inthesky

inthesky

behavioral health

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All Content by inthesky

  1. any suggestions for handling PRN

    inthesky replied to rnpeg's topic in Psychiatric

    When I assess that the patient really does not need an ativan, they often get themselves so angry that they do :trout: At my facility, we technically do have to give any PRN requested unless they are...

  2. any suggestions for handling PRN

    inthesky replied to rnpeg's topic in Psychiatric

    I just get frustrated when a patient approaches me and says "I want my PRN now" "i need ativan" "I am having a family meeting soon so i need ativan" "I just had a rough phone call so I need ativan"....

  3. "LPNs should be done away with altogether"

    inthesky replied to missjennmb's topic in LPN, LVN Corner

    ouch >_https://allnurses.com/nurse-practitioners-np/doctoral-degree-become-160044.html nursing is a weird profession. But I suppose, getting back to the thread, I like LPNs and if well-utilized,...

  4. ALMOST PASSED OUT

    inthesky replied to Muttlover's topic in First Year After Licensure

    I've nearly passed out a few times. I remember having a hard time convincing people that it has not because I was stressed out or grossed out. It was bizarre at the time, but I think it was a...

  5. New RNs delegating to LPN's.

    inthesky replied to Stephys's topic in First Year After Licensure

    I remember when I was in nursing school, my older classmates always got more respect during clinicals because they looked the part. I'm 25, but I can pass for 18 and often get asked *if I am in...

  6. Undecided... and need moral support

    inthesky replied to tj_Medic_RN's topic in First Year After Licensure

    I think this is going on because 'it could'. If you were an average RN newbie, this would not have happened. There would have been a house supervisor making sure someone was found to come in. Does...

  7. "LPNs should be done away with altogether"

    inthesky replied to missjennmb's topic in LPN, LVN Corner

    I've been wondering how the push of the DNP will affect LPN, ASN, and BSN. The new ANCC initiative states that DNP will be the standard for nurse practitioners. There was a push in the 90s for BSN...

  8. any suggestions for handling PRN

    inthesky replied to rnpeg's topic in Psychiatric

    four times a week? I work 8 hour shifts and see about half my patients 3 x a shift for PRNs! The doctors and patients get angry if we don't give available PRNs. I do my best to find other...

  9. As a new nurse only 7 mos off orientation . . .

    inthesky replied to SoundofMusic's topic in General Nursing

    Perhaps you are asking people who are also not completely sure. I managed to make some experienced nurses feel 'threatened and challenged' with questions they could not answer or were not sure about....

  10. Health Provisions Slipped into Stimulus Package

    inthesky replied to CinnScorpStudent's topic in Activism, Healthcare

    unfortunately, health care has no easy answers. I don't believe that there is a solution which will make everyone happy all of the time. What I do know is that this system is not working and is...

  11. discussion regarding education of NP (DNP) and PA compared to MD/DO

    inthesky replied to RN to Medschool's topic in Nurse Practitioners, NP

    I would not be so upset about the switch to DNP programs if it included more in depth specialty education. I would happily spend those two extra years studying psychopharmacology and etc advanced...

  12. Sucker punched. First time I was ever punched by a man.

    inthesky replied to wonderbee's topic in Psychiatric

    I am a non-union nurse in a right to work state; it sucks. You can literally lose your job because day shift Nancy hates you for no reason. I hope you get a new job

  13. Sucker punched. First time I was ever punched by a man.

    inthesky replied to wonderbee's topic in Psychiatric

    I'm very sorry that you were assaulted. I'm not completely sure what people mean by 'professional'. Does that mean that you are punched in the face and expected to work like normal as you expect...

  14. Need Help ASAP...Could seeing a psycologist effect my nursing license?

    inthesky replied to skittlebear's topic in Psychiatric

    First of all, my best to your family at an extremely painful time. Secondly, would you even conceive about being fired if you put in a claim to see a doctor for a stomach ulcer? Mental health is...

  15. PMHNP...Do I need a Psych Nursing Background?

    inthesky replied to jk82's topic in Nurse Practitioners, NP

    Some PMHNP programs require a year of psych experience, but not all of

  16. shaken about psychotic patient incident last night.. very long..

    inthesky replied to inthesky's topic in Psychiatric

    Thanks for the article. In my opinion, if a patient is coherent enough to decide which method he prefers, then he doesn't need any of them. We'll ask the patient if he wants to lay down in the...

  17. Fear of online NP programs..words of wisdom?

    inthesky replied to inthesky's topic in Post Graduate Students

    Thank you so much for your thoughtful reply! I will definitely keep those tips in mind. How is the UA program? I got my bsn from UofA. I think I got a good education, but dealing with those people...

  18. shaken about psychotic patient incident last night.. very long..

    inthesky replied to inthesky's topic in Psychiatric

    thank you so much for sharing! I'm really glad that this RN received support and acceptance from her colleagues. Unless she had seniority, she might have gotten the same dreadful managerial meeting...

  19. Desperately need help-need help with direction

    inthesky replied to DeeLeeRN's topic in Psychiatric

    Could you try to 'float' to psych to try it out? I know one float nurse asked to be oriented here. At my unit, we are sometimes desperate for 'brave' float nurses. I went to psych right after...

  20. shaken about psychotic patient incident last night.. very long..

    inthesky replied to inthesky's topic in Psychiatric

    :loveya:Thanks so much! I read this before going to work this morning. I wonder if there has ever been a study of staff institutionalization. I have wondered about it before. I once found myself...

  21. Retention

    inthesky replied to tclema's topic in General Nursing

    Acknowledgment hat I am doing right rather than everything I am doing wrong. I'm trying to find a new job because my confidence cannot take too much more pounding

  22. Stress of violence at work

    inthesky replied to makawiliwili's topic in Psychiatric

    This job sounds like it is really wearing on your mental health! Well-being is priceless. It wouldn't hurt to look around. You would be a great asset on another (less-acute) psychiatric unit! You...

  23. I need your expert opinions on Rules and Restrictions on the Inpatient Psych Unit:

    inthesky replied to Joandarco's topic in Psychiatric

    Who wants to voluntarily walk in and sign into prison? Having a mental illness is not breaking a law. Also, doesn't too much rigidity put patients at risk for institutionalization? Hopefully none...

  24. Psych patient on the acute care unit

    inthesky replied to Virgo_RN's topic in Psychiatric

    A psychiatrist told me once that people with BPD tend to mellow out as they get older due to more time to form their personality. I find that you get fewer BPD patients who are 60 versus 25 (although...

  25. shaken about psychotic patient incident last night.. very long..

    inthesky replied to inthesky's topic in Psychiatric

    I just need to find the middle ground as a sensitive psych nurse who can be tough in an emergency and see the big picture. I've been processing this so much that I really feel like I could really...