ruralnurs

ruralnurs

Psych, ER, OB, M/S, teaching, FNP

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All Content by ruralnurs

  1. I work in a small hospital that in Jan. 08 made it's campus "Tobacco Free" the rule is there is no smoking on campus, pts, staff, visitors must leave campus to smoke. Our campus is about 2-3 acres in...
  2. Anyone work in a "no smoking " facility?

    I too do not agree with taking a pt out to smoke. Having been a psych nurse for a long time I know that consistency in pt care is very important. Just like mentioned earlier, if one nurse takes the...
  3. poor people get poor tx?

    "Well, to make a long story short, I was dismissed without my psychosocial needs even being addressed. They did an EKG, which showed a "slight abnormality" (probably respiratory sinus arrhythmia, I...
  4. poor people get poor tx?

    In relation to treating the pain of those that have a prior history of drug use... Keep in mind that when you have opioid habituation it is very difficult to kill one's pain, and some times there is...
  5. Against vaccines:

    As far as nursing school I would think that if you have reasons not to be vaccinated you can show your evidence and perhaps be excused. It may be different when it comes to getting a job after nursing...
  6. Pt with Chest Pain in a docs office

    [quote=oooooooooo;3056751 I went to the ER where I was left sitting for hours. When the ER nurse updated vital signs (after I had been there for 3 hours with tears running down my face because it hurt...
  7. Anyone work in a "no smoking " facility?

    "a patient froze to death when she was locked out of the seven oaks hospital in winnipeg, manitoba a year or so ago. she left the building to smoke sometime after midnight, after all the entrances...
  8. Catchy One-Line Phrases

    One of my nurse friends was a prison nurse for 12 years, now whenever we have a less than nice pt (usually a DT'er or a drunk that fell off the bar stool in the ER sobering up) she says, "His mother...
  9. Child Abuse

    I am not a NICU nurse, I am a rural nurse in a tiny hospital, but I need to hang with you guys a bit more. I was on the CNM page and mentioned about women that smoke and do drugs and that I can't...
  10. Who assigns APGARs?

    I am in a very small (less than 60 babies per year) facility. Recently was in a c-sec and took the babe and a few minutes later our RT spewed out APGARs and everyone heard what she said. They were...
  11. Just curious. I have seen many people from many non-nurse disciplines on allnurses. What is the draw? I think it is great because "visiting" with others with similar goals (healthcare) is always...
  12. 18-gauge vs. 20-gauge

    I am going to jump in. In my ER we always try to do a blood draw with IV start (it is even on our chest pain standing orders). And pts LOVE it if you tell them you are going to try to do just one...
  13. Nursing, Smoking, and Kids

    spring05 I have not read every post from the first so this may have been related to you already. I believe as health care providers it is our duty to inform our patients of risky behaviors, even if...
  14. Questions for nurses that teach childbirth classes

    Thanks for the support everyone. My thoughts about the small fee was exactly that...if something is free it is worthless if it costs it has value. Not always but often the is the case. I used to be a...
  15. I am a rural nurse in a tiny hospital and we deliver around 60 babies per year. I have been teaching the CB classes for just over a year. I have tried once weekly for 2 hours for 4 weeks, I have tried...
  16. LPN scope of practice in MT

    Hi, I have worked with a few LPNs. In my hospital our LPN (we are a tiny hospital) takes a pt load and she does her own assessments, puts in IVs, foleys, NGs, etc. She can't hang antibiotics or do...
  17. over-medicated patients

    Couple of things to remember as a nurse about withdrawal: ETOH withdrawal needs treatment, they can die. Benzo withdrawal needs treatment, they can die and the horrific seizures they often have can...
  18. Bipolar

    What I am going to post may not be......very acceptable. I believe that bi-polar is very OVER-DIAGNOSED. I think there are many people (women especially) that suffer from PTSD, major depression, and...
  19. $4 Gas Limits Lifestyles on Rural Reservations

    It is getting very bad here in Montana in general not just on the reservation. I do live on the rez (not native but my husband and 6 kids are) and it is a long way to much of anything. And another...
  20. RN jobs/ cost living close to Rez?

    The Flathead reservation is one of the most wealthy and dose not have a nursing shortage as far as working for the tribe. I live on the rez, am married to a native and have 6 native kids and cannot...
  21. Caring For A Family Suffering A Fetal Demise

    As a nurse I have not yet had this experience. For any OB nurse I would suggest you check out the web site www.nilmdts.com It is Now I Lay Me Down To Sleep and it is photographers that donate thier...
  22. Psych NP vs. FNP

    Hi, I was a board certified psych nurse and then recently got my FNP and am now to begin a post-master's program for psych NP, so I have some info for you. As an FNP in most states you have a VERY...
  23. I am wondering about the first part of the course prior to clinical. How much time was put in to studying, class work (internet based) etc. I work fulltime and have already completed my FNP with a...
  24. More than one route

    I got my FNP (agree that it has the broadest scope of practice) and had been a psych nurse prior to that so decided to get my post-master's as a psych NP. I begin this fall. As an FNP has a very broad...
  25. Personality Disorders

    Yes a mental health psych nurse practitioner can diagnose any mental illness. Yes they can prescribe, depending on the state they work in and the prescribing rules therein. S/he can treat depending...