sgent

sgent

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  1. Psych Software ??

    sgent replied to Meraki's topic in Psychiatric

    Don't know anything about what your looking for exactly, but take a look at therascribe (do an internet search). I know one psychiatry/psychology/social worker group that used it in an outpatient...

  2. RN intubating in the ED

    sgent replied to matt033174's topic in Emergency

    I don't see this as such a large issue. Assuming it is allowable by your BON. Policy: Any staff member with current ACLS who has recieved training in intubation, and performed over 100 procedures, is...

  3. Is it even possible anymore to start a home nursing business?

    sgent replied to Roland's topic in Home Health

    I also don't know your state, but many issue CON's for nursing homes. I would definately call your Board of Health (or whomever regulates nrusing homes) to get a better grasp of the

  4. medicines from Mexico

    sgent replied to mtnmom's topic in Emergency

    If you can get access, used MD Consult (you can get access free through MerckMedicus). If the patient can spell the name of the drug, you put it into the "drug search" screen, and up will pop the...

  5. "to go" medicines?

    sgent replied to mtnmom's topic in Emergency

    I'm in Mississippi, which is definately underserved. Probably only a dozen 24 hour pharmacies in the entire state if you exclude Jackson, and they are definately NOT in the rural areas. Here,...

  6. Licensure for out of home state camp nursing

    sgent replied to Ashera's topic in Camp

    Check the board of nursing in the state you are going to work. At least some states have a specific exemption for camp nurses, which will recongize any licensed nurse for up to 90 days in a camp...

  7. Diabetic teaching & glucometers

    sgent replied to grinnurse's topic in General Nursing

    For newly diagnosed patients, I suggest looking for a certified diabetic education program in your area. Check with your endicrinologists who will let you know. The programs last for 8-16 hours, are...

  8. okay to give narcotics sooner than prescribed?

    sgent replied to Serenyd's topic in General Nursing

    I hate prn pain meds, with the exception of truley occassional pain, they are the exact wrong way to administer pain meds. The patient should be given them q4, q6, or whatever, but not prn. By the...

  9. ssri withdrawl?

    sgent replied to elizabells's topic in Psychiatric

    is to titrate off slowly, for some of us, very slowly (like over 2-3 months). I have the same issue with effexor if I go more than 36 hrs. I would either be in a ball in my bed, in jail, or...

  10. Is it ethical for a OB to deliver and/or circumcise his own baby?

    sgent replied to mfshirk's topic in General Nursing

    Well... I'm going to take a different tack. The AMA code of ethics frowns on family care. It specifically allows it in the case of "minor" ailments, but otherwise the physician is supposed to hand...

  11. Does the term 'Nurse' bother you?

    sgent replied to Ekklesia's topic in Men in Nursing

    who graduated Med School in the early/mid seventies (one of the first ten female physicians in her state). On her first job interview, she was being interviewed in a rural area by the town council,...

  12. Has anyone ever been a legal health care representative for someone

    sgent replied to Nurse Ratched's topic in General Nursing

    If his wishes contradict those of his family's, and he gives you the POA, it could get ugly. Under that scenerio, you face a heightened duty of care compared to a medical layman due to you knowledge,...

  13. NP productivity info?

    sgent replied to overworkedNP's topic in Nurse Practitioners, NP

    Take a look at MGMA for productivity numbers (medical group management assoc). They put out a great book for that kind of thing on an annual basis. I've seen probably 1/2 and 1/2 -- places where...

  14. Have any NPs considered med school?

    sgent replied to HealthyRN's topic in Nurse Practitioners, NP

    MD's in all states ahve to complete the Step 3, including 1 year of internship, to recieve a license. In a few states, they are required to complete a second year of residency. The practice...

  15. question about psych meds

    sgent replied to Ms.RN's topic in Psychiatric

    Is one of the best drugs around for atypical depressives and hypomanics who can't sleep. I've seen them not blink at a max dose of ambien, and be completely knocked out by 25mg of Seroquel. Its a...

  16. Which classes most helpful for LPN's in clinics?

    sgent replied to Blackcat99's topic in Ambulatory Care, Clinic

    Speaking from an FP/IM/Ped perspective... Office jobs are so varied its hard to say. In a lot of offices, espcially small ones, the LPN is generally in "charge" of the office -- can be anything from...

  17. Question on office injections?

    sgent replied to S.N. Visit's topic in Ambulatory Care, Clinic

    Talk to the physician (the FP) if the nurse doesnt change her ways. There is a reason that allergy immunotherapy is given SQ -- and its an important one. The chances of having an anaphalytic shock...