Luke79AU

Luke79AU

Psychopharm nerd

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All Content by Luke79AU

  1. In Australia, only a nurse who'd been brought under a charge or genuine suspicion has to undergo drug screens. Is drug screening for nurses everywhere in the USA? How long has it been that
  2. You're not a male nurse

    This is a positive post, to encourage other males, in a male section of the forums. Why are you in a men's nursing forum making inflammatory comments that have no relevance to the
  3. False positive drugs alcohol on job

    Sounds like you were screened with an ELISA dipstick? These are a screen only. Many drugs can cause a false positive. They are presumptive only, until a GCMS lab confirmation is performed. I'd...
  4. The Wage Gap Myth

    Misogyny is a hatred. It is not a differing opinion. "In most cases, misogynists do not even know that they hate women. Misogyny is typically an unconscious hatred that men form early in life,...
  5. Why the double standard.

    This is a "men in nursing" section. At least be
  6. Why the double standard.

    I've had female colleagues ask "are you okay with a man/boy/guy"? Do you ever hear medical say things like that? We can learn a lot from their
  7. Advice for dealing with addicts?

    - Detox is a medical environment. It is not rehab. - "Repeat patients"? Like the diabetic who isn't adherrent to medical advice? - And by the way, diphenhydramine enhances opioids quite well,...
  8. Advice for dealing with addicts?

    This is honestly highly alarming to read. You've illustrated: - A dangerous lack of pharmacological knowledge - Complete lack of understanding of the issue. - Not just a lack of respect, but...
  9. Advice for dealing with addicts?

    And this: "I'm generally sympathetic but we got a lot of "repeat" patients. So each patient has a different story or a different game they are playing with you and the docs. There are people truly...
  10. Advice for dealing with addicts?

    Repeat patients? Like a chronic asthmatic who has sometimes poor adherence to ICS and LABA preventer
  11. Advice for dealing with addicts?

    Nursing is a caring profession. Those comments were made by those who lack the necessary compassion, ethics, and integrity to earn a place at the
  12. Advice for dealing with addicts?

    For those not in Australia, a B52 is this, correct? Are the meds all given orally, including the haloperidol? Why are first generation antihistamines used off label for sedation? There are many...
  13. Advice for dealing with addicts?

    It's like pain. 7.5mg of slow push IV morphine can depress respiration to a dangerous degree in some patients. Others might need 30mg to settle pain. Observe your patient always Also,...
  14. Observed urine setup?

    Because they're assumed guilty, until proven innocent. Demand to see a Chain of Custody? They'd just kick the patient out. It's more like parole than healthcare. Also, remember that...
  15. Mispronunciations That Drive You Nuts

    Any use of product names, not drug
  16. Observed urine setup?

    No, but I had to shake my head at being reminded about supervised urine screens. No other patient populace has to prove themselves as worthy of medical
  17. So well said. I hope you teach and mentor many junior
  18. Yes! Definitely here in Australia Why? - The Mental Health Acts afford many protections and rights. AoD operates by it's own rules. This can't continue. It's obscene. Patients held...
  19. I turned in my mentor because she was diverting morphine

    That's an unfortunate experience. Remember though, we have to report them, for our own sake, if nothing
  20. Personal Wellness

    Are you sure it's for you? I find Psych and addiction nursing enjoyable, and function far better there than in a medical/surgical environment. My best advice: - Always remember that you're...
  21. Nurse new to detox and wants to learn

    Don't forget your pharmacology. Without a robust knowledge of drugs of addiction, and the drugs used to treat, any and all other knowledge/experience will be of limited value to you, and your...
  22. "Addiction" Nursing is an outdated term.

    But consider this: A patient has a disorder. The onus is on them. "Addiction" puts the onus also on the drug (or alcohol). It bridges gaps. Nicotine and caffeine addicts are everywhere. SUD is...
  23. Not sharing EMR notes w patient/family

    Far out. Time to
  24. Nursing can continue along this path, or we can do what medical would do in the same circumstance. "Oh okay, I'm here now, and I'm a doctor. You can request another, but it could be quite a while." No...
  25. I agree 100%. It wasn't so political 20 years ago (here in Australia, at least) One thing though, "Grounding" yourself will do absolutely nothing but we learned pseudo-science instead of...