russianbear

russianbear

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All Content by russianbear

  1. When Your Patient is an Addict...How to Deal

    russianbear replied to Nurse Beth's topic in General Nursing

    Please show me where I've advocated inappropriate care. I, however, do not agree that enabling addicts is appropriate care. If a person's sole purpose for here ER visit is to get high, and this really...

  2. ER

    russianbear replied to rhedge's topic in Emergency

    Seems odd to me because I remember in school going over all that stuff in great

  3. When Your Patient is an Addict...How to Deal

    russianbear replied to Nurse Beth's topic in General Nursing

    Id love to work in the hospitals you people work in where you never get people in the ED with vague pains, not confirmed by any diagnostics, demanding IV dilaudid. Same people who test positive for...

  4. Hyperosmotic

    russianbear replied to russianbear's topic in Critical Care

    I know those

  5. When Your Patient is an Addict...How to Deal

    russianbear replied to Nurse Beth's topic in General Nursing

    Again, I am trying to distinguish between people with medical issues versus those who do

  6. Hyperosmotic

    russianbear replied to russianbear's topic in Critical Care

    So with HHS they may or may not be

  7. ER

    russianbear replied to rhedge's topic in Emergency

    Because I cannot wrap my head around how someone could even ask if we ever give blood because a family member tells us the patient's blood type. As if we would ever bypass type and screen except for...

  8. Hyperosmotic

    russianbear replied to russianbear's topic in Critical Care

    I don't recall the numbers exactly, but she had no history of diabetes. Blood sugar was over 700. Although there, I do believe the attending's diagnosis was hyperglycemia. could you explain that...

  9. When Your Patient is an Addict...How to Deal

    russianbear replied to Nurse Beth's topic in General Nursing

    The problem this debate always brings up is hat the people on the side of never question narc orders and requests by patients fail to distinguish between cases where pain is legitimate vs seekers....

  10. When Your Patient is an Addict...How to Deal

    russianbear replied to Nurse Beth's topic in General Nursing

    I'll give you an example. I can think of several patients who, the moment the attending sees their name puts in various orders for controlled substances before even knowing why the patient is there....

  11. When Your Patient is an Addict...How to Deal

    russianbear replied to Nurse Beth's topic in General Nursing

    How many people do you know personally who have died because of an epidemic that we play a role in? How high are your deductibles and premiums because of waste? If it affects me, I'll speak up, thank...

  12. ER

    russianbear replied to rhedge's topic in Emergency

    How is this a question? We would NEVER give blood other than O neg without having a type and screen. PERIOD. Doesn't matter who tells you the patient's blood type; the family, the patient himself, our...

  13. When to call Rapid Response Team?

    russianbear replied to LUCBSN's topic in Critical Care

    I've heard cases of people calling rapids because of pain meds. That sucks. Shows you don't have good relationships with hospitalists. I've noticed if you do, often you can get a one time order for...

  14. ER

    russianbear replied to rhedge's topic in Emergency

    Tough love. Tough

  15. When Your Patient is an Addict...How to Deal

    russianbear replied to Nurse Beth's topic in General Nursing

    Sonif soneone is admitted for [insert diagnosis] and he is a coke addict we should supply him with a steady dose of cocaine? We should provide alcoholics a shot and a beer every two hours? Crystal...

  16. When Your Patient is an Addict...How to Deal

    russianbear replied to Nurse Beth's topic in General Nursing

    And there are no risks involved with never questioning an

  17. ER

    russianbear replied to rhedge's topic in Emergency

    Based on those questions, that's difficult to

  18. ER

    russianbear replied to rhedge's topic in Emergency

    You have a lot to learn yet. And you will learn these things in nursing school. In a trauma if the patient needs blood you begin infusing oh negative. Prior to that, however, you would have drawn...

  19. When Your Patient is an Addict...How to Deal

    russianbear replied to Nurse Beth's topic in General Nursing

    Or, you can also add that we are not enablers and will not help them get a fix. This "I'm gonna take the high road" stuff is getting old. Drug seekers are a drain. They drain resources. They drain the...

  20. ER

    russianbear replied to rhedge's topic in Emergency

    Youre not a nurse, are you? It's obvious. I'm O positive. Do you think they would skip the step of typing and screening if I tell them

  21. When Your Patient is an Addict...How to Deal

    russianbear replied to Nurse Beth's topic in General Nursing

    Drug seekers are a problem and sadly nobody wants to address it. "Pain is what the patient says it is" makes as much sense as "the customer is always right." No, the customer is not always right. The...

  22. ER

    russianbear replied to rhedge's topic in Emergency

    Is this a serious question? Honestly I think the OP is trolling. We transfuse all the time w/o ABO typing. Welcome to level 1 trauma. It's called

  23. Blood Glucose Measurement: Arterial vs Fingertip

    russianbear replied to Catticus11's topic in Critical Care

    Sup Sam, how you

  24. Do I transfer?

    russianbear replied to russianbear's topic in Critical Care

    I need it. These are complex cases. I'd feel more comfortable in the MICU, but I will just have to work harder to

  25. Do I transfer?

    russianbear posted a topic in Critical Care

    I've been an RN for exactly 18 months. I started on a cardiac step down and have been in ER for last 9 months. It's a pretty small hospital, but pet of a larger system. Anyhow, I am tired of dealing...