Content That kablammo Likes

Content That kablammo Likes

kablammo 1,349 Views

Joined May 14, '12. Posts: 3 (33% Liked) Likes: 2

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  • Apr 27

    Quote from Ndy-RN
    Lorazepam (Advan) is an anti-anxiety medication and could also be used to treat seizures. Many people (mire than you know) do take that...in some cases including nurses. No one will penalize you for taking Lorazepam! It is not their business to go into your confidential medical history to see if you have a prescription or not. You are worried for nothing! Stay Calm and get ready to start tour BScN program. [emoji4]
    I'm baffled as to how you can claim to be a nurse yet get such egregiously false "advice"!

  • Apr 17

    Quote from RNINIA5
    "patient sitting in chair eating a piece of candy, does not like what is on TV and says the hospital food is gross ".
    Well, if the Patient is unable to transfer themself, is diabetic, has no TV in their room, and liked the Hospital food, I'd say you had a Psychosis NOS axis I, DM axis III, and the charting would be relevant.

    Otherwise, it's superfluous.

  • Apr 8

    Did you dominate the inserts, and were they adorable?

  • Apr 6

    Quote from Anna Flaxis
    A person who is determined to harm his or herself can change their plans according to the circumstances. Pills, weapons, or sharp objects can be hidden in clothing.

    The goal of the initial encounter in the ED is not to persuade the patient not to self-harm. It is to make the patient and the staff safe, and bring in a professional assessment to determine if the patient is safe to discharge or needs to be admitted to an inpatient setting for further treatment.

    Patient and staff safety is achieved by removing clothing and personal items that can be used for self harm or as weapons, placing the patient in a room with no cords, tubes, heavy objects, or other items that can be used for self harm or as weapons, and frequent observation at regular intervals.

    Active suicidal ideation is a medical emergency. Just as we undress the victim of a car crash, for example, who is at risk for death or disability and must be rapidly and thoroughly assessed for injury, the suicidal patient is also at risk, and we are obligated to take steps to ensure the person's safety.

    It has nothing to do with power, control, dominance, humiliation, or any of the, quite frankly, disturbing attributes with which the OP is painting her experience. I'm really kind of speechless, actually. It has everything to do with keeping the patient and the staff safe, and nothing more.
    Not all suicidal persons have the same level of risk to self harm. Unless the person is in severe psychosis, there is always ambivalence at play. Especially with someone who recognize their own feelings, determine that they need help and set about to seek that help. And that assessment ( of the risks to self harm) is done by simply talking with the person.

    This cookie cutter approach used here implies that every person who thinks about suicide is a time-ticking bomb waiting to explode. Not so. A majority of depressed people are in fact non violent.

    To insist on striping someone of his or her dignity, under the guise of safety, might precipitate a peaceful situation into possible violent acts. All this when said person only wanted to explore their own feelings with a professional therapist.

    I will say it again, safety is not the end all be all. Comon sense must be applied.

    Dany

  • Apr 6

    Quote from OCNRN63
    And buy enough for all three shifts. This is a side comment. It used to bug me to no end when a family would bring a treat in "for everyone" and there would be nothing left for 3-11/11-7. I had someone tell me that day's deserved to eat more because they did most of the work.

    This has been a public service announcement. We now return you to you scheduled program.
    I'm not sure what you are complaining about. I mean, I bet you got to clean up the mess when you got to work, and the smell of pizza lingered even though only a couple half masticated crusts remained.

    Oh, and of course all our patients slept all night - we (night shift) had it SO easy. *gag*

  • Apr 6

    Quote from Farawyn
    Nope, not allowed.
    Why doesn't Dad write a great letter about the workers to the DON (or whomever) and buy the floor some pizza?
    And buy enough for all three shifts. This is a side comment. It used to bug me to no end when a family would bring a treat in "for everyone" and there would be nothing left for 3-11/11-7. I had someone tell me that day's deserved to eat more because they did most of the work.

    This has been a public service announcement. We now return you to you scheduled program.

  • Apr 4

    Nonesense and outdated - making nursing diagnoses!

  • Mar 6

    we're worried about scents when we have pts who can literally stink up a whole floor( to where other pts are gagging) ?

    Also, we have to wipe everything down with bleach and whatever that dispatch stuff is. And housekeeping has added vinegar ( which helps) to their cleaning materials

    So if the place doesnt smell like poop, it smells like a pool, or a salad.

    I dont think anyone notices my deoderant.

  • Mar 6

    Quote from RNdynamic
    What do you think of going to work with parabens on you?

    Do you generally avoid parabens when you get ready to go to work in the morning, or do you apply them liberally? Do you think parabens factor into creating a "safe" environment? Some people are strongly against parabens. Where do you fall on the matter of bringing in parabens to work or spraying parabens around at work.
    I spray parabens in the bathroom after I sit there for a while when my unit is crazy busy or there is a code happening. I find that it makes the unit more therapeutic for me.

  • Mar 5

    You answer your home phone by saying the name of the facility you work at followed by your name.
    You hit "9" on your home phone before dialing.

  • Feb 27

    Quote from MidLifeRN2012
    Psych is pretty non- stressful once you get used to the types of patients you get. My unit doesn't take medically compromised patients outside of having DM2 or HTN. No wounds, IVs, catheters. No bed bounds. All ambulatory and self toileting. Most invasive thing is an IM injection of psych meds when pt acts out. Pills and charting mostly. An occasional Code Grey with restraints but it is not as common as you may think.
    You must work on a nice unit. Many psych units are dumping grounds for patients no one else wants to deal with. For instance if they have medical and psych issues, psych "wins" and the patient is yours. It's also a dumping ground for nurses who don't want to nurse, so you may end up with less than stellar co-workers.

    I worked psych for many years and wouldn't nominate it for the Stress-Free Award.

  • Feb 27

    Quote from MidLifeRN2012
    Psych is pretty non- stressful once you get used to the types of patients you get. My unit doesn't take medically compromised patients outside of having DM2 or HTN. No wounds, IVs, catheters. No bed bounds. All ambulatory and self toileting. Most invasive thing is an IM injection of psych meds when pt acts out. Pills and charting mostly. An occasional Code Grey with restraints but it is not as common as you may think.
    On my unit, I am frequently the only nurse for 14 patients. We tend to put patients in seclusion / restraints often. Staff are attacked. I would not say that psych is easy or "non-stressful".

  • Feb 27

    Powerball winner, just keep it anonymous and go for the gradual payout, not the lump sum.

    Then retire.

  • Feb 27

    Quote from MidLifeRN2012
    Psych is pretty non- stressful once you get used to the types of patients you get. My unit doesn't take medically compromised patients outside of having DM2 or HTN. No wounds, IVs, catheters. No bed bounds. All ambulatory and self toileting. Most invasive thing is an IM injection of psych meds when pt acts out. Pills and charting mostly. An occasional Code Grey with restraints but it is not as common as you may think.
    I found psych to be highly stressful. Walking on eggshells the entire shift, waiting... waiting..waiting for somebody to go off. The only time I was physically assaulted , was by a 2:1 psychotic.

  • Feb 27

    Quote from nutella
    Out of all places I ever interviewed I thought that psychiatric nursing in certain areas is low stress. But of course I have no real clue as I never took a position in psych - the pay is too low...

    Perhaps office nursing? but also probably low pay...
    I guess that depends on what you consider "low pay". In psych I make over $30 with shift diff. More than I made in my former career


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