stacyRN11

I didn't say morphine can't decrease respiration, because it does. I told her when a patient is in pain and shows physiological symptoms of pain that the morphine's would decrease pain level. She kept saying that it is state law in OK that giving morphine when respiration is below 12 is assisted suicide.

I work PRN for a local hospice. Recently I had a actively dying patient in a nursing home that was having terminal agitation. I increased his ativan and his agitation decreased. the chaplain stayed with the family to comfort them. I went to another call, the chaplain called stating he was now having pain but the nurse refused to give medication because he was having apnea and she wasn't going to kill him with morphine. When I arrived she told me that giving morphine with a patient respiration rate below 12 is assisted suicide. I calmly tried to explain how patients with pain, the morphine will decrease pain and not decrease respirations. She started telling me that she has been a nurse for 35 years and she knows the patient better than I do. I told her I have been a nurse for 8 years, and board certified in geriatrics and hospice, so I am qualified and understand how the dying process works. I stayed for a couple house to give the morphine. The next day that nurse complained that I belittled her. The family was satisfied with my care, i was just advocating for my patient. Have anyone dealt with nursing home nurses like this and would you handle it differently? Any advice is appreciated.

I graduated with my master's in nursing last month. I currently work as a staff RN and relief charge nurse in LTAC. While working on my degree my boss said i would receive a raise for higher education. Now after finishing my degree, she said that the hospital pays all RNs the same regardless of education. Have you ever dealt with something like this?

Have you moved to Enid yet?

Cardiac pick Integris they have the best cardio thoracic surgery, ICU an step down would be glad to have someone with experience. You can put me as a reference Stacy Boyd. I figured you would be military, yes Vance doesn't have alot of homes on base most live off base.

Don't live on the east side of town. Anything bad that happens in Enid happens on the east side. Try to find a house in the west or north part of Enid.

Hello, I have worked at both and Integris is better at treating their staff. St Mary's is better if you like trauma or othro. What is your speciality?

How do you like epic, the organization I work at is changing to epic in November.

Hi, I worked in ltc as a CNA,LPN, an RN. I made a folder with important info, falls,elopement, fires, weather, transporting to er, death, standing orders, important phone numbers. I kept it at my desk to lookup info quickly. As for report sheet I took the vital sign sheet (where I worked had all the residents names listed), whited out the vital sign stuff an put DX, as activity, diet, meds an other important info. For treatments I made a spreadsheet with all the patients an treatments they needed by hour, so I could quickly look an see that I had finger sticks due at 8 along with breathing treatment. Ask your preceptor what they do an the other nurses

No one had any advice on which hospitals are the best, and which one to stay away from?

CNA 18 LPN 20 ADN 24 BSN 26 MSN 28 (have less than 6 months left in school)

Hi, I will be moving to NOLA next year. Is wondering what the pay would be for an RN-BC, MSN. I'm board certified in gerontology and have my masters in nursing specialized in leadership/management. I have five years of RN experience in LTAC, and hospice. Also what hospitals do you recommend?