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

Graduated 1987

Truegem's Latest Activity

  1. Truegem

    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 case, saltpeter. If I recall, it wasn't a real formal term. It might have been slang. But I cannot find it anywhere so I am beginning to think it doesn't exist. Oh well. Lol. Thanks for your replies.
  2. Truegem

    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 could be anxiety, but still could be MI. I think, in my 22 year career, I have only "diagnosed" 2 chest pains with anxiety.
  3. Truegem

    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, the opposite of an aphrodisiac. It's not chemical castration. I think that's a more modern term. It's one word and it seems to me it starts with a "P"...? But maybe not. If I'm not mistaken, I think they used to give it to all of them, to keep them from having relations with each other. But I could be wrong. A couple times, in the past, an inmate has said to me "I'm not taking that medicine, you guys put ____ in them." (I assured them we did not!) Or, some have said they put it in the water or the food. It came up in conversation and now it's driving us crazy! Anyway, I appreciate your time. Thanks
  5. Truegem

    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 might even give them some medication, so when they come back, they are calmed down.
  6. 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 hug, just treat them with some sort of decency. But, on the other topic, an old hairy man exposed himself to me a while back. If this had happened outside of the jail, he would have been arrested. But in jail, it's handled like "oh well, that's what dirty old men do.". It's NOT OK!!!
  7. Truegem

    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. Truegem

    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 their pain. It's only going to take about 5 minutes before it catches on that all they have to do is say the magic number "10". It would not surprise me if this rule soon applies to anxiety as well. Some peole are pushing for the 6th vital sign to be "emotional state".
  9. Truegem

    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 after trying to educate them or b. some think they are going to get some good meds if they say 10. Sorry, but I don't care what number the patient says, a hangnail is not and never will be a 10. I feel that we should be able to assess based on their signs (behavior, grimace, posture, etc) but according to the BRN we are NOT allowed to do this. And if they can speak we are not allowed to use faces. If they say 10, then they must truly feel as if their testicles have just been ripped off, so we have to treat it. It's poor medicine in my opinion and I feel that our nursing assessment skills are being taken away from us. I do understand that perhaps some nurses were thinking "BS" when people were complaining of pain, and these nurses were refusing to medicate them, but I think they could have come up with a more accurate way of assessing pain, than NOT assessing pain at all, which is what we they are telling us to do.
  10. Truegem

    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. Truegem

    Pain scale in corrections

    Ok, let's talk. Do you feel that the 1 - 10 pain scale works in your institution?
  12. Truegem

    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 patient who was sitting, smiling, chatting, etc. He was there simply for a vital sign check. I asked if he was having any pain at this time. There seemed to be no need to ask about pain, but I have to ask. He said "I have a slight headache right now." "It's a 10/10." Maybe he misunderstood, 10 is the WORST pain ever! Even attempts at educating about the pain scale did not help. It was still a 10/10. I have to disagree with you Chas, this patient even said "slight headache". Sure, we are not to judge a person's perception of pain, but I feel that it would be poor medicine to medicate with a narcotic based on this. If it's a 10 and we are supposed to believe them, then why would we give Tylenol? This guy needs the full treatment. It's a 10! Call 911, get out the big guns, run to the nearest pixis! Their perception is either a lie, or they do not understand the pain scale. Well, I have already tried to educate this man, so..... As nurses we are taught to assess. You can assess someone sitting and smiling vs. someone in the fetal position. But we are not allowed to do this because their pain is what they say it is, period. Our assessment skills are being thrown out the window. I think this is a complete joke! If nursing was doing a bad job at managing pain, I think we could have found a better solution than this.
  13. Truegem

    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. Truegem

    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. Truegem

    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.
  16. Truegem

    Dangers of Labeling Inmates - Stories Sought

    We had an inmate complaining of something I cannot remember now. One nurse muttered "drug seeking" under her breath. It turned out she was very wrong. Things are not always as they seem. I have also learned that if you walk around talking about faking, a new nurse might interpret your attitude wrong. For example, if (and I do mean IF) I was to walk around talking about faking, I certainly would not mean that one should not see the patient or do a half-assed assessment. No no no! I could say something about faking, but you can bet I am going to try my darndest to prove myself wrong in order to protect my license! But a new nurse might take all that "faking" talk to mean that he or she is supposed to do a quickie half-assed assessment or do nothing. I have seen this actually happen. So, we seasoned correctional nurses have to be very careful when we casually talk about faking. Teach your new nurses that, yes, it happens, but you must always act on is as if it is legitimate.