CASTLEGATES

CASTLEGATES

Addictions, Acute Psychiatry

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All Content by CASTLEGATES

  1. new to addiction

    CASTLEGATES replied to prettynurseL's topic in Addictions

    I would start off by getting the CARN study guide and CARN core curriculum and passbook (all 3) from the IntNSA website (or if you're really lucky, you can find them used). The psych mental health...

  2. Reasons why BAC would continue to go up hours after admission

    CASTLEGATES replied to Topaz7's topic in Addictions

    It usually goes up when they drink the hand sanitizer (if you've got that); otherwise I would check the instruments and search the

  3. What are great fields in nursing for a shy/quiet person?

    CASTLEGATES replied to crunchytaco's topic in Patient, Colleague Relations

    My advice? Don't sweat it, the shyness goes away with any nursing job but you cannot escape interaction and being sought for your knowledge at any level. We're resource people, so they hunt our shy...

  4. Yet Another Pre-Employment Drug Screen Thread

    CASTLEGATES replied to YouSmellLikeCDiff's topic in First Year After Licensure

    Just basic employment stuff. Whether or not you have what you need, you have a Dr. who can attest to the fact you're on it legally. You, therefore, have nothing to worry about. At least you didn't...

  5. What's the biggest mistake you've ever made as a nurse? What did you learn from it?

    CASTLEGATES replied to Mini-Murse's topic in General Nursing

    Recommending we withdraw care on a patient we flogged for about 2 mos, weeping edema, poor cardiac output, exuding odor from browned extremities, infections in every invasive site. We were on the...

  6. What are great fields in nursing for a shy/quiet person?

    CASTLEGATES replied to crunchytaco's topic in Patient, Colleague Relations

    Experience leads me to not regard "shy" or "not shy." For me, when I'm evaluating potential employees, it's "Capable and confident" or "unsure and possibly untrustworthy." A sense of insecurity can...

  7. Very little witnessing going on with drug wastes on my floor!

    CASTLEGATES replied to Nurse ABC's topic in Patient Medications

    I know several nurses who have taken advantage of that situation by collecting the wasted meds and having a party. Always stick around. You don't want to supply that 10% of nurses who are getting high...

  8. Commute for Job I would love, or less travel to Job I don't like

    CASTLEGATES replied to countrygalrn's topic in Nursing Career

    I've commuted 2hrs, lived in a hotel 'till I could find a place. I even moved 1/2 way across the country for one job. There's nothing, NOTHING better than a good job. We spend most of our waking hours...

  9. What jobs are there outside of the hospital?

    CASTLEGATES replied to eminthesr's topic in General Nursing

    I would also say "street pharmacist" or " 'hood IV consultant" (for the guys who can't get a vein and need some help). Did I say that? Seriously, military, psych, assertive treatment team (community)...

  10. First shift of preceptorship: told that my IV priming is wrong

    CASTLEGATES replied to seks's topic in General Nursing

    Potential is there for fluid, regardless how it "appears to be" flowing, to be nonsterile if it's touching an outside environment. If you were mixing and creating an IV bag or drug under a hood, those...

  11. Are student loans haunting you?

    CASTLEGATES replied to Joe V's topic in Nurses Rock

    I would seriously consider going to school abroad. There are international accredited schools in many countries for about 1/10th the price here. My kids will be going to an Asian school accredited at...

  12. Anyone else think HIPAA rules are getting out of hand?

    CASTLEGATES replied to BrandonLPN's topic in HIPAA Challenges

    HIPAA does not apply when facilities are collaborating or coordinating the care of a patient (this is why a physician's office, at least they do around here, call a few local pharmacies to see a...

  13. Narcotic Use and Diversion in Nursing

    CASTLEGATES posted a topic in Nurses Recovery

    http://juns.nursing.arizona.edu/articles/Fall%202002/hrobak.htm Interesting article; nearly every unit I've visited has a story about diversion. Click link above for remainder of

  14. Would you (an experienced nurse) help me? Please?

    CASTLEGATES replied to amara827's topic in General Nursing

    ok so i have to write a report about the career field i want to go into and im supposed to intervew a professional, experienced nurse. well since i don't personally know any, and i figured i can't...

  15. Narcotic Use and Diversion in Nursing

    CASTLEGATES replied to CASTLEGATES's topic in Nurses Recovery

    You can offer a hair sample for drug testing if they ask. Offer it at your expense. Makes a good defense if they claim you were eating them. I know one nurse barred from giving meds then canned in...

  16. Nurses Who Can't Add Cost Lives.

    CASTLEGATES replied to studentdan's topic in General Nursing

    Utilize

  17. Nurses Who Can't Add Cost Lives.

    CASTLEGATES replied to studentdan's topic in General Nursing

    We've got tons who can't spell, either. I don't understand how they get through a university if they can't spell basic

  18. Methadone Maintenance

    CASTLEGATES replied to KADRN's topic in Addictions

    There's also the phenomenon where the same consistent dose begins to illicit withdrawals unless the dose is increased. My brain is lacking the term at the moment but it's seen with many opiates....

  19. Book for a new addictions (detox) nurse?

    CASTLEGATES replied to Ekstasis's topic in Addictions

    Narcotics Anonymous Basic Text Alcoholics Anonymous "Big Book" Gorsky-anything he's written regarding relapse prevention Staying Sober Living Sober Codependent no

  20. Methadone Maintenance

    CASTLEGATES replied to KADRN's topic in Addictions

    My opinion doesn't matter since it's a federal program (too big for me to change so acceptance is easier for me). It's a harm-reduction treatment for chronic relapsers. 1. it wakes up the "monster"...

  21. Nursing JOB shortage in Maryland!

    CASTLEGATES posted a topic in Maryland Nursing

    Been working ICU, cardiothoracic and addictions, community liaison, case management, home and community care but opened my own business for 3 years (stopped nursing) and nothing but crickets for jobs...

  22. Anyone an addictions nurse?

    CASTLEGATES replied to Mo_RN's topic in Addictions

    One thing I've seen with an upswing is the resentment for "therapeutic communication" ...You know that mirroring that came out in the 80's that angers intelligent people "I hear you saying...."...

  23. Have detox interview-no experience-advice?

    CASTLEGATES replied to BChapp3182's topic in Addictions

    One point; I've gotten many jobs because I asked for the interview; ask to get in there and interview and acknowledge they may have already had a decision or a preference. Many have better offers or...

  24. Have detox interview-no experience-advice?

    CASTLEGATES replied to BChapp3182's topic in Addictions

    Then you're familiar with addictions! Kudos! The challenge you'd likely face (I'd say) are of codependence, then. Many families are challenged with that. Don't let it skew your judgement and you'll be...

  25. Lost- which direction to take? CNA/Psych Nursing

    CASTLEGATES replied to AHeartLikeHis's topic in General Nursing

    nursing rotations would kill you if you've got issues since all rotations including code brown need to be done in