CharlieRN

CharlieRN

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All Content by CharlieRN

  1. Is There Scientific Data to Support Holistic Health Treatments?

    CharlieRN posted a topic in Holistic

    Are you aware that theraputic touch has been shown in at least one carefully done double blind study to simply not work? In the study, the professional practioner, who was positive he could feel the...

  2. An Ethical Dilemma

    CharlieRN replied to StudentRN_Sara's topic in Legal

    Patient confidentiality is the primery concern at this point. There is no emergent concern that would override it. If possible mom should be sent from room and patient counseled to let the NP do a...

  3. doc brings medical student without permission

    CharlieRN replied to BETSRN's topic in General Nursing

    Like he/she said. Check with your supervisor before you make a fool of yourself. If there is no such clause then indeed the doctor is in the wrong but I would be very suprised if that is the case....

  4. Malpractice Insurance?

    CharlieRN replied to chickdude1's topic in Legal

    I have been an RN since 1979. I have never been sued but I have always been covered by my own malpractice insurance. Make sure it is coverage that covers you for anything that happened during the...

  5. Thorazine Shortage?

    CharlieRN replied to PRNMEDS's topic in Psychiatric

    I agree with lovinghands, Seroquel is the drug of

  6. Measuring acuity

    CharlieRN replied to lrae's topic in Psychiatric

    We use a variety of measures. One is the LOCUS seven point system for measuring patient acuity. That is primerily related to identifying and quantifying the patient's need for inpatient care. Also...

  7. Inappropriate ER doc?

    CharlieRN replied to elizabells's topic in Emergency

    Medical professionals go crazy too. 'Nuff

  8. holds vs. restraints

    CharlieRN replied to Marie50's topic in Psychiatric

    Here are some hints toward "good psych nusing", some are things you can do on your own, others reguire team efforts that you can only contribute to. They are in no particular order. I could tell you...

  9. Activities for Pts in acute psych ward?

    CharlieRN replied to Gerbil's topic in Psychiatric

    All the suggestions sound good. One caution: Insight oriented group therapy is a job for a person trained in that modality. Even they should work in pairs. Group interaction situations can easily...

  10. massage-inpatient psych

    CharlieRN replied to acat's topic in Psychiatric

    I'm in agreement with Elkpark. I also have never heard of it being done. We refer patients to physical therapy if necessary, for neuro muscular complaints. If massage were to be ordered by a...

  11. Physican restraints still being used???

    CharlieRN replied to Lawnurse's topic in Psychiatric

    I have used a basket hold but as I was taught it, it is a one person technique and is only useful if applied to someone smaller than you are. Holds for full size adults need to be more than one...

  12. Physican restraints still being used???

    CharlieRN replied to Lawnurse's topic in Psychiatric

    While my facility does have locked leather 4 point restraints we usually use a restraint "bag". This is actualy a flannel lined canvas sheet with sewn in wooden battens. The patient is placed on the...

  13. What was the MOST ridiculous thing a patient came to the ER for?

    CharlieRN replied to JUSTYSMOM's topic in Emergency

    Most places that you would look up to find out what to do about snake bite say bring the snake with you to the ER, if possible. Granted they probably assume you will have to kill it to do that. But...

  14. "Are you saved?" How do YOU deal with these types of questions

    CharlieRN replied to porterwoman's topic in General Nursing

    In my work it is considered bad technique to give personal information, the the point of it being a violation of facility policy. That is pretty much how I answer questions about my faith from...

  15. Interview help

    CharlieRN replied to nursebraswell's topic in Psychiatric

    Re: coolness under pressure. I have heard of interviewers being insulting and trying to make you mad in order to assess this. I would ask about your experiences and your philosophy of nursing. Get...

  16. What was the MOST ridiculous thing a patient came to the ER for?

    CharlieRN replied to JUSTYSMOM's topic in Emergency

    Gerilynn If you want to scare yourself to death look up the signs and synptoms of spinal meningitis. A pediatric emergency medicine specialist I spoke to some years ago sited the incidence as 1:100...

  17. Max security ward job

    CharlieRN replied to beochicken's topic in Psychiatric

    Ok Geo sounds like you are on top of the situation. From the 1:1 staffing it sounds like your employers are serious about employee safety, not just in it for a buck. I have some fears in this...

  18. Graduating in May - Need Advice

    CharlieRN replied to lgrninmay's topic in Psychiatric

    lgrninmay Social workers need unions, same as nurses do. Preferably they are the same

  19. Graduating in May - Need Advice

    CharlieRN replied to lgrninmay's topic in Psychiatric

    Sorry I was offensive. I do feel strongly that in the psych environment Nurses need to be the physical health resource people. Psych treatment teams are rich in people who have specialized in...

  20. What was the MOST ridiculous thing a patient came to the ER for?

    CharlieRN replied to JUSTYSMOM's topic in Emergency

    First time parents in ER at 3am "The baby will not stop crying"... " We changed her and fed her and now she just keeps on crying." Charge Nurse in the ER put the baby on her shoulder, patted its...

  21. Max security ward job

    CharlieRN replied to beochicken's topic in Psychiatric

    beo, I'm a bit confused. I have been an orderly. I have been a nursing student. I have even been both at once. But does this facility also run a nursing school that you would be starting both at...

  22. Graduating in May - Need Advice

    CharlieRN replied to lgrninmay's topic in Psychiatric

    Do you really want this to be you? Do you want to be the weak link? Do you want to be the one who does not have the experience indepth and has to go to other nurses for it? Med surg is h*ll....

  23. Interview help

    CharlieRN replied to nursebraswell's topic in Psychiatric

    Since you don't have psych experience hopefully they plan to train you. If they don't then you do not want the job. If I were interviewing you I would be trying to assess your level of good sense...

  24. Finding a Psychiatrist

    CharlieRN replied to beesnest's topic in Psychiatric

    Dear B If your Dx is depression then most any psych treatment provider will probably do a good job. Depression is the "common cold" of psychiatry. I have a few hints I would suggest to you. Ask...

  25. meds over obj/consent for tx-BIG DIfferece??

    CharlieRN replied to midnitelpn's topic in Psychiatric

    Be aware that the rules are different for all restraint/involuntary treatment issues in med/surg. In a medical care setting medical/nursing personel can get away with much more than they can in a...