Dogen

Dogen

Behavioral Health

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All Content by Dogen

  1. This week, I learned (7/18).....

    Dogen replied to ixchel's topic in General Nursing

    I learned that when in the ED with my mom I'm not very good at assessing the life threatening nature of her injuries. I'm also one of those nurse family members that watches you like a hawk and points...

  2. Why is it inappropriate to stand up for yourself?

    Dogen replied to remotefuse's topic in Patient, Colleague Relations

    I feel like you may have imagined this much more violently than I did. Raising your voice to talk over someone and pointing at them, while rude, doesn't seem like "abandoning decency," or "losing all...

  3. Why is it inappropriate to stand up for yourself?

    Dogen replied to remotefuse's topic in Patient, Colleague Relations

    Yeah, pointing, raising your voice, and talking over someone is rude. It's pretty low on the continuum - you could have spit on him, or told him where he could put his stethoscope, or driven your...

  4. Can scientific types go into nursing?

    Dogen replied to Young Tangerine's topic in General Nursing

    I'm a science person and I love nursing. The doctor mindset thing is just a stereotype. Being calm under pressure is a great trait for anyone. Taking charge when other people hesitate, if you know...

  5. New Nurse on Paxil

    Dogen replied to elomi18's topic in Health, Stress Management

    Three to six weeks is the average for the antianxiety effects of most SSRIs. If a person is experiencing comorbid anxiety and depression a trial is typically 6-10weeks. So... it depends. We tell...

  6. looking for ADN or BSN nursing program in pacific north west

    Dogen replied to snowlover10's topic in Pre-Nursing Students

    I don't know the competitiveness of all of these programs, because I didn't go to them, but... Clark College, Vancouver, WA Portland Community College... Portland, OR. Linfield College (apparently...

  7. New Nurse on Paxil

    Dogen replied to elomi18's topic in Health, Stress Management

    Yeah, when we start someone on an antidepressant if there's any question about whether they're potentially bipolar (family hx, unknown hx) we start them on a more sedating AD like Paxil or Lexapro....

  8. New Nurse on Paxil

    Dogen replied to elomi18's topic in Health, Stress Management

    The thing with these meds is they're fairly individual. One person will take Paxil and find it intolerable, and the next will say it's the only thing that ever worked for them. Hopefully it works...

  9. What nursing task do you loathe???

    Dogen replied to richardgecko's topic in General Nursing

    Ugh... yeah. Skin flakes are disgusting. Also foot soaks on the same people, where you end up with a pan filled with lukewarm water and a layer of slimy, congealed skin on top. And as you carry it to...

  10. What nursing task do you loathe???

    Dogen replied to richardgecko's topic in General Nursing

    For some reason I hate the smell of xeroform. Maybe it's an association with nasty wounds/infections, or the fact it smells all chemically, but I hate it. I like eyeball injuries. In nursing school my...

  11. What nursing task do you loathe???

    Dogen replied to richardgecko's topic in General Nursing

    You have weird tasks at your work. The first time I did trach care I almost threw up. It wasn't even the smell, it was the feeling of warm mucus flowing up the suction tube, across my gloved hand,...

  12. Your worst nightmare (Part deux)

    Dogen replied to canigraduate's topic in General Nursing

    It definitely can be but it also can be amazing (not in a psychedelic way, lol!). I receive high dose IV ketamine infusions over four hours for four days in a row every 4-6 weeks to treat RSD/CRPS. It...

  13. I Hate People (my rant)

    Dogen replied to AlyaMF's topic in Patient, Colleague Relations

    No, just read the first page. It basically repeats for 13 or 14 pages (that weird posting before reading thing), then it got weird with the wino cat and pictures of cute dogs. Those were good

  14. I Hate People (my rant)

    Dogen replied to AlyaMF's topic in Patient, Colleague Relations

    Technically, that would be psychotic, which would be a different ball of wax. Smokey the Psychotic Bear would run a very different series of commercials. Coddling seems a bit hyperbolic. I'm not...

  15. I Hate People (my rant)

    Dogen replied to AlyaMF's topic in Patient, Colleague Relations

    So, this is a thing I'll tell you about probably ten times if you talk to me much, but: 1. Allie Brosh moved to Oregon several years ago 2. Allie Brosh published a book 3. Allie Brosh did a book...

  16. Graduating with a BA in Psychology, curious about nursing opportunities.

    Dogen replied to emmercs's topic in Psychiatric

    I'm an RN, I have a bachelors (BSN). A PMHNP has a graduate degree (typically a masters). PMHNPs diagnose acute and chronic illnesses, write prescriptions, do therapy, order and interpret labs and...

  17. I Hate People (my rant)

    Dogen replied to AlyaMF's topic in Patient, Colleague Relations

    I... I...

  18. I Hate People (my rant)

    Dogen replied to AlyaMF's topic in Patient, Colleague Relations

    One of the things I hate about people: how they don't recognize hyperbole. Just because someone says they hate something doesn't mean they actually hate it. I hate olives, but they don't make me burn...

  19. Graduating with a BA in Psychology, curious about nursing opportunities.

    Dogen replied to emmercs's topic in Psychiatric

    So, I also have a BA in psych, and I work inpatient psychiatry (that just means inside a hospital). The majority of inpatient rooms are adult. There are 4 adult psych rooms for every child psych bed...

  20. I Hate People (my rant)

    Dogen replied to AlyaMF's topic in Patient, Colleague Relations

    I don't necessarily hate people, but I dislike large swaths of them. I hide it really well. I'm not antisocial, I get along well with people. I even make small talk in elevators. I just don't really...

  21. "To BSN or Not to BSN That is the question." Should BSN be minimal requirement?

    Dogen replied to nurseactivist's topic in Diploma, ADN, BSN

    My BSN had an annoying number of "leadership" classes. I need a leadership class like I need another hole in my head. I'm not opposed to them, exactly, I just had no use for one. I'd like to see the...

  22. "To BSN or Not to BSN That is the question." Should BSN be minimal requirement?

    Dogen replied to nurseactivist's topic in Diploma, ADN, BSN

    The reason why your 3-year-old news article says Drexel's online RN-to-BSN program and hundreds of others like it expanded dramatically in a few short years is because a lot of RNs are going back for...

  23. Calling diabetes experts

    Dogen replied to Libby1987's topic in General Nursing

    I don't know about being exclusive to diabetics, but early in the article synthesizing 30 years of research* they discuss continuous monitoring of glucose and insulin in diabetic and non-diabetic...

  24. Calling diabetes experts

    Dogen replied to Libby1987's topic in General Nursing

    This sounds like the Somogyi effect, which is when blood sugar drops over night due to an intervention and regulatory mechanisms cause it to spike. It's rare and, according to the evidence, exclusive...

  25. Calling diabetes experts

    Dogen replied to Libby1987's topic in General Nursing

    Yeah, the important thing about this patient is that she's not taking any antidiabetics. While it's true (for instance) that your body produces less glucagon at night, making most people more...