When I had surgery they pumped me full of so much morphine that when I woke up, I was screaming about how much I loved all the nurses. I'm sure I deserved to have my mouth taped shut; I was being super rude to the other patients in the area.

Geez. Nurses in Utah find creative use for medical tape and everyone gets all upset

nope. nothing new here.

I'm not saying a word.

Well that is a new level of stupid. Yes lets tape the nauseous patient's mouth closed so that if she vomits there's a good chance she'll get aspiration pneumonia. Licenses should be revoked.

I was hoping it was going to be a story about hot nurses in makeshift medical tape bikinis...

/Missed the "Utah" part
//Disappointment

feckingmorons: They are unfit to practice nursing. Patient abuse is inexcusable.

I hope they have their licenses suspended, if not revoked.

Does abuse include using an 18-gauge needle and normal saline instead of 1% lidocaine when you're giving the fifth shot of rocepfen in three months to Billy Bob Redneck STD No Insurance?

Just curious. No reason.

ragekage: feckingmorons: They are unfit to practice nursing. Patient abuse is inexcusable.

I hope they have their licenses suspended, if not revoked.

Does abuse include using an 18-gauge needle and normal saline instead of 1% lidocaine when you're giving the fifth shot of rocepfen in three months to Billy Bob Redneck STD No Insurance?

Just curious. No reason.

It depends.

To elaborate: some drugs MUST be mixed in certain solutions to be active. You can't just throw it in some normal saline and call it a day; the drug won't work. Assuming the lidocaine was just for pain purposes and the drug was still active in the normal saline, there's no reason why that's not okay. It's possible the lidocaine mixture is a lot more expensive. (I don't have any formularies here or I'd look.) If you don't have insurance and you're getting something for free, the doc is not required to reduce your pain by giving you a more expensive free treatment. In fact, Mother's Health Medicaid doesn't cover any pain pills. At all. Including for immediate post-partum or post-C section. Pain control is NOT considered a necessity.

As for the needle...again, it depends on where they were administering it. I can't imagine that they would pick a larger needle just to punish someone, though.

Chibi Shinigami: In fact, Mother's Health Medicaid doesn't cover any pain pills. At all. Including for immediate post-partum or post-C section. Pain control is NOT considered a necessity.

Holy shiat.

Intensive care? More like, insensitive care. amirite?

feffer: Chibi Shinigami: In fact, Mother's Health Medicaid doesn't cover any pain pills. At all. Including for immediate post-partum or post-C section. Pain control is NOT considered a necessity.

Holy shiat.

It doesn't here, anyways (Michigan). It may in other states. I'm pretty sure (although not positive) that different states have different formularies.

They'd have got away with it too, if it hadn't been for those meddling kids.

All of the nurses I know are pretty twisted. When they aren't talking about patient's junk, they are looking for new ways to ignore them.

Chibi Shinigami: ragekage: feckingmorons: They are unfit to practice nursing. Patient abuse is inexcusable.

I hope they have their licenses suspended, if not revoked.

Does abuse include using an 18-gauge needle and normal saline instead of 1% lidocaine when you're giving the fifth shot of rocepfen in three months to Billy Bob Redneck STD No Insurance?

Just curious. No reason.

It depends.

To elaborate: some drugs MUST be mixed in certain solutions to be active. You can't just throw it in some normal saline and call it a day; the drug won't work. Assuming the lidocaine was just for pain purposes and the drug was still active in the normal saline, there's no reason why that's not okay. It's possible the lidocaine mixture is a lot more expensive. (I don't have any formularies here or I'd look.) If you don't have insurance and you're getting something for free, the doc is not required to reduce your pain by giving you a more expensive free treatment. In fact, Mother's Health Medicaid doesn't cover any pain pills. At all. Including for immediate post-partum or post-C section. Pain control is NOT considered a necessity.

As for the needle...again, it depends on where they were administering it. I can't imagine that they would pick a larger needle just to punish someone, though.

Well, you know. ED docs are busy, and they rarely write specific reconstitution formulas, as they don't know some of 'em. They'll just write "1gm ceftriaxone IM" and it's the nurse's job to use their judgement on the rest. I wouldn't say someone would pick an 18-gauge needle specifically to punish someone, or out of annoyance. But, you know, you just want to make sure all that antibiotic gets in there, so they get treated properly. Also, a gluteal injection is probably best.

Well hell, if my patients teeth were chattering I'd probably do this too. Then I'd get the hell out of the room and look for a puzzle box.

What, no naughty nurses in this thread?

I'm off to my bunk with the GIS results.

ragekage: Chibi Shinigami: ragekage: feckingmorons: They are unfit to practice nursing. Patient abuse is inexcusable.

I hope they have their licenses suspended, if not revoked.

Does abuse include using an 18-gauge needle and normal saline instead of 1% lidocaine when you're giving the fifth shot of rocepfen in three months to Billy Bob Redneck STD No Insurance?

Just curious. No reason.

It depends.

To elaborate: some drugs MUST be mixed in certain solutions to be active. You can't just throw it in some normal saline and call it a day; the drug won't work. Assuming the lidocaine was just for pain purposes and the drug was still active in the normal saline, there's no reason why that's not okay. It's possible the lidocaine mixture is a lot more expensive. (I don't have any formularies here or I'd look.) If you don't have insurance and you're getting something for free, the doc is not required to reduce your pain by giving you a more expensive free treatment. In fact, Mother's Health Medicaid doesn't cover any pain pills. At all. Including for immediate post-partum or post-C section. Pain control is NOT considered a necessity.

As for the needle...again, it depends on where they were administering it. I can't imagine that they would pick a larger needle just to punish someone, though.

Well, you know. ED docs are busy, and they rarely write specific reconstitution formulas, as they don't know some of 'em. They'll just write "1gm ceftriaxone IM" and it's the nurse's job to use their judgement on the rest. I wouldn't say someone would pick an 18-gauge needle specifically to punish someone, or out of annoyance. But, you know, you just want to make sure all that antibiotic gets in there, so they get treated properly. Also, a gluteal injection is probably best.

If they don't write 'em and there's more than one option, pharmacy law is that it must be clarified with the prescriber. if the nurse is just "picking one" then he or she is breaking the law, as that is considered prescribing.

Shoot them. End of story.

DerechoSCK: I was hoping it was going to be a story about hot nurses in makeshift medical tape bikinis...

/Missed the "Utah" part
//Disappointment

This

"Bilson said the nurses told her mother to shut up, taped her mouth closed and joked they would be fired if they were caught."

They could get a job as fortune tellers.

hahahahahahahammphmmphmmmmmphmmmmmmmmphmmmmmphmmphmmmmph

DerechoSCK: I was hoping it was going to be a story about hot nurses in makeshift medical tape bikinis...

/Missed the "Utah" part
//Disappointment

This.
Now I has a sad :(

/neck surgery coming up so not getting a kick
//whar tape-kinis whar?

Years ago at the dispensary at NOB Little Creek, Virginia Beach, VA, a drunk and slightly injured Marine would not behave, wanting to wander around and accost the other patients. A corpsman sewed his ear to the cot and he never moved for fear he would rip his ear off.

Chibi Shinigami: ragekage:

Well, you know. ED docs are busy, and they rarely write specific reconstitution formulas, as they don't know some of 'em. They'll just write "1gm ceftriaxone IM" and it's the nurse's job to use their judgement on the rest. I wouldn't say someone would pick an 18-gauge needle specifically to punish someone, or out of annoyance. But, you know, you just want to make sure all that antibiotic gets in there, so they get treated properly. Also, a gluteal injection is probably best.

If they don't write 'em and there's more than one option, pharmacy law is that it must be clarified with the prescriber. if the nurse is just "picking one" then he or she is breaking the law, as that is conside ...

Ahh, well, easy enough. The formula's for 0.9NS. I suppose using lidocaine is a judgement call, but no, good point- you'd always ask the doc, "Hey, can I use XYZ instead?"

Chibi Shinigami: ragekage: feckingmorons: They are unfit to practice nursing. Patient abuse is inexcusable.

I hope they have their licenses suspended, if not revoked.

Does abuse include using an 18-gauge needle and normal saline instead of 1% lidocaine when you're giving the fifth shot of rocepfen in three months to Billy Bob Redneck STD No Insurance?

Just curious. No reason.

It depends.

To elaborate: some drugs MUST be mixed in certain solutions to be active. You can't just throw it in some normal saline and call it a day; the drug won't work. Assuming the lidocaine was just for pain purposes and the drug was still active in the normal saline, there's no reason why that's not okay. It's possible the lidocaine mixture is a lot more expensive. (I don't have any formularies here or I'd look.) If you don't have insurance and you're getting something for free, the doc is not required to reduce your pain by giving you a more expensive free treatment. In fact, Mother's Health Medicaid doesn't cover any pain pills. At all. Including for immediate post-partum or post-C section. Pain control is NOT considered a necessity.

As for the needle...again, it depends on where they were administering it. I can't imagine that they would pick a larger needle just to punish someone, though.

Yeah they do, sometimes nurses get out there and think they are judge, jury, and executioner.

The bill probably included $45 for applying the tape.

Usually you have to pay the naughty nurses extra to do that.

her mother's teeth were chattering and she was moaning and shaking

I read in another story she was also snappin' her fingers.
She was movin' round and round.
That girl was shakin'

I've had a few patients I've dreamt about doing that to. I obviously newer would because I try and look at every patient as if they are a family member...

but sometimes it's REALLY hard to do...

I was expecting something like this:

tinfoil-hat maggie: [i1121.photobucket.com image 500x750]
/Here to help ; )

I am glad I didn't see him before the implants.

ragekage: feckingmorons: They are unfit to practice nursing. Patient abuse is inexcusable.

I hope they have their licenses suspended, if not revoked.

Does abuse include using an 18-gauge needle and normal saline instead of 1% lidocaine when you're giving the fifth shot of rocepfen in three months to Billy Bob Redneck STD No Insurance?

Just curious. No reason.

Hey, rocepfen isn't just for STD's. I was given it for a really nasty UTI that I got from...um, nevermind.

/the lidocaine in rocepfen only eases the pain for an hour tops. That crap is like motor oil.

Looks like someone knew how to complain and nurse Ratched officially crossed the line.

/Good we still have some limits.

Why no prosecution? This wasn't just dereliction of job responsibilities, it was physical abuse.

My mouth is taped and I must scream.

Nurses are better people than most out there, but they are still people. They can be cruel on occasion, but as a whole they some of the best people you will ever meet.

feckingmorons: Chibi Shinigami: ragekage: feckingmorons: They are unfit to practice nursing. Patient abuse is inexcusable.

I hope they have their licenses suspended, if not revoked.

Does abuse include using an 18-gauge needle and normal saline instead of 1% lidocaine when you're giving the fifth shot of rocepfen in three months to Billy Bob Redneck STD No Insurance?

Just curious. No reason.

It depends.

To elaborate: some drugs MUST be mixed in certain solutions to be active. You can't just throw it in some normal saline and call it a day; the drug won't work. Assuming the lidocaine was just for pain purposes and the drug was still active in the normal saline, there's no reason why that's not okay. It's possible the lidocaine mixture is a lot more expensive. (I don't have any formularies here or I'd look.) If you don't have insurance and you're getting something for free, the doc is not required to reduce your pain by giving you a more expensive free treatment. In fact, Mother's Health Medicaid doesn't cover any pain pills. At all. Including for immediate post-partum or post-C section. Pain control is NOT considered a necessity.

As for the needle...again, it depends on where they were administering it. I can't imagine that they would pick a larger needle just to punish someone, though.

The real answer is yes it is abuse.

If you have a 21ga and lidocaine and that is an approved standing order of lido rather than saline to reconstitute the med then not doing that is improper.

We're nurses to care for patients, not to judge them or hurt them. Sure you may think they are an ignorant redneck, but you can't change your standard of care.

Pain control is a necessity and a patient's right. Why would any nurse not be a vocal advocate for their patient's pain control?

Because she is a cold-hearted, mean-spirited biatch?