Latest Comments by jpetrunis

jpetrunis 493 Views

Joined: Nov 26, '05; Posts: 6 (0% Liked)

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    Quote from nancykday
    SAD = seasonal affective disorder
    yes, that's the real meaning of the abbreviation. unfortunately, he uses it for schizoaffective disorder, which is something quite different!

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    Quote from Canadian Princess
    Funny Looking Kid: denote mild dysmorphisms in pediatrics.

    Borderline Personality Disorder (much better at these when they're in my specialty), XXXX

    Unfortunately one of our docs uses it to mean "Bipolar Disorder"

    He also uses:
    SAD (not for its real meaning, but I'll give credit for both)
    and some others I'm not sure are real...

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    please tell me it's not "oy"s per minute....

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    Quote from PHStudent
    I wonder what if anything we as nurses can do over the longer term in the way of activism, education or policy change that could help better serve those who have trouble serving themselves.
    Check out your state's policies regarding follow-up care services that people may be entitled to, and if there are none, work for change. If those services are available, make sure that the right contact/referral is made.

    Example: in my "former life" (aka before nursing) I was a psych case manager. Our program was a state mandate; anyone with a state or county hospital commitment, or a certain number of local hospital commitments, was entitled to receive a minimum of 18 months follow up from us. We'd go meet folks when they were still in the hospital, then see them within 72 hours of discharge, get them set up with outpatient or partial care appointments, help with housing, social security, shopping, rehab, transportation, etc. etc. If they still weren't doing well with our help after a while, another team called PACT could take over; that team of social workers, psych doc and APN would do what we did plus more, like house calls for appointments. Not mandated, but funded by a new grant, is also a brand new program to do in-home med monitoring and therapy for people who chronically miss appointments due to stuff like no transportation, child care issues, can't deal with being in public for whatever reason, etc.

    Obviously not all states/areas have these services, but you may want to talk to your local community MH center or NAMI branch to see what's out there, and find out what like-minded people are doing to address the service gap.

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    Quote from judyblueeyes
    I don't care how any woman wants to deliver her baby- it's her right to choose and her wishes should be honored to the best of our ability.

    It seems that we maintain that we are the patients advocate... unless the pt chooses something that we don't agree with personally. That's not right.
    Thank you for that comment, judy. After reading the rest of this thread I was wondering if anyone else felt this way.

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    Recent grad of a school in PA... as someone mentioned, we did have to learn sites, landmarks, gauges, angles, max mL per site, etc... in first semester. As far as testing, we had to demonstrate once then and once right before graduation, but it was what we "would" do, not actually ever doing it. As far as real clinical experience with injections, it was really hit or miss depending on your clinical sites and your instructors. Lots of SubQ (heparin and insulin), but very few occasions for IM. Most people graduating from my program only got to give an IM during the OB rotation, since the instructors tried to make sure that the students got to give the neonatal Vitamin K shot. But there's a big difference between giving an IM to an hour-old infant vs an 87-year-old LTC patient or a 22-year-old combative psych patient.

    As far as IVs, forget about it! we went over hanging bags, piggybacks, pumps vs good ol' counting the drops method, blood administration etc DAILY, but it was never even discussed that, hey, one day you'll have to learn how to put one in! Different sites and their pros and cons, gauge, how to find the vein, etc, not even discussed in classroom much less clinical. I was horrified when I figured out that I wasn't going to be able to learn until I was already a "real nurse".