Oncology, Corrections
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Truegem has 22 years experience and specializes in Oncology, Corrections.

Graduated 1987

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  1. It used to be given to reduce libido

    I guess that must be it. I could swear there was another term. More of a classification of meds, you know, an example would be aphrodisiacs. "You guys put aphrodisiacs in the water." Rather than naming a specific one, such as oysters, or in this ...
  2. Real vs fake chest pain

    I'm a little late to the party, but be very careful with anxiety. BP and P elevated, could be anxiety, but still could be MI. Diaphoretic could be anxiety, but still could be MI. Anxiety can be caused by the impending doom feeling with MI. SOB co...
  3. Another student death

    I'm so sorry for the pain and loss.
  4. Hello, I hope someone can answer this. The subject came up here at work, in the county jail. Does anyone know what they used to give to prisoners and the mentally ill in asylums to reduce their libido? It's considered unethical now. It's like, th...
  5. What to do with a head banger?

    The hospital will not admit MH patients with charges pending, but will they see them in the ER? They can really cause damage to themselves! Our policy is to send them out for clearance for mental health housing if they are banging their head. They...
  6. Awesome new development at our corrections facility

    Well, they are all patients. We recognize our inmates as patients, and people, and humans. We are courteous and polite. Remember, they each have their story and they may even be unjustly accused. I'm not saying become their friend or give them a ...
  7. Jail Opiate Withdrawal

    Geode, Librium for Opiate W/D? Why would they need a Benzo? Unless they are withdrawing from ETOH or Benzos. We give Tylenol, a muscle relaxer, Immodium and Tigan if necessary. We don't give Clonidine, although I have heard it helps.
  8. Pain scale in corrections

    The only meds we give for anxiety would probably be atarax. We use ativan for agitation only. But, yeah, it would probably have the same effect on me. The pain scale annoys me more because it's mandatory that no matter what the patient says, that's t...
  9. Pain scale in corrections

    We are not allowed to fall back on the patient's clinical signs of pain and discomfort because the BRN says that the pain is what they say it is, period. I completely disagree with this, because a. some either do not understand the pain scale even a...
  10. Pain scale in corrections

    Well, I guess what I mean is...don't you get an awful lot of 10's? Wow, we do. I even try to educate them and they still say 10 as they are sitting there smiling and everything.
  11. Pain scale in corrections

    Ok, let's talk. Do you feel that the 1 - 10 pain scale works in your institution?
  12. Pain scale (Rated R)!!!

    The opening story is funny! Unfortunately most patients will say "yeah, that's how I feel, like someone smashed my balls with two bricks" as they are sitting there smiling, hads placed neatly on their lap, waving to a passerby. Um, Chas....I had a pa...
  13. Can another nurse chart on behalf of you?

    What Oz said is exactly what I am saying...I do believe this is ok. I would have to know more about what the DON wrote and why and her role in the whole thing to give an opinion on it.
  14. Is your infirmary busy?

    We get Opiate W/D, drug W/D, some post-op (not fresh post-op), quadriplegics, etc. We also house C-PAPs there. Not too busy, but it can be, depending on what happens. Reddell, sounds like you are working in two places at once! Yikes! =/
  15. Do you start IV's on inmates?

    Wow, we only start IV's if we have summoned paramedics. We don't treat dehydration in-house. We only push a couple things in emergency situations.