CASTLEGATES

CASTLEGATES

Addictions, Acute Psychiatry

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All Content by CASTLEGATES

  1. 'No Name Seizure'

    CASTLEGATES replied to tining's topic in School

    You can always tell mom it's a child protective issue, where he has a disorder and he needs to be seen, so you can better look after his needs. If he's having uncontrolled "seizures" at school, you...

  2. Has anyone gone through nursing school with depression?

    CASTLEGATES replied to trapstudent's topic in Nurse Disabilities

    Depression is a horror, I know. In nursing you're expected to be a resource, so it would be very difficult trying to help someone with unresolved issues that could complicate traumatic situations like...

  3. Dealing with mean docs

    CASTLEGATES replied to MillyPeets1234's topic in Operating Room

    That's an easy fix. Make a formal report to HR for workplace harassment. You'll be covered by the whistle-blower act for any retaliation, as well. They shouldn't dare to touch you once you put it in...

  4. Demotion from DON, self report to BON

    CASTLEGATES replied to MB,RN's topic in LTC: Directors, Assistant

    Goodness! I'm sort of split on that one. We've had some directors who should be reported to someone for abuse of power and gross incompetence, but that's an employment thing. It would be nice to be...

  5. Nursing Legislation TREAT Act allowing NP's to help addicts

    CASTLEGATES posted a topic in Addictions

    One interesting piece of legislation they're pushing RIGHT NOW is for NP's to be able to prescribe buprenorphine, fixing DATA-2000 Act barriers. This is called the TREAT Act, however, it requires...

  6. RN-MSN-FNP Chamberlain

    CASTLEGATES replied to HappyRN3's topic in Chamberlain College

    Hi Fellow Nurses! I am actively seeking the Chamberlain RN-BSN-MSN FNP Program (whew, that was a lot to type.) I have a BA in another subject and work PT as an RN. I have a lot of questions before I...

  7. RN-MSN-FNP Chamberlain

    CASTLEGATES replied to HappyRN3's topic in Chamberlain College

    Not recommended. I dropped out first class. Massive mistake on my

  8. I quit Chamberlain today, what a relief!

    CASTLEGATES posted a topic in School, College Programs

    There are certain benefits, rolling admissions (some places claim it, but it's really rolling registration). Price is roughly2x normal Univ. Discussions come Sun, due Wed, 2 APA referenced responses...

  9. Wilmington University RN-BSN ONLINE! wgu opted out

    CASTLEGATES replied to 4everAnimeRN's topic in School, College Programs

    Last Master's rotation that led to FNP's had not one but 2 instructors sleeping, instead of instructing graduate students. These were not the easy classes, but the infamous P's classes you really need...

  10. Nurse Practitioner's prescribing buprenorphine

    CASTLEGATES posted a topic in Activism, Healthcare

    Unfortunately the AANP wasn't even present during the DATA 2000 act that allowed only MD's to prescribe buprenorphine (nevermind NP's and PA's can prescribe potent opiates they can become addicted...

  11. Having kids & working 12hr nights??

    CASTLEGATES replied to Drexel_ShaySN's topic in Pennsylvania Nursing

    If my wife didn't stay home, we'd have a serious issue. It's complicated, but if she ends up being deported for any reason (still may happen-I don't want to get into detail at the moment), then I'll...

  12. Lateral violence. How did you handle it?

    CASTLEGATES replied to lvan0904's topic in Nurse Practitioners, NP

    For me, I know they cannot fire me, since I follow the rules and do exactly as directed. If they're breaking the law, I'll say something and run it up the pole (if that's what needs to happen). My...

  13. Doctors vs. Nurses

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

    People go to hospitals because they need nurses. Nurses are revenue producers, not just costs. When a patient is admitted, it is for nursing care. Labs and tests can be scheduled in, or outpatient,...

  14. First NP Job and unhappy...What to do?

    CASTLEGATES replied to TCUgirl15's topic in Nurse Practitioners, NP

    I echo what was just said.Take your clinicals, what you learned and apply to the best of your ability. Easy to say that (knowing you can't go back in time), but perhaps that may help those in...

  15. Passing cut offs

    CASTLEGATES replied to vonricter222's topic in General Students

    Mine was 80%+, as well. 96-100 for an A, 90-96 for a B and most were 85 (we dropped to #5 in the state and they changed

  16. 7 Social Media Posts That Will Destroy Your Nursing Career Before It Begins!

    CASTLEGATES replied to Michael M. Heuninckx's topic in First Year After Licensure

    Their first impression will be when you walk into their office, and it's nursing not HR you need to impress to get hired (unless you're new to the field and can't read people terribly well). Rather...

  17. Too Young..Rejected from Graduate School

    CASTLEGATES replied to MyPrnPleaseBSN's topic in Post Graduate Students

    When I completed my initial education, some schools wanted 5yrs to get an MSN (min). Now, some schools are letting nurses with fewer in, but that depends on the applicant numbers (where they can...

  18. Should mental health nursing be grouped with addictions nursing?

    CASTLEGATES replied to hatchit's topic in Addictions

    Post acute withdrawal syndrome can mimic schizophrenia, bipolar, PTSD, explosive d/o and others. This is why it's not recommended for addictionologists to stamp any new diagnoses on patients until...

  19. Favorite cheat sheets, tools, references, resources

    CASTLEGATES replied to LessValuableNinja's topic in Addictions

    I thoroughly agree with the others. I have no references for addiction (pocket sized), since it's more of an "on your feet, using your wit" sort of job. After being manipulated several times, I learn...

  20. Saying hello..newbi

    CASTLEGATES replied to blessedmomma247's topic in Addictions

    Welcome! My two cents would be to focus on the psychological signs and symptoms. I would find a pirated copy of "the brain, hijacked" by Bill Moyers. It explains addiction in the simplest sense. You...

  21. Advice for dealing with addicts?

    CASTLEGATES replied to garnetgirl29's topic in Addictions

    I agree. If she felt it right to withhold, then that's her professional judgement at the time. Education is another thing; judgement from knowledge-base, where the RN was at the time, with the tools...

  22. certified addictions nurse question

    CASTLEGATES replied to sns1930's topic in Addictions

    I got my guide used from fleaBay. Sometimes you can find good deals

  23. RN counseling guidelines

    CASTLEGATES replied to Anagray's topic in Addictions

    I would let the counselor know she needs to work on acceptance of what is (versus life as she would like it to be). We make referrals and advise patients what to do in order to promote health. What a...

  24. CIWA: OK to reassess in less than 4 hours?

    CASTLEGATES replied to dreamingoftheocean's topic in Addictions

    I give meds, then reassess in one hour to determine my plans for the next several hours. Good question; better to ask than wonder

  25. Advice for dealing with addicts?

    CASTLEGATES replied to garnetgirl29's topic in Addictions

    I give everything and anything TOGETHER for these people who are in the throes of withdrawals. It's only for a few days, 'till their system clears. None of those meds mentioned are addictive, or they...