Truegem

Truegem

Oncology, Corrections

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All Content by Truegem

  1. It used to be given to reduce libido

    Truegem posted a topic in Correctional

    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...

  2. It used to be given to reduce libido

    Truegem replied to Truegem's topic in Correctional

    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...

  3. Real vs fake chest pain

    Truegem replied to Findingmynitch's topic in Correctional

    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...

  4. Another student death

    Truegem replied to NutmeggeRN's topic in School

    I'm so sorry for the pain and

  5. What to do with a head banger?

    Truegem replied to djules's topic in Correctional

    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...

  6. Awesome new development at our corrections facility

    Truegem replied to Two Sheds's topic in Correctional

    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....

  7. Jail Opiate Withdrawal

    Truegem replied to amesly15's topic in Correctional

    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...

  8. Pain scale in corrections

    Truegem posted a topic in Correctional

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

  9. Pain scale in corrections

    Truegem replied to Truegem's topic in Correctional

    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...

  10. Pain scale in corrections

    Truegem replied to Truegem's topic in Correctional

    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....

  11. Pain scale in corrections

    Truegem replied to Truegem's topic in Correctional

    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

  12. Pain scale (Rated R)!!!

    Truegem replied to nurseyperson's topic in Nursing Humor

    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...

  13. Can another nurse chart on behalf of you?

    Truegem posted a topic in Medical-Surgical

    Let's say you forgot to chart something. Can't you call the charge nurse and have her write "dressing changed at 0300." per N. Jones, RN and then she signs her name too? (My example isn't the...

  14. Can another nurse chart on behalf of you?

    Truegem replied to Truegem's topic in Medical-Surgical

    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

  15. Is your infirmary busy?

    Truegem replied to stephied's topic in Correctional

    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...

  16. Do you start IV's on inmates?

    Truegem replied to stephied's topic in Correctional

    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

  17. Dangers of Labeling Inmates - Stories Sought

    Truegem replied to Guest371144's topic in Correctional

    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...

  18. 11 Things Your Nurse Thinks (But Will Never Tell You)

    Truegem replied to VivaLasViejas's topic in General Nursing

    My first job as an RN was in Oncology. Talk about work! It was crazy busy! Re; #6; while I cared deeply for my Oncology patients, what really got me was the denial the family's could be in. I...

  19. Ten Things A Nurse Doesn't Want to Hear

    Truegem replied to VivaLasViejas's topic in General Nursing

    My pet peeve is when people ask you a medical question that should be intended for a doctor, then, when you say you don't know, they say "you don't know? But you're a nurse!" Yeah and I went to...

  20. Can another nurse chart on behalf of you?

    Truegem replied to Truegem's topic in Medical-Surgical

    I'm sure I've read somewhere that it's ok. The nurse doesn't need to have witnessed that she saw you, she is just writing what you tell her. She will indicate this in her charting. Also, you can...

  21. Valproic acid for pain?

    Truegem replied to nursetim's topic in Correctional

    I found this: "The valproic acid drugs are used as non-opioid pain relievers. They belong to a general class of drugs called anticonvulsants. These drugs may be given along with pain medicines to help...

  22. So Confused! Prison Nursing or Not?

    Truegem replied to sallynRN's topic in Correctional

    I say go for it! Ya gotta be a little tough, though. And you can't be the type who needs to be friends with their patients because inmates are not your friends. You are friends with your coworkers....

  23. Dangers of Labeling Inmates - Stories Sought

    Truegem replied to Guest371144's topic in Correctional

    Yes, seizures and chest pain seem to be the most common types of things to "fake". Then there's my LOC story, above. I have never once seen a legitimate seizure from Opiate withdrawal, but many of...

  24. Dangers of Labeling Inmates - Stories Sought

    Truegem replied to Guest371144's topic in Correctional

    I often feel like they are faking but I ALWAYS treat the problem as if they are not faking unless I feel very sure and have something to chart that will back me up. With any head injury, we ask them...

  25. Pregnant felons in prision!

    Truegem replied to KAYBDT6's topic in Correctional

    In response to the first reply to this thread.....gag. They deserve nothing spiritual or lovely or whatever after poisoning their babies with drugs or ony thinking of themselves while they were out...