diawc

diawc

OB, ER, ICU, Supervision, SANE

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All Content by diawc

  1. Police on psych unit

    I am looking for information related to allowing police onto the psych unit with their weapons. What are you all doing? Also if there is any relavent research out there. Thanks for helping as we explore this.
  2. Seizures

    I work in a free standing psych facility and we are looking to strenghten some of our policies. One I am working on is around seizures - what do you do for nursing interventions, what meds are you using, and when do you send out to an ED? Thanks fo...
  3. Physician Assistants in psychiatric hospitals?

    we have hired quite a few where I work. We use Rns and NP/PAs, they help the psychiatrists tremendously
  4. Domestic Violence....Against Men

    Interesting....what hurts worse, a physical "slap" or an emotional one? I deal with abuse victims all the time. As a Sexual Assault Nurse Examiner, I find people sympathize with the women, and question the male victims. Victim=victim. Sex doesnt ...
  5. Acute Psych Facilities - All the Same?

    No, all facilities are not the same Some are "for profit" some are not. Facilities can be selective, based on what type of programming is available. The really agressive patients do end up going to state facililties, because of the degree of violen...
  6. admission criteria here, simply is a danger to self or others, incapable of performing ADL's d/t psychosis, ect. Of course thats all open to interpretation, but it works. Our social workers screen voluntary admits for criteria.
  7. Pts who assault, is there any protection or policy?

    We do have to transport patients at times, and it is AlWAYS with 2 staff members. Safety goes both ways...like the above poster, assaults happen. If you have patients who are touchy/feely, they should not be alone with a staff ever, those are the k...
  8. Residential childrens facility..

    I have found in our facility that the first thing is to show no fear, nor act surprised. They will say things to get a rise. Act like you've heard/seen it all. Show respect but also show you are in charge. They will react to kindness, and compassi...
  9. Medical clearance

    I currently work in a freestanding psychiatric facility. We are doing some policy reviews, and would like to establish some general medical clearance standards. What are the minimums that your facility requires to be hospitalized from an ED? Ex: All ...
  10. Funny Websites or Blogs With Nursing or Hosp Stuff

    http://www.ertards.com/ stupid reasons that people go to the er....hysterical!
  11. you know you work in mental health when...

    You know you're in psyche when.... 1. Your patient refuses to go to bed because "its on fire" 2. you know what "cheeking" is.... 3. Nudity is a normal condition of some of your patients 4. You hear threats like "if you dont give me that pill, I'l...
  12. How to tell you've worked too many shifts in a row

    you know you've worked too many.... When you wake up in the afternoon, yell at the kids (who just got home from school) to get to bed right away because its way past their bedtime.....and not even remember the conversation
  13. Memo to All Hospital Staff

    I think we work at the same place??? LMAO!
  14. Nursing Supervisors

    Depends on the hospital....I have worked mainly community Hospitals, and they hired me into supervision primarily because of how I managed the unit work I was on. Had a 6 week orientation and let me fly. I have been a nursing supervisor for 13 year...
  15. I dont identify myself - I dont often hear waitresses telling other waitresses of their occupation prior to ordering, or hear people at check-outs telling their occupation. I am there/my family is there for services and who/what I am shouldnt matter...
  16. Nursing Superstitions?

    Everytime I recert in CPR or ACLS, I have a code my next shift. Never fails Full moon is true on every unit I've worked on. When I worked ER I would ask for a code - true to word, if you ask you shall receive - my coworkers would get mad...but I th...
  17. Nursing Superstitions?

    1. Fully believe in the full-moon "theory" (or as I call it, reality). 2. Any day I want to be low-censused, if requested, will be busier than any other day that week. 3. Working nights, any time I am sleep deprived, even if I say the "s" work, it...
  18. Crazy/weird/funny things you have caught your pts doing

    Working in the ER one night, had a frequent flier alcoholic in being worked up. The poor Xray tech went in to retrieve the pt for an xray to find his girlfriend "servicing" him......he just smiled and said it was his birthday....
  19. You Know You Really Have To Pee When......

    You've had to pee for so long, that it hurts when you start to go....
  20. Being a Nurse for a Killer

    I work in a psychiatric hospital, and we often have criminals who "hide out" here thinking they can avoid prosecution for a while. It is difficult to care for someone who has committed a heinous crime, yet it is an expectation. No the nurses here c...
  21. how about.... Are you ready to go to bed? I'm just going to take some pictures of your cervix ( during a SANE exam) When was the last time you had consentual sex? (during nurse-to nurse) Is he/she a normal walkie talkie?
  22. Important Lessons my Patients have Taught me...

    1. Always wait until 11pm to call and complain that your adolescent child needs to be transfered to a medical hospital. Honestly, I'm sure you didnt know about the abdominal pain when you visited at 7pm. 2. Yes, I'm sure you are here (at the psych h...
  23. Funny things that pts say

    lol....I had someone ask for DenLaudin! Is that Ben Laudins brother by chance?:bowingpur
  24. My sister, who is a MA, often has "almost" something...... Last year it was "almost" pneumonia Her son, btw, also has "almost" cystic fibrosis!
  25. The strangest thing you've ever seen on an x-ray?

    13 yo boy who inserted a metal rod into his penis - didnt ask, but he ended up in surgery. DD girl who swollowed staples one at a time - took us a while to figure that one out. Had a cousin who worked on the West coast, he had a patient who "accident...