nurse lala BSN, RN

Psych. Violence & Suicide prevention.

Behavioral health RN III at LBVA.

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All Content by nurse lala

  1. nurse lala

    Nursing diagnosis and intervention

    Really?
  2. nurse lala

    How do you help your suicidal patients?

    What a great question. Talking about suicide is important because by discussing painful feelings will usually lighten the emotional load. The RN builds rapport and can help process the issues...
  3. nurse lala

    Med Error

    Honey, you did everything right after discovering your error. It is horrifying to discover our own errors. And I think all good nurses feel panic. The panic passes when you come up with a plan to...
  4. nurse lala

    Nurses with back issues

    There are options for nurses that do not involve heavy lifting. Pediatrics and neonate, mental health and occupational nursing. The problem is some employers want and many nurses believe they have to...
  5. nurse lala

    Non-FIT Nurses and FIT Nurses

    I get the intent of this post. We all need to let go and reward ourselves. I desire many of the foods I see posted here. But I choose not to indulge in these highly processed foods that offer little...
  6. nurse lala

    Psych Nursing

    I am not sure that a psych nurses are paid any differently than other specialty fields. Those of us who love it like the fact that the work is not task oriented as experienced on Med/surg units. Less...
  7. nurse lala

    long nails as "sharps"?

    I agree that assault charges are a consideration. But ethically, I find it hard to believe any court would support a suit under the circumstances as outlined. The fact that the client has used her...
  8. nurse lala

    How important is science in psychiatric nursing

    An understanding of chemistry is needed to understand processes in the body. So pay
  9. nurse lala

    Does it ever get better?

    I agree with my colleagues. The jobs you have had do not seem to be the right fit for you. Please do not give up hope on nursing though. There is a job out there, somewhere that will be perfect for...
  10. In our house, we all close the toilets before flushing. This way there is less airborn waste and nobody becomes the target of leaving the seat up or down. Win/win outcome. In public, I will use my...
  11. nurse lala

    Theme song to your Nursing career?

    One very good song and perfect for nursing! Actually written by Lloyd George of Little Feet and covered by many. Lloyd was working for Frank Zappa at the time who declined to record it because of the...
  12. nurse lala

    Theme song to your Nursing career?

    You don't always get what you want (you get what you need)-by the Rolling
  13. nurse lala

    Decompressing - HELP - 23 yo RN in distress! LOL

    I agree with my peers that you need to take steps to regain your best self. You sound to be suffering from burn-out. One combats burn out by taking exquisite care of your self. You have to do things...
  14. nurse lala

    DUI/ PROBATION

    I have a girlfriend found UTI on the job. She completed the CA diversion program but was barred from having a job with access to medications. That girl went back to school and got her NP. Now...
  15. nurse lala

    Demanding family members

    It is really hard to establish boundaries after the highest authority caved in. In rugby this is called a suicide pass. The family is about to tackle the MD and he passed the ball to you without...
  16. nurse lala

    "New grad" rn with dreams of psych

    Knowing what I know now, I would encourage you to invest in some specialty education. Take a course in Motivational Interviewing, a valuble process to engage the patient into taking active steps to...
  17. NANDA is the gold standard
  18. nurse lala

    First externship in a psych floor, what to focus on?

    I agree with nursefelly that your greatest contribution is being available to the individual patients for an opportunity to share and process information. Your job is to be present. To engage the...
  19. nurse lala

    Panic attacks triggered by rapid position change

    I have never encountered a positionally triggered emotional response. That does not mean it doesn't happen, but I am skeptical. What comes to mind is, the need for collaterol data to confirm the...
  20. nurse lala

    Funny chart entry

    Back in nursing school I was reading a chart of an elderly woman on the medical unit and came across an abbreviation I could not figure out. The doctor wrote that the patient was HAAL?! This was...
  21. nurse lala

    Charting PRN requests

    I applaud your sensitivity Vintagemother, it will serve you well as a professional nurse. It is neither rude not intrusive to ask about the symptoms for which a client is seeking medications. If the...
  22. nurse lala

    Made an uh oh

    I have a few thoughts. The order is ambiguous and open to interpretation, therefore a call to the MD is indicated. To clarify all that is needed is the addendum, "Not to exceed 2mg q 24 hours" for...
  23. Folks diagnosed with BPD are similar to every other Axis I or III diagnosis. They are suffering from a disease process. And those with BPD truly suffer, possibly more so then the general population. I...
  24. In the absence of a mental disorder,
  25. nurse lala

    How often do you encounter violence?

    No nurse should ever put him or herself in a situation like that...being alone with a violent individual. Standards of care indicate three staff minimum to subdue and restrain. That nurse was asking...