iwanna

iwanna

behavioral health

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All Content by iwanna

  1. I often wondered if there was an addict that did not have an underlying mental illness diagnosis. I suspect that all addicts have substance abuse/addiction as a secondary issue. I believe the majority of addicts have dual diagnosis. One hospital ...
  2. Did I shoot myself in the foot by disclosing?

    I am sorry that you have to disclose that information. It truly does not seem fair, if they do not ask for other disclosures for other illnesses!! That is quite intrusive, especially if you have been stable. I was looking at life insurance applic...
  3. Someone help:(

    I think that you should check with BON to check the scope of LPN in your state. IMHO, I think that nursing homes are grossly understaffed with the nurse/patient ratio. I just don't see how residents can get quality care, when nurses have so many t...
  4. Trying to get a job 6 years after graduating

    So, how was your interview? If you recently took boards and passed, then you have reviewed theory. Your skills will come back to you. Congratulations on passing the board after a 6 year hiatus!
  5. Does suctioning trach's ever get easier?

    I have only had one trach patient. It did not bother me. I have had two tracheostomies myself before becoming a nurse. I have empathy for the patient with a tracheostomy. I was able to tolerate feces. I have a hard time with vomit, especially wi...
  6. I can recall a night when most of our unit geri patients had a case of "code brown". I don't know what it was, but we cleaned one up, then another patient had an explosion. And, the last patient we had cleaned up at the end of our shift took three...
  7. I am a very per diem nurse for DD patients in group home setting. I just give insulin to one patient. When I first started, two additonal patients.However, I am down to one, as the other residents no longer need injections. I work an average of 20 ...
  8. Bullied for reporting a med error by another nurse

    All med errors should be reported. Some nurses are more worried about their jobs than the patient. I am a human first and care for the patient. I would risk my job before I'd risk a person's life. One time I made a serious error and gave a patien...
  9. My ex-MIL is in nursing home. She had a stroke in Jan. She had a biopsy and was off her Coumadin and not bridged. By the time, she was discovered it was too late to give her anything. A little background here. Her daughter lives four hours away...
  10. Yes my son contacted the ombudsman. I told him that he has no proof, so he can not say that he suspects that she stole the money. He did report how she made herself POA. That is a fact. I told my son that he can report only fact, and leave out t...
  11. any nurses/nursing students on methadone?

    Unfortunately, my daughter is returning to methadone clinic. She tried to do without it. She was extremely fatigued and had boy aches. I don't know, if it was long term withdrawal or effects of Seroquel that she is taking. She lost her job. A...
  12. Death Is A Journey

    Beautiful article!!! We had hospice for my brother. I would love to be a hospice nurse. However, I really don't have any med/surg experience. I did not become a nurse until I was 40. I worked in behavioral health. I worked in drug rehab an ...
  13. MED Error Examples (Specific to Group Homes)

    jadelpn, I agree 100%! I thought of that when I was going over it in my head. I have always been so careful with my checks. Today, I was careless! That is going to be in my plan of action for correction. There is no other nurse to verify, but ...
  14. any nurses/nursing students on methadone?

    I never heard of "fit for duty". What a croc!!!! Why is that not a HIPPA? If the dr. states that it does not impair you than that should be sufficient. I am not an addict, but I have a daughter in recovery. She was in methadone treatment for ye...
  15. MED Error Examples (Specific to Group Homes)

    I just commited a med error similar to one above. I mean similar in regards to the insulin. I am an LPN and work per diem for patient on insulin. I was horrified to discover that I gave pt. 45 units of Novolg. It should have been Lantus. I disco...
  16. lovenox injections

    I have a patient that gets lovenox injections. As ordered, I must waste 5 mg of his pre-filled syringe. So, the lovenox is on the needle prior to giving the injection. I know this is very irritating. I can recall switiching needles when we drew...
  17. Are you currently working? EAP? What about vocational psychologist? I can understand what you mean about your work environment. Many places just have their cliques and politics. You have twenty years of experience, so I am sure there would be many ...
  18. My elderly mother has lymphoma. I moved in with her to help her. I was hoping to return to work on a part time basis. I am on disability. I was attempting to return to work, then my mother became sick. I know a director at a methadone clinic, an...
  19. Thank you for all your comments over the years

    ventmommy, I am so sorry for your loss. You were/are an asset to nurses. In fact, I thought that you were a nurse at one time. What a positive contribution you are making for other parents. It would be scary when your child has a trach. And, it'...
  20. I gave two weeks,,,but I dont want to finish

    BTDT. Please hang in there! I worked almost two months and quit. I handed in my two week notice, but left after three days. Also, had a family crisis going on at same time. I wish that I would have done things differently and worked out my noti...
  21. I really need some advice ASAP

    Resident definitely needs a behavior consult done. This is a behavior that needs to be dealt with. His behavior is abusive to staff. This took away time from other residents that were truly in need. Has anyone done a one-on -one with him as to "w...
  22. mouth sores during chemo

    I have a question regarding mouth sores from chemo. My elderly mother has a severe case and is finding minimal relief from the magic mouthwash. She has had 8 doses of mouthwash already. It seems like just a temporary fix for her. I am contemplat...
  23. insulin help!!

    Always follow your parameters. They should be listed on the mar.
  24. mouth sores during chemo

    Thank you for the information. I discussed it with my mother and asked what she wanted to do. She is willing to suffer the discomfort and carry on with the fight. God bless her. I really appreciate the link.:thankya::thankya:
  25. When someone else gets terminated

    You heard through gossip the reason for his firing. NO confirmations on the real reason, and you may never know. I would go with your gut on this one. I know it sucks when people we like are fired. A colleague that I liked was terminated while I ...