moriahcat

moriahcat

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All Content by moriahcat

  1. Kern County ER Docs C-19

    It's still available on the news page's facebook, as the link in the top of the thread shows. The show was on Fox -- Tucker Carlson. Someone shared out a link. I can't find it on KGET's Youtube channel, but none of the clips there are over 30 minu...
  2. That's honestly why I thought a discussion among docs and nurses on wards experiencing an issue with extremely combative pts about "chemical restraint" protocol would be a potential option, at least with pts who are there because of early release. D...
  3. Nursing Homes. The bodies are just pilling up.

    Again, and I hate to be the "mediator" (though it's usually my role).... I believe that what she meant by "mandate" was "mandated coverage for such visits", not that they were going to mandate someone's life end. And considering the way Daisy4RN ha...
  4. Nursing Homes. The bodies are just pilling up.

    Well, it was always going to be optional for the patient, but there was to be mandated coverage of such visits no matter what your insurance was. Self-insuring organizations that erroneously (and sadly, still) think "Living Wills" are just statement...
  5. I was more trying to help you deal with your current pts, and you still haven't answered whether you know for certain the ones that are being so combative are indeed "exploit(ing) the mental health system" after early release. But since you haven't ...
  6. Thanks, reason I asked was that you weren't clear (perhaps purposefully to protect their privacy) if these combative pts were actually released inmates or not. If not released inmates, then I'd attribute the high acuity/high level of combativeness t...
  7. Without violating HIPAA, can you confirm if the combative pts you're dealing with actually *were* released from prison? I would imagine that, just like most non-COVID areas of care, psychiatrists aren't wanting to admit their pts unless they despera...
  8. Why not quarantine McDonald's and ban soda pop?

    I seriously believe you misinterpreted Daisy4RN's post. She was talking about the attempt to cover a visit for discussing end-of-life options, vs the patient trying to make an Advance Directive on their own or trying to do it during a yearly physica...
  9. Nursing Homes. The bodies are just pilling up.

    The very good provision proposed in the ACA, to cover a visit for any patient who wanted to discuss their advance directive, was blown out of proportion and then removed thanks to those right-wing crackpots. Medicare, however, is covering those visi...
  10. Nursing Homes. The bodies are just pilling up.

    I agree with you that coverage for the "hard conversation" about what a patient would really want should things get bad is a good thing. For example, my grandmother had her Living Will, and it included a DNR portion. She felt she had lived a long g...
  11. Is the Coronavirus beginning the breakdown of our society?

    I do think there will be "unrest". As in, people getting cabin fever, or protesting, or believing wild conspiracy theories. Remember that Youtube has a ton of disinformation on it, and there are many many people who drink the Koolaid (and even on ...
  12. Nursing Homes. The bodies are just pilling up.

    To try to address your point without attacking you for your poor word choice: 1) Many LTC facilities also have rehab wings -- including the very good one my grandmother was at (a decade ago) that also was one of the first three LTC facilities affec...
  13. Should nurses be getting involved in the Reopen America protests nationwide?

    I think it should depend on the individual state. States like mine that haven't been hit hard yet but continuously had testing bottlenecks in their attempt to test exposed health care workers and nursing home patients (lab capacity, reagents, many i...
  14. Should nurses be getting involved in the Reopen America protests nationwide?

    I would respectfully submit that Dr. Anthony Fauci was {in}famous a long time ago, for his handling of very different virus. He's not in it for 15 minutes of fame or infamy at this late date, at least in my humble opinion.
  15. My (not-nurse) guess for a reason to get sick-but-not-hospitalized-yet people tested is mainly based on looking at the course of the disease in the WA pt who was hospitalized primarily for isolation purposes -- was written up in the NEJW. Mainly, th...
  16. Vent: "I should warn you, I'm a tough stick..."

    To get back on the lighter side (somewhat) of this thread, has anyone had an IV drug using pt ask to be the one to do their own blood draw, or was my father the only one? Given he was HIV+, it was in an office vs an IV (when he got admitted it was a...
  17. COVID-19 and lung disease

    I wish I could answer your question, but I am not licensed in anything. With that, the best recommendation I could make would be to speak with your own doctor, because every person with asthma/COPD is going to be different. For what it's worth, in ...
  18. While I'm partially asking this question for myself, I'm curious how many of you guys have had patients present with a psychiatric advance directive and how it helped/hindered your ER's ability to treat a pt in a psychiatric emergency. I have Bipolar...
  19. Should we put up with verbally aggressive relatives ?

    FYI, that's how I would want a family member who had a problem with my care to do -- realize that screaming, threats, and violence (verbal or otherwise) will do nothing to fix things, calm themselves down (at least some deep breathing exercises, whic...
  20. Should we put up with verbally aggressive relatives ?

    I apologize for seeming to lecture you. The "you" I meant was in general and related to one specific nurse at that hospital, not that anyone on this forum did either (verbally abuse patients or the undiluted push). You are correct that every nursi...
  21. Should we put up with verbally aggressive relatives ?

    Right now I am so tempted to be an "abusive family member" it's not funny, and I am bringing my man with me so that he will help diffuse my temper so the conversation doesn't involve raised voices or threats (except to stay with her 24x7 to ensure sh...
  22. Drug seekers

    My grandmother was afraid of meds, because her family had alcoholics and her husband was dependent on Empirin-4s for spasmodic torticollis pre-botox. When she broke her hip, she thought the PCA after the pinning surgery was giving her a base amount ...
  23. Drug seekers

    Re: ETOH, my neighbor had to have an overnight at the heart hospital in our state, and he jokingly asked a nurse for a beer with dinner. His doctor had already written it into the orders if he requested, since he had been honest about drinking a six ...
  24. Drug seekers

    I'd never wish that disease on anyone, for sure. Even now, when they run out of effective drugs it's just as ugly of a death as it was in the 80s. Noncompliance often makes that happen sooner rather than later. He wasn't a perfect man by a long sh...
  25. Drug seekers

    I guess my father was lucky. Since his drug of choice was amphetamine, it wasn't something he could "score" easily from physicians. But any addict has a similar rep when it comes to seeking, and for good reason -- even if it's not the high they pre...