UrbanHealthRN BSN, RN

Community and Public Health, Addictions Nursing

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All Content by UrbanHealthRN

  1. UrbanHealthRN

    Clinical Opiate Withdrawal Scale (COWS) Question

    UrbanHealthRN replied to scrubulator's topic in General Nursing

    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...
  2. UrbanHealthRN

    Between a rock and a hard place (or Sedated patient deemed me uncompassionate)

    UrbanHealthRN replied to Ioreth's topic in General Nursing

    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...
  3. UrbanHealthRN

    Medical Research: How Valid Is It?

    UrbanHealthRN replied to Brenda F. Johnson's topic in General Nursing

    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....
  4. UrbanHealthRN

    Medical Research: How Valid Is It?

    UrbanHealthRN replied to Brenda F. Johnson's topic in General Nursing

    As a quick piece of background, I have a Masters in Public Health in addition to my BSN, and I am familiar with research methods as they pertain to healthcare. I find it is interesting that this...
  5. UrbanHealthRN

    Nurse Personality

    UrbanHealthRN replied to Davey Do's topic in General Nursing

    Sounds like that nurse didn't do a good job of, ahem, reading the room. Some days it's easy- my personality just clicks with the patient in front of me, and we work on treatment goals like we're...
  6. UrbanHealthRN

    Patient’s medication taken away

    UrbanHealthRN replied to Marlen0802's topic in General Nursing

    I'm confused- are you working in an outpatient facility like a methadone clinic, or has the patient been admitted to another inpatient setting like residential treatment? If it's an outpatient...
  7. UrbanHealthRN

    I need advice about my new RN job at a drug rehab center

    UrbanHealthRN replied to RandomPsychNurse's topic in General Nursing

    Sounds like they're cutting corners big time at this facility. Using recovery coaches for things besides coaching (I don't even have to ask, I just know). Claiming they do "medically supervised detox"...
  8. UrbanHealthRN

    Managers, Nurses and Delegation: Who Has Authority?

    UrbanHealthRN replied to SilverBells's topic in General Nursing

    OP, I think part of the issue is that you're mixing up your terminology. The title of your post is "Managers, Nurses, and Delegation". There's the first problem- in no way was your situation a case of...
  9. UrbanHealthRN

    Messing Up

    UrbanHealthRN replied to rnlady112's topic in General Nursing

    Once upon a time I worked night shift at a pedi hospital. I was probably a year into my job when one night I took care of a little boy who had pneumonia. Despite my insect brain level of nursing...
  10. UrbanHealthRN

    Empathy and Adaptation

    UrbanHealthRN replied to Davey Do's topic in General Nursing

    January 26 will be my 11 year anniversary of starting work as an RN, and all week I've been doing my usual annual reflecting of where I was, where I am, and where the heck am I going?! This post is...
  11. UrbanHealthRN

    Nursing and Sign Language

    UrbanHealthRN replied to Davey Do's topic in General Nursing

    My mom worked at a large psychiatric state hospital in the 70s and 80s. She learned a bit of sign language along the way. I still remember her teaching me the signs for "coffee" and "smoke"- two...
  12. UrbanHealthRN

    Case Study: Newborn with Vomiting and Diarrhea

    UrbanHealthRN replied to SafetyNurse1968's topic in Critical Care

    Oooh a pedi case! I'm thinking infectious disease vs. congenital disorder. I'd need labs from both mom and baby to help determine that. For mom, I'd double check her immunology labs, especially...
  13. UrbanHealthRN

    Parent harassing me in clinic

    UrbanHealthRN replied to KiddoRN73's topic in School

    I am so sorry to hear you are going through this right now. It's hard enough being a nurse- you don't need this from a parent. I had an incident a couple years ago where I called CPS on a child, and...
  14. UrbanHealthRN

    All pukes are not created equal

    UrbanHealthRN replied to SaltineQueen's topic in School

    The guidance I went by for pre-k kiddos was: a) 1 puke + at least one other illness symptom (fever, diarrhea, persistent abdominal pain, significant behavior change like frequent crying), or b) two or...
  15. UrbanHealthRN

    "Hypothetical" Situation

    UrbanHealthRN replied to BrisketRN's topic in School

    When a person breaks a bone, basic instinct (usually) kicks in and that person will try to keep the broken limb still, because moving it = pain. If the fracture is on a part of the body where it would...
  16. UrbanHealthRN

    Parent with Borderline Personality Disorder

    UrbanHealthRN replied to MHDNURSE's topic in School

    YES. Nothing worse than a bunch of staff coming into a meeting cold with no prep work done or agreed upon plan in place. Might as well just sit back and watch the BPD unfold in a group
  17. UrbanHealthRN

    Chronic Head Lice

    UrbanHealthRN replied to Purple036's topic in School

    Haven't heard of it but just took a peak at the website and it looks pretty decent to me. The only thing I worry about is the conditioner it comes with- mom needs to make sure to not apply the...
  18. UrbanHealthRN

    CBD Administration in School? Policy?

    UrbanHealthRN replied to SchoolNurse91's topic in School

    Oh wow, I have so many questions now....what kind of seizures does this kid have? Tonic clonic or something milder like absence? Does she ever have airway etc. issues during a seizure? Does the CBD...
  19. UrbanHealthRN

    Any Nursing Moms?

    UrbanHealthRN replied to jnemartin's topic in School

    Just sent a DM to you- I used to do lactation consultant work and have some ideas. And like everyone else said- keep up the good
  20. UrbanHealthRN

    CBD Administration in School? Policy?

    UrbanHealthRN replied to SchoolNurse91's topic in School

    I'm hoping there's also an order for Diastat or something else during a seizure >3 minutes, no? If that were the case, I'd feel better about administering just the Diastat and leaving the CBD for...
  21. UrbanHealthRN

    How? Just, HOW?!

    UrbanHealthRN replied to ihavealltheice's topic in School

    "when it happens again"...you should add this to the kid's medical history. Maybe make a 504 plan and have mom sign off on it. Let her see on paper how ridiculous that
  22. UrbanHealthRN

    Scab nursing?

    UrbanHealthRN replied to Emergent's topic in Collective Bargaining, Union

    We're worried about the safety of patients and cost of agency nurses during a nursing strike? How about the ongoing lack of safe staffing, inadequate supplies, etc. that led to the strike in the first...
  23. UrbanHealthRN

    Pertussis Parent Notification

    UrbanHealthRN replied to jnemartin's topic in School

    If the disease is serious enough, 1 case can be all it takes to be considered an outbreak (ex. 1 case of anthrax is an "outbreak" in my state because it's so rare and dangerous). Check with your state...
  24. UrbanHealthRN

    Clearing bathroom odors

    UrbanHealthRN replied to Mavnurse17's topic in School

    I know the commercial looks gimmicky, but Poo-pourri really works great! You just spray it in the toilet before going, flush as usual, and no smell except whatever scent you have purchased will remain...
  25. UrbanHealthRN

    Heimlich Queen

    UrbanHealthRN replied to MrNurse(x2)'s topic in School

    After working in a Head Start/Daycare environment where I was the only healthcare person on staff between multiple buildings, let me just say that there's a big difference between having a nurse...