lovinghands

lovinghands

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All Content by lovinghands

  1. 900 mg's of Seroquel????

    I've seen a few pts on 900 mg of Seroquel. The highest dose that I've seen is 1500 mg which the pt was slowly tapered off of after admission. Many of our docs believe Seroquel is mislabeled as an...
  2. Accutane

    I was on accutane in my early 20s. It worked for me. Would I consider doing it again? Only if it was absolutely necessary. Accutane therapy is a commitment - you commit to using bc (2 forms),...
  3. Ready to function as

    I work in a state hospital - 4 adult admission units, 1 intensive tx/forensic unit, 3 adolescent units, 3 adult extended rehab units, 3 nhu, 1 adult CD & 1 adol CD unit. 300 beds
  4. Ready to function as

    Are these new psych RNs overwhelmed? I sometimes have 2-3 admits in a shift and it's very taxing being the only RN as each admission takes approx 2 hours to complete from start to finish. Are these...
  5. Help, advice needed!!!!!

    Ack...this was your charge nurse on the first day? Oh my! Sounds like he enjoys powertripping to me. CYA until you find a more supportive work environment. I am so sorry your new job started so...
  6. Psych Specialty--The Red-headed Stepchild of Nursing?

    I worked as a psych aide for almost 10 years priori to becoming a psych nurse in the same facility. I remember flipping this attitude at times - I can tell you after being in both roles, it isn't as...
  7. weight gain and antipsychotics

  8. weight gain and antipsychotics

    I think the most disturbing weight gains that I've seen have been associated with Clozaril. Anyone else find this true? It is devastating to see a patient finally stabilize on a medication then...
  9. Organic Effective Disorder

    When I worked at a CD tx center in the early 90's mood disorders that were biochemical were often called organic (ie organic depression) vs situational depression. This is old terminology used at...
  10. Feeling disenchanted already

  11. whats your day like?

    I am a psych nurse on an inpatient acute unit. I work 8 and 12 hour shifts. Generally I am the only RN on the unit - if I need backup, I call neighboring units or the supervisor (if he/she isn't too...
  12. Did I fail the NCLEX?

    I passed with 75 questions and the last question I answered was wrong. Hope this helps :) The wait is the roughest part of the ordeal - be kind to yourself. Best wishes - let us know how you
  13. Did you see a positive PPD result?

    The lump (induration) of a positive test is obvious when felt. We were taught to measure bytaking a pen and drawing a line towards the site until meeting the bump on 4 sides then taking the longest...
  14. how to get rid of a sore throat...

    Nyquil is my remedy for colds. When I wake up from the daze, I'm almost over it. Seriously though, if your drainage is coming out funky colors you should probably see your PCP. Sending you healthy...
  15. plastic vs metal cutlery on psych units

    Many things can be turned into weapons - personally I'd prefer to struggle with a patient over a plastic knife than a metal shank anyday. I've seen weapons created from many items - ballpoint pens,...
  16. Why I need a new job

    Just wanted to say thanks, you helped put my bad day into perspective. Btw, YOU ROCK! Best Wishes
  17. Nurses and suicide patients

    Degrading my patients does not promote empathy or compassion. I have worked with suicidal patients for eleven years. I have also lost a loved one to suicide. If you made this "humorous" comment in...
  18. speaking of insurance

    Yep, I received my NSO bill two months prior to due date. Just paid it the other
  19. Crisis Unit: To lock or not to lock??

    In the early 90's, I worked on an unlocked adolescent unit for chemical dependency kids. It was a treatment center not a hospital setting located on a large campus in a small rural community. It was...
  20. Do you have your own malpractice insurance?

    Paid mine yesterday. NSO - $89/yr.
  21. Headache for three weeks

    I am curious if you tried a decongestant? I have terrible sinus problems related to allergies and the only thing that helps my sinus headaches is a decongestant to loosen up my sinuses and release...
  22. question regarding insulin administration

    The facility I work at uses the sliding scale of FSBS minus 200 then divide by 20, don't give less than 4 units regular insulin. So I wouldn't give insulin and I would provide a diabetic hs snack....
  23. patient killed herself last week....

    I am so sorry for your loss. Although we are professionals, we deal with people and it is okay to have feelings for those patients. I have worked directly with six patients since starting in this...
  24. Other Side of Coin---Less than Humble New Grads

    We all have flaws - at least I know I do. Unfortunately, some of them flare up during the most stressful of situations. Beginning a new job in a new field is one of them. I do believe there are a...
  25. I think this is just so sad after reading this post. For years I have watched one shift berate the other and for what purpose - I do just as much or more than you so please RESPECT me or else....