Nurse Ratched RN

Geriatrics/Oncology/Psych/College Health

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All Content by Nurse Ratched

  1. Nurse Ratched

    can anyone tell me what the regs are for admitting some one to a psych unit?

    Nurse Ratched replied to Malt123's topic in Psychiatric

    A doctor still has to write the admission order. Police aren't permitted to just show up and bring someone in without an order. That implies that a doctor agreed with the assessment that the person...
  2. Nurse Ratched

    Do RNs have to take PA's order?

    Nurse Ratched replied to EvePooh's topic in General Nursing

    I work in an office that utilizes PA's, NP's and MD's and I take orders from all of them, documenting them as PVO (per verbal order) of whomever. Scope of practice of mid-level providers (PA's and...
  3. Nurse Ratched

    help me buck the system, please! super-traditional pinning ceremony that nobody wants

    Nurse Ratched replied to rach_nc_03's topic in General Nursing

    My high school had a policy that if you didn't go to _baccalaureate_, you weren't allowed to go to graduation. At 17 I was too young and naive to push it, but I was peeved to say the least (I was...
  4. Nurse Ratched

    Narcotics for LTC Pts with chronic pain

    Nurse Ratched replied to javanurse2000's topic in General Nursing

    Someone who is in chronic pain should have orders for scheduled meds, not PRN's only. This takes the guesswork out of it, insures the pt is being treated, and tends to reduce the "medseeking"...
  5. Nurse Ratched

    missing narc page

    Nurse Ratched replied to Anniekins's topic in General Nursing

    So were they "re-creating" the missing narc
  6. Nurse Ratched

    Working during nursing school/clinicals

    Nurse Ratched replied to Plagueis's topic in Nursing Career

    It can be done (I did it) but something somewhere will likely suffer. Just curious: how old is your daughter? Who will watch her while you're working, going to school and studying? You may want to...
  7. Nurse Ratched

    Is This Illegal?

    Nurse Ratched replied to HannahRN24's topic in Geriatric, LTC

    You can envision it now: "You mean she clocked in and WASN'T THERE?!?!? Of course I *never* authorized that - we'll need to talk to the BON about pt abandonment." If the crapolla hits the fan, and...
  8. Nurse Ratched

    Is This Illegal?

    Nurse Ratched replied to HannahRN24's topic in Geriatric, LTC

    and won't hire anyone if they think they can con you into this. you already know this is wrong. don't do it and question seriously whether a place that would try and scam the regs this way is a place...
  9. Nurse Ratched

    Any facilities that stop accepting pts if there is insufficient staff?

    Nurse Ratched posted a topic in General Nursing

    This came up recently. We were woefully understaffed at the hospital (I hear you out there: "NO! Say it ain't so!") It was potentially dangerous. I figured we could maintain the status quo but...
  10. Nurse Ratched

    Is assessment of a patient considered.........

    Nurse Ratched replied to Tweety's topic in General Nursing

    So perhaps we could say that assessment itself is autonomous, but the definition of what assessment entails is mandated (per facility)? This is a great question,
  11. Nurse Ratched

    Is assessment of a patient considered.........

    Nurse Ratched replied to Tweety's topic in General Nursing

    Our facility specifies in a policy the components of a head to toe assessment - that is, all the systems that should be evaluated. From that standpoint, I believe it is hospital mandated (for...
  12. Nurse Ratched

    Who calls staff to replace sick calls?

    Nurse Ratched replied to ReinventingMyselfAgain's topic in General Nursing

    That's funny you would mention that - I just had my caller ID d/c'd today - don't need it. I had it when I first started working at this particular hospital because I didn't want to go through the...
  13. Nurse Ratched

    No/Late prenatal care? do you see it often? why do you think it happens?

    Nurse Ratched replied to HappyNurse2005's topic in Ob/Gyn

    True dat. I had a young woman came in 7 mos preggers, hadn't been to the doc since she had her pregnancy confirmed about 1 month in. Wasn't in denial about her pregnancy, just stated she didn't have...
  14. Nurse Ratched

    Anyone else hate "winter nursing"

    Nurse Ratched replied to IloveSnoopy's topic in General Nursing

    Stupid new year resolutions :chuckle
  15. Nurse Ratched

    Who calls staff to replace sick calls?

    Nurse Ratched replied to ReinventingMyselfAgain's topic in General Nursing

    Ain't it the
  16. Nurse Ratched

    Who calls staff to replace sick calls?

    Nurse Ratched replied to ReinventingMyselfAgain's topic in General Nursing

    oh, yeah! that's been the problem at our hospital. sick call-ins are almost never the issue. there was no one scheduled to begin with. the day my hospital mandates me to stay and fill a hole that...
  17. Nurse Ratched

    Anyone else hate "winter nursing"

    Nurse Ratched replied to IloveSnoopy's topic in General Nursing

    Psych gets the influx of the homeless with addictions when the shelter fills up in the cold weather. Increase in nursing home dumps because the ECF doesn't want their screaming little old ladies in...
  18. Nurse Ratched

    Who calls staff to replace sick calls?

    Nurse Ratched replied to ReinventingMyselfAgain's topic in General Nursing

    House super is responsible for that where I work. Staff nurses dont have time, and I really feel that that is a managerial responsbility to fill staffing holes. How do you tell a nurse who is...
  19. Nurse Ratched

    First new year's baby promos?

    Nurse Ratched posted a topic in Ob/Gyn

    I always see this in the local paper. What do your facilities or local business provide, if anything, to the family that births the first baby of the new
  20. Nurse Ratched

    Do you refer patients to websites for helpful information?

    Nurse Ratched replied to Brian's topic in General Nursing

    Since most of my work is with college students and they live on the internet, I have a selection of websites I refer to for various conditions. I am VERY careful to advise them that not all websites...
  21. Nurse Ratched

    One more done!

    Nurse Ratched replied to Laurie888's topic in Online Distance Learning

    Closing since this has degenerated into personal attacks. Review of Terms of Service - All Users Please Read and Follow Personal Attacks Our first priority is to the members that have come here...
  22. Nurse Ratched

    malpractice insurance

    Nurse Ratched replied to BSN2004NSU's topic in General Nursing

    https://allnurses.com/forums/showthread.php?t=72612&highlight=malpractice+insurance Here's one of the discussions we've had on the pros and cons of liability insurance. My company is NSO - $89 per...
  23. Nurse Ratched

    IM injection for out of control inmates

    Nurse Ratched replied to nurseT's topic in Correctional

    Sounds like someone needs an order for "may force meds" - then lots of people to make that happen. It's wonderful how many antipsychotics are coming in injectable form now
  24. Nurse Ratched

    HEP B series shots in Houston?

    Nurse Ratched replied to YoungWiseWoman's topic in Texas Nursing

    I would also suggest that any health care facility you work for will give them at no charge. I presume you're a student - any chance you need to hire on somewhere anyway - two birds with one stone...
  25. Nurse Ratched

    Any facilities that stop accepting pts if there is insufficient staff?

    Nurse Ratched replied to Nurse Ratched's topic in General Nursing

    See - now that's what I'm talking about. Any money made on extra patients or saved on fewer nurses would be wiped out in one fell swoop in the event of a lawsuit because of a sentinel event. How can...