sassyann85

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 Ativan 1 mg PO prn anxiety q 4 hours...then do you have...

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 the pt's report anxiety and agitation, they can g...

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 you have to wait between meds? IE- a patient on sche...

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 their score, and be medicated with ordered Ativan 1-2...

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 wanted to go to a specific rehab at discharge but th...

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 realized the mistake?

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 states they can be held up to 72 hours in the hospita...

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 PCP appointment within one week of their discharge f...

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 completed and the Docs let them go. My question is, if a p...

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 case management? Just wondered how this situation...

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 no idea how to go about helping them get assistanc...

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, when you give the prescription to the pt for coum...

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 understanding is you need as physician order to d/...

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 psychosis, aggression, etc. I am trying to figure out w...

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 use again.

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 decompensating, and I wonder about what to chart bc ...

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 administered there on the date it is due? Or do you ...

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 methadone to get a PRN pain pill? I'm worried about the ...

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 anything. He was more or less scoring high enough on...

thanks everyone for your responses!

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

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 anxiety/agitation) could someone say he was discharged while...

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 committment and is getting discharged, if they do no...

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, once they are technically discharged, even if staff s...

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 boxes to select for: seclusion, manual restraint, p...