Tenebrae BSN, RN

Mental Health, Gerontology, Palliative

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All Content by Tenebrae

  1. Tenebrae

    Overwhelmed and lost

    Tenebrae replied to strive2Bbetter's topic in Health, Stress Management

    We have alot of staff who have english as a second language and the one thing that can get muddled are a personal prefixes eg he, she. I once read in a patients notes "he climbed into her bed" turned...
  2. Tenebrae

    It takes a lot to make me angry.

    Tenebrae replied to ground's topic in Health, Stress Management

    I think you handled that most awesomely. Reminds me of a being in the fabric store and the check out chick said to the lady infront of me at the fabric counter "excuse me ma'am you may want to pop...
  3. Tenebrae

    I can't do this anymore . . .

    Tenebrae replied to CamillusRN's topic in Nursing Humor

    We have lots of local medical reality dramas. The'll make a comment like "James having been eletrocuted by a downed power line is at iminent risk of dying if he does not get medical attention straight...
  4. Tenebrae

    General rant

    Tenebrae posted a topic in Hospice, Palliative

    I've just woken up from a night shift. It was a hell of a night. We had a patient who was very much in end stage. Unfortunately the syringe driver got dislodged and for an unknown time they werent...
  5. Tenebrae

    Appropriate to go to a patients funeral?

    Tenebrae replied to Emily456's topic in LPN, LVN Corner

    I've had alot of deaths since I've been out of nursing school 2 1/2 years (palliative and long term care). I've been to two funerals. I dont have a problem with it. I tend to avoid funerals, they...
  6. Tenebrae

    When did this trend start??

    Tenebrae replied to mmc51264's topic in General Nursing

    We hire ours when graduating so decorating is a no
  7. Tenebrae

    not comfortable with giving narcotic injection due to street drug interaction

    Tenebrae replied to Sarge_BSN_RN's topic in Patient Medications

    What was the illcit substance, and what likelyhood was their for interaction? Bear in mind that a person who abuses heroin will be more opiate tolerant than someone who doesnt? Its hard to comment...
  8. Tenebrae

    "I don't want to die"

    Tenebrae replied to anh06005's topic in Patient, Colleague Relations

    Mind you there are always exceptions to the rule. I had a palliative patient ask me once "am I dying?" They died about 4 hours later I hear that alot as
  9. Tenebrae

    "I don't want to die"

    Tenebrae replied to anh06005's topic in Patient, Colleague Relations

    Sometimes its about modeling behavior. If you as the provider keep calm, its more likely to keep your patient calm. Doesnt mean you wont be freaking out on the
  10. Tenebrae

    Nurses have an Attitude Problem

    Tenebrae replied to SunriseDay's topic in Pre-Nursing Students

    You came on a message board where the majority of posters are nurses to tell them how horrible they are?
  11. Tenebrae

    "Don't Work" Isn't An Answer

    Tenebrae replied to mirandaaa's topic in Pre-Nursing Students

    For those who live in the US how is your program structured. How many hours a week would you do in class?How many hours a week would you do when on placements? First year we do between 6-8 hours four...
  12. Tenebrae

    Therapeutic Communication question

    Tenebrae replied to pumpkinspice's topic in General Students

    Regretfully we get alot of people who are wanting help with home work. It has us all more than a touch jaded. Great. Why dont you post what you are thinking? and we can help you fine tune
  13. Tenebrae

    Enrolled nursing maths vs RN maths

    Tenebrae replied to AspiringEN's topic in Australia, New Zealand

    You need to be able to complete drug calcs the same as any RN. There are some differences, with some meds/abs etc you can only act as the second checker but you need to be able to know the theory so...
  14. Tenebrae

    How to deal with an aggressive dementia patient

    Tenebrae replied to Emily456's topic in LPN, LVN Corner

    We have this problem at the moment. We had a very demented patient sent to us (not a locked unit) who wants to go home 20 plus times a day. - We have had to go back to the referer and say "this...
  15. Tenebrae

    Nurse questioning pain med

    Tenebrae replied to RN_2012's topic in Patient Medications

    What did the med order say? I've never ever seen an order for analgesia that said "Only to be given for pain related to the surgical incision" Did she explain her rationale? IMO pain is pain,...
  16. Tenebrae

    Renasys/vac question

    Tenebrae posted a topic in Medical-Surgical

    Renasys very like a Vac Dressing, different brand however Have patient A on a renasys for a perianal abcess. Just as I was leaving yesterday the machine started beeping showing a leak. On inspection...
  17. Tenebrae

    Tylenol ordered for pain.

    Tenebrae replied to gouranga's topic in Patient Medications

    Its not about the type of nurse you are, but more do you want to ring a doctor solely for the purposes getting paracetamol (tylenol) also charted for fever and take the chance you piss him off and get...
  18. Tenebrae

    Tylenol ordered for pain.

    Tenebrae replied to gouranga's topic in Patient Medications

    I would have administered it for pain, given how narly pyelonephritis pain can be and asked the doctor to clarify the order when I next saw them. Then again I dont work in such a highly litigious...
  19. Tenebrae

    How can I improve my reputation?

    Tenebrae replied to Gummibear_stare's topic in Patient, Colleague Relations

    Sounds like a very good plan. Its the strong person who can admit they may need help in some areas. Be kind to yourself, and focus on doing the best job you can
  20. Tenebrae

    What State are you in and nurse/PT ratios

    Tenebrae replied to hppygr8ful's topic in General Nursing

    I'm from NZ. I work elder care, I also work as a per diem in many different places. Elder care:I have oversight for all 35 patients on my unit. The majority of cares are done by the healthcare...
  21. Tenebrae

    DNR and Hospice

    Tenebrae replied to hppygr8ful's topic in General Nursing

    Dont be too hard on yourself. The fact that you were able to reflect on your original post and realise that there was a problem with the sentiment expressed in your opening post says that you are open...
  22. Tenebrae

    Black Humour

    Tenebrae replied to Tenebrae's topic in Nursing Humor

    This chap is a local artist, very
  23. Tenebrae

    Black Humour

    Tenebrae posted a topic in Nursing Humor

    That sort of humour that seems completely funny when shared with your colleagues, you know though if an outsider was to hear it they would be completely scandalised/offended Its happened before when...
  24. Tenebrae

    Every other weekend & holidays??

    Tenebrae replied to LuciaRN2b's topic in General Nursing

    I went straight into a district nursing position which was Monday-Friday 8am-430pm with one weekend in four. I'm told I was exceptionally lucky as normally district nursing positions go to those who...
  25. Tenebrae

    How can I improve my reputation?

    Tenebrae replied to Gummibear_stare's topic in Patient, Colleague Relations

    I have anxiety as a result of clinical depression. I've spent the last three days in a constant state of twitch the anxiety has been that bad. Do you have a therapist or other such person to help...