sassyann85

sassyann85

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All Content by sassyann85

  1. PRN and scheduled meds

    sassyann85 posted a topic in Patient Medications

    Hi everyone: Kind of just looking for some reassurance... So my question is, if a patient has a scheduled med, say Ativan 1 mg PO TID and also has a PRN order for the same med (Ativan)-let's say...

  2. alcohol withdrawal-Ativan

    sassyann85 posted a topic in Addictions

    Just wanted to pick you addiction nurses's brains on something... So patients can be ordered a ETOH withdrawal protocol, where they can get score-prompted PRN Ativan either q 4 or q 2. Essentially, if...

  3. scheduled meds with prns

    sassyann85 posted a topic in Psychiatric

    Hi everyone: So I often have patients on scheduled antipsychotics like risperdal or abilify and then they have PRN antipsychotics ordered. How do you know if these can be given together or how long...

  4. weird PRN orders

    sassyann85 posted a topic in Psychiatric

    Hey everyone, So we have patients that are ordered to be on the WAS (withdrawal scale for alcohol or benzo withdrawal). It usually goes that they will get their vitals every 2-4 hours depending on...

  5. legit discharge?

    sassyann85 posted a topic in Psychiatric

    a voluntary patient came in to the psych unit and was suicidal and also using alcohol. They were detoxed off the alcohol, started on antidepressants, and was no linger suicidal at discharge. The pt...

  6. accidental violation?

    sassyann85 posted a topic in HIPAA Challenges

    what if a patient chart is accodentally opened and immediately closed? can the hospital tell how long you were in a chart and what you clicked on and see you immediately closed the chart once you...

  7. 72 hour notice/AMA

    sassyann85 posted a topic in Psychiatric

    Hey everyone, So in my state, if a voluntary psychiatric patient wishes to "sign out" of treatment, they can sign a "72 hour notice" that they would like to withdrawal from treatment, but the form...

  8. discharging a patient without a PCP

    sassyann85 posted a topic in General Nursing

    Hello, For patients that are inpatient in the hospital, when they get discharged, our MDs write for a prescription for usually 2 weeks of meds. Pts are encouraged to allow the RN to schedule them a...

  9. suboxone taper

    sassyann85 posted a topic in Addictions

    When a patient comes in for opiate addiction and wants suboxone, we have them sign a consent and agreement to stay until the taper is done. Still, some patient sign on AMA before the taper is...

  10. Pts without insurance getting d/c on insulin

    sassyann85 posted a topic in General Nursing

    For Pts that are in the hospital and require insulin therapy but do not have insurance...who is responsible for trying to get them some sort of medical assistance to pay for this? The social worker or...

  11. Pts without insurance getting d/c on insulin

    sassyann85 replied to sassyann85's topic in General Nursing

    same with where I work. I am newer there, so I havent encountered this situation yet, but wasn't sure if this was considered a "nursing responsibility" or not....I didn't think it would be, as I have...

  12. patient being discharged on coumadin

    sassyann85 posted a topic in General Nursing

    When you are working with a patient who will be d/c home on coumadin, is there a coumadin clinic in your hospital you have them follow up with, or do you make them an appointment with their PCP? Also,...

  13. IV order to discontinue?

    sassyann85 posted a topic in General Nursing

    Hi everyone. So if a patient is ordered a peripheral IV start for a bag of fluids, after the bag is completed some RNs have been discontinuing (removing) the IV as soon as the infusion completes. My...

  14. combining PRNS

    sassyann85 posted a topic in Psychiatric

    Hi everyone. I tried to research this, but I can't seem to find anything specific. I came from a floor that treated mainly depressed patients, and now I am working on a floor where there is more...

  15. judgement/insight and AMA patients

    sassyann85 posted a topic in Psychiatric

    How do you typically document judgement and insight on patients signing out AMA? Specifically, patients with drug/ETOH problems that arent suicidal and so can't be held, but sign out AMA and plan to...

  16. judgement/insight and AMA patients

    sassyann85 replied to sassyann85's topic in Psychiatric

    when other pts get d/c to outpatient treatment or whatever, sometimes they really minimize the severity of their condition but they are able to care for themselves and I think recognize if the were...

  17. long acting injectables

    sassyann85 posted a topic in Psychiatric

    For pts on meds like invega sustenna, when the pt is discharged, do you give the script for this med directly to the patient, with instructions to take the med to their outpatient appointment to be...

  18. patients on methadone plus PRN pain meds

    sassyann85 posted a topic in Patient Medications

    Hello, I have seen several patients on methadone maintenance that are also ordered PRN pain meds such as tramadol or oxycodone. How often do you typically have them wait after administering the...

  19. PRN for ETOH withdrawal day of discharge

    sassyann85 posted a topic in Psychiatric

    Just wanted some input... There was a patient who came in and was on the alcohol withdrawal protocol, with symptom triggered PRN ativan ordered. He wasn't on a scheduled taper. No hx of seizures or...

  20. PRN for ETOH withdrawal day of discharge

    sassyann85 replied to sassyann85's topic in Psychiatric

    thanks everyone for your

  21. PRN for ETOH withdrawal day of discharge

    sassyann85 replied to sassyann85's topic in Psychiatric

    He was not going to be given a script for ativan at

  22. PRN for ETOH withdrawal day of discharge

    sassyann85 replied to sassyann85's topic in Psychiatric

    I was just thinking, if the patient received a med indicated for withdrawal several hours before discharge (even though the reason he scored 'high enough' on the withdrawal scale was due to...

  23. dischargin psych pts question

    sassyann85 posted a topic in Psychiatric

    The answer to this is probably pretty obvious. However, I guess I feel a 'maternal' role/responsibility with these patients, which is why I bring up the following. So if a patient is on a voluntary...

  24. dischargin psych pts question

    sassyann85 replied to sassyann85's topic in Psychiatric

    oop,s you are right. I guess what I am asking is, in this case is there any type of follow-up that should occur? Obviously if a patient elopes while inpatient, there is a process that occurs. But,...

  25. restraint/seclusion order question

    sassyann85 posted a topic in Psychiatric

    Hi everyone, So on our physician order form for restraint and seclusion (which we often get the order as a verbal from the Dr.) there are check boxes for "type of restraint/seclusion" and the little...