arbasham3363

arbasham3363 has 7 years experience.

Latest Activity

1. MSN Credentials

   arbasham3363 posted a topic in Educators

   I have just graduated with an MSN in Nursing Education. I'm updating my resume and email signatures and I wondered if anyone can tell me the difference (if there is one) between just the MSN and the MSN-Ed credential. Thanks

2. Milieu Disruptive Behavior

   arbasham3363 replied to arbasham3363's topic in Psychiatric

   We do pick our battles every day. Most things aren't worth fighting and arguing about. But when a patient is clearly getting other patients upset and you have a potentially dangerous situation on your hands, something has to be done. Also when the...

3. Milieu Disruptive Behavior

   arbasham3363 replied to arbasham3363's topic in Psychiatric

   That sounds like an excellent tool for my unit. Those are all things I have talked to my regular staff about. How would you deal with the staff being inconsistent with following plans or straight out ignoring what you tell them? I go to my supervisor...

4. Milieu Disruptive Behavior

   arbasham3363 replied to arbasham3363's topic in Psychiatric

   I'm not clear on what suggestions have been made here. I have no control over the legality of what happened. We are not allowed to press charges on patients.

5. Milieu Disruptive Behavior

   arbasham3363 replied to arbasham3363's topic in Psychiatric

   Are these behavior support plans something that are in addition to treatment plans? Our treatment plans have "problem", "goal" and "intervention" sections to them. They describe the problem, what the patient's goal is from treatment for that partic...

6. New to Psych Nursing need advice

   arbasham3363 replied to chickadee123's topic in Psychiatric

   I've worked in a state psych hospital for 2 years. I've been slapped, kicked, punched in the face (resulting in a concussion), spit on, bit twice, hair pulled, pinched, scratched and had body fluids thrown at me. I also have a high acuity female uni...

7. Milieu Disruptive Behavior

   arbasham3363 replied to arbasham3363's topic in Psychiatric

   Meriwhen, I agree with you 100%. The bad thing is I have absolutely no control over what staff I get. The two women's units have the worst reputation in the facility and no one wants to work there. So we get all the new hires until spots open on o...

8. Milieu Disruptive Behavior

   arbasham3363 replied to arbasham3363's topic in Psychiatric

   I absolutely agree that the boundaries are out of control on my unit. It seems to be an issue with the system. I have educated and trained my staff ad nauseam on personality disorders and appropriate boundaries. One problem is that 4 out of the 5 ...

9. Milieu Disruptive Behavior

   arbasham3363 posted a topic in Psychiatric

   I am a Charge Nurse at a state inpatient psychiatric hospital. I work on an all female unit. We have 5 out of 15 patients that have a personality disorder diagnosis. One patient has narcissistic personality disorder. We recently had an LPN that h...