medpsychRN

medpsychRN

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About medpsychRN

Latest Activity

  1. Trend To Decrease Use Of Seclusion And Restraint

    DOrothy, The place to check the law in Indiana regarding restraints is through The Department of Developmenatal Disabilities. At least that's what it's called in Illinois. There are specific laws...
  2. Help with isolation precautions for MRSA and C-diffby medpsychRN Registered User Age: 54 Received 14 Kudos from 9 posts Join Date: Jan 2005 Posts: 123...
  3. New isolation procedures on the med/psych unit where I am employed state patients from a nursing home or those on dialysis must have a nasal swab for MRSA. If the swab is positive for MRSA, the...
  4. IV Dilaudid problem patients!!!!!!!!!!!

    I have had some bad experiences giving Dilaudid in the past so it's not on my favorite list. In regards to drug addicts, they can be near coma and still complain of pain and demand more meds....
  5. Been there ten years and it's been the best learning experience of my life. Mds are outstanding. Nurses are fantastic. I work nights and I can call any floor and ask for help with procedure or...
  6. For my patient who drops the f bomb every time I ask him to do something..."right back atcha!"
  7. The end of C-diff testing??

    Because we are a psych unit, we don't have those wonderful dispensers outside each room for handwashing. We were instructed we must wash our hand upon entering a patient's room. However, because of...
  8. The end of C-diff testing??

    Cared for a woman on nights over the weekend. She had an episode of massive diarrhea (bed, floor,toilet). This was the third night she had diarrhea. Saw her attending Monday morning and I mentioned...
  9. Clozaril and hypersalivation

    Just wondering about the anticholinergic effects of combining Clozaril with antihistamines, scopolamine,
  10. Intolerant of RN errors

    Thanks for all the responses. I believe when a serious error occurs there needs to be some consequence. However, we are being verbally reprimanded for forgetting to sign something, date something or...
  11. Intolerant of RN errors

    Wondering if anyone else has noticed employers being less tolerant of errors? Didn't know if it was related to medicare refusing to pay for hospital acquired infections/illness/accidents. Most of...
  12. Question about Seroquel

    A lower dose of seroquel is not going to increase sedation. I don't know why the MD would say
  13. New To Child/Adolescent Psychiatric Hospital

    I guess you can try it out. There isn't enough staff for 54 patients. Our ratio is at the highest 6:1 (RN- not including support
  14. nurses working overtime in hospitals

    If they can't get anyone, someone is forced to stay. We try to rotate it so it's not always the same
  15. An admin vent of sorts

    I work in a magnet hospital. Either we all work in the same place or our managers were trained by the same people! My manager only micromanages when SHE believes you've done something wrong (God...