IMustBeCrazy

IMustBeCrazy

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All Content by IMustBeCrazy

  1. Children under the age of 18 and Prozac

    IMustBeCrazy replied to emrrn915's topic in Psychiatric

    Actually we are agreeing on most points here. However, and it needs to be stated again, IF a provider is using offlabel meds to treat a condition for which it has not received FDA testing and...

  2. Children under the age of 18 and Prozac

    IMustBeCrazy replied to emrrn915's topic in Psychiatric

    And the reason why oftentimes a psychiatrist or psychologist is not involved is that people have to wait 3-6 months to get in to see them. Rather than wait, I do support PCP's in prescribing...

  3. Children under the age of 18 and Prozac

    IMustBeCrazy replied to emrrn915's topic in Psychiatric

    Hmm...I'll cut some slack here because you are a student and probably didn't realize how that sounded. "Mental Hospitals" (Behavioral Health Units/Psychiatric Units) ARE part of many "regular...

  4. Children under the age of 18 and Prozac

    IMustBeCrazy replied to emrrn915's topic in Psychiatric

    Here is the flaw with that theory. In the real world, the only time that someone qualifies for inpatient treatment for depression (due to insurance coverage) is 1) if they are suicidal or 2) have...

  5. Need help with med. card

    IMustBeCrazy replied to SanskeetRN's topic in Psychiatric

    Maybe the pt isn't necessarily 'napping' but has absolutely NO energy to accomplish anything when awake? Even though the son died, the person may have to be able to pull it together enough to get...

  6. instructor discouraging student from becoming a psych nurse!

    IMustBeCrazy replied to RN1263's topic in Psychiatric

    Saw that too. One unit couldn't keep staff AT ALL and guess where we were encouraged to work? You guessed it! If you ever see a unit that can't keep staff around, run, don't

  7. Children under the age of 18 and Prozac

    IMustBeCrazy replied to emrrn915's topic in Psychiatric

    Your child was prescribed Paxil, which is not labeled by the FDA for child/adolescent use. That is a huge red flag. Seems to me, at least with THIS specific drug, your doc could be held wholly...

  8. Do I Have the Right NOT to Be Weighed?

    IMustBeCrazy replied to Meerkat's topic in General Nursing

    Actually, if you work with many people that have eating disorders, you will find that by forcing a daily weight you are actually REINFORCING the notion of the OCD-like obsession with the numbers....

  9. Children under the age of 18 and Prozac

    IMustBeCrazy replied to emrrn915's topic in Psychiatric

    I agree that if there was clear suppression of facts of clinical side effects, that is another matter. I know pts that are in on the class action for Seroquel because from (approximately) Oct 2003 -...

  10. Children under the age of 18 and Prozac

    IMustBeCrazy replied to emrrn915's topic in Psychiatric

    My argument against the suicidal ideation data is that this is being compared against what? Those adolescents with depression are *already* in the highest bracket for suicide. Playing devil's...

  11. RN job in jeopardy please help

    IMustBeCrazy replied to fe3's topic in General Nursing

    That totally makes sense. I was churning through the inpt uses of the vasodialator aspect. I was thinking blood pressure, but I was thinking this would drop a pressure like a rock...just what would be...

  12. Is this a HIPAA violation

    IMustBeCrazy replied to avalynn's topic in General Nursing

    I think one of the things that was confusing in the OP's first post was the use of pronouns. When "she" was used, I had to go back and decipher who "she" was really talking about, the assaulter or...

  13. RN job in jeopardy please help

    IMustBeCrazy replied to fe3's topic in General Nursing

    Ok, I'm confused. Other than the obvious on-label use of viagra, why would a hospital use this for an

  14. Psych Nurse ="not a REAL nurse"?

    IMustBeCrazy replied to Meerkat's topic in General Nursing

    Lol....too bad you couldn't have followed me this weekend. I was glad to sit down when I got home. Yes, it was stressful/crazy

  15. Psych Nurse ="not a REAL nurse"?

    IMustBeCrazy replied to Meerkat's topic in General Nursing

    My suggestion would be rather than harbor a grudge, talk to your nursing supervisor about it....seems a few refresher classes are in order. But again, not all or even most psych nurses fit that...

  16. Psych Nurse ="not a REAL nurse"?

    IMustBeCrazy replied to Meerkat's topic in General Nursing

    One situation in one hospital does not a generalization make. Furthermore....I would rather a nurse ASK for help (yes, if it seems 'simple') rather than dash on full bore and potentially either harm a...

  17. Caring for a patient with Personality Disorder longterm

    IMustBeCrazy replied to adrienurse's topic in General Nursing

    Advice: Don't get pulled into the emotional vacuum that is borderline behavior. Limit your time spent with them, for instance to 10 minutes per interaction. Always reward positive behaviors (think...

  18. Pharmaceutical Sales?

    IMustBeCrazy replied to Jesskanurse's topic in General Nursing

    Yeah. I got "restructured" when the boss stated, and I quote "you're not working hard enough to earn your commissions"....?????!!!!! Then took away a large chunk of a client base I developed and...

  19. Pharmaceutical Sales?

    IMustBeCrazy replied to Jesskanurse's topic in General Nursing

    I agree - not all are like that, I know I wasn't. BUT....sales as a profession is truly like living in a den of vipers. Like you, this is coming from someone that didn't lie/cheat/steal and was in...

  20. Pharmaceutical Sales?

    IMustBeCrazy replied to Jesskanurse's topic in General Nursing

    Everything stated above is 100% true. Basically it boils down to this: If you can cast aside your morals/ethics and the only driving force in your life is money, you will be great at sales, no matter...

  21. Anyone using 100% EMR order entry?

    IMustBeCrazy posted a topic in General Nursing

    Specifically any hospitals requiring docs to do order entry directly into the computer with no paper backup? If so, how do you like it? How has it been working? Drawbacks? I am really interested to...

  22. Anyone using 100% EMR order entry?

    IMustBeCrazy replied to IMustBeCrazy's topic in General Nursing

    I see where you are coming from. And I agree that there is a huge difference between 'general IT' technologies and RN (hopefully) oriented EMR systems. We are talking about highly customized systems...

  23. Anyone using 100% EMR order entry?

    IMustBeCrazy replied to IMustBeCrazy's topic in General Nursing

    Hmm...I had a knee jerk response here but perhaps I am misunderstanding. You are stating that computers are taking "territory" away from nurses? Please explain. Good EMR systems do nothing of the...

  24. Anyone using 100% EMR order entry?

    IMustBeCrazy replied to IMustBeCrazy's topic in General Nursing

    Totally agree! I've worked in IT as well, and also don't understand why so many hospitals need to be pulled kicking and screaming into the late 20th century, let alone the 21st. Rather than jamming...

  25. Need advice - bail on my accelerated BSN for an ADN?(long)

    IMustBeCrazy replied to fleur-de-lis's topic in General Nursing

    Not true at all. NP yes, you need BSN route unless you already have a BS or BA in another field, then you can generally easily bridge to MSN once you are an RN....often much cheaper/more efficient...