banana, MD

Latest Activity

1. Psychiatrist Overdosing Pts??

   banana, MD replied to sarabellum1's topic in Psychiatric

   in general, you can titrate inpt meds faster than an outpt setting because the pt is in a monitored setting. With that said, that dosing is certainly sketchy but more concerning is the fact they always start effexor as a rule (?). I wouldn't worry ab...

2. had an AWFUL night

   banana, MD replied to momof3al RN's topic in Med-Surg

   Sounds like you're just a good nurse doing a good job, and may have been a bit overwhelmed by 1) an unstable pt and 2) a pt surreptitiously taking meds they weren't supposed to. If you work in an environment where there's always someone superior to y...

3. legit discharge?

   banana, MD replied to sassyann85's topic in Psychiatric

   Without knowing much much more about this particular case, an answer to this question in this vacuum is impossible, but this is really two separate questions. Being awake, alert, oriented, and denying suicidality is completely irrelevant to the quest...

4. scheduled meds with prns

   banana, MD replied to sassyann85's topic in Psychiatric

   agree with a lot of the above and that antipsychotics are generally safe and many of them used to be used in much higher doses. Of the few contraindicated combinations that exist, one is the administration of the IM formulations of Ativan and zyprexa...

5. Prescribers vs Providers

   banana, MD replied to Mavrick's topic in Advanced

   I figured this was evident in those previous posts. However, I'm not sure I understand what you're trying to get at. Maybe you can help me understand?

6. Prescribers vs Providers

   banana, MD replied to Mavrick's topic in Advanced

   I am, but being a physician isn't exactly relevant to my concern. It just seems that these days every clinician is being referred to as a "provider" of some sort, like our customers shop around for seemingly entitled services and we have no say in wh...

7. Prescribers vs Providers

   banana, MD replied to Mavrick's topic in Advanced

   I agree that people who are "going for my NP" usually sound as if they believe they are better than bedside nursing, more intelligent and capable of doing bigger and more important things... Florence Nightingale is probably rolling over in her grave....

8. Thinking about pursuing PMHNP post-masters

   banana, MD replied to jaldyAPRN's topic in NP

   Aside from providing "supportive psychotherapy" (whatever that means) and being friendly to the patient and billing it as a psychotherapy session, there most likely won't be any actual psychotherapy going on. Clinical psychologists are trained for ye...

9. Withdrawal Protocol Question

   banana, MD replied to vintagemother's topic in Psychiatric

   The CIWA scale was developed as a standardized assessment requiring good interrater reliability for its assessment, meaning that all clinicians using it are trained specially for it and perform the assessment in very specific ways with numbers that a...

10. EPS or seizure

    banana, MD replied to blackribbon's topic in Psychiatric

    An EtOH withdrawal seizure is typically a generalized tonic clonic one, and if the pt remained conscious during this episode with no post-ictal confusion, this points away from this, though as one poster mentioned, in this context it is probably prud...

11. Psychiatric nursing... do you really lose all your nursing skills?

    banana, MD replied to lilmoongoddess's topic in Psychiatric

    psych nurses are the most badass nurses there are, I don't think anything scares them. When I was working on peds one time the RNs were nervous pushing benadryl on a very agitated child. If the **** hits the fan I want a psych nurse behind me

12. 50 Things New Nurses Need to Know About Calling Doctors and Other Providers

    banana, MD replied to Lynda Lampert, RN's topic in New Nurse

    This is a great post. Calling a doctor in the middle of the night can probably be intimidating for a new nurse, but if you're genuinely concerned about the patient we want to hear about it. We're all on the same team.

13. can RN order another RN to bring medicine for a client prescribed by physician

    banana, MD replied to d123456789's topic in Professionalism

    I "order" things. I never order people to do things. I think this is just a question of the person's respect for other people. Both people seem to be qualified to do the same thing here... maybe I'm missing the point

14. Haldol IV?

    banana, MD replied to RelleyRN's topic in Medications

    Based on the fact that Haldol is usually given with sedating medications (ativan, benadryl, cogentin, etc...), one would logically believe that Haldol is sedating itself. In fact this is not the case and Haldol alone has no sedating or otherwise dang...