lil'nurse

Latest Activity

1. "Granny-Dumping" in Psyche Unit

   lil'nurse replied to Town & Country's topic in Safety

   I work on an acute psych unit in a hospital. We frequently get geriatric pts who have been acting out d/t alzheimers, demetia. We do "look them over" and do understand how difficult it is to deal with these patients. Unfortunately, we can't fix what'...

2. Why did you choose psych nursing?

   lil'nurse replied to Keely-FutureRN's topic in Psychiatric

   I picked psych because it's interesting. On the other floors, pt are "the lap chole" or the "fem pop"; the pt's on our floor seem more diverse to me. It's your responsibility to get to know them on a more emotional/psychological level, as well as car...

3. That's why they call him "The Streak"

   lil'nurse replied to Nurse Ratched's topic in Psychiatric

   This just happened where I work. Pt thought everything contaminated, including clothing, so had to take it off. It was noc shift so not too many people around, until the hallucinating detox came in and wanted to join in the fun, very agitated when we...

4. EMTALA and pt registration

   lil'nurse replied to MrsWampthang's topic in Emergency

   I just reviewed this at work. Insurance info can be collected as long as it doesn't delay tx. Each dx/presenting problem must be given the same minimal tx no matter what pt's ability to pay. Also it is a violation to contact an insurance co. to fin...

5. Tom Cruises' take on Psychiatry

   lil'nurse replied to Katydidit34's topic in Psychiatric

   I just read last night that Kelly Preston, John Travolta's wife and Scientology follower, is publicly supporting Tom and his courage to speak out against psychiatry. She also said that Brooke Sheilds was acting irresponsibly for not telling people th...

6. Pantoprazole IV question!

   lil'nurse replied to RNinRubySlippers's topic in General Nursing

   We run it in as fast as over 15 min. I thought that you didn't need a filter anymore as long as it wasn't mixed with anything else .

7. how many patients do you recommend on an adult inpatient acute psych unit?

   lil'nurse replied to loprem's topic in Psychiatric

   I can't imagine being the only rn with 33 psych beds, yikes. Are they more long term, stable? I work in a hospital and we have 21 adult beds although at the moment we are short on docs so we are only at 14 beds. At 14 we need at least 4 licensed st...

8. Observation Policy

   lil'nurse replied to StuPer's topic in Psychiatric

   Yep we do the same thing, we change our pt. into scrubs as soon as they come on the unit. We have to have an MD order to give pt's back their clothes. We had a suicide on our unit a little while ago and it really changed our safety measures. We ha...

9. Intoxicated- does it mean incompetent?

   lil'nurse replied to TlhRNED's topic in Emergency

   I think the word of choice is incapacitated rather than incompetent. We go though this all the time. Legally in our state, we have an incapacitated hold where an MD can hold a person on our locked psych unit until they sober up. Our unit uses a cri...

10. use of panic buttons

    lil'nurse replied to jdegagne's topic in Psychiatric

    We have little handheld "spiders" which we can clip on our badges or on our keys. Occasional one goes off accidentally. Not sure where they got them from, what company. Each spider has a specific number and when pushed, a display screen shows whic...

11. Hep B Vaccination

    lil'nurse replied to iahawk0578's topic in Emergency

    I was sick after each shot too. My sx were a little less with each vaccination.

12. nurses getting involved with patient,right or wrong?

    lil'nurse replied to CLadybug's topic in Relations

    I work in psych and this is ABSOLUTELY frowned upon. I would not have a job. We don't use our last names on our name badges and NEVER give out personal information.

13. In Trouble With The Bon!!! Please Advise Me...

    lil'nurse replied to LadyBugLass's topic in General Nursing

    One of my co-workers (RN) got a letter a few weeks ago about an incident that happened over 3 YEARS!!! ago. She was an LPN at the time working in LTC. The BON is investigating her documentation. I don't think I would consider myself in the clear j...

14. Physican restraints still being used???

    lil'nurse replied to Lawnurse's topic in Psychiatric

    A baskethold is used to physically restrain an aggressive individual, involves grabbing an aggressive individual from behind, pinning their arms so they can't strike out. Difficult to explain I guess.

15. Physican restraints still being used???

    lil'nurse replied to Lawnurse's topic in Psychiatric

    I worked in facility for the dev. disabled and we used 6 point restraint when someone became violent towards others. It was often neccessary because we were unable to use PRN meds in a non-acute setting like you can in the hospital. It was used as ...