sanctuary

Every time I log in, I learn something. Some times it is that others feel the same or vastly differently than I do about a topic.

Those of us who have known that there will be a pandemic of some sort in our lifetime are already prepped for this or the next one. I'll work. My kids are grown, I've got a month's supplies or more ready, and that includes PPE. Masks and gloves are for sale on line, as well as drug stores. This pandemic should not come as a surprise to anybody in the medical field. If it not H1N1, it will be another.

Most docs consider 1.5 to be the higest safe level. LiCo3 has initial signs of N/V & diarrhea for toxicity. It progresses to confusion, loss of balance, and verbal gibberish. I saw a man once with a 2.3 level, naked, crawling around the room, barking like a dog. If you recognise it early, and hold a couple doses (with Dr's OK) it will pass in a day or two. There is no permanent damage.

Seems that you only want to hear support for a highly dangerous practice. I did not say that I would give Narcan through clothing. I believe it was the manufacture who stated that it was OK. I supposed that that would refer to the EMT or police who might come upon an overdose in the streets. That is not where I work. It is never good NURSING PRACTICE of course. That's what I was referring to.

Think I'd get a few of my Lesbian friends to waylay the doc and pull him into a prayer circle of the Goddess Clitoria. It would be good for him to "celebrate diversity."

NO, it is never OK to give an injection through clothing. No matter how agitated, or psychotic a person is, you must be sure where you are injecting, and you must insure that you are not injecting through an old abcess or infection caused by the pt. giving themselves bad injections. Don't bother to tell me that I just don't understand the pressure on the front lines, or get "real" psych situations. I have worked the front lines for 44.5 years, all in psych. State hospitals, county hospitals, VA, private and non-profit, including a stint in the only all Psych Emergency Unit on the West Coast, serving 800 to 1000 intakes/ month. I don't need anyone to tell me that if I had someone about to bean me or a fellow worker with a fire extinguisher, that I would change my mind. I would need to get the fire extinguisher out of the way to give the shot anyway, so I would wait until that little matter was taken care of first. I've never seen an injection given through clothing except morphine through uniforms in movies about WWII. I have personally participated in hundreds (maybe thousands, by this time) of injections, and have given each and every one of them through bare skin. Even to the tweakers who are so loaded that they have to be held down by all the available help possible. I'm not moving into a dangerous situation without enough help. Doing so is foolhardy and puts myself and my co-workers in greater danger than waiting for back up. If I'm in too much danger to wait, I'm in too much danger to give an injuction. Marlon Perkins (in the old days there was a TV program where M.P. shot tranquilizing darts into the butt of a galloping zebras from a helicopter) might do it. I won't. I'm an old school, battle-wagon, war-horse psych nurse. No situation will make me be a bad nurse. If a person is tramatized by exposing a glute, mabe we should put off the injection. If they are wild and demonically bent on being a savage, they need meds and 8 people to help me give the IM properly. No, ativan or haldol are not life or death drugs. Narcan is.

Once again, indigo girl, you present the most amazing information. How nice of Japan to become the clinical trial for the world. I just hope that the next administration is a bit more focused on this.

It causes pressure on the sphincter, causing a "too full" feeling.

Well, sorry to say, many times I have seen a lesser qualified male get a promotion or even have one hired from the outside before a woman gets the "leadership" role. Once, being young and prickly, :uhoh21:I asked my supervisor why a male nurse with 0 experience in psych got the charge position when I, with 6 or so years, did not. She said it was common because men had to raise their children, and thus had a greater need for more money. That explanation sucked in this situation, because, while both of us were gay, my sister, niece and unemployed bro-in-law lived with me, and I sure as sunrise needed the money more than he and his MD partner!!!:angryfire:angryfire

Wow, well said, and as part of that vast middle-ground-philosophically-accepting-of-the-need-for-ethics-without-wanting-to limit-that-to-any-religious-idiology, Thanks again.

Is that United Arab Emirates ??? (sp?)

How could a small spider turn into a TARANTULA??? And where was it hiding??? And how did he not feel it???

Hey, Domino's

greensister, I think I love you. Keep it up. You could become the "James Hariott of Nursing."

Woops, forgot to answer the rest... 3 girls and one boy for me, mixed breeds. Psych specialty. Oldest dog is a female, Chihuahua mix, 4.5 lbs,10 years old, sleeps on the bed with me, or naps on the chair next to me, follows me around for all chores. One vet asked what she was, and I replied, "A hairy lipoma."