UrbanHealthRN BSN, RN

Community and Public Health, Addictions Nursing
Member Member Nurse
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UrbanHealthRN has 12 years experience as a BSN, RN and specializes in Community and Public Health, Addictions Nursing.

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  1. UrbanHealthRN

    More States Legalize Fentanyl Test Strips

    Here in my part of New England, the only opiate on the street is Fentanyl, to the point where Fentanyl test strips don't make sense anymore for opiate users- they already know what they're getting. The test strips have been super helpful for testing ...
  2. UrbanHealthRN

    To The Nurse Recruiter: Nope

    Good for you! Sounds like you kept your cool, didn't become reactive, just stayed focused on what you needed for yourself in that moment- to end the interview. I hope this gives her some food for thought next time she interviews someone, but it proba...
  3. UrbanHealthRN

    Increased Anxiety Before Work

    I remember a year into working as a nurse, my anxiety started to get so bad I was having physical symptoms before work- physical pain, GI upset, headaches. I didn't have the words to describe what I was going through yet, so all I did was take Motrin...
  4. UrbanHealthRN

    Question About Vaccines

    Whoah....this sounds like it's bordering on fraud. If this is what your health center wants, though, then I'm right there with you- I'd make sure that doctor is on site for every patient visit or else I'd refuse to give the vaccines. God forbid the b...
  5. UrbanHealthRN

    Question About Vaccines

    I work in a health center, too, and we usually have standing orders for vaccines so that nurses can give them without needing a specific doctor's order in the moment. I'm wondering if that's the case for the Covid vaccines you give, or if they need a...
  6. UrbanHealthRN

    Grand Jury Indicts Nurse but not 5 Officers in inmate death

    This is heartbreaking to read about. After George Floyd's death, I remember there was a lot of talk about law enforcement's use of prone positioning and how it can be dangerous. Why people are still doing this in 2022 the way they are, I can't unders...
  7. UrbanHealthRN

    Nervous About Requesting a Transfer

    Just wanted to share an update and say thank you to everyone who replied! I took the feedback to heart and decided to make myself and my family the number 1 priority. I put in the transfer request last week and let my immediate supervisors know ...
  8. UrbanHealthRN

    Nervous About Requesting a Transfer

    I work for a health center organization in a specialty program. I was hired 2.5 years ago, and my program changed directors 2 years ago. I like the work I do and I like the site I work at, but it's been difficult working for the new director, and aft...
  9. UrbanHealthRN

    How to deal with management who "disciplines" you for no good reason?

    I'm going to agree with JKL33 on this. As a woman in America, I feel like society's expectation for me is to constantly be happy/bubbly/willing to share personal details about my life (ex. marital status, pregnancy status) with anyone at any time. I ...
  10. UrbanHealthRN

    Critical Thinking Meets the Aspiration Debate | Knowledge is Power

    Good question! According to the ACIP, "Aspiration before injection of vaccines or toxoids (I.e., pulling back on the syringe plunger after needle insertion but before injection) is not necessary because no large blood vessels are present at the recom...
  11. UrbanHealthRN

    Will nurses in the ER soon hear the following?

    More like where did they float up from. This thread is pretty bizarre.
  12. UrbanHealthRN

    Burnt Out: Thinking of Leaving Hospice But Feeling Guilty

    On call every weekend is not sustainable. No way. I get that healthcare needs to make itself available to treat patients, but putting an expectation like that on one staff person is borderline abusive. If you like home based nursing, maybe there's a ...
  13. UrbanHealthRN

    Clinical Opiate Withdrawal Scale (COWS) Question

    I do outpatient substance use nursing and we use COWS. We used to use the word "opiate", but technically that's only for naturally derived substances like opium and heroin. Nowadays there's also synthetically made opiates such as Fentanyl, so we use ...
  14. Pardon my lack of medical terms, but she sounds like she was still totally out of it from the anesthesia when she arrived to your unit. Clawing out of the bed, screaming, etc.....yes, that could be pain, but that could also be the other meds making h...
  15. UrbanHealthRN

    Medical Research: How Valid Is It?

    I agree that a positive post is usually the best choice. But like I said above, the article seemed to have nothing good to say about researchers, and on top of that did not seem well thought out (ex. there were errors in how the cited articles were r...