nurse lala BSN, RN

nurse lala has 46 years experience as a BSN, RN and specializes in Psych. Violence & Suicide prevention..

Latest Activity

1. 

   PC RN appt is with a health tech!?

   nurse lala posted a topic in California

   I am gobsmacked by something that happened today. I had an intake with a new primary care provider at a local UC hospital. I received recombinant zoster from the heath tech who directed me to call to schedule a follow up injection and to request a nu...
2. 

   ANCC Psychiatric & Mental Health Nursing exam

   nurse lala replied to guest584920's topic in Psychiatric

   There are excellent resources at https://www.nursingworld.org/our-certifications/psychiatric-mental-health-nursing-certification/
3. 

   What's the Most Common Reason for a Patient to be Readmitted on a Psych Floor?

   nurse lala replied to AlwaysAnxious's topic in Psychiatric

   From my experience, mental health readmissions are usually related to resistance accepting mental illness. Chronic mental illness demands dedication to treatment to stay out of the hospital. Mental illness has a larger burden than other diseases beca...
4. 

   January 2018 Caption Contest - Select $100 Winner!

   nurse lala replied to Joe V's topic in Announcements

   Groan
5. 

   January 2018 Caption Contest - Select $100 Winner!

   nurse lala replied to Joe V's topic in Announcements

   Her husband insists the veterans support dog will deliver.
6. 

   SNF Patient demanding to leave

   nurse lala replied to CrunchRN's topic in General Specialties

   In my state we can place individuals on a legal hold if the person is unable to communicate a viable plan for self care. In this case family would have to agree to accept the individual back home, if not the individual can be kept for Grave Disabil...
7. 

   Anyone know of ways to learn more about defensive charting?

   nurse lala replied to Guest716906's topic in General Nursing

   What first came to mind reading your question, is that Admin is communicating changes in rules or regulations. Every year JC further refines safety indicators. And we refine policy and procedures as indicated. But you infer that the new charting expe...
8. 

   Anyone ever do psych nursing at the VA or know anything about it?

   nurse lala replied to 2ndChance's topic in Psychiatric

   On a scale of 1 to 10, with 10 being the most acute, I placed the VA on a range of 5 to 9. Post 911 Veterans are young and strong. They are trained to kill. Veterans make up 10% of the population and 20% of all suicides. I think that is a pretty daun...
9. 

   Anyone ever do psych nursing at the VA or know anything about it?

   nurse lala replied to 2ndChance's topic in Psychiatric

   Ive been there 26 years. I've worked in every MH clinic and unit, including the walk-in clinic, outpatient, Geri psych, acute psych, substance abuse...and some. There are many compelling reasons for a VA career. Amongst them are the focus on educati...
10. 

    gender "issues"

    nurse lala replied to rac1's topic in Psychiatric

    To a certain degree people will adopt whatever disease de jour they see in the news. Reference Gluten-intolerance. A very small percentage of people actually suffer from it. So explain that. What is the deal with the others? hypochondriacs? delusio...
11. 

    Anyone NEVER been hit/hurt working psych?

    nurse lala replied to kingvonnBSN2017's topic in Psychiatric

    Never been hurt? That would be me. I have 30+ years experience in MH. The lions share on acute psychiatric units. I have taken a rogue punch back in the day. No good MH RN hasn't taken a punch. That happens when we lay hands on an individual against...
12. 

    Self harmers

    nurse lala replied to kiwipsychnurse's topic in Psychiatric

    Short of a staff member holding each hand, you cannot keep this person safe. Wouldn't shackles be indicated for such high risk?
13. 

    Psych RN Reading List

    nurse lala replied to Krzysztof's topic in Psychiatric

    An all time favorite is Psycho-cybernetics by Maxwell Maltz. He writes for the non-acedemic reader.
14. 

    When does staff rights start

    nurse lala replied to Sniper06's topic in Psychiatric

    The voluntary patient First we talk about expectations of respectful behavior. We reinforce expectations. Then discharge. The he involuntary patients get behavioral interventions. Then are dced ASAP.
15. 

    simultaneous restraint & seclusion...help!

    nurse lala replied to lillyt899's topic in Psychiatric

    Restraints and seclusion can be accomplished with a closed door as long as staff can see the patient. Seems a closed door is indicated for a screamer, but I would consider medication management as well.