Diary Entries

Everything is Nonsense

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Everything is nonsense right now. What Is, Isn’t. It all feels so upside down and backwards.

Today, I had morphine ordered on a few of my patients. No big deal right? Morphine is not an uncommon drug in the hospital as it is used for pain control and hospice most of the time. But, this specific incident of morphine was significant and, very different, from the usual delivery method. It’s hard to explain but, I’ll try.

A pharmacy tech came to the unit carrying medications for the patients. Also, not uncommon. Typically, the pharmacy tech will bring scheduled narcotics or certain antibiotics for our patients that are not carried on the unit. Anyway, I signed for the medications assigned to my patients and went to my charting area to go through the meds.

I look at one of the medication bags and I see that it reads Morphine. What?

This is an ENTIRE 100 mL bag of morphine!

 

Everything is Nonsense

 

This has to be a medication error. Normally, we administer morphine to our patients in 0.5 to 4 mg… in a syringe, not a bag.  Sometimes, it is administered in higher doses but that is rare unless you are on a post op unit. Furthermore, if we are giving narcotic medications in high doses like this or, on a frequent basis, we put the medication in a PCA pump. This is called Patient Controlled Analgesia and it is a machine that is LOCKED and programmed to deliver the med to the patient in a safe fashion.

Class is over now.

I go to the charge nurse and alert her to the suspicious medication. She calls the pharmacy and confirms that this medication is correct. Both of us are puzzled.

We call the doctor who ordered the medication.

Me: ” I need clarification on an order for the patient in room blah blah blah HIPAA HIPAA HIPAA…”

Dr.: “That order is correct. Thank you for calling to clarify.”

Me: “Okay, this is just an odd order. Thank you.”

Dr.: ” It has become protocol to give this medication to the DNR- Covid positive patients to ease their suffering.”

Okay. Wow. I don’t know what to say.

But, I do have a question.

Am I about to euthanize my patient?

 

Quote of the Day

“If I had a world of my own, everything would be nonsense. Nothing would be what it is, because everything would be what it isn’t. And contrary wise, what is, it wouldn’t be. And what it wouldn’t be, it would. You see?” – Lewis Carroll, Alice’s Adventure in Wonderland

What’s for Dinner? 

Ramen Noodles

Ramen Noddles
My bowl of ramen from Ivan Ramen in NYC

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Travel Nurse's diary chronicling her experience travel nursing and the food and cultures she encounters. The emergence of the Pandemic has altered the content to reflect her experience in caring for corona virus patients. Initially, this diary was to serve as a creative outlet documenting my experience of travel nursing while exploring the food and cultures of the places I visit. Since the development of the diary, the Corona Virus Pandemic emerged altering the content of the diary. These are unprecedented times for nursing. We are fighting a battle that has never been fought. What we document now will be historic and I need to make sure it is written from the perspective of a nurse. This diary will now reflect my real-time experience in nursing this population of corona virus patients and, my opinions regarding the pandemic. It will still give you information on the food, cultures and cities I experience but, it won't be the primary focus- for now. I travel the country with my boyfriend, and fellow nurse, Michael. We are big time foodies and we love to travel in our RV with our cat Domino a.k.a. Princess Kitty Bitch. We would love for you to join our adventure. So, here we go... The name of this diary is now called... Corona Virus Pandemic Diary of a Nurse’s slightly slanted Perspective Recommended Playlist, Relevant Quotes and Recipes Included Travel Nurse's diary chronicling her experience travel nursing and the food and cultures she encounters. The emergence of the Pandemic has altered the content to reflect her experience in caring for corona virus patients.

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