Swanee

Swanee has 10 years experience and specializes in Psychiatry.

Latest Activity

1. Nurses with ADD/ADHD?

   Swanee replied to Metron's topic in Stress 101

   We could start our own 12 step group lol. I'm suppose to be finishing up a few notes from last week and here I am still writing. This is pathetic. Time to make the donuts. (shoot, he died this week)!

2. Nurses with ADD/ADHD?

   Swanee replied to Metron's topic in Stress 101

   When I told my aunt (PHD nurse and teacher)I had decided to go into psyche nursing she begged me not to be a stupid nurse. I did not know what she was talking about until I became a nurse. WOW!! We need to continue to learn, remain open minded and fo...

3. Nurses with ADD/ADHD?

   Swanee replied to Metron's topic in Stress 101

   I hope Margaret is still teaching. I know that I'm in psyche because I understand having to struggle and feeling that I'm different from other. Today, with age, experience and understanding, I try to accept the bad with the good and focus on the good...

4. Nurses with ADD/ADHD?

   Swanee replied to Metron's topic in Stress 101

   ritalin LA has minimal side effects and lasts for 6-8 hrs. It doesn't keep me up all night like adderral did. Ask your MD. Straterra did nothing for me.

5. Nurses with ADD/ADHD?

   Swanee replied to Metron's topic in Stress 101

   I've been where you are, 20 yrs later. Ritalin LA was better for me than adderral. I was up all night on that and my face broke out at 40! Ask your doc. I've found that now that I'm on meds and 13 yrs sober, I don't even want to work in rehabs or the...

6. Nurses with ADD/ADHD?

   Swanee replied to Metron's topic in Stress 101

   Funny Metron that you started this. I'm a psyche RN, 13yrs sober and ADD diagnosed 3yrs ago. I was pulled in by my supervisor on an inpatient unit and she sent me to a doc at Yale who specialized in ADD. I happened to live right outside of New Haven ...

7. so what does it take?

   Swanee replied to CharlotteCNA's topic in Psychiatric

   Start with inpatient and talk to other psych nurses. I started as a case worker before becoming a nurse and then went to inpatient psych. Talk to human resources at hospitals and mental health centers to see if there are any openings. I got lucky and...

8. Irritating, but not dangerous...What to do?

   Swanee replied to kurlos's topic in Psychiatric

   Develop a plan with the pt and psychiatrist if ignoring doesn't work. Apparently he/she is looking for attention so get him/her in group, assess for AH/VH if too disorganized to attend groups. The pt could be at risk because other pts may get annoyed...

9. How Do I Approach This?

   Swanee replied to Meerkat's topic in Psychiatric

   Provide education and use colleages for support. Is this the nursing report? Who is making the comments, other nurses or mental health workers? Address them individually and discuss your concerns because that type of behavior trickles down to the pat...

10. holiday suicide

    Swanee posted a topic in Home Health

    It's the day after Christmas and I keep thinking of the patient I was working with who jumped in front of a train 2 wks ago. I saw the signs, got him admitted to the hospital, but he was discharged in the same condition into the same environment. Psy...

11. Psyche RN's being required to do wound care - help!

    Swanee replied to Swanee's topic in Home Health

    I worked with 77 yo nurse who was seeing her GP for psyche. She had been demented for three yrs. Utilities were maxed, life insurance was gone because it lapsed. He said she was a little confused but was taking her meds and appeared to be OK. She uri...

12. Psyche RN's being required to do wound care - help!

    Swanee replied to Swanee's topic in Home Health

    There's got to be a balance some where! We have the same problem. No psyche nurse will sign on now that it's known that wound care is part of the package. The assistant director is the only one that insists on keeping it this way. There is value in e...

13. new to home health

    Swanee replied to caringRN's topic in Home Health

    Ditto!

14. new to home health

    Swanee replied to caringRN's topic in Home Health

    Sorry about the negative. I love the patient contact however, the paper trail associated with homecare and the pressure to always do more is too much. I did get better at saying No! My answer is to go back to school so I can have my own practice. Yes...

15. Psyche RN's being required to do wound care - help!

    Swanee replied to Swanee's topic in Home Health

    This is reasonable and expected. Psyche patients are living longer and have many chronic illnesses, mostly from life of smoking among other things. Training is important. Inservices are rare now and few get a break to go to a conference any more. Edu...