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pixierose

pixierose

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  1. pixierose

    I was slapped by a patient

    This is absolutely assault. If you were walking down the street and the same guy asked for directions, then slapped you when he wasn’t happy with the plan ... you’d press charges. We normalize this in healthcare. And by “we” I mean the powers that be as well. Of course you were frightened - he meant to harm you. I’m sorry this happened to you.
  2. pixierose

    Nurses Are So Bossy...

    Thread will be shut down in 3 ... 2 ... 1 ... Patient- care and safety is #1. If families present are intervening in said care and safety, I will not hesitate to ask them to step out. Using an example of yours, there is not a lot of space with those curtains ... on top of everything else. Then add a spouse ... I could be doing an assessment, changing a dressing or removing a glorious array of tubing and YOU are intervening in that care so out you go. Gosh. I guess I’m pretty bossy, then. My kids are right - I’ll have to go tell them (running off to tell them they’ve been validated) ...
  3. pixierose

    Do I have to disclose mental illness

    Oh hell naw. Mental illness still carries a very real stigma, even out here in the nursing world. Even in the psych unit I work at per diem, there are some amazing, understanding folks ... but judgment is there. I’m not about to tell my NM about my endo, or my migraines, my bipolar disorder or now my multiple sclerosis because it’s really, truly none of their damn business. As of right now, none of it affects my job and its performance, and I very rarely (if ever) call out. All is well treated and maintained; I’m doing the best I can to keep it that way. When I did apply to my jobs, however, a list of my medications were asked and dx and I did provide those with no regret. This was not relayed to my NM. If I tell my boss that I have diabetes no one would look at me sideways ... but say one word about a psychiatric disorder and others look askance.
  4. pixierose

    Pyxis Problems

    Two words: “Failed drawer” ... ... every time someone needs that IM of Ativan. Yelling and banging sounds out in the milieu. Yelling and banging sounds in the med room.
  5. pixierose

    Written Up

    Just to add to this discussion ... you see orders like this all the time on psych units. 1mg lorazepam scheduled at HS and 0.5mg lorazepam PRN q4 for anxiety ... zyprexa for increased agitation and then a scheduled order ... Best judgment with the call to the on call is always the best move. I work with a lot of older patients with comorbities and all I think of is respiratory depression with some of them ... in your case, I would have given one PRN and re-assessed, call to the doc if needed.
  6. pixierose

    Written Up

    This is why they get paid the big bucks. Never hesitate to call, OP ... it’s always better to clarify.
  7. pixierose

    Written Up

    Well ... Do you think you double dosed the patient? Did you have questions RE: the order? I would not have given both doses. The PRN is treating both - sleep and anxiety. Q8 is also key here. I don’t know the patient nor the specifics, but no: one PRN dose should have been given, not both.
  8. pixierose

    Robot tells man he'll be dead in hours

    My ‘like’ is in support - I’m sorry, Emergent.
  9. pixierose

    Robot tells man he'll be dead in hours

    The more I think of it, the more I agree with you. When I think “robot,” I think of that mindless thing that wanders Stop and Shop scaring the hell out of people (I think it catches attention to messes?). Not this.
  10. pixierose

    Robot tells man he'll be dead in hours

    I’m not getting that from the article, mostly because the article is so poorly written and sensationalized. But as a society, I agree: we don’t talk about death. There are some great books out there that address this that I highly recommend - Caitlin Doughty’s ‘Traveling the World to Find the Good Death’ is fantastic. Getting back to the article, and I think someone here on the thread brushed on it too ... I still feel that the way it was communicated sounds poorly done, not the method itself per se. I’ve seen and had physicians with the poorest bedside manner give me tough diagnoses in person and take off without answering any questions of mine or react rather brusque. This robot communicated poorly by not even speaking loud enough or using the “good” ear, for example (we’ve all had those hard of hearing patients). The article doesn’t elaborate, was the nurse present? The hospital (I believe) stated that one was to remain present. If so, then I don’t see how this could be that horrific. It was better to save the man time. And I think any way you get the news, to someone who can’t accept death (and I’m *not* going to blame them; I’m not and don’t want to be in their shoes), you’re GOING to blame the messenger. Any messenger.
  11. pixierose

    Robot tells man he'll be dead in hours

    I was especially bothered that the physician couldn’t appropriately and effectively communicate with the patient d/t his impaired hearing (and the fact that the robot couldn’t get to his “good” ear). Given news like that, regardless, is just devastating. Media certainly sensationalizes. But ensuring that your patient understands what you’re saying is critical.
  12. pixierose

    Vent

    So just to confirm, I had a talk with a very good friend of mine since my teen years. She’s now a physician at a busy ED in a nearby state. They don’t review “the basics.” There are no cutesy games being played, no team building. Their in-services are discussion based, using their contributions to lead the way. This is all I’m asking. For crying out loud, some of the nurses I work with (and are attending) have been RNs for 40 years. Many have advanced degrees. And we learn and work hard. If we are sitting there drooling, it’s because we are either so exhausted we’re sleeping with our eyes open or we’re bored out of our minds. I used to be a teacher. I’m all for various learning methodologies and the like. But dumbing down the material, preaching or otherwise making me fall backward into the arms of a coworker is not treating me like the professional that I am.
  13. pixierose

    "Recently Browsing"

    I didn’t notice til you just mentioned it. Now I can’t help but notice my name down there. It’s almost like my iPhone telling me how many hours I’ve been on it all week. The shame ... yet, here I am .
  14. pixierose

    HELP!!!!! PANICKING! Career change??

    Would it look bad? Oh yes. Yes it would. What’s an appropriate time of waiting? Preferably, one year. Out of curiosity, what’s the difference in specialties?
  15. pixierose

    Pit Bull Service Dogs

    It could be a Yorkshire terrier ... like others said, I wouldn’t go near that situation with a 10 foot pole. People or animal, aggression shouldn’t be tolerated.
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