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twinkerrs's Latest Activity

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  1. As an APRN, I have to correct nurses and techs all of the time because they refer to me as "the doctor". Their argument is that the psych patients do not understand that I can prescribe their meds. I think sometimes patient education is the key to he...

    I just finished school for Pmhnp and I am 42. I don't see where age comes into play at all
  3. Interesting times in psych

    I see schizophrenics with active hallucinations and all of the above problems. It is what I was trained to do as a psych np. But if one of them complains of an ear ache I refer to medical. There is still a need for psychiatrists just like there is st...
  4. Altered Mental Status- a surprise diagnosis

    Had a 30 something year d patient at our psych hospital last month with mental status changes also had lesions that his pcp was telling him was eczema or something like that. Ended up being syphlis transferred him out for iv abx.
  5. Is 18 patients "the new normal"?

    I bet this hospital belongs to a huge corporate chain of behavioral health hospitals. The facility I worked at before becoming an APRN had census like this. The acute unit is staffed 1:15 or 1:whatever the census is some days and teacher count in the...
  6. Cyclic vomiters (drive me up the wall)

    My 10 year old autistic son has cvs. I thought I would end up being investigated for munchaussen by proxy we have spent so much time getting ivf. Haldol is the only thing that has ever helped even tho our pcp thought I was nuts when I suggested it.
  7. I would get copies of my charges resolution of my case etc and go talk to your state board of nursing. They will let you know. Your school may also counsel you on it but I found the most relief by talking to the board. I have a dwi and a misdemea...
  8. Are American hospitals ready for Ebola?

    I think if he knew it he would have gone to atl from Liberia. That is where the others were treated and I am sure he knew it. Plus why would he have put his family at risk?
  9. Mentally ill

    Family education has been shown to be effective in reducing re hospitalization rates in many mental disorders, but this does not mean these people need a guardian. They just need family members who understand and are willing to learn.
  10. role of CNL?

    Clinical nurse leader. I have no clue what they do tho never worked with one in psych.
  11. Becoming a RN with a misdemeanor?

    Contact your BON.
  12. how to ace nursing exams

    I did study questions. When I missed one I studied the rationales. I needed to be able to apply what I had learned. Also doing questions teaches you how to find the important parts in the question get rid of dis tractors e
  13. rude nurse

    The main problem I have found in nursing is that everyone ASSUMES they know the nurses role and job duties. There is so much that we do that CNAs techs etc do not even realize. It may look like we are being lazy but there are time frames that have to...
  14. example of BIRP psychiatric charting

    B: pt is repeatedly intrusive and aggressive with peers on the unit aeb cutting in line pushing peers out of the way and getting in a peers face and calling him a "butt" I: redirect, discuss effective coping skills to deal with peers such as talk...
  15. A Ban=Bsn?

    I had a lot more science than that tho for my bsn. I had two semesters of anatomy (8)'which included two hours of lab. Organic chem (4) plus the other sciences listed.