MarieG

wow. what an ethical disaster! I would refuse risking the loss of my job. I commend you for being able to face this.

I never talk about any patient, just to talk. It needs to be relevant to the care. Social, bio, psycho are important. But there is a way to say it. Putting down a patient is horrible. And i hate when nurses or dr judge a patient because he is needy for pain meds. Has anyone ever taken pain management classes! Drug addicts need higher dosage to taper pain. If they got operated on, they need pain meda as much as any other patient. I also feel that nurse who imitate patients or give personal opinion are not helpin. Let me make my own personal opinion of them. Giving out too much info biases my interaction. I feel the exasperation of the other nurse. Heads up are nice if behavior is inappropriate like sexual or violent. Other then that i dont want to know. I will say that the few times i have commented on a patient because i needed to vent was because i was almost hurt or patient uses violence and i got scared. I worked in a psyc er ward for drug addicts. Lots of very strange people. And never really needed to give that much details and never for wacking them.

I am a home health nurse and since i work for an agency, i get replacement in clinics. I do pumps, gastric feedings, stomatologie, blood cultures, wounds dressings. My husband is a nurse in hospital setting. Not much he does do that i don't. Home care is more and more about hospital care at home. Patients are discharged early. The only things i dont do are blood transfusions and immediate post op care with narcotics. Obviously i don't do telemetry but at clinics i do. Keeping up to date is tough. I was not working for more then 3 years fresh out of school. I read read and read. I ask my hubby questions and when he tells me stuff about work i practice my judgement. I take courses to keep up to date. Im still taking university classes in all kinds of care settings. Now im doing an evaluation certificate where we learn to more profoundly assess to be able to eficiently care for patients if we were working in regions where no hospitals are available. So assessments needs to be done more in depth because of protocols that are in place instead of doctors. I love my job. And although i dream of working in maternity, the hospital settings in quebec are just too much. The stress on nurses is not for me. And i definately am a nurse!! Home care nurses need to know a lot of stuff from different specialty floors. Cancer, medication, digestive problems, diabetes, heart problems, wound care. We get asked so many questions. I have my books in my car with me.