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

    PC RN appt is with a health tech!?

    nurse lala posted a topic in California Nursing

    I am gobsmacked by something that happened today. I had an intake with a new primary care provider at a local UC hospital. I received recombinant zoster from the heath tech who directed me to call to...
  2. nurse lala

    ANCC Psychiatric & Mental Health Nursing exam

    nurse lala replied to guest584920's topic in Psychiatric

    There are excellent resources at
  3. nurse lala

    What's the Most Common Reason for a Patient to be Readmitted on a Psych Floor?

    nurse lala replied to AlwaysAnxious's topic in Psychiatric

    From my experience, mental health readmissions are usually related to resistance accepting mental illness. Chronic mental illness demands dedication to treatment to stay out of the hospital. Mental...
  4. nurse lala

    January 2018 Caption Contest - Select $100 Winner!

    nurse lala replied to Joe V's topic in News, Announcements

    Groan
  5. nurse lala

    January 2018 Caption Contest - Select $100 Winner!

    nurse lala replied to Joe V's topic in News, Announcements

    Her husband insists the veterans support dog will
  6. nurse lala

    SNF Patient demanding to leave

    nurse lala replied to CrunchRN's topic in General Specialties

    In my state we can place individuals on a legal hold if the person is unable to communicate a viable plan for self care. In this case family would have to agree to accept the individual back home,...
  7. nurse lala

    Anyone know of ways to learn more about defensive charting?

    nurse lala replied to Guest716906's topic in General Nursing

    What first came to mind reading your question, is that Admin is communicating changes in rules or regulations. Every year JC further refines safety indicators. And we refine policy and procedures as...
  8. nurse lala

    Anyone ever do psych nursing at the VA or know anything about it?

    nurse lala replied to 2ndChance's topic in Psychiatric

    On a scale of 1 to 10, with 10 being the most acute, I placed the VA on a range of 5 to 9. Post 911 Veterans are young and strong. They are trained to kill. Veterans make up 10% of the population and...
  9. nurse lala

    Anyone ever do psych nursing at the VA or know anything about it?

    nurse lala replied to 2ndChance's topic in Psychiatric

    Ive been there 26 years. I've worked in every MH clinic and unit, including the walk-in clinic, outpatient, Geri psych, acute psych, substance abuse...and some. There are many compelling reasons for...
  10. nurse lala

    gender "issues"

    nurse lala replied to rac1's topic in Psychiatric

    To a certain degree people will adopt whatever disease de jour they see in the news. Reference Gluten-intolerance. A very small percentage of people actually suffer from it. So explain that. What is...
  11. nurse lala

    Anyone NEVER been hit/hurt working psych?

    nurse lala replied to kingvonnBSN2017's topic in Psychiatric

    Never been hurt? That would be me. I have 30+ years experience in MH. The lions share on acute psychiatric units. I have taken a rogue punch back in the day. No good MH RN hasn't taken a punch. That...
  12. nurse lala

    Self harmers

    nurse lala replied to kiwipsychnurse's topic in Psychiatric

    Short of a staff member holding each hand, you cannot keep this person safe. Wouldn't shackles be indicated for such high
  13. nurse lala

    Psych RN Reading List

    nurse lala replied to Krzysztof's topic in Psychiatric

    An all time favorite is Psycho-cybernetics by Maxwell Maltz. He writes for the non-acedemic
  14. nurse lala

    When does staff rights start

    nurse lala replied to Sniper06's topic in Psychiatric

    The voluntary patient First we talk about expectations of respectful behavior. We reinforce expectations. Then discharge. The he involuntary patients get behavioral...
  15. nurse lala

    simultaneous restraint & seclusion...help!

    nurse lala replied to lillyt899's topic in Psychiatric

    Restraints and seclusion can be accomplished with a closed door as long as staff can see the patient. Seems a closed door is indicated for a screamer, but I would consider medication management as...
  16. nurse lala

    Is suicidal ideation always an emergency?

    nurse lala replied to Zyprexa_Ho's topic in Psychiatric

  17. nurse lala

    Staff splitting

    nurse lala replied to Seeing Myself Out's topic in Psychiatric

    It sounds as if your nurse manager lacks mental health and leadership skills. The fact is that s/he has "drank the kool aid". When the boss buys into manipulation and sides against the team, there is...
  18. nurse lala

    PO haldol

    nurse lala replied to lottieloo's topic in Psychiatric

    I would ask the provider about an order for benedryl or
  19. nurse lala

    Is suicidal ideation always an emergency?

    nurse lala replied to Zyprexa_Ho's topic in Psychiatric

    Suicidal ideation is not always an emergency. Some people report having daily suicidal thoughts, for years and years, without ever acting on it. Does chronic suicidal ideation merit inpatient...
  20. nurse lala

    Having some issues with BPD (big shocker!)

    nurse lala replied to Penelope_Pitstop's topic in Psychiatric

    I get it because I felt the same way as a new psych nurse. I remember being grateful that the senior nurses wanted to work with them. I think most of us felt that way and some of us still do. Over...
  21. nurse lala

    Is It Hard to Go From Psych RN to Other Specialty?

    nurse lala replied to PHhopeful's topic in Psychiatric

    I am not knowledgable re FNP, BUT I can speak for my experience working areas besides MH. As a new grad I went directly to an locked adolescent unit. A frequent issue I encountered were broken bones...
  22. nurse lala

    Experience of Family Member With Mental Illness and Nurses' Experience with Psychiatric Nu

    nurse lala replied to eaddg1's topic in Health, Stress Management

    Many of my fellow psych nurses have a family member with mental illness. They relate better to The ​severely mentally ill, because of their Predisposition of having loving bonds. They bring...
  23. nurse lala

    Psych nurse. Questioning if psych is for me.

    nurse lala replied to itsbekah's topic in Psychiatric

    No that doesn't feel good. You are not alone itsbekah. I think many new psych nurses experience the self doubt that you are feeling. I know I did. What worked for me may work for you. Think about the...
  24. nurse lala

    Personality Disorders and Recovery

    nurse lala replied to WinterLilac's topic in Psychiatric

    Whispera is spot on. The client has serious mental illness. The hallmark of a person with Borderline PD is dissatisfying interpersonal relationships, unstable mood and unpredictable behavior. In your...
  25. nurse lala

    Psych Folks, I desperately need your help. Crisis in my Home.

    nurse lala replied to LTCNS's topic in Psychiatric

    Your son is responsible for himself ever since he became an adult. He has done well until he didn't and apparently stopped trying. He can blame his problems on you all he wants but you don't have to...