Whats your record?? - page 2

by Rhi007

4,170 Views | 26 Comments

I was volunteering today and in the ED we had 10 mental health pts when I arrived, they all went to the psych unit and then another came in full restraints, shackles and the dr loaded him up with diazepam first after a few hours... Read More


  1. 5
    Quote from somedaypeds
    I find counting the number of psych patients you had in one shift offensive.
    Wow, what?! This just makes me shake my head. People are so quick to get butt hurt and take offense at EVERYTHING nowadays. Why is psychiatry offensive? It is a medical area, just like cardiology, nephro, etc. Would you find it offensive if the OP had counted the amount of Code Blues for a shift?
    Twinmom06, MN-Nurse, PinkNBlue, and 2 others like this.
  2. 0
    It may be because psych is singled out.

    Why aren't we counting the number of type two diabetics in HHNKS crisis, or CHF patients drowning in their own secretions?

    Psych is "weird" and hard to handle, it's not really accepted as being normal like, well, like diabetes and CHF...but diabetics and people with heart failure don't usually punch you in the face because they think you're Satan.
  3. 0
    Quote from Anoetos
    It may be because psych is singled out.

    Why aren't we counting the number of type two diabetics in HHNKS crisis, or CHF patients drowning in their own secretions?

    Psych is "weird" and hard to handle, it's not really accepted as being normal like, well, like diabetes and CHF...but diabetics and people with heart failure don't usually punch you in the face because they think you're Satan.
    But that's the thing. It is singled out because of the stigma that we as a society give it. If we just see it like any other medical diagnosis requiring treatment, then the whole reason to take offense goes away.
    Also, my teachers in nursing school told us that EVERYONE has some kind of personality disorder, we just have them in different degrees. So I guess that makes psych more normal than CHF or diabetes really.
  4. 0
    As a future psych np (maybe) I can't disagree.
  5. 0
    I didn't take offense to the OP. It is an observation. I worked at a psych facility for 7 months & it opened my eyes & heart to a lot of things. It is an extremely broad specialty & I can see or spot it quickly. I now work at a major hospital in a surgery unit & although my clientele has changed, I can still see a lot of the same disorders. Regardless of where you are working, you come across a combative patient & the best skill to utilize is therapeutic communication. I did get hit once in the face by one of my psych facility patients & after that, I vamped up my private space but not like they had the plague just enough to back up quickly. I didn't suffer any injury (except for my ego....lol) but I learned I can still treat others in a caring manner but leave myself more room for escape if need be. LOL...bottom line is a code green can happen anywhere, anytime & started by anyone.
  6. 0
    Quote from Jeweles26

    But that's the thing. It is singled out because of the stigma that we as a society give it. If we just see it like any other medical diagnosis requiring treatment, then the whole reason to take offense goes away.
    Also, my teachers in nursing school told us that EVERYONE has some kind of personality disorder, we just have them in different degrees. So I guess that makes psych more normal than CHF or diabetes really.
    I agree with your nursing instructor. It is my opinion & observation that about 60% of the population has some sort of psych disorder. Psych is a broad specialty with many realms to it. I am low balling so it could realistically be higher than that. People these days have so much to deal with & the times have changed.
  7. 0
    Ha. I once counted how many times we had to waste Dilaudid, since the docs ordered 0.5mg Q1H and our supply was 2mg vials. All night long: "Can someone come waste with me?" I think my record was 12. Maybe it's not a lot but it sure seemed like it!
  8. 1
    Can I just say that to those that took offense to this: I have been clinically diagnosed with depression and severe anxiety disorder I am medicated for it with Prozac and no longer see a psychologist. So I do know how many of the psych patients feel, it's just an observation I made
    That Guy likes this.
  9. 1
    Umm...psych was counted and a lot of psych pts considered a bad thing when I worked ER because psych beds are hard to get. And this was with the hospital having both child and adult units upstairs.
    hiddencatRN likes this.
  10. 3
    Trust me, it's not the Quantity, it's the Quality. We got Superman the other day, and,...

    I don't know about your ED, but we don't stock kryptonite
    Firestarter_RN, That Guy, and Meriwhen like this.


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