Content That NRSKarenRN Likes

Content That NRSKarenRN Likes

NRSKarenRN, BSN, RN Moderator 99,817 Views

Joined Oct 10, '00 - from 'RN Spirit from Philly Burb'. NRSKarenRN is a PI Compliance Specialist, prior Central Intake Mgr Home Care Agency. She has '35+' year(s) of experience and specializes in 'Home Care, VentsTelemetry, Home infusion'. Posts: 27,222 (22% Liked) Likes: 13,098

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  • Apr 29

    I guess I am a bit unclear on this. Your mother GAVE you this medication to take? Right before a drug test? And why were you all worked up over a drug test to begin with? With all that being said, it makes me sad that you are continuing to blame yourself--you didn't "mess up" you were listening to your mother, who I am unclear on what the motivation of her actions were.

    There seems to be more to this situation than you have indicated. To be blunt, there seems to be a lot of sabotage happening, the specifics of which is none of my business, and at this point not exactly relevant.

    However, my suggestion is that going forward you seek some assistance in controlling your anxiety. That you speak to your academic advisor on how to proceed with your education and defer the clinical portion--which is what I am assuming the drug test was for. That you perhaps look into a summer schedule of a certification (ie:medical coding, informatics) then decide if you want to proceed in the fall with your nursing education when you are able to get all of your ducks in a row.

    You need options and choices. You need to be informed of where all of your classes stand at present--and degree options. Just until you are able to manage your anxiety.

    Unfortunately, if the thought of a pee test gets you into a state of panic, the pressure and pace of clinicals may not be the best thing for you right now.

    Speaking of peeing, don't get into a peeing contest with Mom. What's done is done, and regardless of the circumstances surrounding this, you need to change up your dynamic going forward. Whomever you see about your anxiety can assist with this as well.

    Best wishes.

  • Apr 26

    To NRSKaren - Just to say I'm impressed with your skill to offer citations and general knowledge re NJ issues.

    I look forward to reading your responses when you post.

  • Apr 20

    To make sure they get the shirts back a my high school. They use a nice fat sharpie and write "Principal's Office" on the back of the t shirts that they give the kids to wear when there is a violation. Obviously, they don't like to resort to the "Principal's" shirt.

  • Apr 20

    i like to get my hands of a few justin beiber t shirts for tank top strap violations (can't have spaghetti straps). Apparently One Direction works well too these days

  • Apr 13

    Quote from smartnurse1982
    Compared to taking a basic non vent,non feeding tube kid to school.

    Same pay hourly but this is high tech.

    I might as well save my back and take on a basic case.
    Very few companies pay more for trach vent. There is no longer additional reimbursement for high tech cases in many states like NJ. You take the cases because you have the skills.

  • Apr 13

    I care mostly for dialysis pts and many of my pts also have cancer has a co-morbid as many chemotherapeutics have renal failure as a side effect (unfortunately).

    I always start with stool softeners, colace, proceed on to miralax...etc...

    Trying to be cost-conscience, I do try simple first. However, that said, these ARE newer drug on the market and knowing they are out there is important.

  • Apr 11

    Quote from Nasir Awan
    Thanks for the info, but i need only US list. so i have to manually check that ?
    Mr. Awan,

    Are you still on this thread or have you left?

    I suspect that you joined this BB to find this information (being your profile is new and this is the only thread you participated in).

    I hope that you are there, because I am going to give you some more information on EPIC.

    First, if one were to read the end user license agreement (EULA) one would see that it prohibits users from discussing any aspect of the product on public forums. This is standard in the EMR arena to prevent users from disclosing how bad their systems really are.

    I suspect from your grammar and name you are a citizen of the British Commonwealth. You were probably hired by a third party vendor looking to sell their third party EPIC add on in the US. Possibly are you from Ireland or Mumbai (tech centers in the commonwealth)?

    The individual facilities are easily “[data] mineable” if you know where to look. Like others have stated, I am not going to do your work for you.

    This lack of knowledge and naiveté may also be due to your client is a hacker looking to ransom hospital data through a flaw they may have discovered in EPIC.

    They (experienced hackers) hire someone inexperienced and naive that would go on the Internet soliciting a list of US hospitals using a specific EMR system (in light of all the warnings from the FBI after multiple hospital data ransoms).

    Just saying...

  • Apr 9

    Quote from SmilingBluEyes
    Don't tell people to "google" the facts when you put out an article. It's on YOU as the author to cite the studies and references to support your thesis and claims. You lost me at the 1st page d/t your telling a CRNA to "google" for information and supporting documentation.

    I have had hypnosis with varying degrees of success. It's not that I think it's all hocus-pocus crap, but......

    You, to me, as a writer making statements about hypnosis solving the dilemma of widespread opoid misuse----- have No credibility.
    Everyone is jumping on the bandwagon for the lack of credible evidence. If you learn anything today- its that there are people who have grown up in an education system that only tests for the final product, not for the process of getting to the final product.

    Here is his thesis: "A waterfall starts off as a single drop of water. When that drop is joined by others, the power of one becomes the power of millions."

    Yes, it is a bit of hyperbole to state "epidemic halted with hypnosis" but really thats to get your attention. Is it any more hyperbolic than management passing out little buttons that state "no pain"?

    Lets put our critical thinking caps on, and contribute to the spirit of this thesis-

  • Apr 9

    Quote from joe a.
    The research is well documented. I just am putting the word out about the accepted proven medical uses of hypnosis. Learning how to use this valuable complementary medicine adjunct can enhance nursing practice. That is my point.
    I'm.ot calling anyone ignorant. It was a general comment.
    Thank you for your comments.
    Hypnosis is more than sleeping and then waking up clucking like a chicken. Most effective as I have known and seen in trauma psychological disorders (like PTSD). Since many people self medicate for a variety of reasons, I could see this as a complementary treatment.

    Making a long story short, things happened in my life where I was not in a good place. Wouldn't leave my house. Literally. My parents brought me to a therapist who happened to have a certification in hypnosis. I was dropped off at many sessions not involving hypnosis. I thought it was bunk, and when I went to a session that the therapist wanted to attempt hypnosis, I consented as I was not getting any better, I was young, and had a whole lotta life to live. So at the end of the session, I was VERY "well THAT didn't work! I didn't fall asleep, I didn't two snaps up and a half twist awake, you are the crazy one" to the therapist. I said "I don't think you can help me". Well, as I left the office, I was very curious as to where I parked my car, and that I needed to go to the grocery store and get some things for dinner. I hadn't driven or left my house alone in months. And hadn't stepped foot in a grocery store in just the same amount of time. I haven't looked back since.
    So it works. Just my experience and memory of that time. Interestingly, I see the therapist in the grocery store now and again. And we have a huge laugh.....

  • Apr 7
  • Apr 7

    I know c/s patients at my hospital head over to PP with NS and pit running. However, I know most of our PP nurses take the NS down when the patient has shown that they are tolerating PO fluids/solids (usually about an hour or so after). We do maintain IV access for a certain number of hours after delivery, but it is saline locked and removed as fast as safely possible, as per our protocol.

    Pitocin, both intrapartum and postpartum, can cause water retention that can lead to swelling and breast engorgement and may interfere with mom's function and breastfeeding in the postpartum stage. Personally, I'd have no problem stopping the NS and maintaining a saline lock as long as mom is tolerating PO.

  • Apr 7

    Quote from joseyjo

    Any ideas on how I can better my chances of transitioning from good student to good floor nurses?
    * Don't go into your first job thinking you know everything about being a nurse. You know squat.

    * Do things the way your preceptor shows you. Even if you know another way. Unless the way your preceptor does it would cause serious harm to the patient, there's usually more than one way to do something.

    * Do not roll your eyes at your preceptor or the other floor nurses.

    * If you have a question about something your preceptor demonstrated, ask her about it when the two of you are alone. NEVER make a scene in front of a patient.

    * Carry one of those little spiral notebooks with you. Jot down things you would like to study in more depth. You're an adult, that's how adults learn.

    * Know that you're going to make mistakes. Any nurse who says she's never made any kind of mistake is lying to you. And herself.

    * When you make a mistake, own it. If it was a relatively minor one, thank whatever deity you look to that you didn't kill your patient. If it was a serious one, be prepared for consequences. And also think of ways to make it never happen again. Managers love that.

    * Asking questions and getting another brain involved when you aren't sure of something goes a long way toward avoiding those serious mistakes.

    * It takes at least a year to really feel comfortable in a new job. You're going to have days when you wonder if Nursing is really for you. Like maybe you should be a Walmart greeter. Even after you're out of orientation, any preceptor worth her salt will have an occasional, casual "How's it going for you?" Answer honestly.

    * Take some time to learn the unit culture. You aren't going to be an insider for awhile. Some co-workers will never be particularly friendly. That's ok. You can have a professional relationship without being besties.

  • Apr 4

    This information has been floating around for many years. A few years ago, Newsweek did a big cover story on the question. It's v. hard to get evidence of antidepressants working significantly better than placebos. Of course, part of the problem is that the placebo effect is extremely strong in depression.

    I consider this psychiatry's big, dirty secret. We've got half the country taking these medications, and it's not clear that they're doing anything more for people than M&Ms would (if only we could convince the public that M&Ms treat depression!)

  • Apr 2

    None of the articles I found on Google specifically say so, but I'm assuming this is a for-profit hospice (founded and run by an accountant, ".com" address). This is what happens when vulnerable, helpless people are left in the care of individuals whose primary concern is making money. Why is anyone surprised?

  • Apr 1

    Anonymity is a sticky wicket on this site and a rightly cause for concern. Fear of possibilities may be the cause for your husband's concern, Kitiger.

    We come here to express, question, glean or discuss information which is protected by stringent guidelines and laws. Therefore, we cannot use any identifying information which may result in negative ramifications.

    If a loved one is vulnerable to these ramifications, avoidance is a method to deal with the possible negative results. Reassurance that you have a handle on confidentiality, as you relayed, is a good response.

    Priorities come in play here. We need to determine which is more important: Our need to be on or our Spouse's comfort?

    Belinda and I have had discussions on possible ramifications of my posting on I assured her that I take just about every prudent precaution and follow strict guidelines as not to have to deal with any possible negative results, and she is okay with that.

    My posting on has been called into question by Coworkers, Peers, and Supervisors. I've answered all their challenges by assuring them that confidentiality is never breached and my posts, for the most part, are appropriate, factual and objective.

    The unexamined life is not worth living and we all have to take risks in order to truly experience life.