mebeafrn

Latest Activity

1. Borderline adolescents

   mebeafrn replied to Mudfiend's topic in Psychiatric

   I looked at the DSM IV while I was wrestling old charts out of med records today and it talks about behaviors"experienced in adolscence and early adulthood" when going thru the dx. criteria so it's not something established in adol. I agree too with ...

2. Can You Detain a Patient Just For Being Manic?

   mebeafrn replied to Meerkat's topic in General Nursing

   in NE we can do a 48 hour hold to determine safety,has to be initiated by a psychiatrist. In that the pt. is observed and evaled,recommendations made and if they are unwilling to go along voluntarily if considered a danger to themselves or others-thi...

3. DID question

   mebeafrn replied to Stdy2BaNurse's topic in Psychiatric

   my little bit of info to add from experience with DID pt. The "strawbarry gal" presented with a bland facies,no makeup and very quiet demeanor. During the course of a conversation,usually after a pause in speech and looking down or away she would "sw...

4. Borderline adolescents

   mebeafrn replied to Mudfiend's topic in Psychiatric

   so true!!!!I see charting that says pt. "likes"(quotes are mine) to_____fill in the blank w/ such as ,staff split,manipulate,have negative attention,have males do physical holds,be gamey etc... as if this is a conscious choice and these pt. really li...

5. Child Sexual Abuse: Are Health Care Providers Looking the Other Way?

   mebeafrn replied to sirI's topic in Forensic

   thanks! Thats just how I feel when I see things like that article.banghead: I don't see my co-workers looking away-mental health facility and we produce VOLUMES of suspected abuse reports. The situations are so frustrating,we report over and over a...

6. DID question

   mebeafrn replied to Stdy2BaNurse's topic in Psychiatric

   wonderful topic! My experience is limited with DID. I do recall one gal who was allergic to strawberries,but loved & ate them,then would "leave" when the hives began to show. This was also one of the more self injurious/high risk taking alters wh...

7. Innapropriate comment at CODE?

   mebeafrn replied to Dinith88's topic in CCU

   IMO tension relief is OK as long as only nsg. hears it. Humor puts things in a more "manageable" light.

8. Ready to function as

   mebeafrn replied to mebeafrn's topic in Psychiatric

   thanks for the reply lovinghands...overwhelmed is very possible & you are right about chaos.We,the House Managers-have been taking turns working the units as the new RN's back up,letting them charge the unit with us on the meds or running program...

9. Jumping from a BA in Psychology to a Psychiatric nurse

   mebeafrn replied to mystikchik1031's topic in Psychiatric

   if you are interested in nursing,go for it. Please do keep in mind as CharlieRN said so aptly,crazy people get sick too. Our population is aging too,so we see multi-system chronicity,not just mental health. A good psych nurse needs some good solid me...

10. Psych nursing student needs help!

    mebeafrn replied to Blondielox's topic in Psychiatric

    does the unit you are assigned to have a daily goals setting group? If so try watching how the staff enc. participation. You could also try the flip chart or marker board method vs individual paper and pencil. You doing the writing and your pt.s givi...

11. Ready to function as

    mebeafrn replied to mebeafrn's topic in Psychiatric

    wow,CharlieRN,compaired to your facility we are a unit. We went thru some bad years,managed care took a hard toll, and even worse internal management was very nearly our undoing. The parent company was ready to close us. A management company has ta...

12. Ready to function as

    mebeafrn replied to mebeafrn's topic in Psychiatric

    Thanks for the input!! In the past we have had great success with the majority of the med-surg nurses who have come to us,I say this some what tounge in cheek since thats how we all started :-) I appreciate you perspective and suggestions,esp. the po...

13. Ready to function as

    mebeafrn posted a topic in Psychiatric

    our facility is expanding and we have nurses coming in with little to no psych back round. I am one of the few seasoned-15+ yrs. experiece plus a certification-psych nurses,a House Manager and very involved in their orientation. I'm concerned about a...

14. working on Christmas?

    mebeafrn replied to scrmblr's topic in General Nursing

    I just started an every Sat,Sun,Mon position. I've been in nursing for 23 yrs. and my oldest is 26. She still talks about opening presents on Christmas Eve,then again Christmas Day and again later in the week depending on what my schedule was. We oft...

15. Stigma against Psych.

    mebeafrn replied to Keely-FutureRN's topic in Psychiatric

    ooops,clicked wrong,can't find escape key,:imbar