ThePsychWhisperer BSN, MSN, APRN, NP

Psychiatric and emergency nursing

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All Content by ThePsychWhisperer

  1. ThePsychWhisperer

    Lack of "customer service" as beneficial factor for chronic disease process?

    ThePsychWhisperer replied to KatieMI's topic in General Nursing

    I'm really not sure why you continue to reference the ACA; KatieMI never referenced the ACA, and honestly, I believe it to be irrelevant here. KatieMI was simply wondering about a correlation between...
  2. ThePsychWhisperer

    Suicide screening for all is not needed

    ThePsychWhisperer replied to Emergent's topic in Emergency

    I couldn't disagree with you more. You would be surprised the stigma mental health still carries, and as others have pointed out, how many people will not admit to having feelings of depression or...
  3. ThePsychWhisperer

    How has nursing changed you?

    ThePsychWhisperer replied to thoughtful21's topic in General Nursing

    How has nursing changed me? Hmm... I'm certainly more jaded and cynical than I was prior to getting into nursing. Now as a psychiatric NP, I find myself trying to diagnose Axis I and II disorders in...
  4. ThePsychWhisperer

    Intake and Output

    ThePsychWhisperer replied to dreamerachiever's topic in General Students

    I have never heard of a "glass" being 180ml, and this is after 5 years as a nurse and 12 as a pharmacy tech. However, if we use this measurement (without PB), you get the following: 800 + 120 +180 +...
  5. ThePsychWhisperer

    Intake and Output

    ThePsychWhisperer replied to dreamerachiever's topic in General Students

    My calculation is off by 10ml from the answer key, but here is how I think they are arriving at the intake answer: The patient is receiving an IV of 100ml/hr; 100 x 8 = 800 I am assuming the problem...
  6. ThePsychWhisperer

    Really, Doctor?!

    ThePsychWhisperer replied to OrganizedChaos's topic in General Nursing

    Some physicians are wonderful, some are nublets, and some? Well, I'm afraid I would violate TOS if I said what I really thought about them :). As an ex-ED nurse, I'm pretty discerning with changes in...
  7. ThePsychWhisperer

    Really, Doctor?!

    ThePsychWhisperer replied to OrganizedChaos's topic in General Nursing

    In my facility, if a stroke is suspected (which sounds more in line with the acute confusion, unilateral weakness and slurred speech), we call a stroke alert as opposed to a regular rapid response,...
  8. ThePsychWhisperer

    What 3 routine checks are required of a nasogastric tube when it is already in a patient?

    ThePsychWhisperer replied to karenbee8's topic in Nursing Student Assistance

    To check NG tube placement, attach a Toomey syringe to the end of the tube and aspirate vigorously. If the patient begins to turn blue, the tube is probably in the wrong spot. Now for the serious...
  9. ThePsychWhisperer

    Bizarre Co-Worker Rant!

    ThePsychWhisperer replied to All4NursingRN's topic in General Nursing

    While this may be your experience, in both EDs I have worked in, we had a stock dose of Levophed in the Pyxis and IV pumps pre-programmed with common doses of Levophed with a lockout above a certain...
  10. ThePsychWhisperer

    What was the cost of your Family Nurse Practitioner Program?

    ThePsychWhisperer replied to FNPStudentLife's topic in Student Nurse Practitioner

    There are multiple reasons for one not joining the armed forces, none of them having anything to do with America sickening them. Then there are those of us that have already spent time in the real...
  11. ThePsychWhisperer

    What was the cost of your Family Nurse Practitioner Program?

    ThePsychWhisperer replied to FNPStudentLife's topic in Student Nurse Practitioner

    Indeed, you are not alone. LOL! The good thing with my track is that a lot of jobs offer loan repayment assistance, so hopefully I can finagle most if not all of that money back from a job *fingers...
  12. ThePsychWhisperer

    What was the cost of your Family Nurse Practitioner Program?

    ThePsychWhisperer replied to FNPStudentLife's topic in Student Nurse Practitioner

    I went to the University of South Alabama. Had I not taken out the max in student loans a few semesters to consolidate some debt, the cost would have been $24,500 for the whole
  13. ThePsychWhisperer

    Hidden camera in nursing home, cries for help unanswered

    ThePsychWhisperer replied to Emergent's topic in Nursing News

    It would be truly disgusting for any patient to go through this, but as a veteran myself, it truly chaps my behind when someone that at one time fought for everyone's freedom is treated this way. I do...
  14. ThePsychWhisperer

    Is Nutrition course really the hardest course?

    ThePsychWhisperer replied to Farrah 34's topic in Pre-Nursing Students

    My nutrition class was, oddly enough, the hardest course I took for my prerequisites. Not because of the actual nutrition component, but like another poster here, my instructor was a sadist. Tons of...
  15. ThePsychWhisperer

    Taking A&P More Than Twice

    ThePsychWhisperer replied to aer3's topic in General Students

    No, what a nurse really needs is a working knowledge of A&P, 15 arms, a 20-gallon bladder, the ability to eat lunch with one's toes while typing a chart note, eagle eyes to catch physician...
  16. ThePsychWhisperer

    Needle stick from urine collection cup.. Patient HepC positive...

    ThePsychWhisperer replied to Leeleeboo7's topic in General Nursing

    I can see this, although I was usually in too big a hurry to notice if there was a warning picture on the sticker. I just always carried the cup as I would any other cup with my finger far away from...
  17. ThePsychWhisperer

    Needle stick from urine collection cup.. Patient HepC positive...

    ThePsychWhisperer replied to Leeleeboo7's topic in General Nursing

    Replacing the sticker is in no way beneficial for preventing injury from these vacutainer cups. I used them in my last facility in the ED, and I loved them! The needle is actually inside a small hole...
  18. ThePsychWhisperer

    2nd tb test is freaking me out

    ThePsychWhisperer replied to MsLori615's topic in General Nursing

    Not trying to give medical advice, but honestly, I would have a blood test done to see what it says before starting any medication, but I've always been the type to not take any medication unless I...
  19. ThePsychWhisperer

    2nd tb test is freaking me out

    ThePsychWhisperer replied to MsLori615's topic in General Nursing

    I wish I could like this a million times. Since I discovered the Quantiferon Gold, it's the only test I use. One little blood draw once a year and you're done. No muss, no
  20. ThePsychWhisperer

    All Hail ICU Nurses

    ThePsychWhisperer replied to purplegal's topic in Critical Care

    I'm going to assume you mean geriatric nursing here, and respond to this while shaking my head in disbelief. While geriatric nursing is not my forte per se, there is nothing about the care of the...
  21. ThePsychWhisperer

    All Hail ICU Nurses

    ThePsychWhisperer replied to purplegal's topic in Critical Care

    Try being an ER nurse and managing two ICU holds while attempting to care for three other ER patients; this was a day that managed to lead me to question life choices. I also recently transitioned...
  22. ThePsychWhisperer

    ED or ICU

    ThePsychWhisperer replied to spence41's topic in Emergency

    I have never seen this summed up so succinctly and so accurately before... my mind is
  23. ThePsychWhisperer

    Chamberlain

    ThePsychWhisperer replied to steveeee090's topic in Chamberlain College

    No, we're not necessarily quick to judge; did you read the original post at all? The OP asked if the test would be blood, urine, or hair. Different drugs stay in each medium for different lengths of...
  24. ThePsychWhisperer

    Chamberlain

    ThePsychWhisperer replied to steveeee090's topic in Chamberlain College

    No one, but I've done it multiple times in my life for jobs and military entrance. Sometimes, it's just part of
  25. ThePsychWhisperer

    What is the grossest thing that's happened to you???

    ThePsychWhisperer replied to PrincessAlexis's topic in General Nursing

    Been there! Accidentally spiked through a bag of blood I was hanging and it ended up everywhere: all over my shoes, uniform, floor, IV pump...errywhere. Another time, I was helping a fellow nurse put...