medpsychRN

medpsychRN

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All Content by medpsychRN

  1. Help with isolation precautions for MRSA and C-diff

    medpsychRN posted a topic in Infectious Disease

    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...

  2. Trend To Decrease Use Of Seclusion And Restraint

    medpsychRN replied to marylyn_91604's topic in Psychiatric

    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...

  3. Help with MRSA/C-diff isolation procedures

    medpsychRN posted a topic in General Nursing

    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...

  4. The end of C-diff testing??

    medpsychRN posted a topic in General Nursing

    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...

  5. IV Dilaudid problem patients!!!!!!!!!!!

    medpsychRN replied to mina123's topic in General Nursing

    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....

  6. Any RNs that currently work at Rush University Medical Center in Chicago?

    medpsychRN replied to AJ BSN 2008's topic in Illinois Nursing

    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...

  7. Things you'd LOVE to be able to tell patients, and get away with it.

    medpsychRN replied to AngelfireRN's topic in Patient, Colleague Relations

    For my patient who drops the f bomb every time I ask him to do something..."right back atcha!"

  8. The end of C-diff testing??

    medpsychRN replied to medpsychRN's topic in General Nursing

    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...

  9. Clozaril and hypersalivation

    medpsychRN replied to debi49's topic in Psychiatric

    Just wondering about the anticholinergic effects of combining Clozaril with antihistamines, scopolamine,

  10. Intolerant of RN errors

    medpsychRN posted a topic in Patient Safety Issues

    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...

  11. Intolerant of RN errors

    medpsychRN replied to medpsychRN's topic in Patient Safety Issues

    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...

  12. Question about Seroquel

    medpsychRN replied to BoogiePop's topic in Psychiatric

    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

    medpsychRN replied to ladylikeRN's topic in Psychiatric

    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

    medpsychRN replied to Bobbie Hall's topic in General Nursing

    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

    medpsychRN replied to stillpressingon's topic in General Nursing

    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...

  16. What happens to your integrity when you go into management?

    medpsychRN replied to olympiad27's topic in Nurse Management

    Our middle mangement nurse "graduated" to the unit manager about a year ago. Although she will usually take your side with the docs (although conflict is rarely a problem) she jumped right on board...

  17. pacify or orientate? Alzheimers...

    medpsychRN replied to Lfransis's topic in Geriatric, LTC

    Interesting post. I work nights on an inpatient psych unit. We are the overflow for the geropsych unit. Not all, but the majority of the dementia patients we treat have an advanced disease. These...

  18. Psych Nurse ="not a REAL nurse"?

    medpsychRN replied to Meerkat's topic in General Nursing

    I've heard this many times. It also goes along with "the night nurses don't do anything". I work nights...LOL. I really don't know what prompts people to say such awful things. I just remind folks...

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

    medpsychRN replied to midnitelpn's topic in Psychiatric

    Perhaps the rules are different from state to state. Where I work. Gero-psych is psych. Thus, the rules regarding restraints remains the same. In fact, once restraints are in place (any restraint)...

  20. Are your RN's mopping floors??

    medpsychRN replied to nurselily3's topic in Operating Room

    Wondering if we work in the same place. LOL! We too had someone come out and survey the hospital. We are now being told ways to work more "efficiently". My suggestion of asking the employees who...

  21. How does your facility handle swallowers?

    medpsychRN posted a topic in Psychiatric

    We have had an increase in the number of patients we treat who ae swallowers. Two are so bad, the GI service refuses to see them as the patients have had so many gastric procedures to retrieve the...

  22. How does your facility handle swallowers?

    medpsychRN replied to medpsychRN's topic in Psychiatric

    One particular man is delusional. Hears voices telling him to swallow. Negative consequences (surgery, frequent scoping) have had little impact. Heavy medication slows him down but won't eliminate...

  23. Nursing Issue - Medication Aides

    medpsychRN replied to M&MRN2005's topic in Patient Safety Issues

    I think most would agree that there's more to passing meds than giving out a paper cup and a glass of water. For me, it's an opportunity to talk to the patient about their meds, answer questions and...

  24. Banning smoking for psychiatric patients

    medpsychRN replied to Bjo's topic in Psychiatric

    We stopped allowing patients off the unit (hospital based) a few years ago and finally closed the smoking room 3 years ago. We anticipated big problems but not much happened. Perhaps a total of 5-6...

  25. Nursing Issue - Medication Aides

    medpsychRN replied to M&MRN2005's topic in Patient Safety Issues

    After that super long post about nurses having to have their BSN's in NY it seems a bit of an oxymoron to have people who are trained for 24 hours passing