - basing one's position on made-up factoids definitely comes across as bigotry, or at least ignorance. IMO, the bigotry comes in with the refusal to look at facts unless they support...
  6. heron

    prescription drug addiction

    heron replied to shedevilprincss's topic in General Nursing

    @ David and Rocknurse: perhaps you could point out where anyone advocated withholding pain meds from people who need
  7. heron

    Order that says "Don't call MD for pain meds"?

    heron replied to Summers3's topic in General Nursing

    Did you read the thread? No one is arguing that pain control be
  8. heron

    Order that says "Don't call MD for pain meds"?

    heron replied to Summers3's topic in General Nursing

    Good grief, did you even read the thread? Or even the
  9. heron

    Order that says "Don't call MD for pain meds"?

    heron replied to Summers3's topic in General Nursing

    I'm assuming your first question referred to my mention of "end-stage AIDS". Back in the nineties, end-stage went on for months-to-years. Most of our population stayed on our unit for up to 18 months...
  10. heron

    Order that says "Don't call MD for pain meds"?

    heron replied to Summers3's topic in General Nursing

    You misunderstood my post. I did not say what you think I said. Finish reading the thread and you'll see
  11. heron

    Undocumented Patients

    heron replied to srercg6's topic in General Nursing

    Unable to say, since the IRS isn't allowed to give out the information. Besides, filing a return isn't the same as paying the taxes, which are normally withheld automatically. It also doesn't take...
  12. heron

    Aged Care Duty of care question

    heron replied to Huwscor's topic in General Nursing

    And we answered that question: she is legally obligated to report the abuse to the appropriate state authority. If she does not, she could potentially lose her license and, thus, her
  13. heron

    Order that says "Don't call MD for pain meds"?

    heron replied to Summers3's topic in General Nursing

    Which was exactly my point. Treating pain in someone with addiction issues often requires restrictions like the one in the OP in order to limit staff-splitting and other seeking
  14. heron

    Undocumented Patients

    heron replied to srercg6's topic in General Nursing

    i agree that abuse of the system exists. But the assertion that "they" don't pay taxes is just plain false. Honest people can disagree on the issue, but let's at least keep the discussion based in...
  15. heron

    Undocumented Patients

    heron replied to srercg6's topic in General Nursing

    Undocumented workers pay billions in local, state and federal taxes, yet are ineligible for most safety net benefits supported by those taxes. I agree that there's something drastically wrong with...
  16. heron

    Bullying online is NOT harmless

    heron replied to Dianna11's topic in Patient, Colleague Relations

    QED
  17. heron

    Bullying online is NOT harmless

    heron replied to Dianna11's topic in Patient, Colleague Relations

    That's the problem with so much of the rhetoric around bullying. Those accused of bullying are often held to very different standards of behavior than those making the
  18. heron

    Undocumented Patients

    heron replied to srercg6's topic in General Nursing

    I don't. Would appreciate an
  19. heron

    Aged Care Duty of care question

    heron replied to Huwscor's topic in General Nursing

    I work in ltc now - one of the good ones. We are encouraged to take such issues very
  20. heron

    Aged Care Duty of care question

    heron replied to Huwscor's topic in General Nursing

    I strongly suspect this is a mandated report situation. The sexual abuse of residents is abuse and licensed nurses are required by law to report it. The consequences for not doing so vary from state...
  21. heron

    Undocumented Patients

    heron replied to srercg6's topic in General Nursing

    AKA by nativists as "illegal aliens". Although how a hospital staff nurse goes about discovering a patient's immigration status is beyond
  22. heron

    Undocumented Patients

    heron replied to srercg6's topic in General Nursing

    Seems like you're conflating undocumented status with being rude. After all, I've met rude Native Americans and truly vicious members of the DAR. What does immigration status have to do with being...
  23. heron

    Undocumented Patients

    heron replied to srercg6's topic in General Nursing

    Seems odd that being too sick to live independently is being labeled "abuse". Are you trying to oick a
  24. heron

    Order that says "Don't call MD for pain meds"?

    heron replied to Summers3's topic in General Nursing

    As I noted: self-righteous outrage. No one has suggested that the patient's pain is non-existent or that it be ignored. Indeed, the wide range of possible scenarios - which is what we've been...
  25. heron

    Order that says "Don't call MD for pain meds"?

    heron replied to Summers3's topic in General Nursing

    Indeed, since the OP offered no context whatsoever, the patient in question may well have requested such an order himself. I'm actively addicted to nicotine, so I know I'm vulnerable. I also happen to...