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Search Results Type: Posts; User: Mandychelle79

From Date
  1. Psych nurses: What have you learned from working with substance abusers?
    We don't do benzos for opiate withdrawal either. We have separate assessment scales based on what the pt is coming off of. The only times the assessment score comes into play is 10 or above for...
    Sep 30
    Forum: Psychiatric Nursing
  2. Psych nurses: What have you learned from working with substance abusers?
    The only time I have issues believing they need is when their subjective report does not match at all with the objective: n/v but eating full meals, covered in sweat (per pt) but clothing dry, palms...
    Sep 30
    Forum: Psychiatric Nursing
  3. Psych nurses: What have you learned from working with substance abusers?
    That if they aren't ready nothing i say will change their mind that they come in with a chip on their shoulder because of how they have been treated by other healthcare professionals how to...
    Sep 29
    Forum: Psychiatric Nursing
  4. Forced IM meds...always ethical??
    The patients I have had on a meds/objection plan or in an emergent situation have the right to take the po meds vs the shot up until I have actually put the needle into their muscle.
    Sep 14
    Forum: Psychiatric Nursing
  5. nurse-pt ratio
    Our overall staff: patient is 1:4, minimum staff is 3 to make sure there are always 2 staff on the floor at all times. We usually staff 2 nurses per shift so we could have 4 nurses for 16 pts or 2...
    Sep 10
    Forum: Psychiatric Nursing
  6. Pts handpicking assignments, and refusing nurses of opposite gender?
    I have had male patients refuse to abide by rules/ redirections (psych) because it was an all female staff working. I believe the quote was I am a grown *** man I am not listening to a woman.
    Aug 15
    Forum: Nurse Colleague / Patient Relations
  7. So how exactly do you chart this?
    Oh I forget how I wrote it but it was similar to that. A few minutes later he looked at the therapist and said she's mean and then stuck his tongue out at me. Love our geris sometimes.
    Aug 13
    Forum: Psychiatric Nursing
  8. So how exactly do you chart this?
    Elderly male patient, was just joking with staff in hallway. Therapist doing checks. Look up from nurses to station when I hear therapist calling patients name repeatedly. See the look of fear in...
    Aug 13
    Forum: Psychiatric Nursing
  9. Patient Population?
    Actually I don't have that much patience. Just a lot of friends and family with addiction issues and they can usually tell. I was leading recovery group and had a patient ask if I was in recovery...
    Aug 6
    Forum: Psychiatric Nursing
  10. Manipulative Behavior - How to Deal
    If I think they are exaggerating their tremors I have then stick out their tongue.
    Jul 22
    Forum: Psychiatric Nursing
  11. Patient Population?
    Work with everything over age of 18. Dual, dementia, psychotic.... Makes for an interesting night to say the least. My favorite are the addicts and those with antisocial personalities.
    Jul 22
    Forum: Psychiatric Nursing
  12. Be honest, what pt behaviors do you find annoying?
    When rating my pain I usually tell them it is worse than my natural child birth ( gall bladder, id rate childbirth a 5 maybe 6, gall bladder was a 7 with times of 9)
    Jul 21
    Forum: General Nursing Discussion
  13. Most Ridiculous Med Order
    I work on a dual dx unit so we detox patients all the time. I have had a doctor order 0.5 mg of Ativan q 6 h for patients who are drinking a 30 pack per day for past 5 yrs, or nothing for the opiate...
    Jul 1
    Forum: Emergency Nursing
  14. Psychiatric Medication Nurse
    Why can't the charge pass a prn or two while you are doing safety checks. I know our 7-3 shift is great for the I'm not the med nurse when someone asks for a Tylenol or whatever and the med nurse is...
    Jun 21
    Forum: Psychiatric Nursing
  15. knock it off or i'm going to put you in restraints!
    My objective of the patient is toeing the line is to eliminate the audience so I offer going back to their room or going into the seclusion room with the door open for a calm down period. When they...
    Jun 13
    Forum: Psychiatric Nursing
  16. If you want to work in psych you must be crazy yourself...
    I work psych, and while I have never been dx with a mental illness officially... ADHD and Antisocial personality disorder traits, per our attending psychiatrist. I often say if I wasnt a bit crazy I...
    Jun 12
    Forum: Psychiatric Nursing
  17. Has anyone else "sensed" when something was wrong with a patient?
    I called the dr one night at 2 am based on a gut feeling. Luckily it was the dr I have a good rapport with because there was nothing I could pinpoint what was wrong. I just kept saying, I dont like...
    Jun 6
    Forum: Nurse Colleague / Patient Relations
  18. Psychiatric Medication Nurse
    I am usually charge but on our unit EVERYONE during the shift is assigned safety check times. When making out the assignment sheet I take into consideration what times the med pass is for the 3-11...
    Jun 5
    Forum: Psychiatric Nursing
  19. Answering Phone Calls & Maintaining Confidentiality
    If they call in asking to speak to a patient we just send the calls to the pt. phone whether they are there or not. The patients will either find the person or say I'm sorry he or she is no longer...
    May 11
    Forum: Psychiatric Nursing
  20. Non nursing duties
    I don't expect my mht's to do anything I won't do. So yes I do checks, pass out trays, open bathrooms, get educational packets, go through belongings, take triages. Most shifts I have two hours...
    Mar 30
    Forum: Psychiatric Nursing
  21. My First Code
    I have a parasympathetic dump after codes. I actually take benadryl right after to help me not shake and puke.
    Mar 26
    Forum: Psychiatric Nursing
  22. Ideas for groups run by RNs?
    I can facilitate any group that is scheduled and depending on staffing matrix do so. Groups that go over well with me running Med group coping skills relapse prevention (dual unit) anger...
    Mar 23
    Forum: Psychiatric Nursing
  23. discharge/scripts & pt responsibility
    Even with paper scripts you run into the issue of the pharmacy not having the Med. My friend is on sapharis, new order last friday, not available till Monday. Happened enough with my daughters adhd...
    Mar 5
    Forum: Psychiatric Nursing
  24. Involuntary hold guidelines
    The county i work in can be interesting if the 302 proceeds to a 303. I've gotten pretty good at knowing what will or won't stand, what the lawyer will pounce on. If we feel the likelihood of...
    Mar 4
    Forum: Psychiatric Nursing
  25. To tell or not to tell?
    I try not to say anything but Im usually only in the ER/ Quick Clinic. I even said to my husband about not disclosing I was a nurse in the ER and he said well babe, most dont say I flushed my eye...
    Feb 21
    Forum: General Nursing Discussion