Psychtrish39

I was working in a PCU and a man was having a STEMI and I was trying to IV push him morphine and he promptly threw up all over me and my scrubs. It made the CNA start gagging and she had to run up to the surgery floor and get me some surgical scrubs because its not like I could leave and change clothes. I asked the patient later in the shift if he felt better he just grinned. LOL I have often wondered if he did it on purpose he had some issues with a lot of the nurses. Since then I keep myself out of the line of fire if it can be helped. Never have gotten hosed like that again though.

Exactly.

I agree in my area of the Midwest experienced nurses cant land a job in hospitals but new grads can but local hospital systems have a steady supply from local colleges so there is a shortage of experienced RNs but that is because hospitals here dont want to pay for experience .

I would tell someone like that to well you know for saying that. I would let them have it. Yes I am obese. Got RAI for Graves disease gained 25 lbs. That is utter BS.

Yep that really helps . So does a tiny bit of vicks under the nose.

Gosh I am only MDS coordinator in a 100 bed facility and our census usually is 92 and about 5-10 Medicare A. My facility is budgeted for a half time but they can't find another MDS coordinator.

Big AL you are right and my son was bipolar and committed suicide. The hardest thing for me is as his Mom I helped so many people find the light but couldn't help my own son. The disease won. He was just newly diagnosed when it happened. I appreciate how you put it.

Amen I am an MDS coordinator and basically this is what our 2 hour stand-up consists of.

In the state I practice in its 30 days before a LTC can formally discharge a patient.

I am white and middle aged recently moved back to the Midwest and yes those racist attitudes still exist in some areas of this country. . I want to change jobs because I for one don't think that way and have lived other places where it was not so accepted and flagrant . Please find another job if it gets too much for you .A year would be good but not at the expense of your mental health and it would be so hard if not impossible to grow as a nurse in that environment .I am very sorry you are experiencing this.

Amen I dont care for this post all the concealed carry people dont ever change any violent outcome also do we need guns carried in the hospital by staff that could be taken away from them. ? Dont think so .

VivaLasViejas, I don't think its bad you will be a state surveyor unlike some you have floor experience and you will know what the nurses in LTC are up against and also state gets onto the management at places not the nurses though the nurses do the best they can. I think you will be an excellent surveyor. Congratulations.

I didn't see the show but from prior posters and also as a person with depression as well as a psychiatric nurse he did his viewers a disservice by advocating that antidepressants are over prescribed maybe they are or maybe they are not but they save lives and they have saved mine where I can function better as a nurse and have a better quality of life. Where does he get off judging an area not his domain. Cardiologists over prescribe drugs and treatments sometimes but there may be a family or person that hears that bunk and quit taking their medications because some TV doc said so. He should tend to what he knows. I have never cared for him since he had the bimbo looking nurse on his show for a segment. It is insulting for a physician to do so and if a physician did that in any other area or environment they would be in deep dodo. Just my 2 cents.

I am an oversight nurse at a boarding home for chronically mentally ill residents who are able to do ADLS, take medications and do their own blood sugars etc. Part of my job is to go assess a resident that is in acute care for a physical illness to come back to our level of care. That being said we had a geriatric age resident who has not rebounded since having pneumonia in January and was readmitted to acute care for possible sepsis due to a bursa draining done by a local ER . He was diverted to another local hospital and because at the end of his inpatient stay he could walk 200 feet he was not eligible for rehab in a LTC for a few weeks. Case manager at hospital stated this was due to Medicare regulations. I went and did a head to toe assessment walked with him and made sure he could do his ADLs for himself as he must to come back to us. i assessed him and seen that he was at his baseline that he was at before admission to acute care. Well the next day the hospital discharged him . The administrator my boss called me saying he had SOB was sweating and was very weak after he was brought back to the facility. These s/s were not apparent when he was assessed by me a day prior or I would not have said he was strong enough to come home. He returned to the facility with these symptoms and I was asked to transport him via my own automobile back to the ER because a social worker at the hospital said they would take him back.. ( that is a minor miracle in itself). I stated to my boss I did not feel it was safe to transport a person with SOB and sweating and weakness in a privately owned vehicle and I felt an ambulance should be called in case he was having a stroke or pulmonary embolism or a myocardial infarction and I refused to do so because I felt it was not safe for him when this hospital is 20 miles away and I know if he had quit breathing on the way i could not have saved him and I would have been liable and my license in danger. After I stated this they were going to send him paratransit then got the activities director to take him in her car. She agreed to do so and the resident was able to return to the hospital with no problem and is now a resident at a LTC which i had been advocating for a while.Here is the kicker and the basis of my question and what I did in response. I wonder did I do the right thing as a nurse or did I fail my patient in some way. ? I of course have been getting the cold shoulder from staff but I feel it was Russian roulette what they pulled . I guess they felt because his condition changed from my prior assessment it was my responsiblity to take him back because I made a mistake well I know from years of working LTC the geriatric age patient can go downhill within hours just like children do. Also I have a license that if he died it would be on me as well as it not being the appropriate safe thing for this resident he deserved better care than that. Any thoughts or comments ?

scary to think about... gonna double check LOL gave me a laugh though...