macawake

macawake MSN

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All Content by macawake

  1. Manager interrupting

    macawake replied to lifeisgood516's topic in General Nursing

    Oh, I know.. But even if it's only on a small and local scale, I do what I can to change it. Only we can change how we're treated, it won't happen by itself. No one else will stand up for us if we're...

  2. Pain Scale

    macawake replied to 5228shamrock's topic in General Nursing

    (my bold) Ruby Vee, what type of patients do you work with? ICU? And when you say behavior pain scale, which one do you mean? The ones I'm familiar with are BPS and CPOT. Behavioral Pain Scale (BPS)...

  3. Pain Scale

    macawake replied to 5228shamrock's topic in General Nursing

    It doesn't really matter what you personally think of pain scales and patients reporting their pain, as long as you don't let your personal biases and anecdotal experiences decide how you treat pain....

  4. Manager interrupting

    macawake replied to lifeisgood516's topic in General Nursing

    (my bold) You say that as if it's some law of nature. My opinion is that we have the power to, at least in part, influence how people (and that includes physicians) interact with us. I choose to...

  5. Manager interrupting

    macawake replied to lifeisgood516's topic in General Nursing

    I guess strictly speaking, the manager thinks that the physician's time is more important than your time, the GI lab nurse's time and the potential risk that repeated interruptions and distractions...

  6. 100/p

    macawake replied to AngelKissed857's topic in General Nursing

    What on earth is HOTN.. Grrr... Hypotension??? I think the EMT measured the systolic blood pressure by palpation rather than auscultation (no stethoscope/Korotkoff sounds). If you locate the radial...

  7. Pain Scale

    macawake replied to 5228shamrock's topic in General Nursing

    As a matter of fact it would have been helpful if you'd mentioned what your patient population is in your original post. You might have received answers more relevant to your query. Generally...

  8. Pain Scale

    macawake replied to 5228shamrock's topic in General Nursing

    Personally, I think that faces pain scales work fine for the intended patient populations, and the research I've looked at seem to support that they are valid and reliable. Have you looked at the...

  9. Is hospital nursing an unbearably dirty job?

    macawake replied to lisaniles's topic in General Nursing

    Working as a nurse isn't any more "dirty" than working as a CNA. If you've been a CNA for two years without a problem, I don't see why it would become problematic for you in your future nursing...

  10. Patient is a sex offender with a tracker on his ankle

    macawake replied to Alex_RN's topic in General Nursing

    I understand the point you're making but in my opinion that responsibility falls squarely on Nurse Snooping Susan, OP's coworker. Since she chose to do something (likely for the purpose of satisfying...

  11. Patient is a sex offender with a tracker on his ankle

    macawake replied to Alex_RN's topic in General Nursing

    No. Was the RN who did the internet search expecting to find information that would improve the quality of medical care that you all provide? Considering that you've described your patient as very...

  12. IVDU pt kept asking for pain meds. Managment kept saying to just give it to her.

    macawake replied to ella2990's topic in General Nursing

    Honestly, I find that a bit harsh. Not the part about getting the patient comfortable, I obviously agree with you on that. But nursing judgement comes with experience and OP is still a newish nurse....

  13. IVDU pt kept asking for pain meds. Managment kept saying to just give it to her.

    macawake replied to ella2990's topic in General Nursing

    Considering how you've worded this, can you honestly and confidently tell me that patient safety was the ONLY thing that affected your decisions? How did the patient tolerate this? How were her...

  14. I need to vent!!!!!!

    macawake replied to livelovelaugh22's topic in General Nursing

    You just put a smile on my face :) Thank you for coming back with an update, many posters don't. I am genuinely glad to hear that we could be of some help. I just wanted to share that I'm impressed...

  15. Inappropriate CNA behavior?

    macawake replied to matcha-cat's topic in General Nursing

    I can't agree with this. Wounded dignity might hurt a person every bit as much as for example a sacral pressure ulcer, sometimes even more. Not all abuse or neglect is physical. I don't think it's...

  16. Inappropriate CNA behavior?

    macawake replied to matcha-cat's topic in General Nursing

    Are you being overdramatic? If this person did and said all the things the way you've described them, it is clearly unacceptable behavior. No one wants to be or should be treated that way. Personally...

  17. Dealing with frenemies

    macawake replied to medg's topic in General Nursing

    Hmm... these two statements seem to contradict one another. Are you saying that the talks you do have are limited to your coworkers gossiping about other coworkers? Claiming to have an open...

  18. What would you think if you saw this patient?

    macawake replied to coffeemamaRN's topic in General Nursing

    Courageous or reckless? With the information available to us, it's in my opinion impossible to decide. There is a lot of information missing from OP's post, but I took "cannot" to mean that the...

  19. When you stop caring about your patients

    macawake replied to ClayH's topic in General Nursing

    Hate? I have a different opinion. Human beings aren't exactly air conditioning units, are they? By the way, what makes you say false tears? My best friend is a cancer survivor. She's told me that...

  20. What would you think if you saw this patient?

    macawake replied to coffeemamaRN's topic in General Nursing

    Personally, first off I'd like to rule out epiglottitis. (It could be caused by infection or injury to the

  21. I need to vent!!!!!!

    macawake replied to livelovelaugh22's topic in General Nursing

    OP, I've read your response carefully and I'm looking for signs that you're hearing me, and I'm not sure I'm seeing them. Don't fight me on this, work with me here I'm trying to help :) (my bold)...

  22. I need to vent!!!!!!

    macawake replied to livelovelaugh22's topic in General Nursing

    I realize that you wrote this as a vent but I'd still like to offer you some advice. It's my hope that you can use this advice to decrease workplace friction/tension and the internal stress you seem...

  23. When you stop caring about your patients

    macawake replied to ClayH's topic in General Nursing

    @JKL33, just wanted to let you know that you write plenty of smart, kind and insightful posts Excellent

  24. When you stop caring about your patients

    macawake replied to ClayH's topic in General Nursing

    I think that feeling the way you do is a normal reaction to an abnormal situation. Depending on the specialty we work in we can witness death pretty much on a daily basis, or at least on a regular...

  25. Running into former patients

    macawake replied to Volley88's topic in General Nursing

    Well, I never iniate contact with a former patient of mine, if I happen to run into them but in your case the patient tapped you on your shoulder so that's a different situation. If a former patient...