kablammo 2,003 Views
Joined May 14, '12.
Posts: 3 (33% Liked)
You're not alone, I work in psych and I can only wish some of my patients could sign out AMA...
"Patient attempted to strike nurse when informed unit pantry was out of chocolate pudding."
Patient is a violent POS who should probably be in prison (and probably has been). Add him to the "do not admit" list in a hurry.
Agreed. I get sick of this condescending attitude which typically comes from a superiority complex.
I'm not lying when I say I've seen this again and again on this site from certain people.
This is a good website. This condescension towards other people sucks, though. I haven't encountered it on other sites as much as here. It sucks when people talk down to you, whether it's nurse to nurse, or nurse to nurse aide. It gets annoying because it's childish, and people should know better.
I realize it is difficult for a nurse with 5 years of experience to comprehend the knowledge base and depth of experience a nurse gains over 34 years. In my 20 years of charge nurse duties, on the front lines... I never made a wrong call. I knew when any staff nurse was in trouble, before s/he realized it. I knew the situation on all 30 patients on the unit.. watched them and the staff like a hawk.
If a nurse said to me "I'm so busy".. I would know what s/he was busy with... with or without "inquisitive" questions. I knew what was going on,and supported each and every one when they truly needed leadership.
I find it hilarious that you support your impressions with footnotes... from some article written by someone that has never schlepped the halls of a chaotic step-down unit. I am not old.. but I am wise.
Can we get back to the OP's issue now?
I was a charge nurse for 20 years and received a leadership award from a huge health system.
Just a side note.. when the charge nurse is "busy doing discharge paperwork and watching telemetry and answering the phone ".. what exactly.. could snowflake expect mother charge nurse to do?
OP acknowledged snowflake's statement, informed her she would direct help from the returning crew. Snowflake did not say she was drowning... she said she was busy. Aren't we all? Any time I was assigned to monitor telemetry.. I could NOT leave the monitors.
OP is not guilty of "unacceptable practice and deplorable leadership". OP was dealing.
I've seen this happen a couple of times in 30-plus years as a psych nurse. I've found that the nurse usually has at least as much pathology as the ex-patient they're dating. And it's not always the patient that's the vulnerable one. Some of these guys are cons and know how to weave their way into some idiotic nurse's heart. Either way, this is definitely a bad situation and somebody needs to have a talk with Nurse Hot Pants.
Straight from the Department of Justice: "Sexual assault is any type of sexual contact or behavior that occurs without the explicit consent of the recipient. Falling under the definition of sexual assault are sexual activities as forced sexual intercourse, forcible sodomy, child molestation, incest, fondling, and attempted rape."
There is no mention of shaving pubic hair without consent. You could argue that it is battery since this was done without her consent but the sexual assault argument does not hold weight at all.
I have a whole different take on this issue. This young man clearly has behavior/psych issues. Could be anything from borderline personality disorder to High Functioning Autism. The biggest key that there is a sensory issue is his refusal to make eye contact. so you telling him to stop what he is doing and make eye contact could be very threatening to him. I work in an acute psych environment and YOUR behavior could very likely end with your getting hurt. Every person who overdoses should be considered a suicide attempt until proven otherwise. Person's in the middle of a mental health crises can present as angry, rude, obscene, calm, happy, labile. As nurses we should not be passing judgement on these patients or their families who have likely been dealing with these maladaptive behaviors for years. Also where psych is concerned I have found that the mental health apple doesn't fall far from the tree.
The fact that he started screaming and punching himself in the head could be clear signs of psychosis and not necessarily bad behavior.
I honestly believe every nurse should work at least a year in a psych setting. These patients are not all locked away in psych wards anymore - they pop up on every unit.
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]
"patient sitting in chair eating a piece of candy, does not like what is on TV and says the hospital food is gross ".
Did you dominate the inserts, and were they adorable?
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.
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.
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?
Nonesense and outdated - making nursing diagnoses!
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