Morgan314

Morgan314

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All Content by Morgan314

  1. Invega Sustenna IM injection S/E

    YES !!! One of my clients has reported knots/lumps in her arms since starting IS over a year ago.The client has taken my hand and guided my fingers over these areas and there are at least 2 or 3 small hard knots/lumps in both arms. Of course we rot...
  2. My daughters' pediatrician is encouraging all female patients to receive this vaccine. I have mixed feelings about this. I do not want my girls to get cervical cancer from HPV, but in 15 yrs from now, what if we find out that there are long-term p...
  3. uterine prolapse

    What is the holistic approach for treating 1st to 2nd degree uterine prolapse in perimenopausal female who would consider surgical intervention only as a last resort? Are there any massage techniques, self-massage techniques, exercises, or herbal su...
  4. IM sites for anti-psychotics

    I've never given more than 3ml in any injection. I had a patient on Haldol Dec 350mg IM and I gave it in 2 doses of 1.5cc each.
  5. Mystery Doctor

    A patient called our office asking to refill a medication that I had never heard of. I questionied the patient about her med request and asked her to get the empty bottle so she could call her pharmacy, but she insisted that calling the pharmacy woul...
  6. RN-Attention Deficit Disorder-Nonhyperactive

    Those of us stuggling with ADHD also have the gift of creativity which we have had to develop to compensate for our difficulty staying focussed and staying on task, so tell us the things you have already tried doing to get your charting done on time....
  7. Fingerprinting in Raleigh

    Hope you have better success at getting prints than I did. My prints don't show up, and the police officer grumbled the whole time about how nurses are the hardest people to get good prints from because of our use of alcohol based hand cleaner (I ra...
  8. Community Support

    Will you be providing the community support service, or are you just to identify pts in need of referral to a community support provider? In the area where I live, a facility has to have approval from the "powers that be" to provide this service, an...
  9. Ours is a small town, so when I worked in the hospital psych unit, I had many pts that I had been in school with, or knew from the community. Now that I'm working in an OP clinic, I know many pts from school, church, and community. Some of my dist...
  10. What Kind of Specialty and What Do You Do?

    Outpatient mental health. I have education groups to teach patients about the medications and management of symptoms of Schizophrenia, check vital signs before psych evals, individual med teaching, keep up with labs, take phone calls for med refill...
  11. Lost a patient to suicide?

    It's sad to lose a patient to suicide, but even sadder to lose a co-worker. We experienced that last week. He didn't work for the same agency, but for an agency that contracted with ours and we shared some of the same patients. I'm very angry at ...
  12. Question for Clinic Nurses

    I work in a behavioral health clinic and stay late almost every day............paperwork!! Every little call requires documentation. Treatment plans, Medicaid authorizations, etc.
  13. Rn

    well, since it has been about 10 years ago, it's hard to remember. I borrowed the review book and some other notes from a friend who had taken the test the year before. I thought since I had 7 years of MH nursing and 2 yrs of detox experience, I'd...
  14. Rn

    I took the certification exam through ANCC years ago.
  15. Funny fake names for meds

    I work really hard to provide med education with my psych patients, and some try really hard to sound like they've learned something, many times much to my embarrassment. These are some things I've heard: Haldol=hound dog Wellbutrin=welluterine ...
  16. Delerium Tremens

    I worked inpt psych many yrs ago, and our doctor would order valium and also an assortment of vitamins which are important for a person detoxing, but I can't remember why it is crucial for these certain vitamins. my bad.
  17. Delerium Tremens

    I had a part-time job as CNA while in nursing school, and one night I had a pt who was worried about a spider in his room. He described its appearance and said it was spinning a web from the top of the window. I never saw it, but when he said it dro...
  18. Why/how did you choose to specialize in your area?

    I didn't like med/surge in nsg school. My first job was in a hospital, and it was very different than in nsg school. I couldn't keep up the pace. I liked psych in nsg school, so when the opportunity presented itself, that's where I went. I love i...
  19. Do you ever forget your patient's names?

    I have trouble remembering my own kids' names. Half the time I call them by the other one's name. Sometimes I ask one kid what the other kid's name is!! There are some days I forget my own name!!! And just to be safe, I always call my husband "Ho...
  20. LPN at outpatient clinic job, should I stay?

    I agree with onc. You are gaining a lot of experience, but I understand what you mean about the work you are doing. There is a lot of clerical work and tasks that do not require the skills you have, but consider what you mean to the patients. They...
  21. Vivitrol......

    Thank you. My understanding is that it counteracts the effects of ETOH, but does not control the cravings. The injection came with its own needles. It is very thick and took longer to mix up than the instructions suggested. Do you give it often?
  22. Vivitrol......

    We have just started using the new injectible medication Vivitrol (Naltrexone) in our outpatient clinic, and I'd like to hear from anyone with experience giving or using this medication. Thank you.
  23. I work in the most disorganized and inefficient office ever. It seems no one is in charge and no one knows what they are doing. Our computer system is mostly to blame, but there is so much more to it than that. There are just so many little thin...
  24. Can anyone explain this please??

    Thank you for the reminder of the importance of appeciating our health. You are so right, nursing does rob us of our health eventually. I've seen it so often. You describe a very unfair and unfortunate situation, but I appreciate you bringing thi...
  25. When I interviewed for my job over 10 years ago, I was apprehensive about the questions I would be asked too. My concerns were the same as yours. They did ask basic psych questions and situational questions, but the most challenging questions they ...