ThePsychWhisperer BSN, MSN, APRN, NP

Psychiatric and emergency nursing

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All Content by ThePsychWhisperer

  1. ThePsychWhisperer

    Help FBI Fingerprints

    ThePsychWhisperer replied to stasiastar's topic in Licensure: Criminal History

    I just feel like there's information we're not getting here. Why in the world would the FBI (I assume you mean the Federal Bureau of Investigation) be interested in domestic violence charges and have...
  2. ThePsychWhisperer

    It was worth it...

    ThePsychWhisperer replied to FutureLPNty's topic in LPN, LVN Corner

    Or Tennessee.
  3. ThePsychWhisperer

    Nursing is not what it is made out to be..

    ThePsychWhisperer replied to ModernRN's topic in General Nursing

    Perhaps you were aiming for bedside nurse? Ya know, since we NPs are still nurses, and are registered to
  4. ThePsychWhisperer

    IV Push med– do you always have to pull back for blood return?

    ThePsychWhisperer replied to missjune's topic in Patient Medications

    Shenanigans, Mi Vida! Pure shenanigans from you!
  5. ThePsychWhisperer

    Seriously?!?! You gotta be kidding me!

    ThePsychWhisperer replied to ~Mi Vida Loca~RN's topic in General Nursing

    Patient came to the ED via ambulance for insomnia, because he had been awake all night...just that night. You can't make this stuff up
  6. ThePsychWhisperer

    IV Push med– do you always have to pull back for blood return?

    ThePsychWhisperer replied to missjune's topic in Patient Medications

    Which is it exactly? Either the brisk flow of blood is only one part of the assessment, or it is the end all, be all before the administration of meds. And what is the point of having a patent IV if...
  7. ThePsychWhisperer

    IV Push med– do you always have to pull back for blood return?

    ThePsychWhisperer replied to missjune's topic in Patient Medications

    I understand that the blog spans several months and years...I looked at ALL of them after the article that was quoted earlier in this thread; the one when you mentioned needing to read in...
  8. ThePsychWhisperer

    IV Push med– do you always have to pull back for blood return?

    ThePsychWhisperer replied to missjune's topic in Patient Medications

    In chronological order, the article referenced in your response here is the most recent that she has posted regarding assessing patency of a vein/peripheral IV, unless you have access to articles she...
  9. ThePsychWhisperer

    IV Push med– do you always have to pull back for blood return?

    ThePsychWhisperer replied to missjune's topic in Patient Medications

    Do you have a link to these Standards of Practice that we can view without paying $75? I'd like to research this, but not that
  10. ThePsychWhisperer

    IV Push med– do you always have to pull back for blood return?

    ThePsychWhisperer replied to missjune's topic in Patient Medications

    Central lines such as PICC lines and mid-lines should usually yield good blood return, and if they don't, I don't try to flush anything through them. That being said, I have seen many peripheral lines...
  11. ThePsychWhisperer

    Advice, Please?

    ThePsychWhisperer replied to MissEm's topic in Patient, Colleague Relations

    Not necessarily true. I was recently written up by my immediate supervisor after a complaint that was nothing but lies from top to bottom was filed from my facility's stroke coordinator, and this was...
  12. ThePsychWhisperer

    ER

    ThePsychWhisperer replied to rhedge's topic in Emergency

    Thanks for posting this! I was unaware that the protocol for blood administration had changed for the administration of Rh positive and negative blood. After reading over the information you provided...
  13. ThePsychWhisperer

    ER

    ThePsychWhisperer replied to rhedge's topic in Emergency

    If you know the rationale, can you shed a little light on this new standard for me, Pixie? I'm in an ED that still transfuses only O- blood in emergent situations for those that have not been typed...
  14. ThePsychWhisperer

    Why wasn't I placed in the ED?

    ThePsychWhisperer replied to shan_elle's topic in Emergency

    To me, there's just something about the OP that comes off as not necessarily "special snowflake-ish" or entitled...but very self-important, maybe? In any case, it's very off-putting. Subtle and...
  15. ThePsychWhisperer

    PMHNP MSN online?

    ThePsychWhisperer replied to robin983's topic in Student Nurse Practitioner

    The University of South Alabama has the same program, with only one campus visit required right before your clinical practicum starts, and the remainder (didactic portion) is completely online. I am...
  16. ThePsychWhisperer

    Heparin: to pinch or stretch?

    ThePsychWhisperer replied to Tink87's topic in General Students

    Honestly, I do neither. I usually inject heparin into the abdomen, approximately two inches from the umbilicus, same as I would do for Lovenox. Most people have enough subcutaneous tissue in their...
  17. ThePsychWhisperer

    So frustrated I want to cry

    ThePsychWhisperer replied to Mission2BNP's topic in Student Nurse Practitioner

    I second what everyone else said. If you happen to live in a compact state, I would also look into the possibility of branching past your comfort zone. I live in TN, and was finally able to get a...
  18. ThePsychWhisperer

    How much training and work in other areas did it take you to get a job as an ER nurse?

    ThePsychWhisperer replied to laschai's topic in Emergency

    I honestly fail to see the fail in the post. I agree wholeheartedly. I started in the ER fresh out of school and have been there for four years now. I agree that the skills you learn in the ED are...
  19. ThePsychWhisperer

    Starting IVs

    ThePsychWhisperer replied to Cindycin37's topic in Medical-Surgical

    Brownbook, I currently work in a busy ED where a majority of my population has destroyed most of their veins with IV drug use, so I hardly live in the ideal world of IVs. I have started IVs in...
  20. ThePsychWhisperer

    Starting IVs

    ThePsychWhisperer replied to Cindycin37's topic in Medical-Surgical

    The common rule of thumb is to start low and work your way up, yes. I never start in the hand though, as there are too many nerves to hit, and many medications should not be pushed through hand veins....
  21. ThePsychWhisperer

    Do I have hope for getting into nursing school?

    ThePsychWhisperer replied to allyj13's topic in Pre-Nursing Students

    Due to some struggles with depression early in my college career, I completed my pre-requisites with a staggering 2.9 GPA. Luckily, the school I chose looked not only at my grades, but took my...
  22. ThePsychWhisperer

    Giving meds you did not pour

    ThePsychWhisperer replied to mindymanders's topic in General Nursing

    Sounds like you're on the base to me. Unless the person pouring was someone I trusted with my life, kids, bank account info, etc, I'm not putting my name behind it if I didn't pour it. I've even gone...
  23. ThePsychWhisperer

    Clean stick needle change

    ThePsychWhisperer replied to Emergencyhotdog's topic in General Nursing

    Stuck myself once with a clean needle I was about to use to inject medication into a saline bag. Threw away the entire needle and redrew the medication. I know I don't have anything contagious, but to...
  24. ThePsychWhisperer

    WGU will not accept me

    ThePsychWhisperer replied to jenam2you's topic in Western Governors University

    I think the OP has moved on...and totally left the building. Must not have cared for the healthy dose of
  25. ThePsychWhisperer

    WGU will not accept me

    ThePsychWhisperer replied to jenam2you's topic in Western Governors University

    I can't speak to WGU's policy on not allowing in students that don't have work experience as a nurse, but as one user posted, s/he recently graduated from that particular school, and they drew on work...