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Search Results Type: Posts; User: Mandychelle79

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  1. I realized that I was an old Psych Nurse when...
    Wonder if I can suggest this to my patient who are worried about what people say about them.
    12:40 am
    Forum: Psychiatric Nursing
  2. I realized that I was an old Psych Nurse when...
    I do this all the while out and about.
    Apr 22
    Forum: Psychiatric Nursing
  3. How do you keep a calm milieu?
    Yep. Sometimes calling a bully out on their behavior is the best way to deal with said behavior and if there is one thing I can do it is cover my butt with my charting. :)
    Apr 22
    Forum: Psychiatric Nursing
  4. How do you keep a calm milieu?
    So sorry that you are going through this right now. We once had a patient that would do things similar to what you are describing, simply because he was an addict and knew that acting out would get...
    Apr 22
    Forum: Psychiatric Nursing
  5. Critically ill pts wanting to go AMA?
    Yep it is possible to grab them before they leave, happens all the time. Security is notified and the patient is not allowed to leave. If said patient does leave and the involuntary commitment...
    Apr 21
    Forum: Nurse Colleague / Patient Relations
  6. Critically ill pts wanting to go AMA?
    It if is a case where the patient would be a danger to themselves if they left it is also possible to have them involuntarily committed/ treated. I see orders like that for a lot of our transfers,...
    Apr 21
    Forum: Nurse Colleague / Patient Relations
  7. What age of patient's are the most difficult for you?
    As a student I took care of the mother of one of the CRNP's that consulted where I worked. She was nice enough to step outside the room while I was completing/ learning the tasks.
    Apr 21
    Forum: Patient Education
  8. I'm All Ears
    Maybe, but I have been told one of the reasons the patients don't act out when im working is because I look like I'm somebody they don't wanna mess with
    Apr 21
    Forum: About A Nurse - Nursing Cartoon Series
  9. I'm All Ears
    I can't say I have any stories that I would rather forget :) But I have had lots of patients tell me things that they have never told anyone else ( which is good since I work psych), as they are...
    Apr 21
    Forum: About A Nurse - Nursing Cartoon Series
  10. How do you keep a calm milieu?
    And RESPECT the patients. That is a huge one. Often times when I have asked patients why they act out on one shift and not the another one the recurring theme is that they can tell that I respect...
    Apr 20
    Forum: Psychiatric Nursing
  11. Patients who want to be admitted for minor things
    The psych nurse in me is just shocked then when he found out he was being discharged he didnt say he wasnt safe to go home, that he felt like harming himself, etc. Many of the patients we get are...
    Apr 20
    Forum: Emergency Nursing
  12. padded isolation
    What do you want to know about them? We have one padded isolation/seclusion room and one restraint room that is also padded. I have allowed patients to go into " Open seclusion" where they can come...
    Apr 20
    Forum: Psychiatric Nursing
  13. Meds & jail
    If we know a patient is being discharged to jail the doctor works with the jail and only prescribes meds that with will continue because like psych guy said our local jails do not prescribe any...
    Apr 20
    Forum: Addictions Nursing
  14. How do you keep a calm milieu?
    Oh and having a reputation of being a nurse that doesnt take any nonsense helps, especially when frequent flyers are on the unit. I have overheard them say, She's the cool nurse, but dont make her...
    Apr 20
    Forum: Psychiatric Nursing
  15. How do you keep a calm milieu?
    Make yourself more visible on the unit, redirect the biggest offenders, offer 1:1 time to see what is causing the tension, call them out on their behaviors. I have noticed if the unit is hyped up (...
    Apr 20
    Forum: Psychiatric Nursing
  16. What age of patient's are the most difficult for you?
    The ones I have the most issue with are the elderly dementia patients, who are assigned to the unit because of aggressive behaviors, not able to return home and their medical issues have resolved so...
    Apr 20
    Forum: Patient Education
  17. Nakedness
    I think when weve have someone who was prone to disrobe we had more often than normal checks, possibly a 1:1, and would continually just redress the patient or encourage them to dress themselves.
    Apr 18
    Forum: Psychiatric Nursing
  18. That person
    My son broke his arm right before he turned two, it was 3 days before I took him to the ER for treatment ( who breaks their arm tripping over a high chair) so I am sure that the break drew abuse...
    Apr 18
    Forum: Nurse Colleague / Patient Relations
  19. April 2014 Caption Contest: Win $100!
    We just finished our HESI, Bring on the ETOH.
    Apr 18
    Forum: allnurses News and Announcements
  20. April 2014 Caption Contest: Win $100!
    If their patients only knew what they actually ate and drank
    Apr 18
    Forum: allnurses News and Announcements
  21. Describe your 10/10 pain. Piggybacking off of recent pain discussions.
    I do the same thing, with one of my gall bladder attacks ( that start out like the worlds worst indigestion) I dreamed that I stole a patients medication out of the accudose... what did i steal, not...
    Apr 17
    Forum: General Nursing Discussion
  22. Charge nurses
    All of the nurses can be charge. The clinical manager is in charge during the day unless on an admin day. Then someone else is assigned charge ( even if assigned can change before punching in). I...
    Apr 14
    Forum: General Nursing Discussion
  23. drug/alcohol pt questions
    We do not do a taper for ETOH withdrawal. Depending on the doctor we do a WAS score and treat based on their score, monitor vs/subjective symptoms and give PRN Librium, or a high dose, limited...
    Apr 11
    Forum: Psychiatric Nursing
  24. Critical Thinking in Mental Health Setting
    Critical thinking in psych is different, but I use it all the time. I guess the main time I use them is when there is a major change in a patient that is well known. A frequent flyer comes in and...
    Apr 11
    Forum: Psychiatric Nursing
  25. How Not To Bring Germs Home...
    I leave my shoes in my locker, though that is more so I do not wear them without socks and end up with stinky shoes. I dont change as soon as I get home, my kids hug me in my scrubs all the time, I...
    Apr 11
    Forum: General Nursing Discussion


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