medpsychRN

medpsychRN

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All Content by medpsychRN

  1. What to do about tech refusing to get VS?

    medpsychRN replied to DutchgirlRN's topic in Medical-Surgical

    Missed something? Well, yes! Beyond the tech not doing her job, she was sarcastic and rude in front of the patient and family. Whatever your personal differences are, patients and family don't come...

  2. Is it true that a BSN will be mandatory soon?

    medpsychRN replied to szccdw's topic in Diploma, ADN, BSN

    The idea of nurses having more credentials has been around since I was in nursing school back in 1970. Nurses equated degrees with respect. Today it's not uncommon for nurses to have their...

  3. What to do about tech refusing to get VS?

    medpsychRN replied to DutchgirlRN's topic in Medical-Surgical

    You forgot this one: "Are you and Sarah having a personal conflict you need to work out?"

  4. Suspicious of nurses and possible drug use?

    medpsychRN replied to Shell5's topic in General Nursing

    "As I said, the BON members that I talked to about this told me it is our DUTY to report ANY suspicious behavior. " I think it's helpful to know what is suspicious behavior. Two separate incidents...

  5. Overuse of opiates?? Opinions?

    medpsychRN replied to NiteShiftNut's topic in Patient Safety Issues

    It does sound like this patient had some issues I agree. But, we must remember that there are many different types of pain and they don't all respond the same. For example, nerve pain doesn't respond...

  6. Overuse of opiates?? Opinions?

    medpsychRN replied to NiteShiftNut's topic in Patient Safety Issues

    Sometimes it isn't about pain it's about safety. I had a chronic back pain patient who had ordered IV Dilaudid every 2 hours and she wanted it every 2 hours. Other pain meds included Oxycontin 240mg...

  7. Husband appaled when I chose to do nothing

    medpsychRN replied to JacelRN's topic in General Nursing

    -I remember being Las Vegas in a casino when a man began to seizure while sitting at a slot machine. I started to get up but he was quickly helped to the floor and casino staff called an ambulance...

  8. Anyone having problems with preprinted MARS?

    medpsychRN replied to medpsychRN's topic in General Nursing

    We must have the same system. I've complained about med times eg, chsrting 6 AM meds on "yesterday's MAR. Same goes with PRN's and if meds are given at 3PM, 7 AM or 11 PM. I know there here to...

  9. Anyone having problems with preprinted MARS?

    medpsychRN posted a topic in General Nursing

    Wondering if anyone is having problems with preprinted MARS. We started using them again about 2 weeks ago. Orders are entered into computer and we were told that the computer generated orders are...

  10. Anyone having problems with preprinted MARS?

    medpsychRN replied to medpsychRN's topic in General Nursing

    You're right about the maintenance contracts. They must have one on our pyxis. When you call the pharmacy to complain about the pyxix, they are on the unit in minutes. It's like you called a code!...

  11. Trazodone

    medpsychRN replied to Ms.RN's topic in LPN, LVN Corner

    Trazadone or Trazodone is a useless drug for depression. Primarily used for sleep also seen it used for anxiety (not recently). Sedation is a side effect of the drug and in some, the dose is...

  12. Help with BSN Admission @ UIC

    medpsychRN replied to Maxs's topic in Illinois Nursing

    Your GPA sounds fantastic. I can't imagine why you would not be accepted at UIC. If for some reason, you're not accepted, you can attend a 2 year school, work at a teaching hospital and go to...

  13. Search and Seizure

    medpsychRN replied to Meraki's topic in Psychiatric

    Voluntary or not, people on our unit don't have a choice. If they are coming from the ER, they are already gowned which helps. Most people cooperate. Those who are unwilling are usually hiding...

  14. staffing ratio

    medpsychRN replied to Hacamila's topic in Psychiatric

    Depends on the milieu. We are med/psych. If no medical patients, no 1:1, no heavy adl's and if it's a weekend, they could staff with 5 on days/pms, 3 on

  15. Anyone having problems with preprinted MARS?

    medpsychRN replied to medpsychRN's topic in General Nursing

    I'm sure they researched the software. Two years ago (last time we had preprinted MARS) we were led to believe the orders although entered on the computer were still being manually entered into pyxis...

  16. How many nurses take antidepressants or antianxiety medication?

    medpsychRN replied to Attheana's topic in Health, Stress Management

    I've talked about it occasionally with (close) other nurses but the discussion is mainly focused on length of time before the med starts working, side effects etc. I generally don't make it a habit...

  17. How many nurses take antidepressants or antianxiety medication?

    medpsychRN replied to Attheana's topic in Health, Stress Management

    I was thinking similar things about diabetes. Some need insulin, some take oral agents and some do well on diet and exercise alone. Same with depression. Some people do well with seeing a therapist...

  18. What to do about tech refusing to get VS?

    medpsychRN replied to DutchgirlRN's topic in Medical-Surgical

    Although we don't have the authority to send someone home (we have to call the supervisor and ask first) I think it's absolutely appropriate. In this day and age all I ever hear about is the budget,...

  19. Only RN on duty

    medpsychRN posted a topic in Illinois Nursing

    Just wondering if other nurses deal with the issue of being the only nurse (no LPN or other RN) scheduled. I work med/psych in a hospital setting. I have raised the issue of no breaks and was told I...

  20. How many nurses take antidepressants or antianxiety medication?

    medpsychRN replied to Attheana's topic in Health, Stress Management

    Actually, SSRI's are pretty good drugs. Fewest side effects, work quickly. When they "stop" working it doesn't mean you have to throw in the towel. It may be something simple like raising or...

  21. MD's giving bad news to patients

    medpsychRN posted a topic in General Nursing

    Just a little vent!!! I have a brother who was told last week he had prostate cancer that had spread to the bone (no biopsy, no results of MRI, no bone scan). Now my husband (he is going to be 77...

  22. MD's giving bad news to patients

    medpsychRN replied to medpsychRN's topic in General Nursing

    Thanks for the support! Brother's bone scan was negative. No results of the biopsy. Having been through the biopsy thing with my husband so many times, I don't understand why there are no results...

  23. How many nurses here have their license currently suspended?

    medpsychRN replied to Sheba817's topic in General Nursing

    UNBELIEVABLE. Since when don't you question an MD's order??? What happened to the idea that if you give it you're responsible. Doesn't matter what the doctor wrote. They would have had my...

  24. Alcohol Withdrawl

    medpsychRN replied to zambezi's topic in General Nursing

    Saw an alcohol drip many years ago following surgery. Guy went into DT's (before the alcohol drip). In regards to Dilantin, regardless if within therapeutic range, they'll seizure anyway. Benzo's...

  25. How many nurses take antidepressants or antianxiety medication?

    medpsychRN replied to Attheana's topic in Health, Stress Management

    "Most depression has something to do with the physiology of the brain. It's not all psychological or attitudinal," said Dr. Patrick McGrath, of the New York State Psychiatric Institute. McGrath says...