nlb0101

I work in corrections. I responded to an emergency where an offender was lying on the floor, unresponsive and covered in ice. I explained the situation to the doctor and why EMS had already been called. The man would cease respirations, his pulse would slow, then cease. We were in position to start CPR. Then he would suddenly start breathing again for a min or 2. The cycle kept repeating until the narcan kicked in. Then he got up and walked to the medical cart. I explained to the doctor that custody had called because CPR was being initiated. I tried to explain to the doctor that the man had most likely overdosed and of course he wouldn't say what he had taken or how much. We had no way of knowing how long he was unresponsive like that. So it would probably be a good idea if we went ahead and sent him to the hospital to be checked out. The doctor stated, "Well I don't see what's the emergency. Just because you use Narcan doesn't mean it's an emergency. I mean if you give anyone Narcan it probably gives them a boost. I mean, give me Narcan and I'll jump up too." He then went to talk to the paramedic. He asked the paramedic what had happened and why were they on the scene already. He told them to leave and said. "I think somebody jumped the gun here." In a crowd full of nurses trying to explain to the doctor that this man needed to go to the hospital, the doctor finally said, "Alright, bring them back. We'll do an EKG and see what it says, which I'm sure it'll be fine." The EKG looked awful. He went to call his on-call Medical Director and spoke with him, came back and announced we should go ahead and send him. Afterward, he came to me alone and tried to explain his logic. Then he said, "I had no sooner gotten on the phone and told Dr. D that the man was found unresponsive and covered in ice and he cut me off and said 'Send him'." Good call, doc.

ad astra per alia porci. This was John Steinbeck's personal stamp. Though I have since found out the phrase is technically incorrect, it doesn't make the meaning any less powerful. It is meant to say "To the stars on the wings of a pig". ♡ Pursue your dreams. Do the impossible.

First off, the HBO show called Getting On is by far the most realistic medical comedy I've ever seen. I love DiDi. First off, she's an LVN, so I love that we LPNs and LVNs finally get some recognition. Second, she's by far the sanest person on the show. LOVE YOU DIDI♡

Are you telling me you won't give me antibiotics? I told you it's a sinus infection!

I told you to be here on time with my meds! You just wait til I fill out that survey!

Bring the doctor in RIGHT NOW! I'm tired of talking to nurses who have no clue what's going on!

Bring the doctor in RIGHT NOW! I'm tired of talking to nurses who have no clue what's going on!

"Who wants to play cards?"

"Seriously? I left my poker tournament for this?"

"Do you think he's a fall risk?"

"But did you die?"

I have no idea if you would be interested, but correctional facilities hire a lot of LPNs too. It's stressful and would be difficult as a new grad, but it's an option. Also, you tend to see really interesting cases and often get to perform procedures and treatments you wouldn't do as much in a clinic or LTC. I never drew blood on the job until I worked at a prison. I do it fairly regularly now. EKGs, responding to emergencies on a golf cart are a couple other things I had never done before coming to a prison. ?

Agreed with the above posts. I see this topic is a few days old, but as this is LTC, this will probably be an ongoing issue. One thing I didn't see anyone address was mentioning the consistency of said XL BM. If the patient is having ongoing complaints of needing laxes, I would especially monitor and document the specifics. Was it watery, color, etc. You want to make sure the patient isn't having liquid stool coming around an impation. When defending your rationale for not administering the PRN, I would also note an assessment of bowel sounds, distension, etc. Also, does the patient have hemorrhoids? I've had dementia patients with bad hemorrhoids who constantly felt like they needed to have a BM because of their hemorrhoids. I would also note this for the provider to check into the next time the patient is seen because there are lots of different laxes, stool softeners, etc to choose from. Perhaps the patient would benefit from a different type of medication.

Nursing school vs 5 years later

Newbie Nurse vs Seasoned Nurse