darrell

darrell

Psychiatric, MICA

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All Content by darrell

  1. Acceptance and Commitment Therapy (ACT)

    darrell replied to darrell's topic in Psychiatric

    I know that ACT, too, TerpGal02. My own MI guru work with an ACT team. Acceptance and Commitment Therapy is different, although it does play well with MI. Here is a link to the synopsis. ACT |...

  2. Acceptance and Commitment Therapy (ACT)

    darrell posted a topic in Psychiatric

    I work in community mental health for New York State. We are undergoing a lot of changes and restructuring right now, and our clinic has been riding out the process pretty well. Part of that seems to...

  3. RN counseling guidelines

    darrell replied to Anagray's topic in Addictions

    I work for New York State in communi mental health and I provide primary psychotherapy and substance abuse counseling. I have a BS in counseling studies and an MA in H&W focusing on coaching...

  4. Use of C/O in Documentation

    darrell posted a topic in General Nursing

    I am having a discussion with a co-worker about the use of c/o or "complains of" vs. "reports". The general idea is that the c/o phrase has negative connotations associated with the concept of...

  5. Dropped pills

    darrell replied to mandaaRN's topic in Patient Medications

    It is one line in the progress note. And it is her right to to take her pills however she chooses. If you had interfered, you would have something to agonize

  6. Please quit wasting my time: Interview Advice from Hiring Manager

    darrell replied to Teacher Sue's topic in Job Search, Interview, Resume

    Thanks for the chuckle, Sue, although I also empathize with your heartache (headache)! I am reminded of one snafu in which I showed up an hour late for an interview. We never did find out whether it...

  7. The Nurse as Behavioral Change Coach

    darrell posted a topic in Patient Education

    There are many special interest groups (SIGs) within the*Acceptance and Commitment Therapy (ACT)*Community, but not one for nurses. I am trying to see just how much interest there is in setting up a...

  8. Yelled at for posting on AN

    darrell replied to Bormio's topic in General Students

    Early car drivers were likely criticized for their contraptions, phone users for gossiping on party lines, etc. Change scares people.

  9. Starting Nursing at 52 and Nervous

    darrell replied to eyeball's topic in First Year After Licensure

    In at 50 and doing great in psych. Some issues with schedules at home, but working on that! Keep up with the continuous improvement and have a comprehensive self-care plan! I have a daily workout with...

  10. Is it to late for me to become a Nurse?

    darrell replied to louis345's topic in Pre-Nursing Students

    I started in my later 40's. At 52, I am in psych and loving it - and still in school to advance my professional education. I do take care of myself - fitness, Yoga, meditation, rest, diet - but your...

  11. First Nursing job, and I drowned!

    darrell replied to galenanurse's topic in First Year After Licensure

    Skimming replies, the part about learning from past mistakes and experience seems the most productive advice. Being new, you likely had no idea that you could refuse the assignment right at report if...

  12. Another nurse bites the dust due to facebook

    darrell replied to siringe's topic in Nursing News

    I agree with the spirit of your opinion, but I'll add that there is no privacy. Posting online, including this response, makes the information public. I avoid details about work except the most...

  13. I am an American.

    darrell replied to UnionRN2's topic in Patient, Colleague Relations

    Cultural bias does not always equal bigotry. That being said, however, I think somebody probably had to review her response a few times after this. It seems like one of those knee-jerk responses that...

  14. Buddhist and there practices

    darrell replied to angle71054's topic in General Nursing

    Yes. Reincarnation and many other beliefs have filtering into various Buddhist traditions on top of the core teachings of Buddha, which center entirely around this life and how it is lived: he advised...

  15. Have you been assaulted by a patient?

    darrell replied to CrabbyPatty's topic in Patient, Colleague Relations

    I do work in psych. I agree. Most especially about the staff behavior - I've seen more situations escalated by clumsy interpersonal skills than through psychoses. I think some folks are so...

  16. No one thinks I can do it!

    darrell replied to MKO90's topic in Pre-Nursing Students

    I am 52, work full time, have had my RN for a couple of years and am attending school for my BS with 16 credits this semester. I suggest that you will only know for sure when you have done it, so it...

  17. Trying to avoid undesirable CNA duties

    darrell replied to girtenbt's topic in Medical Assistant, CNA/MA

    I am a psych RN and our techs tend to sit back and grin at the nurses when such needs arise...:). I am a bad one to help as I don't mind doing it - I decided when I chose Nursing that I would accept...

  18. I think cutsey scrub tops look ridiculous on adult units

    darrell replied to AZO49008's topic in Scrubs, Uniforms, Gear

    When I was a tech in acute care, I wore tops with seasonal motifs and had holiday themes my wife put together for me. I brought some smiles to the patients with these, which absolutely justified their...

  19. Senior RN Student w/ Jealous Husband!!!

    darrell replied to mommalumps's topic in Nursing Student Assistance

    Many folks will say this, I'm sure: break the path down into steps and then break the steps down until the first move is within your ability to reach. Then start walking them.

  20. Highly disturbed today at Clinical...

    darrell replied to cookiesandcream22's topic in General Students

    You did well and they might wish to rethink policies and procedures. Remember there may be multiple conflicting drives in play with which you are not familiar. For instance, someone may have lectured...

  21. Just gave up a decent income to be a CNA

    darrell replied to esunada's topic in Medical Assistant, CNA/MA

    When I entered Nursing School, I backed out of an eight-year entrepreneurial career in software to work as a tech at a local hospital. I did it to gain experience before graduation and because I...

  22. I need a lot of help, failed out of nursing school

    darrell replied to MakeMeABird's topic in LPN, LVN Students

    By now you've had your meeting. I don't have enough time to read through all the posts to see what happened, but I am sure you can either re-enter or start at a new school. The important thing to...

  23. Anyone have anything positive to say about nursing school?

    darrell replied to AllThingsPink's topic in General Students

    Nursing school was an awesome experience. I went in at about 47 or so and thought I was pretty darn good with the ole' academic front! I came out a bit humbled perhaps, but with a strong sense of...

  24. Having another nurse check insulin doses & other med Qs

    darrell replied to Plagueis's topic in General Nursing

    I've worked at two hospitals in my area and both require two nurses for insulin. In my current unit, the med nurses commonly handles thirty patients, but there is usually no more than a half-dozen...

  25. How Will Universal Health Care Change Nursing?

    darrell replied to arelle68's topic in General Nursing

    Beautiful. I can afford, say, $100 per month for healthcare. Handle it through a risk pool or whatever. I can not afford $1200 per month for two people's meds (our current real-life estimate) plus a...