Tenebrae BSN, RN

Mental Health, Gerontology, Palliative

Member
  • Content

    2,021
  • Visitors

    14,839
  • Followers

    0
  • Likes

    2,243

All Content by Tenebrae

  1. Tenebrae

    Would Seroquel show up on a drug test?

    I recently had to do one for a new job. (quite an experience, urine tests here are not that common). I also take seroquel and no it didnt show up. As VivaLasViejas said, they only test for quite a...
  2. Tenebrae

    Oncology Nurse Burnout?

    I've just had a job change from district nursing to working in a hospital level care facility for older people. With both jobs I do alot of palliative and end stage care which is very tiring. Some...
  3. Tenebrae

    10 Worst Employee Excuses For Missing Work

    A long time ago I was working in a retail store (think Target). I went outside got in the car and went to unlock my steering wheel. It wouldnt budge. I had to ring work and say "Look, I'm really sorry...
  4. Not a problem here either. The only time it becomes mildly problematic is when one uses a bit too much lube and that little sucker goes every which way except where I want
  5. Tenebrae

    Morphine & air hunger

    Definately right. We use morphine elixer (1mg/1ml) often with patients with severe SOB. Standard dose would be 2.5-5mls. Can be very effective used in the low
  6. GAHHHHH She had one elevated temperature reading with an electronic forehead temperature scanner with like alot of the electronic devices we use can misread a patients vitals I've shared this before...
  7. They cant be exposed to a deadly disease when she didnt have said
  8. Mega difference between voluntary confinement at home and being confined to a tent in a hospital car park with no access to flushing toilets or shower and being denied access to a lawyer The issue, a...
  9. Why should someone be quarantined who has shown to be free from all symptoms and has twice tested negative for the disease? What is reckless is allowing public hysteria to overrule evidence based...
  10. Tenebrae

    Just got job at a union hospital

    Are unions not common place in the US. I'm a member of our union. It provides indemnity insurance, support with work place grievances, negotiation of collective employment contracts, and monthly...
  11. Tenebrae

    Hospice Nursing Question

    Thats what I love about palliative care and hospice nursing is that treatment/nursing interventions are very much tailored to the needs of the
  12. Tenebrae

    aspiration before IM injections; are you SURE?

    I finished in 2012. We were taught to draw back a little to ensure we hadn't inadvertently stuck our needle in a
  13. I was doing a home visit for a profoundly deaf patient. Patient lived on a really noisey road, and I asked them "do you find the noise from the road bad....." Luckily patient had a really good sense...
  14. Tenebrae

    "I need to eat, I'm a diabetic!"

    (I'm using the generic you, not you specifically) Can I politely suggest that they are not giving you the full picture. Without taking care of your own basic needs eg need to pee, need to eat, need to...
  15. I have a fairly well stocked first aid kit. Used to have loads when I worked as a district nurse, as we were allowed to take the cars home (containing our kit) which had everything from catheters,...
  16. Tenebrae

    Hospice Nursing Question

    My experience of hospice care has been mainly in the community. Hospice is used more for symptom control than actual end of life care. Most people wanted to be kept in their own homes, if that was...
  17. Tenebrae

    Nursing Survey: Violence in the Workplace

    If you are wanting input from nurses outside of the US please add another option for the final
  18. Helpful advice. Give up this desire to be perfect. That doesn't mean you cant put 110% into your job. The reality is that you will make mistakes. You can either spend your time stressing over things...
  19. We are required to fill in an incident form for any event where there was potential for harm to someone we call them a 'near
  20. I found that it was somewhat helpful. The better experience was working in a community home with a chap that required complex nursing care. In NZ at least there is fairly minimal cross over between...
  21. Also never be afraid to say "I don't know, however I will find out and get back to you" I don't mind if someone doesn't know, I do get somewhat cranky when its clear they don't know and fumble their...
  22. Tenebrae

    Just got fired-AGAIN!

    How do you fill out apps in the wake of a termination? Look at the things that caused you to loose your job and take steps to address those, because otherwise you run the risk of further...
  23. Be kind to yourself, it does get
  24. Tenebrae

    CA ICU staffing guidelines

    How do you know this? I have no critical care experience, and have no issues with calling a code, have done it. With all due respect you are a new nurse of five months experience. I think its...
  25. I see dexamethasone used in community palliative care alot and a BSL test has never been used. Important