sassyann85

sassyann85

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All Content by sassyann85

  1. restraint/seclusion order question

    sassyann85 replied to sassyann85's topic in Psychiatric

    one last question I promise! :) when a patient is going into limb restraints, and staff is holding them down while the restraints are retrieved/applied, would the order have to specify 'manual...

  2. restraint/seclusion order question

    sassyann85 replied to sassyann85's topic in Psychiatric

    that totally makes sense to me. Thanks so much for taking the time to explain all this. So, if the setup is that the restraint bed is in the seclusion room, if the patient is restrained, even if the...

  3. restraint/seclusion order question

    sassyann85 replied to sassyann85's topic in Psychiatric

    this is our set-up too. so if the seclusion door remained open with the patient in restraints, it would just be considered "restraint" and not "restraint and seclusion,"

  4. restraint/seclusion order question

    sassyann85 replied to sassyann85's topic in Psychiatric

    thanks! when elkpark mentioned "if your policy doesn't call for seclusion along with the physical restraints (which is hard for me to imagine, but ...)"....I am just wondering: if a patient is in,...

  5. restraint/seclusion order question

    sassyann85 replied to sassyann85's topic in Psychiatric

    thanks so much this was very very helpful! One last question, if you don't mind. I just want to make sure I am doing everything right. If a RN initiates the restraint/seclusion, let's say at 6:30 pm,...

  6. restraint/seclusion order question

    sassyann85 replied to sassyann85's topic in Psychiatric

    thanks for the reply! so if both restraint and seclusion are going on simultaneously, in terms of the 4 hour renewel for the orders, you would have two different timelines going on (on for renewing...

  7. HIPAA/pharmac

    sassyann85 posted a topic in HIPAA Challenges

    Kind of an odd question. But is a nurse in a hospital allowed to call a pharmacy to verify that a pt's PCP called in a script for them, or do you need to have the pt sign a release of information...

  8. patients on methadone plus PRN pain meds

    sassyann85 replied to sassyann85's topic in Patient Medications

    thanks everyone for your responses! very helpful! What about a patient on suboxone? I have seen PRN Tramadol. If they are well established on suboxone maintenance, would prn tramadol precipitate...

  9. how to find the right answers?

    sassyann85 posted a topic in Psychiatric

    I am wondering where everyone gets their resources at. I try to look things up in my old nursing textbooks/online and ask coworkers, but it seems every coworker gives me a different answer. For...

  10. patients on methadone plus PRN pain meds

    sassyann85 replied to sassyann85's topic in Patient Medications

    i was thinking that bc methadone has such a long half0life, the methadone will be in their system a long time no matter if you wait an hour or not to give a pain med/controlled med.

  11. number of doses/24 hours? help!

    sassyann85 posted a topic in Patient Medications

    Hi everyone. A few of our where I work are looking at this differently, and I wondered how other's would interpret it. Say a Dr. orders a med and writes a med the patient can take q 6 hours but adds...

  12. PRN med order question

    sassyann85 posted a topic in Patient Medications

    Hi everyone! So here is my question. I might be overthinking, but a couple nurses told me a couple different things... Say a patient has an order "Ativan 1 mg q 4 hours max 6 times in 24 hours." And...

  13. Helipad fumes

    sassyann85 posted a topic in General Nursing

    On the floor I work on, the Helipad for life flight is right on the roof outside the building. It doesn't happen every day, but often we can smell fumes from the helicopter diesel. Staff has gotten...

  14. correcting documentation after several days

    sassyann85 posted a topic in General Nursing

    Just wondered how everyone would handle this-- This happened during my shift Friday, but I didn't realize it til Saturday night (and I was off work Saturday and am off today). I realized I think in...

  15. PRNs day of discharge

    sassyann85 posted a topic in Psychiatric

    Wondering everyone's thoughts on this. We have some nurses that won't give a PRN Ativan for anxiety the day of discharge even if the patient currently has it ordered if they aren't going to be...

  16. PRN times in psych

    sassyann85 posted a topic in Psychiatric

    Hi everyone! Just wondering what everyone's take on this was. Lately, I have been seeing PRN orders that read, for example, Ativan 0.5 mg PO TID PRN. Some nurses say this means the PRN can be given...

  17. confused about PRN use

    sassyann85 posted a topic in Psychiatric

    Hi everyone, So I am a little confused about the use of different PRNS in different scenarios, after talking to different nurses I work with. For example, if a pt has PRN Ativan and PRN Haldol...

  18. confused about PRN use

    sassyann85 replied to sassyann85's topic in Psychiatric

    oh one more thing...if they requested just the ativan because they said that helped (and didn't want the haldol despite saying they hear voices), would you give just that? I guess I get worried about...

  19. confused about PRN use

    sassyann85 replied to sassyann85's topic in Psychiatric

    thanks for the response! i had a long-time psych nurse told me they HAD to be administered together and that didn't seem right to me, I'd rather actually look at their presentation

  20. "hard" restraints?

    sassyann85 posted a topic in Psychiatric

    Hi everyone! Quick question...I thought the posey "twice as tough" locking restraints (you know, the ones that are blue for upper extremities and red for lower and have a silver lock-link to posey's...

  21. benzo use in hospital

    sassyann85 posted a topic in Psychiatric

    Hey everyone, Quick question. When pts receive PRN benzos at therapeutic doses while they are hospitalized, but then we discharge them without the benzos, are they at risk for withdrawal? Or is a week...

  22. haldol

    sassyann85 posted a topic in Psychiatric

    It seems haldol and ativan are commonly given together. In what instances have you used ONLY prn haldol without the ativan. Also, if a patient gets, say daily zyprexa as a standing order but also has...

  23. when to add cogentin/benadryl?

    sassyann85 posted a topic in Psychiatric

    Hi everyone: Question...if someone requires PRN Haldol either PO or IM, do you always typically give them Benadryl or Cogentin along with it at the same time to ward off

  24. drug/alcohol pt questions

    sassyann85 posted a topic in Psychiatric

    Hi everyone! So, I'm going to be re-entering into psych nursing. I did psych for about 6 years in the past. I'm trying to think ahead of any thing I want to brush up on before my hospital orientation....

  25. question about withdrawal protocols!

    sassyann85 posted a topic in Addictions

    Hi everyone! So, I'm going to be re-entering into psych nursing. I did psych for about 6 years in the past. I'm trying to think ahead of any thing I want to brush up on before my hospital orientation....