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Search Results Type: Posts; User: CASTLEGATES

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  1. Wilmington University RN-BSN ONLINE! wgu opted out
    Last Master's rotation that led to FNP's had not one but 2 instructors sleeping, instead of instructing graduate students. These were not the easy classes, but the infamous P's classes you really...
    May 12
    Forum: Online Nursing Schools and Colleges
  2. Nurse Practitioner's prescribing buprenorphine
    Unfortunately the AANP wasn't even present during the DATA 2000 act that allowed only MD's to prescribe buprenorphine (nevermind NP's and PA's can prescribe potent opiates they can become addicted...
    May 8
    Forum: Nursing Activism / Healthcare Politics
  3. Having kids & working 12hr nights??
    If my wife didn't stay home, we'd have a serious issue. It's complicated, but if she ends up being deported for any reason (still may happen-I don't want to get into detail at the moment), then I'll...
    May 7
    Forum: Pennsylvania Nursing
  4. Lateral violence. How did you handle it?
    For me, I know they cannot fire me, since I follow the rules and do exactly as directed. If they're breaking the law, I'll say something and run it up the pole (if that's what needs to happen). My...
    May 7
    Forum: Nurse Practitioners (NP)
  5. Doctors vs. Nurses
    People go to hospitals because they need nurses. Nurses are revenue producers, not just costs. When a patient is admitted, it is for nursing care. Labs and tests can be scheduled in, or outpatient,...
    May 7
    Forum: Nurse Colleague / Patient Relations
  6. First NP Job and unhappy...What to do?
    I echo what was just said.Take your clinicals, what you learned and apply to the best of your ability. Easy to say that (knowing you can't go back in time), but perhaps that may help those in...
    May 7
    Forum: Nurse Practitioners (NP)
  7. Passing cut offs
    Mine was 80%+, as well. 96-100 for an A, 90-96 for a B and most were 85 (we dropped to #5 in the state and they changed everything).
    May 7
    Forum: General Nursing Student
  8. 7 Social Media Posts That Will Destroy Your Nursing Career Before It Begins!
    Their first impression will be when you walk into their office, and it's nursing not HR you need to impress to get hired (unless you're new to the field and can't read people terribly well). Rather...
    May 7
    Forum: General Nursing Student
  9. Too Young..Rejected from Graduate School
    When I completed my initial education, some schools wanted 5yrs to get an MSN (min). Now, some schools are letting nurses with fewer in, but that depends on the applicant numbers (where they can...
    May 7
    Forum: Post Graduate Nursing Student
  10. Should mental health nursing be grouped with addictions nursing?
    Post acute withdrawal syndrome can mimic schizophrenia, bipolar, PTSD, explosive d/o and others. This is why it's not recommended for addictionologists to stamp any new diagnoses on patients until...
    May 7
    Forum: Addictions Nursing
  11. Favorite cheat sheets, tools, references, resources
    I thoroughly agree with the others. I have no references for addiction (pocket sized), since it's more of an "on your feet, using your wit" sort of job. After being manipulated several times, I learn...
    May 7
    Forum: Addictions Nursing
  12. 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
  13. 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
  14. certified addictions nurse question
    I got my guide used from fleaBay. Sometimes you can find good deals there.
    Aug 12, '13
    Forum: Addictions Nursing
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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
  21. 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
  22. 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
  23. 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
  24. 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
  25. 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


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