CASTLEGATES

CASTLEGATES

Addictions, Acute Psychiatry

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All Content by CASTLEGATES

  1. Nursing ethics question

    CASTLEGATES replied to jenrangel5's topic in General Nursing

    I wouldn't know; I'm highly unethical and immoral.

  2. White Boards

    CASTLEGATES replied to Zippy Head's topic in General Nursing

    I have decades and I agree that's years of experience is BS with this power trip catty game common in this field. Patients name, SS# address, picture and anything else that will anger JCAHO is OK in...

  3. Criminal Background

    CASTLEGATES replied to lilnursewannabe's topic in Licensure: Criminal History

    Disregard for the law is a trigger for mental health and society issues (safety). Having said that, there's no assault or murder attempts most are OK but in any case when these questions come up, call...

  4. Nurse with very strange behavior.

    CASTLEGATES replied to Born2BWild's topic in General Nursing

    I worked with a mental health NP who did that, was on meds but also wouldn't recall verbal or phone orders so I told her I could no longer take orders from her and dealt with the doc. I let the doc...

  5. Do ICU nurses really have more autonomy?

    CASTLEGATES replied to IHeartPeds87's topic in General Nursing

    Regarding the study; it's perceived autonomy. It's the nurses digression whether or not to alert the doc and flexible sliding scale orders may be classified as dependent but the orders are open to...

  6. Who came up with the idea of 12 HOUR SHIFTS?

    CASTLEGATES replied to Epona's topic in General Nursing

    12 hour shifts don't use any less staff than any other shifts; they make the numbers equal out regardless (unless there's overtime). I've been at it a couple decades...throw all the shifts at me you...

  7. Have detox interview-no experience-advice?

    CASTLEGATES replied to BChapp3182's topic in Addictions

    1. Go to 12 step meetings and learn everything you can. You must be able to associate with how they're feeling in order to be effective. Read and watch videos, including relapse prevention. Most...

  8. which patients are in/out of your comfort zone?

    CASTLEGATES replied to PureLifeRN's topic in General Nursing

    Extremely attractive patients; I typically find a way to have someone else deal with them. Then egocentric and manipulative psych patients. I can handle all the rest physical and psych no

  9. Hardest/easiest part of your job?

    CASTLEGATES replied to stormdanzr23's topic in General Nursing

    Catty gossip, inflexibility, people writing people up rather than trying to help

  10. Two step blood preasure????

    CASTLEGATES replied to newway's topic in General Nursing

    They palpate on firing ranges and in combat and in noisy situations like combat (emergencies, etc). Otherwise, the rest is fun school stuff. One would likely get in hot water over fooling with...

  11. Who came up with the idea of 12 HOUR SHIFTS?

    CASTLEGATES replied to Epona's topic in General Nursing

    I want 12 hour shifts but the ancients won't do it where I work. I believe the right hand of God created 12 hour shifts! I like having 4 day

  12. Help with case study questions

    CASTLEGATES replied to bnurse88's topic in General Nursing

    I dunno if this is the right place to hinge a grade and your career versus printed, published material worthy of references (and current). Just my opinion when students ask for work help (no offense

  13. Been Living A Sendentary Life

    CASTLEGATES replied to thanrye8710's topic in General Nursing

    Less calories in, less calories stored. That's the key to 90% of it. I don't understand why people pay money for special food, gyms, etc when it's free to do at home...but that's just me (no offense...

  14. What have other nurses done that have freaked you out?

    CASTLEGATES replied to texas_lvn's topic in General Nursing

    "Nursing dose" Cool! I like that one! I can bring a thermos to work with some gin fizz?

  15. RN's how much do you make here in Utah?

    CASTLEGATES replied to blueyezz71's topic in General Nursing

    SLC is notorious for price fixing and collaboration between the hosptals. I understand they got caught at it at least once. Some east coast places get you 37 an hour staff (non agency) and agency in...

  16. Do ICU nurses really have more autonomy?

    CASTLEGATES replied to IHeartPeds87's topic in General Nursing

    Depends on the facility. One where I was, our standing orders were "Versed 1-4 q1-4 prn, Morphine sulfate 1-8q 1-4 prn, K and Mg standing orders, wean to extubate, titrate for cardiac output of xxx,...

  17. Nursing JOB shortage in Maryland!

    CASTLEGATES replied to CASTLEGATES's topic in Maryland Nursing

    Got a job; 2 hour commute but this is the great recession so what can I say? ) PA has jobs, MD doesn't. Very few in MD bother to respond (I've always been the one they were clambering over in the...

  18. Sign announcing you're an RN on your car?

    CASTLEGATES replied to Perpetual Student's topic in General Nursing

    are you sure it wasn't an honor society of nursing? some people came a long way. I'm not one to judge; for each their own (though I'd never do it). There are many who are the first in their families...

  19. "LPNs should be done away with altogether"

    CASTLEGATES replied to missjennmb's topic in LPN, LVN Corner

    work for the government...military hospital or VA. they respect LPN's and pay for your

  20. NCLEX in different state than graduation state??

    CASTLEGATES replied to jrlh4421's topic in General Nursing

    when in doubt, call your board. rules change faster than we can recite what happened when we were licensed. Don't base a career decision on an unofficial website, hear it from the horsey's

  21. Transferring a SC license to GA

    CASTLEGATES replied to drgnys30's topic in Georgia Nursing

    rules change faster than we can recite what happened when we were

  22. what to expect when taking a physical?

    CASTLEGATES replied to fightingfrog's topic in General Nursing

    if you're a floor nurse they said go get in shape, lose weight and come back. if it's an admin role and you still can run to codes (stairs..forgot the stairs test) then you're OK. It's a physical job,...

  23. Consistency across the nursing spectrum

    CASTLEGATES replied to pgaillard's topic in General Nursing

    herding cats. go with the government system where you can't be promoted without x education beyond x level. some systems work well, others have pay compression. The magnet grants help change that but...

  24. Are we not allowed to discuss patient cases at all?

    CASTLEGATES replied to ChristyRN2009's topic in General Nursing

    The rule is if you can identify a patient by the poster's location and their condition and specifics. For example if I'm the only one in the county with a knife in my head, someone posts about it...

  25. what to expect when taking a physical?

    CASTLEGATES replied to fightingfrog's topic in General Nursing

    for mine i had drug tests, had to walk a few hundred pound wheelchair up a looooong incline and back, timed (my calves hurt after) move 25 pounds back and forth for a few minutes as fast as I...