gettingbsn2msn 6,482 Views
Joined Jul 6, '10.
Posts: 456 (47% Liked)
Here's how it went down when I was a suicidal patient exactly one year ago.
I had a plan, the only question in my mind was which way to go---the pills or the gun. I called my psychiatrist only because I was scared, and of course he told me to go to the ER. When I got there they were waiting for me, and they put me in the safe room with my husband by my side. I was asked to get into a gown but they didn't object to my keeping my pants on underneath, although I was patted down, wanded, and my things gone through before hubby was allowed to hold them for me. The attending psychiatrist came in to see me, and made the decision to admit me to the psychiatric facility in the next town over. In the meantime there was a security guard at the nurses station to watch me and the staff checked in frequently as well.
After about six hours in the safe room, secure transport arrived and I was taken to the facility. I was NOT restrained, although it felt like it because I was in the back of what had once been a police cruiser, with the cage and the doors that don't unlock from the inside. That was the worst part of the experience, but the transport team was very nice and talked me down when I nearly panicked (I am really claustrophobic). Basically, I was treated with dignity throughout the entire day, and I think knowing that the staff wasn't judging me or trying to make me feel like crap kept me calm. I was in a very dark place at that time and if someone had put restraints on me or locked me in a cold room, I'd probably have bolted the instant I had a chance, and gone home and committed suicide.
I hope everything turned out all right for the patient in the OP. The road to recovery from an episode like that is a long one, and sometimes people don't make it back.
I am only a student but this goes against anything I have learned or participated in on the wards. The restraint sounds extremely unethical and unecessary. I could never see this being done in any of the wards I have worked on simply because she was merely asking for help/support and was not threatening by any means. I would assume the locked door is enough (maybe even too much) of a restraint. I do understand that she needs to be assessed after confessing her suicidal thoughts before leaving, but is there a more practical way it could have been done?
May I ask why all of her clothes were removed?
I'm not a holistic clinician. I think that stuff has it's place, but I'm a cheeseburger guy so I couldn't care less about vitamins, crystals, feathers, and such.
Regarding science, there's quite a bit of evidence to suggest the PHQ-9 should be implemented in primary care visits. You can research the epidemiology of MDD to understand why. Since we don't really know what causes depression it's going to be hard to prevent it. Thereby screening for it for earlier treatment probably works better than trying to develop some preventive guidelines.
I chuckled a bit when I saw the nature of your assignment. This is one of the things that makes me a ashamed of nursing. We're assigning papers on the social determinants of health, a topic more suited to sociologists, while our colleagues in medicine are studying physiology, neuroscience, pharmacology, and psychopathology in effort to treat depression.
Age is how you feel and your overall health. I am much older as well! However, I should have my RN some time next year. But, I also have other credentials under my belt so lots to lean on there.
Anyone concerned about nursing school due to their age just needs to consider their overall health and stamina. I, for one, feel that I cannot endure the strenuous physical requirements that I have already gone through as an LPN, BUT REALIZE that LPNs (in my state) have less opportunities - usually end up in long term care and the workload is horrible. I had a couple of slight injuries but overall, the 12-hour shifts on my feet constantly with no breaks are what concerned me.
Now, having said that.....think of it this way. Nursing is very DIVERSE! Have you ever done a nursing job search and seen all the opportunities available to you? And if you get a BSN or beyond, there is no stopping you regarding opportunities! But even at the RN level, you could find jobs that are less strenuous than direct patient care - quality management positions, etc.
I hope it works out for you!
If you believe you're too old to do it, then you are too old. What I answer everyone when they ask me about RN school is go get a CNA job (hospitals where I live train for free) to see what its really all about. And, keep that job or ED Tech job all through school to give yourself documented healthcare work experiencing.
No do-overs, no regrets. Things work out the way they are supposed to work out, it can not be any other way. I'm an old fart and cause of death isn't going to be CHF in a SNF.
Reconsider your overtures of friendliness.
My FNP program is a mental health program unto itself....
A discreet "Is your employer hiring?" or "I'm a nurse" to a customer wearing scrubs might turn into a welcome advantage to working at Starbuck's. Total strangers can be helpful in the job search. If a regular customer, they will get to know you and just might be amenable to helping you out. Just be careful.
This, the Disney model and the odious Quint Studer are the reason I cry myself to sleep every night, curled up in fetal position with my thumb in my mouth.
You baby nurses, read the writing on the wall. You thought you went to school to help people? To heal people? Nope, you are 40K in nursing school debt to be customer service reps. I am waiting for the day administration decides it'd really boost those Press-Ganey scores to wake up patients with a [redacted] in the morning.
Ya'll can read that as you wish. Me, I'm going to crack open a cold one and watch Bob's Burgers.
In May 2011 conressmen from Wisconsin and Colorado have declared the nursing shortage an EMERGENCY!
I am sorry this happened to you. I cannot figure out within your post what you did that required you being terminated and needing to speak with director right then?? I have a feeling this has something to do with something else completely. I just hope you can get to the bottom of it. Good luck and keep us posted.
Amellie hollier's cds which i have heard from several people are much better than Fitzgeralds is about 319.00. I plan to purchase hers. I have had several people who have been to both reviews have said that hollier is much better. Apea.org
As a native Floridian, and a nurse that has worked there, I feel that I can speak to some of the issues.
Hospitals in FL have some of the worst working conditions, poorest ratios, and lowest pay in the country. Many younger (and older) nurses that have less that hold them to the area, quickly burn out or move elsewhere to improve their situation. Those that stay frequently have things that hold them to the area - spouse's job, kids that do not want to move, have bought a home, etc. They also have more burdens on their time. And true, many are older.
Add in that in many areas, there are few to no acredited BSN programs, and many of the online programs are pricey.
I will say that I moved out of state and for the first time, am realistically looking at getting a BSN. But in FL, no way would I have considered wasting more money on education in Nursing to continue to be treated as badly and paid as poorly as it is in that state. I would have been putting my money to getting a degree to get OUT of nursing.
Given the forprofit mentality of many facilities, and the fact that the state has recently elected a former CEO of one of the most criminal forprofit chains in the nation to preside over the state, it is highly unlikely that the conditions for nurses in FL will improve, and more likely that they will worsen. Columbia HCA was a prime offender in the crappy pay/lousy conditions arena.
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