Sunday, September 30, 2012

yea but at home i take 6 a day

heres the problem when you come into the hospital and have been taking meds ordered by doctor not as prescribed. you cant have them that way when you are admitted into the hospital. i understand and have confirmation that most people especially on pain meds dont take them as ordered. i understand it and its your choice. but when you  come into the hospital and the doctor orders "every four hours" thats how i have to give them to you. i cannot go along with your schedule at home. many people are coming in now doing their own schedule. cant in the hospital.so there in is the conflict. either get the doctor to change the script or just go along with whats ordered. nurses have to follow the doctors orders. if not, we may get suspended or at worse case situation lose our license. yes we have a license. no license no work. i will give you whatever the doctor says even if i think it may possibly be alittle much. why?cause i know at home youve been taking it as you want. then i just watch you more closely. i had a woman patient the other night. swear if i took just one of what i gave her i would be asleep for a week. one more of something else wasnt enough. so just gave her whatever she asked for as long as it was ordered. made her happy,had less conflict for my shift and tried to make her comfortable. plus she was nice. if you arent nice i wont go the extra mile for you. people please realize that not only taking all of the narcotics and benzos are the making of a lethal cocktail but having cocktails with them is courting with disaster. shuts off your respiratory system and you die. just like numerous people have done and will do. these are dangerous drugs and are not to be taking lightly. be safe.

Monday, September 17, 2012

suicide precautions:dont threaten then complain

alittle enlightenment, when people come into the ER threatening suicide the hospital has a legal duty to prevent you from doing just that. patients are brought up to the unit on "suicide precautions" which means you have a babysitter (someone who is paid to sit and watch you do everything sleep, go to the bathroom, watch television,etc) and ALL  belongings get taken away from you. don't complain to me that you want your cell phone. not gonna happen. cant have it. ALL  belongings get taken away.i love the ones that come in and say "i didn't say i wanted to kill myself" OK, then ya we just get a babysitter for random people. no, you had to have said something that alerted the ER  staff you wanted to off yourself. so please be careful with what you say. or you might get something you don't want. including a psycho consult and maybe a placement in a facility in lockdown. and NO  you cant leave to go smoke a cigarette. the only thing you can do is lay in bed and watch tv. so dont
lets talk about suicide precautions. come into the er saying something like "i was trying to kill myself" or "i want to die" this stuff is taken seriously. hospital staff has to. its the law. you get admitted to a room. have a babysitter. that babysitter watches you do everything including go to the bathroom. you cant have your cell phone. dont ask. everything is taken away except your gown. thats all you get. so before you say something stupid, think and dont complain when you get a babysitter. we have to its the law.