garnetgirl29 BSN, RN

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 sleep or 50mg Benadryl for sleep. My clients want...

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 knees and continue to his heels. Bandage changes ...

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 for the MD. Are you using skin prep on her? I've ...

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 (depakote, Ativan, Ativan/Bendaryl gel, Haldol) if other...

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 to the nurse. We (the nurses) use this as a refer...

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 flush out more quickly & if the client were to us...

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 the spiral next time around! The wound we're using ...

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 not yet been in the position to perform this treat...

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 were already orders for suppositories Q4H PRN, which...

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 refused to do it because the CNA said he had just ...

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 involved with this group and asked lots of questions. I ...

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 all you just starting....It's so worth it!!! I had ...

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 worked during the program. A few of my classmates worke...

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 before graduation. I know numerous people who are tr...

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

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 30 minutes, the client is feeling better. We start...

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 visitation, gets VERY crowded. It's impossible to...

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 mainly just pass meds & asses clients for effective...

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 pre-requesite now and am planning to apply to the LPN-RN br...

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, but said that because she is new and has already i...

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 for me and many of my coworkers because we don't co...

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

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 time. Our state mandates that facilities like ours ha...

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 site for phenergan IMs. We have a lot of very thin...

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 the risks it represents.