Psych Nursing, oh yeah!!!

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    Hello nurses...Im going to be starting a new psych nursing position here in a few days, so excited, have been interested in psych since school...Have already ordered a couple of psych nursing books to brush up on the basics, any advice or pointers would be much appreciated....thanks :-)
    Last edit by Hotfornursing on Oct 13, '13
    Meriwhen likes this.
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    I'm in the middle of a final project for school so I can't type much.

    Read many of the threads in this forum as you will find them very helpful.

    The one thing that I would say right now--and the first thing I usually tell students even though you're not one--is to always remember that psych patients have the same rights as any medical patient. This means they can refuse treatment and medications, even if they are under holds or committed involuntarily.

    The only times that refusal can be overridden is if the patient is an immediate danger to themselves and others (i.e., assaulting staff or self-injuring) or through a court order (which is a separate hearing from the hold/commitment process).

    Welcome to the dark side
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    welcome to the dark side we have cookies no really welcome and good luck.
    Juryizout, Isitpossible, and chevyv like this.
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    I could not infer what level of psych nursing you would be doing. Be prepared for people walking around. Unlike your usual patient they tend to be out of a bed. If it is inpatient hospital you may need to know proper restraint protocol (how to apply restraints, when they can be used, what type of order is required). If you are in a community based setting be sure to ask about charting protocol as this is how reimbursement is applied. Mostly for RNs it will be for teaching a specific thing to a client and requires at least 15 minutes. Be prepared for psychotropic drug use far beyond the doses that you ever learned in school. Learn what a B52 is and how to administer it.
    Hotfornursing likes this.
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    Quote from Carrie RN
    Learn what a B52 is and how to administer it.
    We call it "the Three Amigos"
    Retired APRN, Hotfornursing, and chevyv like this.
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    Congrats! Don't be afraid to listen to your gut as well as your staff. I love psych nursing! Treat your pts with respect. Many people do not do this and you will be surprised how often you'll get a positive response. Be aware of your surroundings, especially where the door is. You don't want a pt to be between you and the only way out of a room.

    My place of employment is in the process of closing. It can be pretty violent. I recently interviewed at a facility that told me they rarely have to use restraints. I thought I must be dreaming! Hopefully, you get a good place like that. We use restraints often and it's pretty dangerous. Psych nursing means you never have the same day twice!
    Hotfornursing likes this.
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    I love psych nursing. It's where my heart is. Most of these people are in the hospital frequently. They are an underserved population who often have no support in the community. They deserve patience, compassion and understanding just like anyone else-moreso in my opinion because they will not get it else where. The world is cruel to them. Treat these people with the respect and dignity they deserve. They are not prisoners. They do not deserve punishment. Although often times our rules and restrictions seem punitive so I am careful to explain the rationale (pt safety etc). Choose your battles-it's a lot like parenting. I have learned great parenting techniques from psych nursing and vice versa. Stay on top of prns with manic/psychotic patients. The second you notice that they are starting to rev up, give them something. It's the best thing you can do for them and yourself. We avoid putting our patients in restraints by keeping on top of their meds. Zydis 10mg is your friend-in my experience it works the best at calming manic/psychotic patients down. Sometimes it takes 20mg though. Good luck. You will love it!
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    The three amigos made me laugh out loud.
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    "Booty Juice"
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    lol u guys


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