garnetgirl29

garnetgirl29 BSN, RN

LTC, SNF, Rehab

Member

  • Content

    192

  • Visitors

    9,028

  • Followers

    0

  • Likes

    3

All Content by garnetgirl29

  1. Advice for dealing with addicts?

    garnetgirl29 posted a topic in Addictions

    I'm in a detox clinic & this is my first nursing job & first experience in addictions. We have standing PRN orders for 25 mg Vistaril Q6H PRN, Phenergan (must see vomit),75-150mg Trazodone for...

  2. Advice with severe vascular leg wounds

    garnetgirl29 posted a topic in Wound, Ostomy, Continence

    I have a patient who's vascularity is so poor, he's been denied for amputation because the surgeon feels that he will not heal. So, I am left to treating his numerous wounds that start just below his...

  3. Allergic reaction to dressing change?

    garnetgirl29 replied to tsm007's topic in Geriatric, LTC

    What are you cleansing her skin with? My guess would be that it's either the gloves or something in the cleanser that is causing her rash. How long do the rash & itching last? I would leave a note...

  4. Combative dementia patient

    garnetgirl29 replied to Just_Kidney's topic in Geriatric, LTC

    I've dealt with difficult, combative residents and I always report aggressive behaviors to the MD so they can address the issues. We usually treat the behavior with a combination of medications...

  5. CNA's not doing vitals & slow to answer lights?

    garnetgirl29 posted a topic in Geriatric, LTC

    In my facility, the the nurses put out a list of what resident's they need vital signs completed for at the very start of their shift. The CNA's are supposed to complete the vitals and return the list...

  6. Suboxone drug screen question...

    garnetgirl29 posted a topic in Addictions

    At my clinic, we use suboxone to detox from opiates(inpatient). I was under the impression, that since the suboxone blocks the opiate receptors in the brain, any opiates in the clients system will...

  7. Cutting VAC foam

    garnetgirl29 replied to islandnursemama's topic in Wound, Ostomy, Continence

    I love the spiral idea! I've only used one KCI wound vac but I loved the experience. I cut the foam into about 3 pieces to fit correctly in that very oddly shaped wound I was filling, but I will try...

  8. Questioning this order???

    garnetgirl29 replied to garnetgirl29's topic in Geriatric, LTC

    Ok. So I'm trying to wrap my head around this and I do feel empathy for this patient, but there are now reports that's he's becoming aroused and masturbating immediately after the stimulation. I have...

  9. Questioning this order???

    garnetgirl29 posted a topic in Geriatric, LTC

    So, there is a new order for a patient whom is my age to stimulate the rectum digitally for one minute every day after dinner. This patient has paralysis but still has sensation in this area. There...

  10. Questioning this order???

    garnetgirl29 replied to garnetgirl29's topic in Geriatric, LTC

    OK. Thank you for the input. He is allowed to have this done 3x daily and he asks for it much more frequently and even asks for it immediately AFTER having a BM. He became very upset with a nurse who...

  11. Help! I need group ideas!

    garnetgirl29 replied to angeloublue22's topic in Addictions

    When I worked in detox, the majority of my patients were IV drug users, so I did a lot of research on all the things they are at risk for just from the use of the needles. They were always very...

  12. I'm done!!! :)

    garnetgirl29 posted a topic in LPN, LVN Students

    I was freaking out about my final exam, but I PASSED! I'm so relieved and sooo excited! I gradutate Tuesday & I'm making the arrangements to take my nclex-pn! It was a long, hard year....but to...

  13. Has anyone been accepted into gaston college,cpcc,mercy or carolinas??

    garnetgirl29 replied to Lola_84's topic in School, College Programs

    Thank you. I couldn't have done it without my fiancee. I stopped working when I went to school. It was rough and we nearly lost our house, but I really don't think I could have made it if I had...

  14. Has anyone been accepted into gaston college,cpcc,mercy or carolinas??

    garnetgirl29 replied to Lola_84's topic in School, College Programs

    I heard the same about Mercy and last I heard Queens was on probation, but I haven't looked into for awhile. I graduated from Gaston's LPN program in 2012. It was tough & we lost half our class...

  15. What is your current LPN salary

    garnetgirl29 replied to Vicky Laursen's topic in LPN, LVN Corner

    I have two jobs. Mental Health/Drug Detox facility - $16.49/hr +benefits. PRN in a LTC care facility - $23.50/hr. Charlotte,

  16. question about withdrawal protocols!

    garnetgirl29 replied to sassyann85's topic in Addictions

    I work in a mental health/drug detox clinic. We use the COWS for opiate withdrawal & once the client scores a 13 or higher, we use suboxone (naloxone + buprenorphine) to treat withdrawals. Within...

  17. Visitation during detox?

    garnetgirl29 posted a topic in Addictions

    Do you think it's a good idea for a detox clinic to have visitation? Our clients are with us 7 days max. Phone times are twice a day and visitation twice a week. Our facility is VERY small and during...

  18. Is a drug rehab position good for new lpns?

    garnetgirl29 replied to cyde's topic in LPN, LVN Corner

    That clinic sounds awful. I work in a detox/mental health clinic and this is my first LPN job. The job is pretty easy, but my main concern is that I don't get to use many of my nursing skills. I...

  19. How am I going to pay for RN school

    garnetgirl29 replied to onepowerfullady's topic in LPN, LVN Corner

    Community college is definitely cheaper. Fortunately for me, Pell grant has covered everything up to this point & I'm hoping it will cover the ADN program as well. I'm working on my last...

  20. Visitation during detox?

    garnetgirl29 replied to garnetgirl29's topic in Addictions

    We have a new site director and some of us were discussing this with her and telling her what we've witnessed during visitations and the risks involved. She agreed that visitation is not a good idea,...

  21. Advice for dealing with addicts?

    garnetgirl29 replied to garnetgirl29's topic in Addictions

    Ok, if I came off sounding like I'm judging my clients, I am not. I can assure you that my supervisor has shown me numerous comments clients have put in our comment box to show their appreciation...

  22. What other routes can I take as an LVN?

    garnetgirl29 replied to sheischristy's topic in LPN, LVN Corner

    Have you considered drug rehab or mental health? That's what I do. I was hired straight out of LPN

  23. Nurse -Patient Staffing Ratio

    garnetgirl29 replied to fawnsternurse's topic in Addictions

    The facility I work in is a non-profit, acute detox/mental health stabilization unit. We often take involuntary committed clients for suicidal ideations. We have 16 beds & are full most of the...

  24. Protect Your Patients When Giving Promethazine (Phenergan)

    garnetgirl29 replied to TheCommuter's topic in Patient Medications

    My clinic gives a lot of phenergan IM. This is my first job & I don't think we covered phenergan IM in school. The only IM's I gave in clinical were vaccines to the deltoid. So, that was my go to...

  25. Visitation during detox?

    garnetgirl29 replied to garnetgirl29's topic in Addictions

    I agree with both of you! I just wish my superiors would get more serious about actually trying to help people and be less concerned with making the clients happy. They seem completely ignorant to all...