medpsychRN

medpsychRN

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About medpsychRN

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  1. Trend To Decrease Use Of Seclusion And Restraint

    DOrothy, The place to check the law in Indiana regarding restraints is through The Department of Developmenatal Disabilities. At least that's what it's called in Illinois. There are specific laws which may vary from state to state which provide the...
  2. Health Care: The Ticking Time Bomb

    If folks would like a view of how the government presently "manages" healthcare ask a serviceman. My sons have been enlisted in the Air Force since before 9/11. There are wonderful physicians but trust me there have been nightmares. There are 2 inc...
  3. Health Care: The Ticking Time Bomb

    Perhaps someone has already addressed the question of what will happen to the salary of nurses. One sure way to maintain a budget it to cut staff or cut hourly wages. Imagine the amount of money you've spent on your education. I don't know any othe...
  4. Help with isolation precautions for MRSA and C-diffby medpsychRN Registered User Age: 54 Received 14 Kudos from 9 posts Join Date: Jan 2005 Posts: 123 -------------------------------------------------------------------------------- New isol...
  5. New isolation procedures on the med/psych unit where I am employed state patients from a nursing home or those on dialysis must have a nasal swab for MRSA. If the swab is positive for MRSA, the patient must have a private room. A sign indicating con...
  6. IV Dilaudid problem patients!!!!!!!!!!!

    I have had some bad experiences giving Dilaudid in the past so it's not on my favorite list. In regards to drug addicts, they can be near coma and still complain of pain and demand more meds. Recently, when an addict was admitted to psych and on IV D...
  7. Been there ten years and it's been the best learning experience of my life. Mds are outstanding. Nurses are fantastic. I work nights and I can call any floor and ask for help with procedure or medical problems. I work hard. I have seen illnesse...
  8. For my patient who drops the f bomb every time I ask him to do something..."right back atcha!" LOL
  9. The end of C-diff testing??

    Because we are a psych unit, we don't have those wonderful dispensers outside each room for handwashing. We were instructed we must wash our hand upon entering a patient's room. However, because of some new, unknown JC reg, (I'd like to meet the pe...
  10. The end of C-diff testing??

    Cared for a woman on nights over the weekend. She had an episode of massive diarrhea (bed, floor,toilet). This was the third night she had diarrhea. Saw her attending Monday morning and I mentioned it to him suggesting we get a stool for C-diff. ...
  11. Clozaril and hypersalivation

    Just wondering about the anticholinergic effects of combining Clozaril with antihistamines, scopolamine, atropine?
  12. Intolerant of RN errors

    Thanks for all the responses. I believe when a serious error occurs there needs to be some consequence. However, we are being verbally reprimanded for forgetting to sign something, date something or miss a section/spot on a form. Staff has been t...
  13. Intolerant of RN errors

    Wondering if anyone else has noticed employers being less tolerant of errors? Didn't know if it was related to medicare refusing to pay for hospital acquired infections/illness/accidents. Most of what I have seen is an increase in the number of writ...
  14. Question about Seroquel

    A lower dose of seroquel is not going to increase sedation. I don't know why the MD would say this.
  15. New To Child/Adolescent Psychiatric Hospital

    I guess you can try it out. There isn't enough staff for 54 patients. Our ratio is at the highest 6:1 (RN- not including support staff).