DaMale Nurse

DaMale Nurse

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All Content by DaMale Nurse

  1. Patient Care or Man Handling???

    DaMale Nurse replied to hippylady7211's topic in Geriatric, LTC

    Previous post have already covered most of the really good interventions that you have to try first. I have worked with allot of pts at a inpatient pscy unit where this comes up pretty frequently....

  2. NP vs PA

    DaMale Nurse replied to ohmeowzer RN's topic in Nurse Practitioners, NP

    A PA is someone who has a base of at least 2000 hours in direct pt care. Usually this is from people who served in the Military as medics. Once you have the requirement you can apply to the masters...

  3. You need an order to remove a fecal impaction digitally right?

    DaMale Nurse replied to lashuna1028's topic in Geriatric, LTC

    In my work I always go with I need a doctors order unless it specifically states I can do that in my policy and procedure manual. Since I work with pscy geratric pts it can get interesting when...

  4. Psych drugs and BP's

    DaMale Nurse replied to Patti 2nd gen RN's topic in General Nursing

    Xanax is one of the better ones to give it terms of blood pressure. Although you will probably see a drop it's most likely due to the relief of the anxiety not from the drug. I think your talking...

  5. Does this sound like "a little much" to you??

    DaMale Nurse replied to PICNICRN's topic in General Nursing

    Before I graduated the staff at a Neuro unit I worked as a CNA instituted this. We were required to sign of every hour and offer to do anything they needed and tell them we would be back in an hour to...

  6. agressive patients

    DaMale Nurse replied to JOHNCHE's topic in General Nursing

    I work in a pscy facility. Some times you don't have a choice but to medicate. But I usually try to avoid it if I can talk to the pt and see what's going on right at that moment. In terms of meds I...

  7. Another "What would you do post" but I really need some opinions....

    DaMale Nurse replied to Nursey2b3's topic in General Nursing

    When my niece was to have open heart I went up to the peds floor and asked the nurses about the surgeons and the anesthesiologists. They knew me from school several weeks before and they were more...

  8. Will (ADN) RN-MSN programs be phased out?

    DaMale Nurse replied to tolagyal's topic in General Nursing

    I heard during school a while ago that North or South Dakota passed a law only allowing BSN degrees for a RN license. It was dropped after 2 years due to the vast drop in available RN's. With the...

  9. How do you not get caught up with long winded patients?

    DaMale Nurse replied to WVStarFish's topic in General Nursing

    I work in a pscy facility and there are a couple of ways. 1. Schedule a time w/ limits. Like I will talk to you for 10 mins at 4pm or something like that. Just make damn sure you can make it. 2. Say...

  10. Family Doesn't Want Patient To Know?

    DaMale Nurse replied to missjennmb's topic in General Nursing

    During my last bit at school I took care of a 16 yr old diagnosed w/ ALL. We were giving her chemo and radiation treatments at the time. She had only been diagnosed about a month but the family still...

  11. Remains of 3600 former mental hospital patients found in Oregon State Hospital...

    DaMale Nurse replied to student456's topic in General Nursing

    At my work, Eastern State Hospital(one of Washington states mental hospitals) there are two large graveyards where pt's were berried from the start of the hospital 1889 to 1957. Most of the grave...

  12. My first medication error-help!

    DaMale Nurse replied to LovelyLucky's topic in Patient Safety Issues

    You really don't need to worry about being sued. First, you gave the drug as prescribed by a physician, you were to medicate the pt according to agitation and as you said the pt was agitated. It seems...

  13. Orienting a new nurse...need advice

    DaMale Nurse replied to LanaBanana's topic in General Nursing

    I think your doing great so far. I feel that you just need to encourage her to be more efficient with her time management skills and let her get swamped. But before that happens a good way to get her...

  14. for how long is new grad new grad???

    DaMale Nurse replied to 2008el's topic in General Nursing

    In my work place, an inpatient psychiatric hospital, I was considered to be a new grad for about 3 months. After that I was the charge nurse about 2-3 shifts a week. Although my boss and her boss both...

  15. How to deal with the constant violence

    DaMale Nurse replied to cursenurse's topic in Emergency

    After a really bad night I always ask myself if I did everything in my power to help the patients or staff. If I can answer myself yes I did it seems better for me. I am not a god, just a nurse. If I...

  16. MD practice and harrasment issues; long and vent,

    DaMale Nurse posted a topic in General Nursing

    Hello, I had a pretty rough night last night and I would like your ideas about what I plan to do. First, I work at a acute inpatient psychiatric hospital and last night I put a pt into seclusion for...

  17. Dilaudid and Psych patient

    DaMale Nurse replied to tampaflrn6's topic in General Nursing

    This is what I found for interactions between Dilaudid and Seroquel http://www.drugs.com/drug-interactions/seroquel_d04220_dilaudid_d00255.html this is a list of all the drug/drug interactions for...

  18. I get soo frustrated..............

    DaMale Nurse replied to DaretoDreamRN's topic in Emergency

    You did the right thing. These pt's will push all of your buttons. From what you describe it sounds like a borderline personality disorder and not cussing them out is one of the hardest things you...

  19. What does 1:1 sitter mean to you?!

    DaMale Nurse replied to ONCRN84's topic in General Nursing

    At my facility we have quite a few 1:1. Being a acute inpatient mental hospital there are tons of 1:1 from assaultive behavior, to extremely high risk for falls, for anyone in seclusion or restraint,...

  20. does it make a real difference adn/bsn?

    DaMale Nurse replied to butterflies135's topic in General Nursing

    In my personal experience ADN are not allowed to start in pscy right after graduation. My work requires a year of experience in any area for ADN's. Some of my friends who graduated with a BSN they...

  21. Psych/Phobia Medications

    DaMale Nurse replied to antidote's topic in General Nursing

    For the most part, anti-depressants are prescribed. For the most part wellbutrin. Anti-anxiety are prescribed for specific occasions, such as a big social event or a airline flight, but they are...

  22. Talking about your day.. Or not..

    DaMale Nurse replied to juliek391's topic in General Nursing

    Thankfully, I am one of the few lucky ones. Most of my friends and my girlfriend would tell me th shut up about my day. But thankfully, both my sister and my mom work in healthcare (pharm and nurse)...

  23. First Patient Death

    DaMale Nurse replied to megananne7's topic in General Nursing

    The first pt I had die on me was a 14yr old kid diagnosed with ALL. He was one of the most intelligent articulate funny personable person I had ever ran into. He was a Johva (sp) witness and refused...

  24. Mental Illness post Iraq

    DaMale Nurse replied to sherylchaynes's topic in General Nursing

    From my personal experience my brother-in-law has pretty bad PTSD and there was major behavior change when he came back. Thankfully my sister was strong enough to brow beat him into seeking treatment...

  25. O2 Sats..bad if 100%..?

    DaMale Nurse replied to featherzwolfcloud's topic in General Nursing

    There could be a couple reasons o2 sat of 100% are could be bad. #1. (as before)Carbon Monoxide poisoning #2. PH of the blood this is known as Borh's Effect. An increase in the ph will cause the...