TopazStone

TopazStone

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All Content by TopazStone

  1. Has anyone had the experience of knowing a patient on their unit?

    TopazStone replied to njmonsterboi80's topic in Psychiatric

    It happens to me a lot and as the only scheduled nurse, I can't avoid caring for them. I do inform my supervisor and reassure the person that everything is confidential and will remain so. I do have...

  2. How does a psych career affect the psych nurses?

    TopazStone replied to malusport's topic in Psychiatric

    Thank you for writing this post. I am pretty sure I am reaching burnout levels as a psych nurse. I can still feel empathy for the patients who are in a psychotic break and I have a soft spot for the...

  3. Phobias anyone???

    TopazStone replied to danissa's topic in Psychiatric

    Spiders, heights and creepy old dolls. I guess when I was around 3, I bounced down to my grandma's basement where she had been trying to clean up some old dolls so they were all sitting out (some...

  4. Britney Spear - HIPPA violation?

    TopazStone replied to danu3's topic in Psychiatric

    Sheesh-- I've been saying for ages now that the poor girl seems to be Bipolar and they should leave her alone. Can you imagine having your psychotic break publicized like this? It is unfortunate but...

  5. Accepted nurse to pt. ratio

    TopazStone replied to wonderbee's topic in Psychiatric

    Good heavens! I work at a psych crisis facility and have been complaining about the ten to 16 patients I've had to manage. Of course, our tech is not able to complete VS or blood sugars and I am the...

  6. Got Beat Up Badly In Face By Patient

    TopazStone replied to Aviationurse's topic in Psychiatric

    This is one of my worst fears. It seems that psych is the bottom of the feeding chain everywhere as far as safety, staffing and funding are concerned. I worked nights on an in-patient unit and at...

  7. Your in Charge of the staff and things go Bad!

    TopazStone replied to happthearts's topic in Home Health

    Another method to block the manipulation is to use a single cell phone/ pager for the manager on-call. This gets rotated to the person on-call and is the only number provided for CNA (heck-- and...

  8. Missed visits

    TopazStone posted a topic in Home Health

    Now that the Summer is upon us, I have had an increase in missed visits. Either the patient calls to D/C or they just plain aren't home! The salary nurses have a weekly quota and visits are...

  9. Belly Piercing/Tattoo

    TopazStone replied to shavsha's topic in General Nursing

    As far as working with visible body piercing, remember we work with the elderly (for the most part). There are clear "holders" you can purchase to keep the hole open when you can't wear the jewelry....

  10. Missed visits

    TopazStone replied to TopazStone's topic in Home Health

    We are mainly Medicaid. We manage meds and long term physical problems because the patients are constantly hospitalized if we don't assist (ie, check BS, apply skin treatments) and we do some social...

  11. late charting in home car

    TopazStone replied to nursesearl's topic in Home Health

    I have to take a notebook into the home with me to jot notes. You don't want your delusional, paranoid and agitated patient to see you document that they are "paranoid, delusional and agitated" lol....

  12. What Freaks You Out?

    TopazStone replied to JennieBSN's topic in General Nursing

    Had a pt come in for psych eval after cutting her arm and getting sutures. I walk into the room and there is the >300# pt digging her fingers into her fatty tissue after puling out her own...

  13. Nurses week Cheap gifts from admin.

    TopazStone replied to nilepoc's topic in General Nursing

    Gotta say, I was impressed. Our managers sat at lunch with us and told something that they appreciate about each and every nurse, plus the goodie bag. Wow! I do feel warm fuzzies

  14. Nurses week Cheap gifts from admin.

    TopazStone replied to nilepoc's topic in General Nursing

    Hmmm, guess I have been lucky. I can't remenber last year's gift, but the year before we got the clipboards that open up to hold papers, files, pens, etc. and a little daily planner (not the one with...

  15. 485 Summaries

    TopazStone posted a topic in Home Health

    I have been asked to do an informal poll on what other agencies include in their summaries on the 485. We are in the process of reorganizing our paperwork and want to set up a form for case managers...

  16. 485 Summaries

    TopazStone replied to TopazStone's topic in Home Health

    O.K. everyone-- yes it is the 487:imbar . I just tend to flip it and keep writing LOL. We work with mainly with the chronic mentally ill Medicaid patient. Every 60 days, we send a summary to the...

  17. PERSONALITY DISORDER/SELF ABUSE

    TopazStone replied to BarbRPN's topic in Psychiatric

    Barneyridge, Sorry I can't cite the resource-- someone had forwarded the info to me ages ago. The docs at the crisis center I worked at were not receptive to trying this. I had to rely on the old...

  18. PERSONALITY DISORDER/SELF ABUSE

    TopazStone replied to BarbRPN's topic in Psychiatric

    I have read some research-- someone forwarded it-- about the use of Narcan for self-mutilation. They have found that the patient secretes endorphins that block the pain and Narcan allows them to feel...

  19. Restraints for acute patients...

    TopazStone replied to jojo's topic in Psychiatric

    I worked for an unlocked psych crisis unit; a bizarre setup. If the client was a risk to self/ others we had to put them on an involuntary hold--but could not lock them in a room!! On a typical...

  20. All Nurses Read This

    TopazStone replied to buck227's topic in General Nursing

    1) RN 2) 5 3) Midwest 4,5) Pay isn't bad, work full-time, non-benefited 6) weekends AM and PM visits (home care) 7) that would depend on which supervisor-- most are out of touch with reality. I think...