pigginsrn

Tramadol is more euphoric than other opiates and opioid meds for some people. It also has antidepressant actions and is similar in chemical structure to Effexor.

And why does that bother you?

Where in the world was not conquered? That is not unique to this country. It is the history of humankind and civilization.

So many seem lack the quality of empathy. I see it all the time and even as a supervisor I am not backed up by the Administration when attempting to counsel and educate my staff or hold them accountable in a 5 star facility. They don't want to hear it as staffing is a problem and the biggest offenders fill the holes. It's heart breaking and it happens in all types of units. There seems to be a lack of concern for dignity in medicine. At least I now now I never want to be in the position of the patients and have completed advanced directives in the event that should occur and all the family is on the same page.

You believe that is rare in nursing? Those who set out to sabotage? I can't even believe you mean that in 30 years you have been oblivious to such a pervasive practice.

You are the exception. I have never been targeted by bully nurses but I have seen them in action in every facility I have ever worked.

Would have become a pharmacist or anything but a nurse.

Addiction does not mean practicing impaired. You can be addicted and not use while practicing.

That is terrible and I can't imagine how it is not a HIPAA violation. As a psych nurse I have cared for nurses detoxing from drugs and alcohol and know of no such requirement. What a deterrent to getting help.

If the asked her a direct question regarding the wound what was she supposed to say? I think you were correct. I would not feel comfortable withholding information.

That's the point though. Will providers that have moral objections to these practices be either forced to participate or give up their medical careers? I believe that that people have the right to end their lives in the face of suffering however; no practitioner should be legally mandated to provide these services.

There are very intelligent people with written language difficulties that make even using spell check ineffective at times. Try to understand that you experiences are not everyone else's and some are doing the best they can given their circumstances.

IME when MDs can't figure something out, they often go to a psych origin. Truth is, many physicians refuse to admit sometimes they just don't know.

A mistake to provide food for a baby?? What could be more "baby friendly?"

If involuntary commitment only requires carelessness then we could make a case for anyone.