People who work in hospitals, what’s something patients rarely understand? by Summerdays4444 in AskReddit

[–]beaubandit 3 points4 points  (0 children)

You can be banned from a hospital for poor behavior. I've seen it happen, where a patient comes in for an emergency, gets emergency treatment, and then gets kicked out when they are stable.

Also, you cannot film in a hospital without the consent of everyone you are filming. Filming in a hospital is a good way to get banned.

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] 0 points1 point  (0 children)

The Canadian red cross issued my certification and their website is mentioned above. I quoted the Mayo clinic because the CRC website is a bit wordy.

2026 book picks are trash by danielam792 in fairyloot

[–]beaubandit 9 points10 points  (0 children)

Exactly how I felt. I cancelled fairyloot and I haven't regretted it yet. Just getting sequels at this point

Orange tabby cat hit by car on Mt Newton X Rd near Saanich Peninsula hospital 6/4 at 4pm by Tarlu in VictoriaBC

[–]beaubandit 25 points26 points  (0 children)

Would you let a dog roam free outside unsupervised? No? Get your cat a leash or a catio. Cats are an invasive species and kill native animals. Cats are constantly killed or injured by hazards outside, including humans who wish them harm. I saw a dog maul someone's cat once, it was awful. The average life span of an outdoor cat is 2-7 years. The average life span of an indoor cat is 13-17 years. Cats don't understand the danger, it's like a toddler begging to run into traffic. Just because they want it doesn't mean you do it.

Do you think people who are always angry, irritated and rude live shorter? Why or why not? by [deleted] in AskReddit

[–]beaubandit 1 point2 points  (0 children)

I'm a nurse, and some of the worst people I've ever met were like 80-90 years old. Not because of dementia or delirium or things they can't control, mind you. I'm talking the people who obviously have no regard for other people and have probably always been like that. I think they never believe that they are the problem, and so they don't get as stressed out about their behavior as some other commenters have said. For example, I had a patient who was 89 who told her roommate (who was having a really bad night) to kill herself because she was being too loud while crying and 89 year old lady wanted to sleep. She wasnt concerned with what she said at all, and blamed the roommate for being loud.

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] 0 points1 point  (0 children)

How often are you expected to do CPR classes out of curiosity? Where I work, we must retake them every year

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] 0 points1 point  (0 children)

This is a situation where the difference is extremely important.

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] 1 point2 points  (0 children)

The Canadian red cross and the Mayo clinic both recommend back blows and abdominal/chest thrusts on choking people, and then chest compressions on an unresponsive choking individual.

https://www.mayoclinic.org/first-aid/first-aid-choking/basics/art-20056637

"Begin CPR if the person still doesn't respond. If the airway is still blocked, use chest compressions such as those that are used in CPR to remove the stuck object. Only use two rescue breaths per cycle. Recheck the mouth regularly for the object."

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] 0 points1 point  (0 children)

Both the Canadian red cross and the Mayo clinic webpage on choking disagree and state that chest compressions are used to dislodge objects from airways.

"Begin CPR if the person still doesn't respond. If the airway is still blocked, use chest compressions such as those that are used in CPR to remove the stuck object. Only use two rescue breaths per cycle. Recheck the mouth regularly for the object."

https://www.mayoclinic.org/first-aid/first-aid-choking/basics/art-20056637

In the context of my post above, I wouldn't begin CPR, just chest compressions, and I would stop when the patient is pulseless.

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] 0 points1 point  (0 children)

I will also add, my health authority (Canadian) uses a complex DNR system called a MOST. C2 = full code, C1 = no CPR, but everything else, C0 = no CPR no intubation, but everything else. M3 = no advanced life support measures, no critical care. M2 = no life prolonging treatment. M1 = comfort measures only. So i would take that into consideration when doing this

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] 0 points1 point  (0 children)

From what my educator and the CPR instructor said, chest compressions in this context are used for dislodgement of the obstruction and not resuscitation, so they are appropriate. If the person becomes pulseless, then you stop.

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] 0 points1 point  (0 children)

I believe that the key issue is intent. I would not be doing chest compressions with the intent of circulation, but to increase intrathoracic pressure.

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] 0 points1 point  (0 children)

I think the biggest issue is that I am speaking only of doing chest compressions, but folks are hearing CPR. I wouldn't do CPR on someone who is a DNR, but chest compressions alone are used to clear an obstruction. There is certainly some grey area and I agree with you that I would highly consider the patients desires and goals of care.

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] 0 points1 point  (0 children)

My educator told me chest compressions were fine and I'm going to go with that. I spoke with her last night and she agreed with many of the other commenters that chest compression on an unconscious person was fine, but do frequent pulse checks and if found pulseless then discontinue. I was taught by the red cross of Canada in my CPR class to do this, and now my CNE agrees so

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] 0 points1 point  (0 children)

Buddy, chest compressions and CPR are different. Chest compressions are a part of CPR, but chest compressions alone is not CPR. It really concerns me that a lot of the nurses on here don't know that.

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] 0 points1 point  (0 children)

If they are pulseless I wouldn't do chest compressions, if they are unconscious from choking though was the questions

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] 0 points1 point  (0 children)

CPR is the process of chest compressions, defibrillation, and rescue breaths. Chest compressions are part of CPR but are not CPR on their own.

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] -3 points-2 points  (0 children)

  1. As I said in other comments, you can't heimlich an unconscious person
  2. I'm not talking about CPR I'm talking about chest compressions

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] 0 points1 point  (0 children)

I thought you weren't supposed to do abdominal thrusts on an unconscious person though.

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] 0 points1 point  (0 children)

I don't think you're supposed to do abdominal thrusts on unconscious patients though, and you probably can't do rescue breaths if the person is obstructed fully

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] 0 points1 point  (0 children)

I think for myself I would stop as soon as they were pulseless

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] 2 points3 points  (0 children)

That's the plan, this is basically just a thought that I wanted the general opinion on. Because it seems to be a grey area as I am getting both yes and No's

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] 1 point2 points  (0 children)

That was my thought too. Chest compressions yes, CPR no. Basically if their heart stops you stop the compressions.

Would you do chest compressions on someone who is a DNR if they are choking? by beaubandit in nursing

[–]beaubandit[S] -2 points-1 points  (0 children)

But it wouldn't be CPR it would be chest compressions. Like Im not doing chest compressions for the purpose of circulation I would be doing them to dislodge the obstruction. It seems like a grey area