medpsychRN

medpsychRN

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All Content by medpsychRN

  1. It's unfortunate that mental illness still carries the stigma that there must be something wrong with the individual. There is enough physiologic evidence which points to a chemical imbalance...
  2. Suspicious of nurses and possible drug use?

    I'm wondering if there are other behaviors beyond using the BR frequently or smoking? Substance abusers have other symptoms eg, frequently call in, errors, forgetfulness. I'm taking a diuretic and...
  3. Suspicious of nurses and possible drug use?

    Be careful...very careful. This is a serious allegation and without proof can come back to haunt you. I have worked with nurses who were recovering and when they diverted narcotics, it wasn't by...
  4. Was on Prozac for almost 10 years when my depression crept back. After talking to my psychiatrist, I found out those SSRI's will eventually quit working. You may want to talk to your psychiatrist...
  5. "Just an LPN"....does anyone else get discouraged?

    I went to LPN school (while in high school) for 2 years. You get sick of people asking about your title, when you were going back to school and at times, treating you like you were an idiot. When I...
  6. Severely depressed after my mom died and fought going on meds tooth and nail. I was still in the "pull yourself up by your bootstraps" mentality. Meds have been a lifesaver as it gives me the...
  7. Top Hospitals in the U.S. in clinical quality

    In looking at my state, all the hospitals listed were in the suburbs. No inner city hospital was listed. As I work in the inner city (in a large trauma center), I think I know why. My patients...
  8. Patient assignments during pregnancy

    I just can't imagine being in a position to pick and choose patients! I worked full time (plus) while I was pregnant with all three children and continued to work full time (unfortunately!) since....
  9. Patient assignments during pregnancy

    "So I want to bring this up to my NM because I'm kind of getting tired of it (by the way, prego is lazy and a complainer too). Besides, she does nothing to help anyone else on the unit. She actually...
  10. outpatient detox program

    I never worked outpatient only inpatient. Because, the unit was free standing, non medical (state funded as well!), nurses did many things. Admission history and physical assessments, psych...
  11. Is it true that a BSN will be mandatory soon?

    I'm feeling old, LOL! I can remember getting out of LPN school 30+ years ago and hearing then they were phasing out LPN's. Then they were not going to recognize diploma programs. ADN's were not...
  12. Is it true that a BSN will be mandatory soon?

    I'm feeling old, LOL! I can remember getting out of LPN school 30+ years ago and hearing then they were phasing out LPN's. Then they were not going to recognize diploma programs. ADN's were not...
  13. Trend To Decrease Use Of Seclusion And Restraint

    Both of these situations sound unsafe. Obviously clearing the area is a good idea but from what I've seen, once patients start to "go off" they are looking to engage with someone and they don't...
  14. Game: Name that smelly drug

    Had a patient with a metabolic disorder which I had never heard of and I can't remember the name. I think it has something to do with cystine (sp?). The patient has a buildup of cystine in the body....
  15. I did get patients from jail when I worked in substance abuse. The circumstances of being released was different mainly because the crime they committed was not a violent crime. The patient had to...
  16. outpatient detox program

    i'm suspecting this is a methadone clinic (although anything is possible). beyond administering methadone, i'm sure they involve the nurse in some of the treatment groups. they may also have the...
  17. In Illinois, if a patient has insurance, public aid or medicare and presents to the emergency room, they cannot be sent to a state hospital. Thus, involuntary admissions are sent to the floor and a...
  18. Alcohol Withdrawl

    I would be wary of using alcohol to help detox or avoid withdrawal. Symptoms of withdrawal begin once the blood alcohol level halves. Patients with a high tolerence will begin to show withdrawal...
  19. PSA in the 900's?

    Brother lives out of state and I am getting this info from my sister. He went to the doctor 2 weeks ago with UTI symptoms. Had a PSA drawn and was told it was in the 600's and he had cancer of the...
  20. PSA in the 900's?

    Honestly, I was thinking that sister had her tests mixed up. I wondered if it was the alk phos that was in the 900's (although I have never seen it) which may have led the doc to think bone
  21. Can someone answer this question

    Try reading about the diagnoses that are most common (schizophrenia. manic depression, depression, borderline personality and dementia). You aren't going to remember everything about these illnesses....
  22. Are side rails considered restraints?

    We have one rail up and the bed against the wall. Didn't know this was considered a restraint (although I wondered about this). Have used bed alarms with varying rates of success. Still have had...
  23. What to do about tech refusing to get VS?

    Little Sarah sounds mega passive aggressive! Sarah's no idiot so to make comments about the nurse not knowing how to use a Dynamap is low. To say it in front of a patient is unprofessional. As this...
  24. staff abuse

    We get patients all the time from LTC who have been aggressive. It's common practice for them to transfer a patient to psych if a resident hits someone. We have a young girl now who has CP and is...
  25. After reading this thread I realize I am blessed! I work in a great place, suppportive staff and have a pharmacist on duty 24/7. They take the initiative for any questionable order by calling the...