Mish56 BSN, RN

Mish56 has 32 years experience as a BSN, RN and specializes in Psych.

Latest Activity

1. Falls in Psychiatry

   Mish56 replied to MrChicagoRN's topic in Psychiatric

   HUGE problem for us also! Can't wait to see the responses here. We end up putting an awful lot of geriatric patients on constant observation.

2. patient/license safety

   Mish56 replied to MollNick's topic in Psychiatric

   Holy Cow!!! Start looking for another job! I work on a 26 bed inpatient unit, normal day shift staffing is 4 nurses, 4 MHW's and one "nurses aide". The weekends we are down to 3 nurses. The MHW's help with charting, the meds are different every shift...

3. Got my first psych job!

   Mish56 replied to luvtwilight's topic in Psychiatric

   Here is a helpful medication brush up. NIMH - Mental Health Medications You may need to brush up on your basic psych dx, such as schizophrenia, schizoaffective, bipolar disorder, major depression. If you are going to be working with duel dx, review y...

4. Looking for psych nurses with experience of wearing uniforms and street clothes.

   Mish56 replied to jeffthenursern's topic in Psychiatric

   My hospital went to color coded scrubs about 5 years ago. I spent the 1st 30 years of my career wearing street clothes. I think it makes it harder for the patient to identify their assigned nurse...."I have the blond with the blue scrubs". There are...

5. Psych nursing is easy

   Mish56 replied to studentnurse9806's topic in Psychiatric

   Wait?? I'm supposed to get a break???

6. Just want to thank you all

   Mish56 replied to clousehaus's topic in Psychiatric

   Wow! It is always nice to hear thank you. Hospital stays are so short these days we rarely see people actually get "well". We help stabilize from crisis, then it's on to a IOP or PHP. Thanks for taking the time to jot us a note!

7. Borderline Personality Disorder on the Behavioral Unit

   Mish56 replied to Thunderwolf's topic in Psychiatric

   Great article Thunderwolf! I am one of the nurses on my unit that actually enjoys working with people with BPD. The lack of understanding/education about this particular disorder never ceases to amaze me. Knowledge is power, both for the nurse and th...

8. Why are we as Psych nurses seen as bottom of the barrel?

   Mish56 replied to dreamingofbeing's topic in Psychiatric

   My thoughts exactly "TOP OF THE HEAP!" (Do I hear Frank Sinatra singing?) I usually DO NOT tell people I'm a psych nurse, but it has nothing to do with "gasps", it has to do with too many hours listening to some strangers life story about themselves...

9. Hostile Work Enviornment

   Mish56 replied to WhitemountainmagicRN's topic in Management

   Lord, I hate this! I am a staff nurse, and intend to stay as one. I want no part of management. Here's my 2 cents. Set the rules (backed by policy of course) and apply them. Equally and firmly! Where I work our non-licensed people can get away wit...

10. APRN to DNP Change

    Mish56 replied to morecoffeepls's topic in Connecticut

    oh and BTW, sorry for no definitive answer. I'm gonna guess CMHC

11. APRN to DNP Change

    Mish56 replied to morecoffeepls's topic in Connecticut

    So I'm guessing you live in CT (tags of Yale and Fairfield) and as an old ass psych RN I can give you this advice. Regardless of license start school NOW! I believe Fairfield is already stating you must start a doctorate program. Both of your scho...

12. New nurse in a psychiatric facility concerned about preceptor's behavior/attitude

    Mish56 replied to gasuperstar's topic in Psychiatric

    Sorry your preceptor is such a burn out! What a lovely intro to nursing. I've been doing acute inpatient psych for 32 years. I hate the fact that some of our patients will "never get better". For many....yes, they will have their illness the rest of...

13. manipulative patient

    Mish56 replied to adrienurse's topic in Psychiatric

    "He is condescending, asks for help but then refuses our care and says we are incompetent." 1st I would remind this man that he is being spoken to with respect and you will except nothing less in return. 2): If he wants to dictate care, I would rem...

14. Nursing intervention for schizophrenic patient having sex?

    Mish56 replied to robinslapsRN's topic in Psychiatric

    I can only hope you are joking! The ramifications of a hyper-sexual Bipolar? The rape or incest victim? The depressed pt. who has lost all interest...might be effecting marriage or relationship? Hello!? Ignoring a patient's sexual health or lack the...

15. DR. & ROUND EVERY DAY??????

    Mish56 replied to Shell5's topic in Psychiatric

    WHAT???? Are we talking acute inpatient here? On my unit the patients are seen daily by their attending, on the weekends they are seen daily by one of our consistent building attendings, who have received a "hand off" on Friday! I have no idea at all...