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Search Results Type: Posts; User: CASTLEGATES

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  1. Saying hello..newbi
    Welcome! My two cents would be to focus on the psychological signs and symptoms. I would find a pirated copy of "the brain, hijacked" by Bill Moyers. It explains addiction in the simplest sense. You...
    Aug 13, '13
    Forum: Addictions Nursing
  2. Advice for dealing with addicts?
    I agree. If she felt it right to withhold, then that's her professional judgement at the time. Education is another thing; judgement from knowledge-base, where the RN was at the time, with the tools...
    Aug 13, '13
    Forum: Addictions Nursing
  3. certified addictions nurse question
    I got my guide used from fleaBay. Sometimes you can find good deals there.
    Aug 12, '13
    Forum: Addictions Nursing
  4. RN counseling guidelines
    I would let the counselor know she needs to work on acceptance of what is (versus life as she would like it to be). We make referrals and advise patients what to do in order to promote health. What a...
    Aug 12, '13
    Forum: Addictions Nursing
  5. CIWA: OK to reassess in less than 4 hours?
    I give meds, then reassess in one hour to determine my plans for the next several hours. Good question; better to ask than wonder :o) <--wait a minute-my smiley face turned into some pink circular...
    Aug 12, '13
    Forum: Addictions Nursing
  6. Advice for dealing with addicts?
    I give everything and anything TOGETHER for these people who are in the throes of withdrawals. It's only for a few days, 'till their system clears. None of those meds mentioned are addictive, or they...
    Aug 12, '13
    Forum: Addictions Nursing
  7. new to addiction
    I would start off by getting the CARN study guide and CARN core curriculum and passbook (all 3) from the IntNSA website (or if you're really lucky, you can find them used). The psych mental health...
    Aug 12, '13
    Forum: Addictions Nursing
  8. Reasons why BAC would continue to go up hours after admission
    It usually goes up when they drink the hand sanitizer (if you've got that); otherwise I would check the instruments and search the room.
    Aug 12, '13
    Forum: Addictions Nursing
  9. What are great fields in nursing for a shy/quiet person?
    My advice? Don't sweat it, the shyness goes away with any nursing job but you cannot escape interaction and being sought for your knowledge at any level. We're resource people, so they hunt our shy...
    Oct 14, '12
    Forum: Nurse Colleague / Patient Relations
  10. Yet Another Pre-Employment Drug Screen Thread
    Just basic employment stuff. Whether or not you have what you need, you have a Dr. who can attest to the fact you're on it legally. You, therefore, have nothing to worry about. At least you didn't...
    Oct 14, '12
    Forum: First Year After Nursing Licensure
  11. What's the biggest mistake you've ever made as a nurse? What did you learn from it?
    Recommending we withdraw care on a patient we flogged for about 2 mos, weeping edema, poor cardiac output, exuding odor from browned extremities, infections in every invasive site. We were on the...
    Oct 14, '12
    Forum: General Nursing Discussion
  12. Vacation/Holidays - New game to play
    Can't fault someone for negotiating a contract. I'd certainly do so, as well, if I had the capability.
    Oct 14, '12
    Forum: General Nursing Discussion
  13. Accident Scenes: Do You Always Offer Assistance?
    If I'm to render assistance, I clearly know it as the situation arises. In these cases, there's an undeniable "pull" that brings me to the scene. The times I didn't feel that "pull" I hung around and...
    Oct 14, '12
    Forum: General Nursing Discussion
  14. What are great fields in nursing for a shy/quiet person?
    Experience leads me to not regard "shy" or "not shy." For me, when I'm evaluating potential employees, it's "Capable and confident" or "unsure and possibly untrustworthy." A sense of insecurity can...
    Oct 14, '12
    Forum: Nurse Colleague / Patient Relations
  15. Very little witnessing going on with drug wastes on my floor!
    I know several nurses who have taken advantage of that situation by collecting the wasted meds and having a party. Always stick around. You don't want to supply that 10% of nurses who are getting...
    Oct 14, '12
    Forum: Nursing and Patient Medications
  16. Commute for Job I would love, or less travel to Job I don't like
    I've commuted 2hrs, lived in a hotel 'till I could find a place. I even moved 1/2 way across the country for one job. There's nothing, NOTHING better than a good job. We spend most of our waking...
    Oct 14, '12
    Forum: Nursing Career Advice
  17. What jobs are there outside of the hospital?
    I would also say "street pharmacist" or " 'hood IV consultant" (for the guys who can't get a vein and need some help). Did I say that? Seriously, military, psych, assertive treatment team (community)...
    Oct 14, '12
    Forum: General Nursing Discussion
  18. first shift of preceptorship: told that my IV priming is wrong
    Potential is there for fluid, regardless how it "appears to be" flowing, to be nonsterile if it's touching an outside environment. If you were mixing and creating an IV bag or drug under a hood,...
    Oct 14, '12
    Forum: General Nursing Discussion
  19. Vacation/Holidays - New game to play
    There was a mention about "that's why all nurses should have a union..." We do and it's effectively neutered. One union rep got fired (bullying move to warn others not to stand up for coworkers) and...
    Oct 14, '12
    Forum: General Nursing Discussion
  20. Are student loans haunting you?
    I would seriously consider going to school abroad. There are international accredited schools in many countries for about 1/10th the price here. My kids will be going to an Asian school accredited at...
    Oct 14, '12
    Forum: About A Nurse - Cartoon Series
  21. Anyone else think HIPAA rules are getting out of hand?
    HIPAA does not apply when facilities are collaborating or coordinating the care of a patient (this is why a physician's office, at least they do around here, call a few local pharmacies to see a...
    Oct 14, '12
    Forum: HIPAA and Nursing Challenges
  22. MSN vs Masters in Health Sciences
    I didn't see a few references to Masters degree education and the "word" alot here just now, did I? :sarcastic:
    Oct 14, '12
    Forum: Nursing Management
  23. Would you (an experienced nurse) help me? Please?
    ok so i have to write a report about the career field i want to go into and im supposed to intervew a professional, experienced nurse. well since i don't personally know any, and i figured i can't...
    Oct 3, '10
    Forum: General Nursing Discussion
  24. Narcotic Use and Diversion in Nursing
    You can offer a hair sample for drug testing if they ask. Offer it at your expense. Makes a good defense if they claim you were eating them. I know one nurse barred from giving meds then canned in...
    Feb 27, '10
    Forum: Nurses / Recovery
  25. Nurses Who Can't Add Cost Lives.
    Utilize
    Feb 21, '10
    Forum: General Nursing Discussion


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