DaMale Nurse

Latest Activity

1. Patient Care or Man Handling???

   DaMale Nurse replied to hippylady7211's topic in Geriatric

   Previous post have already covered most of the really good interventions that you have to try first. I have worked with allot of pts at a inpatient pscy unit where this comes up pretty frequently. Bottom line is it's your job to care for the pt, even...

2. NP vs PA

   DaMale Nurse replied to ohmeowzer RN's topic in NP

   A PA is someone who has a base of at least 2000 hours in direct pt care. Usually this is from people who served in the Military as medics. Once you have the requirement you can apply to the masters program. The PA program was started in the early 70'...

3. You need an order to remove a fecal impaction digitally right?

   DaMale Nurse replied to lashuna1028's topic in Geriatric

   In my work I always go with I need a doctors order unless it specifically states I can do that in my policy and procedure manual. Since I work with pscy geratric pts it can get interesting when talking about bowels. I always love the guy who takes 4 ...

4. Psych drugs and BP's

   DaMale Nurse replied to Patti 2nd gen RN's topic in General Nursing

   Xanax is one of the better ones to give it terms of blood pressure. Although you will probably see a drop it's most likely due to the relief of the anxiety not from the drug. I think your talking about an older pt and so start with the lowest you can...

5. Does this sound like "a little much" to you??

   DaMale Nurse replied to PICNICRN's topic in General Nursing

   Before I graduated the staff at a Neuro unit I worked as a CNA instituted this. We were required to sign of every hour and offer to do anything they needed and tell them we would be back in an hour to check on them. They did it for one month and ther...

6. agressive patients

   DaMale Nurse replied to JOHNCHE's topic in General Nursing

   I work in a pscy facility. Some times you don't have a choice but to medicate. But I usually try to avoid it if I can talk to the pt and see what's going on right at that moment. In terms of meds I prefer a prn of 1/4 to 1/2 there normal dose of an a...

7. Another "What would you do post" but I really need some opinions....

   DaMale Nurse replied to Nursey2b3's topic in General Nursing

   When my niece was to have open heart I went up to the peds floor and asked the nurses about the surgeons and the anesthesiologists. They knew me from school several weeks before and they were more than happy to tell me there two favorites for each. M...

8. Will (ADN) RN-MSN programs be phased out?

   DaMale Nurse replied to tolagyal's topic in General Nursing

   I heard during school a while ago that North or South Dakota passed a law only allowing BSN degrees for a RN license. It was dropped after 2 years due to the vast drop in available RN's. With the current shortage I don't see a way that will happen an...

9. How do you not get caught up with long winded patients?

   DaMale Nurse replied to WVStarFish's topic in General Nursing

   I work in a pscy facility and there are a couple of ways. 1. Schedule a time w/ limits. Like I will talk to you for 10 mins at 4pm or something like that. Just make damn sure you can make it. 2. Say "I'm really busy right now, I would love to talk t...

10. Family Doesn't Want Patient To Know?

    DaMale Nurse replied to missjennmb's topic in General Nursing

    During my last bit at school I took care of a 16 yr old diagnosed w/ ALL. We were giving her chemo and radiation treatments at the time. She had only been diagnosed about a month but the family still had not told her she had cancer. I spent allot of ...

11. Remains of 3600 former mental hospital patients found in Oregon State Hospital...

    DaMale Nurse replied to student456's topic in General Nursing

    At my work, Eastern State Hospital(one of Washington states mental hospitals) there are two large graveyards where pt's were berried from the start of the hospital 1889 to 1957. Most of the grave stones are pt identification numbers and there is a gr...

12. My first medication error-help!

    DaMale Nurse replied to LovelyLucky's topic in Safety

    You really don't need to worry about being sued. First, you gave the drug as prescribed by a physician, you were to medicate the pt according to agitation and as you said the pt was agitated. It seems like a lot of Valium to give, but I have seen bad...

13. Orienting a new nurse...need advice

    DaMale Nurse replied to LanaBanana's topic in General Nursing

    I think your doing great so far. I feel that you just need to encourage her to be more efficient with her time management skills and let her get swamped. But before that happens a good way to get her focused on what is necessary for the pt. Have her ...

14. for how long is new grad new grad???

    DaMale Nurse replied to 2008el's topic in General Nursing

    In my work place, an inpatient psychiatric hospital, I was considered to be a new grad for about 3 months. After that I was the charge nurse about 2-3 shifts a week. Although my boss and her boss both consider me fairly new they are not afraid to let...

15. How to deal with the constant violence

    DaMale Nurse replied to cursenurse's topic in Emergency

    After a really bad night I always ask myself if I did everything in my power to help the patients or staff. If I can answer myself yes I did it seems better for me. I am not a god, just a nurse. If I did my best that's all I can ask. Hope you feel be...