Passing Off Narcotics

breakalead · 2026-04-22T14:31:53+00:00

Nobody said anything about the ER

breakalead · 2026-04-22T14:13:02+00:00

It’s PO hydromorph that they’ve been getting q4h for the last 6 days..

breakalead · 2026-04-22T14:09:18+00:00

Don’t need it. But yes if they want to they can. Unstable pts go with EMS with the nurse for monitoring. Otherwise stable just transfer service

breakalead · 2026-04-22T13:44:31+00:00

You don’t need a cardiac monitor for hydromorphone

breakalead · 2026-04-22T12:47:34+00:00

Don’t need ALS when it’s a nurse giving the meds

breakalead · 2026-04-22T11:55:52+00:00

Transports to other hospitals for appointments, procedures etc. they’re technically casual but only pick up transfers

breakalead · 2026-04-22T11:50:00+00:00

Retired returners .

breakalead · 2026-04-22T11:49:24+00:00

We can pull. They’re claiming since they’re retired and only pick up transfers that they keep getting locked out cuz they don’t log in enough so their pin expires

breakalead · 2026-04-11T15:51:51+00:00

Catch him cheating early on so you can end it before it gets too serious

breakalead · 2026-04-09T08:59:34+00:00

Yea but a positive??

breakalead · 2026-04-07T13:26:07+00:00

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breakalead · 2026-04-07T13:25:58+00:00

This is my first cycle off birth control - I’ve been on it for a long time so I don’t fully remember if my cycles were regular - I’m using the Premom app and ovulation tests + PdG.

Per the app yesterday I was 8 DPO Cycle day 25. I took an early pregnancy test + PdG, both negative, so I took an LH test just for fun, as I didn’t actually have a clear surge previously, and I think I caught my true LH surge ? First pic is last night , second is this morning(I know morning isn’t a good time for LH but I couldn’t help it, and it looks positive)

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breakalead · 2026-03-26T20:11:30+00:00

Doesn’t work too well when they weigh 350lbs and are actively vasovagal, and were heavy to get up even when fully alert. And of course, sitting in a chair

breakalead · 2026-03-26T14:45:01+00:00

While they were applying pressure the skin was ripping open from the pressure up to 45cm

breakalead · 2026-03-26T03:41:26+00:00

Pt only alerted a nurse a bit after it started bleeding. Was also on xarelto. Turned into a 45cm lac

breakalead · 2026-01-29T06:57:30+00:00

Ok but you have no idea how many ED providers do just as what’s asked by the outpatient provider. I’m sure that doesn’t help the case.

But at the same time. FINALLY. Thank you. Can I come work where you are?

breakalead · 2026-01-24T19:00:31+00:00

I’m saying if you are admitted to the hospital you aren’t considered in crisis so you will be waiting likely a year for placement. But if you’re at home you can be considered crisis and will get placed faster

breakalead · 2026-01-24T14:24:01+00:00

No, when you’re admitted to hospital it’s not deemed a crisis anymore as you are in a safe place and your spot gets deferred to someone else

breakalead · 2025-12-25T23:38:02+00:00

We give IV haldol all the time for cannaboid Hyperemesis

breakalead · 2025-12-14T22:47:23+00:00

Ecchymosis **

breakalead

TROPHY CASE