pinkiepie_RN

pinkiepie_RN

General adult inpatient psychiatry

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All Content by pinkiepie_RN

  1. I know how that gets with the hectic environment, even with support staff. I just can't imagine one nurse on a psych floor during the day being responsible for the whole floor. How long are these...
  2. As a new grad with 8 months of experience on psychiatry, I would be overwhelmed if I were on day shift and left completely alone with a unit of 23 patients. I think you were right to be fuming. Does...
  3. Type of therapeutic technique

    I would pick therapeutic communication because that's the kind of relationship you build with your patient and it has a strict purpose. I think social communication refers to communication among...
  4. I will admit that I often say things that involve me inserting foot in mouth, things that wouldn't even fly by on the radar with my friends but that can be easily mis-interpreted in the workplace as...
  5. I never even thought of that but that makes a lot of sense. I do work with a strong group of nurses and I think they'd respond well to
  6. Thanks. It's just hard to figure out where to start on my own. There have been some great comments here that I'm definitely going to take to
  7. Thanks for your support. I hope to find friends here on my unit but I will say that it can be a bit of a toxic place sometimes, between under staffing, high acuity, and travel nurses in and out....
  8. What do you do to prevent falls?

    Ugh...this topic makes me cringe. I'm in psych and I think we have more falls this month for our unit than the rest of the hospital combined. Most of the falls occur on our acutely psychotic...
  9. That's definitely what you said about the fact that relationships ebb and flow. I'll keep that in mind and just keep a closer eye on my surroundings and my interactions with
  10. The "little sister I never wanted" is always said in such a joking/sarcastic way that I feel like I'm imagining friendships or relationships with my co-workers that aren't really there. I do feel...
  11. Thanks. I just worry that I ask questions too much. There's still so much more to learn and while I tend to relish in learning/teachable moments, I feel like a burden to those around
  12. I was actually in therapy for a while for a few other reasons and thought that I was doing alright without it. Maybe I'll give my therapist a call. My behavior could definitely be reflective of a...
  13. I try to take an interest but I often feel like it's not what they're looking for from me. One of my preceptor calls me "little one" and a travel/contract nurse calls me "the little sister she never...
  14. Thanks for sharing! I swear I wasn't always this outspoken but it's something that's just recently come out and I've been having a hard time. It's weird, because I have little to no issues sitting...
  15. you said it all. i think because i work with these same colleagues day in and day out, i don't necessarily wear my "professional/co-worker" hat as much as i should. i definitely get what you say...
  16. Are you/have you self-diagnosed while in school?

    I finally got up the nerve to see a psychiatrist during my mental health rotation for a diagnosis of bipolar that I've probably had since I started college. I had been "self-diagnosed" for a while,...
  17. Is Tramadol a 'true' narcotic or just a pain reliever?

    FWIW, we had a patient who was taking Tramadol regularly and his toxicology screen came back positive for opiates, so perhaps even though it's created synthetically, it is close enough in structure to...
  18. Dealing with delusional patients

    I think it's important to validate the patient's feelings and agree with your behavior. I think as long as it doesn't increase agitation or put the patients or nursing staff at safety risk, it's...
  19. "Old" new-grads

    I graduated in May 2009 and applied for a job at a local hospital and was told because I had less than a year of experience I would no longer be considered for a job until I had a year of experience...
  20. Dealing with delusional patients

    It is often necessary to set firm limits with patients and reality orient if possible. I've spent the past two shifts in a row with a patient who is delusional and psychotic and like someone else...
  21. Once Bitten Twice Shy

    This is just my $0.02, but some people come out of anesthesia badly. I would like to think that your patient wasn't intentionally being combative. I work on a psych unit and more often than not,...
  22. Rights of Psych Patients?

    We schedule patients for U/As when they come up to the floor from the ED all the time when they refuse down there. It's absolutely within their right to refuse something like bloodwork or a tox...
  23. Can we pass this on to other nurses who may not be on
  24. restraining on a nurses order?

    That's something I would typically say depends on your policies and procedures manual, but I'll see if I can't find more information for you on the
  25. restraining on a nurses order?

    To hold a patient down isn't technically considered restraints...it's more short term than that. It's usually until the patient can be given PRN meds or the situation otherwise de-escalated. I can...