mikenmim

mikenmim

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About mikenmim

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  1. long-acting IM going SQ?

    I always use a 1 1/2" needle for IM's.
  2. Psychiatric Emergency! Fumbling Syringes?

    Does your agency use syringes with retractable needles. My preference is Vanish Point brand. The needle retracts while it is still in the patient. This dramatically reduces chances of a stick. Also, talking to the patient may seem like the most human...
  3. Hired on a psych floor!

    Remember that they are people too! So many people walk on to the floor and are afraid of the psych patients. Over time you will develop the ability to know when you are over your head and need help. Your preceptorship and the long time psych nurses c...
  4. We have an obligation to provide treatment. There can be no effective treatment if staff are in fear.
  5. Emergency Psychiatric Medications

    We always used HA HA therapy. Haldol (5 or 10) and Ativan (2). Repeat in an hour if needed. Of course, if you can head off the emergency and your patient agrees to take po meds then everybody wins. My preferred po med is Haldol or Thorazine.
  6. Taking blood pressure on an agitated patient

    No harm in asking, "would you like something to help you relax?" The patient still has the option of refusing the PRN. he does not have to present a danger to self or others for you to offer. If he accepts, the PRN med ma help to lower his BP until h...
  7. Unit Keys - Where do you keep them on yourself?

    Keys should be on a ring and kept in your pocket, out of sight of patients. On my unit, we are required to wear an ID badge. This is also the magnetic key for access/egress to the unit. A lanyard is not permitted unless it is a "break away", supposed...