elthia

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All Content by elthia

  1. elthia

    Have I displayed drug seeking behavior??

    Just got discharged from the hospital today. Was admitted by my neurologist for status migraine with intractable n/v. Given IV hydration, DHE, decadron, reglan, klonopin, upped the topamax again. Got...
  2. elthia

    Stupidest reason to go to ER

    Still searching unfortunately. All available providers that are accepting pt's are in the same clinic, and I'm labled a drama
  3. elthia

    Stupidest reason to go to ER

    when i had my marathon 10 day migraine, by day 6 i had been to my pcp x2, with intractable n/v x5 days at that time that was not responsive to phenergan. he refused to even see me, i had to see the...
  4. elthia

    Have I displayed drug seeking behavior??

  5. elthia

    Have I displayed drug seeking behavior??

    Thanks for all the replies. It's 24 hours after I took the first axert and still have migraine. I'm taking phenergan and aleve right now, wearing sunglasses in the house, and have called in to work....
  6. elthia

    Status asthmaticus

    I just was wondering if I could get some feedback on the care of a pt. I am not a pedi nurse, but occasionally take pedi overflow on my floor. Usually it's pedi postop's, or CP kids with aspiration...
  7. That I used the phrase "I want you to understand" while I was educating a pt on his medication regime. Apparently this is a condescending attitude per the supervisor who wrote me
  8. elthia

    The Circumcision Discussion

    I am vehemently anti routine circumcision for cosmetic purposes, but I live in the U.S. The sexual mores and ethics in Africa are totally different than the U.S. From some things I have read in the...
  9. elthia

    Write-Ups & Disciplinary Action

    1.I was written up for not hanging a second liter of IV fluids on an order that was for "one liter only then d/c". I made sure that one was torn up. 2.I had repeatedly told this same nurse manager in...
  10. elthia

    Had a mom flip out on me today...

    Spoken a little harshly, but at this moment I tend to agree. I've taken care of too many kids this past month who are post op from PREVENTABLE conditions because the kid didn't want to take his/her...
  11. elthia

    Status asthmaticus

    Unfortunately we didn't have any ICU beds available at the time. Thanks for the feedback
  12. elthia

    Shocked At Nurses Actions Tonight

    In my opinion: Stating that you will not care for a pt because THIS IS THE PERSON WHO shot/stabbed/raped/bombed a loved one of mine is understandable and allowances should be made if possible. Stating...
  13. elthia

    Shocked At Nurses Actions Tonight

    This is how I see the situation. They came first for the Communists, and I didn't speak up because I wasn't a Communist. Then they came for the Jews, and I didn't speak up because I wasn't a Jew....
  14. I took a pay cut when I went from a federal hospital to the private sector, I also have less benefits. I had a nurse pt ratio of 8 pts per nurse (16-30 per RN). Someone started going south the RN had...
  15. elthia

    You know you work nights when.......

    You have to go to days for a few days, just for classes and recertifications...and find yourself highly resenting the fact that you are waking up at what should be your bedtime. Why the heck they...
  16. elthia

    Csm?

    I've heard it as CMS, i.e. "CMS checks to LLE are good". Circulation Movement Sensory. I prefer to say CMS in report, but for charting on a post cardiac cath I use "R groin puncture site covered with...
  17. elthia

    The War with the Floors

    That's more than enough for this floor nurse! I am the one who recieved an ER admit while coding another pt. I am the one who has recieved 3 ER admissions within 5 minutes of each other when I have...
  18. elthia

    Question for night shifters

    I keep to a nightshift schedule except for school holidays and vacations. It's too hard on me to change my sleep
  19. elthia

    You know you work nights when.......

    I have fallen asleep in the parking lot of Kinko's waiting for them to open. Your postman dreads having to ring the doorbell. UPS just does the "ring once and dash off leaving the package on the...
  20. elthia

    Bariatric woes

    We have a bariatric pt that I am having problems caring for. On night shift it is usually 2 nurses and no CNA on my floor. I dont' know how to turn/reposition/pull and otherwise provided the minimum...
  21. I had a pt family member who every time I came in to give her father a med, she would call her mom ( who was an RN) at WORK and tell mom what I was giving and wouldn't allow me to give the med until...
  22. elthia

    Bariatric woes

    Thank you for the advice, if noone else has done so already, I'll try to get an order for a rectal tube tonight. I did try to keep the pt well medicated, she has backpain so I gave her the lortab...
  23. elthia

    Bariatric woes

    The problem is the pt isn't sedated, she's wide awake, extremely anxious and won't let you pull her arm to pull her over...Thanks for the suggestion
  24. elthia

    need help with bedside care

    It just takes practice...watch what others do and take what you like about their methods and incorporate it into your own. Also, don't beat yourself up about taking what seems to be a long time to do...
  25. elthia

    Trouble with Narcan

    How long of a time frame since leaving your house to the actual blood draws that led to the dx of renal failure??? Because I'm willing to bet that a BUN and Cr was drawn with the first lab tests. I'm...