nurse lala BSN, RN

Psych. Violence & Suicide prevention.

Behavioral health RN III at LBVA.

Member Member Nurse
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All Content by nurse lala

  1. “I believe in everything until it's disproved. So I believe in fairies, the myths, dragons. It all exists, even if it's in your mind. Who's to say that dreams and nightmares aren't as real as the here and now?” 
    ― John Lennon

  2. nurse lala

    PC RN appt is with a health tech!?

    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 schedule a follow up injection and to request a nu...
  3. nurse lala

    ANCC Psychiatric & Mental Health Nursing exam

    There are excellent resources at https://www.nursingworld.org/our-certifications/psychiatric-mental-health-nursing-certification/
  4.  

    “I believe in everything until it's disproved. So I believe in fairies, the myths, dragons. It all exists, even if it's in your mind. Who's to say that dreams and nightmares aren't as real as the here and now?” 
    ― John Lennon

  5. 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 illness has a larger burden than other diseases beca...
  6. Groan
  7. Her husband insists the veterans support dog will deliver.
  8. nurse lala

    SNF Patient demanding to leave

    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, if not the individual can be kept for Grave Disabil...
  9. nurse lala

    Anyone know of ways to learn more about defensive charting?

    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 indicated. But you infer that the new charting expe...
  10. 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 20% of all suicides. I think that is a pretty daun...
  11. 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 a VA career. Amongst them are the focus on educati...
  12. nurse lala

    gender "issues"

    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 the deal with the others? hypochondriacs? delusio...
  13. nurse lala

    Anyone NEVER been hit/hurt working psych?

    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 happens when we lay hands on an individual against...
  14. nurse lala

    Self harmers

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

    Psych RN Reading List

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

    When does staff rights start

    The voluntary patient First we talk about expectations of respectful behavior. We reinforce expectations. Then discharge. The he involuntary patients get behavioral interventions. Then are dced ASAP.
  17. nurse lala

    simultaneous restraint & seclusion...help!

    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 well.
  18. nurse lala

    Is suicidal ideation always an emergency?

  19. nurse lala

    Staff splitting

    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 a big problem. You need to be confident in the co...
  20. nurse lala

    PO haldol

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

    Is suicidal ideation always an emergency?

    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 treatment? Usually only in the context of other factors t...
  22. nurse lala

    Having some issues with BPD (big shocker!)

    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 time I changed. Now I look forward to helping these f...
  23. nurse lala

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

    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 from hitting walls. I became well versed in MH ca...
  24. 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 insight and compassion to patient care. I have a long hel...
  25. nurse lala

    Psych nurse. Questioning if psych is for me.

    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 different professionals you work with. Some have ...