oldladyRN

oldladyRN has 10 years experience and specializes in psych, ambulatory care, ER.

Latest Activity

1. Forced to Take an Assignment You Can Not Handle

   oldladyRN replied to 1RN4Christ's topic in Safety

   Call the Dept of State Health Services for the state in which you work. I'm a Nurse Surveyor for the State of Texas. The State regulations for Texas hospitals (and this applies to acute care hospitals, psychiatric hospitals and critical-access hospi...

2. This radio ad ENRAGED me

   oldladyRN replied to canesdukegirl's topic in General Nursing

   OK. I'm gonna chime in on this. In the early 80's, when we had just lost our mom to leukemia, there was a television advertisement for a mobile home company. They displayed a standard wooden coffin on the screen (a la Frankenstein's bed) and said...

3. anyone worked at ASH before? adult or CAPS?

   oldladyRN replied to MissBrahmsRN's topic in Psychiatric

   I also worked @ ASH. The pay is as good as anywhere else, and you get out of work on time. The benefits are excellent. I worked with adults and would never have dreamed of working on CAPS. In my opinion, there were a lot of kids there that suffer...

4. Pet Peeve: Poor Grammar by Nurses

   oldladyRN replied to FireStarterRN's topic in General Nursing

   thank goodness i'm not the only one this bothers. "she's been orientating for a week now..." or "i have a new nurse orientating with me..." grrrrrrrr! a nurse orients, and when finished, is through with orientation. not through with orientating. th...

5. Suboxone Film: Is it Ethical to Cut?

   oldladyRN replied to elilbitz's topic in Medications

   There are so many things wrong with this situation. What does your pharmacist have to say about cutting and saving? My guess is that their hair would either turn gray or turn loose. Think about it this way - do you snap a Lortab in half and place th...

6. 43 days clean

   oldladyRN replied to rnaddict's topic in Recovery

   Dear RNaddict: Although I have nothing profound to add, I did want to say a heartfelt "congratulations" for coming this far. I can only imagine the struggle that being clean for 43 days has been. My own dear brother has been sober for one year and ...

7. Any Registered Nurses that are state surveyors???

   oldladyRN replied to 1964nurse's topic in Geriatric

   I am a registered nurse and a State surveyor. I love-love-love my job. I enjoy the different experiences, and no two days are the same. I love meeting people and learning new things. There is a lot of travel involved, so it's probably not a posit...

8. Things you might like to know about surveys...

   oldladyRN posted a topic in General Nursing

   I'd like to share a little bit of info from "the other side of the fence", if I may. I hope that some of it will be helpful to you if and when you hear that surveyors are in your facility. The second you hear that surveyors are on-site, there are si...

9. Question on the use of restraints

   oldladyRN replied to Wicked Wahine's topic in General Nursing

   A gait belt. Don't think I've seen one of those used as a restraint before, although I see something new every day. Yes, definitely a restraint. Instead of focusing on the gait belt, focus on what you're doing with it and substitute other items, ...

10. Info on Austin State Hospital

    oldladyRN replied to luv2yoga's topic in Texas

    Dear luv2yoga: I was a charge nurse @ ASH for a while, so I can answer your question. Because ASH is a "State" facility, they don't do "per diem". I'm sure it has to do with the State's budget. The closest they come to that category is a position ...

11. Treatment plan to place patient in seclusion

    oldladyRN replied to kobri331's topic in Psychiatric

    The only thing I can think might be going on is that the child's behavior, even if not "combative", may be disrupting the unit to the point where the safety of others might be compromised. If the child is seen as a leader by the other kids, or the t...

12. Treatment plan to place patient in seclusion

    oldladyRN replied to kobri331's topic in Psychiatric

    At a State psychiatric hospital where I used to work, we had a patient that was to be secluded d/t her inappropriate behaviors and it was written into her care plan. She had bipolar disorder and when she cycled, it was pretty bad. This particular u...

13. How much education to be a state inspector?

    oldladyRN replied to mondkmondk's topic in General Nursing

    I am a surveyor with my state's Department of Health. I just returned today from some survey training, where I had the opportunity to meet surveyors from all over the U.S. Many of the nurses stated that a BSN was required to be a State surveyor in ...

14. BID Order Questions

    oldladyRN replied to ShonaRN0522's topic in Medications

    In my mind, there are a couple of things wrong with this picture. First of all, was the order for 0.5 mg or for 5 mg? With the patient population I've cared for, 0.5 mg would be the amount you might sprinkle on a mosquito. That seems a terribly s...

15. Nurses who work for the state

    oldladyRN replied to phdeha777456's topic in General Nursing

    I work for the state as a surveyor. More positions are being created, so I'm not concerned at this point. I worked for many years in the private sector, for more $$ and all that good stuff. Although I'm not rich by any stretch of the imagination, ...