Tom RN, NRC

Tom RN, NRC

Mental Health and Substance Use

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All Content by Tom RN, NRC

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

    Tom RN, NRC replied to hatchit's topic in Addictions

    First I'd suggest that we look at our language. Referring to individuals by their diagnosis perpetuates forms of othering such as stereotyping, stigmatizing, discrimination. This type of...

  2. Nurse -Patient Staffing Ratio

    Tom RN, NRC replied to fawnsternurse's topic in Addictions

    I work in Nova Scotia. Canada and our ratio is 3:10 with the three being 1-2 RN and 1-2 CA. That is during weekdays then we drop to 2:10 weeknights and weekends.

  3. CIWA and COWS Scale?

    Tom RN, NRC replied to JerseyBSN's topic in Addictions

    I also agree with Tom7044, but I do my CIWA every two hours for the 6 hours and then increase the time depending on what I'm seeing. The assessments are as much art as science. You will develop a...

  4. Alcoholism: disease or choice?

    Tom RN, NRC replied to HonestRN's topic in Addictions

    The questioned posed is is alcoholism a disease or choice not if alcoholics are responsible for their actions. Alcoholism fits the disease model, is recognized as a disease internationally, and can...

  5. Alcoholism: disease or choice?

    Tom RN, NRC replied to HonestRN's topic in Addictions

    I think that saying alcoholism is a disease you choose is a bit off. Alcoholism like all addiction is a disease of choice. What I mean when I say this is that addiction is a disease of the very areas...

  6. Pain Control for Patient with Addiction Past

    Tom RN, NRC replied to dinah77's topic in Addictions

    I had almost forgotten about this post, but cannot resist posts with big words such as sanctimonious. I will assume you mean it as obsolete rather than a pios hypocrite. Let me start by saying that I...

  7. RN interested in job in detox

    Tom RN, NRC replied to dekagirlsRN's topic in Addictions

    In all honesty I think the ideal would be if you could split your time between the two. I think psychosocially speaking you are building on many of the same skills needed to work in a detox, and I...

  8. RN interested in job in detox

    Tom RN, NRC replied to dekagirlsRN's topic in Addictions

    That was completely my bad. I missed a key word. Oh well no harm done other than my ego, and it has seen worse. Other than the rhetoric about LTC I think my answer is about the same. I really think...

  9. RN interested in job in detox

    Tom RN, NRC replied to dekagirlsRN's topic in Addictions

    First of all I agree with MentahealthRN that experience in the areas that she mentioned would help, but I think your next question would be how do you transition to them with little to no acute...

  10. question for addictions nurses

    Tom RN, NRC replied to jk6805's topic in Addictions

    To who it concerns, First I would like to apologize for the delayed response. In looking back at my post I believe it reads "The assumption" rather than "your assumption", but if you took that...

  11. Anyone an addictions nurse?

    Tom RN, NRC replied to Mo_RN's topic in Addictions

    LOL. I was finishing my degree with six months of remote ER nursing in on the North end of Vancouver Island which had a large First Nations population. It was totally by accident that I started...

  12. question for addictions nurses

    Tom RN, NRC replied to jk6805's topic in Addictions

    The question you ask is enormously complex. Further just the way it is posed makes me worry for both you and the patients. The assumption that a recovering addict can safely relate to someone with...

  13. What does a chemical dependency RN do?

    Tom RN, NRC replied to LocalGal's topic in Addictions

    there is no denying that our healthcare systems are different, and likely many of the laws. i can't speak to all the different drug laws, but benzo's are a targeted substance in canada. that means a...

  14. What does a chemical dependency RN do?

    Tom RN, NRC replied to LocalGal's topic in Addictions

    sorry for the confusion. i am a canadian nurse rehabilitation counsellor which means i have a four year degree (bsn) and then further education and certifications specifically in the area of...

  15. Pain Control for Patient with Addiction Past

    Tom RN, NRC replied to dinah77's topic in Addictions

    it's impossible to give a real answer here regarding pain control for lack of information (i.e. pain scale, amount and frequency of meds given prior to your assessment, ect). for that reason i will...

  16. Nurse:Client Ratios and Admissions

    Tom RN, NRC replied to liftedt's topic in Addictions

    hello my name is tom and i am a nurse rehabilitation counselor at a detox. where i work patient ratios can range anywhere from 5-10 patients to one nurse. we also usually have at least one ca on as...

  17. How can I specialize?

    Tom RN, NRC replied to TipitiwichitRN's topic in Addictions

    As most people in the field will tell you mental health and addictions go hand in hand (co-occurrence runs around 50%). If you want to get into the field look at courses that address this issue. The...

  18. What does a chemical dependency RN do?

    Tom RN, NRC replied to LocalGal's topic in Addictions

    I guess I should start by saying that I am an NRC which is a Nurse Rehabilitation Counselor. Where I work we work under Deligated Medical Functions which means we assess, diagnose, admit, treat, and...