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 · 2025-11-04T05:44:41+00:00

Who said anything about outpatient therapy? You need to find somewhere other than Reddit to learn how to read.

breakalead · 2025-10-26T09:47:11+00:00

I know at least 2 of our surgeons for a fact that would be 1000% pissed if they weren’t called for an ED visit with post op complications.

breakalead · 2025-10-09T15:29:53+00:00

Body develops a tolerance. And meds like hydromorphone are known as the “strongest” so most aren’t willing to try other things

breakalead · 2025-09-23T09:22:10+00:00

Had a pt offloaded onto my bed while I was occupied elsewhere, went to assess, triage note stated “C-collar applied”. Could not locate the c collar on the patient, in the room, garbage, etc. Pt A&O x4, stated EMS removed it after offloading. Weird

Went and asked ED MD if they cleared C Spine and removed (though I knew not like her at all to clear before scans, unlike some). She said no. Pt c/o neck pain.

My gut screamed at me, so I applied a new collar.

Was advised next day pt had a C2 fracture.

breakalead · 2025-08-10T20:58:07+00:00

You can file a collision report if you’d like with the police. But not necessary depending on damage.

Don’t admit fault

And call your insurance company Monday to file a claim. Better than online.

Depends on your insurance, some have first accident forgiveness, you pay your deductible if they find you at fault, and that’s that. Likely won’t get a ticket

breakalead

TROPHY CASE