What is the most ridiculous med order you've seen written by a doc in the ER (either an ER doc or an attending planning to admit his pt)? I had a a doc order 2 MG of Dilaudid IVPwith a 2nd dose in 30 min for a broken (mildly) arm. I thought that was ...
fitzfan82 replied to fitzfan82's topic in Emergency
I really don't understand why people love Dilaudid so much. I've had it twice postoperatively and it made me so nauseous and dizzy I would have almost rather have the pain. That's why I'm the nurse everyone hates who pushes it as slow as possible (an...
I think in general spouses should be an allowance. I was hospitalized with DKA last winter and the ER triage nurse made my husband wait and told him "because I might still be getting changed". Um, I think he's seen it . DKA is scary AF, I wanted my h...
fitzfan82 replied to seconddegreebsn's topic in PACU
I went from an ambulatory/same day surgery PACU to a PACU in the main OR of a level 1 trauma center. It was a bug adjustment in terms of pace, pt load, acuity, etc. but I found it worth it and really enjoyable.
fitzfan82 replied to Matt8700's topic in Emergency
In the PACU, unless the patient has a PCA we push all the narcotics. Between them not being fully stable (and having to switch dosages and meds around a bit) and us being right at the bedside anyway, its not really a problem.
fitzfan82 replied to fitzfan82's topic in Emergency
Thanks. The flareup is subsiding slowly, and I am on the list to schedule surgery with one of three top Drs in the nation who treat this rare condition, I just got really scared that night when the pain intensified so sharply and I lost feeling in my...
I'm an RN who works in Pre-Op/PACU and floats to the ER as needed. I'm currently on medical leave for a sacral meningeal cyst (Tarlov cyst) on my s2-s4 that is 7cm x 4cm, with bone erosion. Tonight when my husband gets home, I'm having him take me t...
Yeah, we have a Phase 2 recovery area, so when the pt is stable (like when an inpatient would be dc to the floor) they go there to make sure they can pee, hold down food, pain is controlled, etc. It does take most of them a long time to pee. After a ...
fitzfan82 replied to fitzfan82's topic in Emergency
I jdischargeant that it was sad an RN has to be scared to go to the ER because of the staff attitudes. I don't expect to get in faster because I'm a nurse, I never even told them that I was. Actually when I went I was given a stat MRI due to the fact...
I'm a 32 year old ER nurse who has been at the same hospital for the past 8 years. Like everyone in the nursing, I get annoyed with certain types of patients, family members, MDs, etc. I get burnt out and grumpy. But my ER has become increasingly ne...
fitzfan82 replied to CaptCrzy's topic in Emergency
Oh boy, I just read this after posting about how I'm scared to go to the ER with my (suddenly severe, intractable) chronic pain (as well as neuro symptoms) because I'm afraid of being labeled and dismissed. I do have my MRIs on file with this hospit...
fitzfan82 replied to fitzfan82's topic in Emergency
Thanks. I guess it is quite a long time. I haven't been in the ER the entire time, I currently float between ER and PACU, but still. I appreciate the input :)
fitzfan82 replied to Emergent's topic in Emergency
I'm a long-term type 1 diabetic (25 years) who has gastroparesis. Its not the same, but the constant nausea and frequent vomiting are similar, and I have to say that if you felt nauseous 24/7 and had to do everything despite doing everything you can ...
Hi there- New to posting here but have been reading for awhile. Anyway, I recently started a new job in a pre-operative unit which I am really enjoying so far but a safety concern has come up. Normally we have transporters to bring the patients down ...
Also, when I go to the ER for it, its usually because the n&v are effecting my blood sugars or I'm showing signs of DKA. Always dehydrated. I usually get tons of NS (or d5 if my bs are low), IV zofran, and something for pain if pain is an issue....
Yes, I take probiotics in addition to omeprazole and zofran. They do help, but my vagus nerve is pretty damaged (causing other non GI symptoms as well, such as palps) so some days are just really horrible. I basically eat a bland, soft, low roughage ...
I have GP as a complication type 1 diabetes and I assure you, it is NOT psychological. The pain and nausea/vomiting is very real, and pain meds do very little to actually help the pain. Now, I don't run around the room screaming, it may be that this ...
fitzfan82 replied to yasae's topic in Disabilities
I have an anxiety disorder (among other things) but I have had it long enough to know what dose of Xanax I can take that will calm my nerves but not make me sleepy or 'out of it'. Its all about knowing your own body and tolerance. If you can't take a...