sassyann85

Latest Activity

1. legit discharge?

   sassyann85 posted a topic in Psychiatric

   a voluntary patient came in to the psych unit and was suicidal and also using alcohol. They were detoxed off the alcohol, started on antidepressants, and was no linger suicidal at discharge. The pt wanted to go to a specific rehab at discharge but th...

2. scheduled meds with prns

   sassyann85 posted a topic in Psychiatric

   Hi everyone: So I often have patients on scheduled antipsychotics like risperdal or abilify and then they have PRN antipsychotics ordered. How do you know if these can be given together or how long you have to wait between meds? IE- a patient on sche...

3. accidental violation?

   sassyann85 posted a topic in HIPAA

   what if a patient chart is accodentally opened and immediately closed? can the hospital tell how long you were in a chart and what you clicked on and see you immediately closed the chart once you realized the mistake?

4. 72 hour notice/AMA

   sassyann85 posted a topic in Psychiatric

   Hey everyone, So in my state, if a voluntary psychiatric patient wishes to "sign out" of treatment, they can sign a "72 hour notice" that they would like to withdrawal from treatment, but the form states they can be held up to 72 hours in the hospita...

5. discharging a patient without a PCP

   sassyann85 posted a topic in General Nursing

   Hello, For patients that are inpatient in the hospital, when they get discharged, our MDs write for a prescription for usually 2 weeks of meds. Pts are encouraged to allow the RN to schedule them a PCP appointment within one week of their discharge f...

6. Pts without insurance getting d/c on insulin

   sassyann85 replied to sassyann85's topic in General Nursing

   same with where I work. I am newer there, so I havent encountered this situation yet, but wasn't sure if this was considered a "nursing responsibility" or not....I didn't think it would be, as I have no idea how to go about helping them get assistanc...

7. Pts without insurance getting d/c on insulin

   sassyann85 posted a topic in General Nursing

   For Pts that are in the hospital and require insulin therapy but do not have insurance...who is responsible for trying to get them some sort of medical assistance to pay for this? The social worker or case management? Just wondered how this situation...

8. patient being discharged on coumadin

   sassyann85 posted a topic in General Nursing

   When you are working with a patient who will be d/c home on coumadin, is there a coumadin clinic in your hospital you have them follow up with, or do you make them an appointment with their PCP? Also, when you give the prescription to the pt for coum...

9. IV order to discontinue?

   sassyann85 posted a topic in General Nursing

   Hi everyone. So if a patient is ordered a peripheral IV start for a bag of fluids, after the bag is completed some RNs have been discontinuing (removing) the IV as soon as the infusion completes. My understanding is you need as physician order to d/...

10. judgement/insight and AMA patients

    sassyann85 replied to sassyann85's topic in Psychiatric

    when other pts get d/c to outpatient treatment or whatever, sometimes they really minimize the severity of their condition but they are able to care for themselves and I think recognize if the were decompensating, and I wonder about what to chart bc ...

11. judgement/insight and AMA patients

    sassyann85 posted a topic in Psychiatric

    How do you typically document judgement and insight on patients signing out AMA? Specifically, patients with drug/ETOH problems that arent suicidal and so can't be held, but sign out AMA and plan to use again.

12. weird PRN orders

    sassyann85 posted a topic in Psychiatric

    Hey everyone, So we have patients that are ordered to be on the WAS (withdrawal scale for alcohol or benzo withdrawal). It usually goes that they will get their vitals every 2-4 hours depending on their score, and be medicated with ordered Ativan 1-2...

13. long acting injectables

    sassyann85 posted a topic in Psychiatric

    For pts on meds like invega sustenna, when the pt is discharged, do you give the script for this med directly to the patient, with instructions to take the med to their outpatient appointment to be administered there on the date it is due? Or do you ...

14. PRN for ETOH withdrawal day of discharge

    sassyann85 replied to sassyann85's topic in Psychiatric

    thanks everyone for your responses!

15. PRN for ETOH withdrawal day of discharge

    sassyann85 replied to sassyann85's topic in Psychiatric

    He was not going to be given a script for ativan at discharge