inthesky

inthesky

behavioral health

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All Content by inthesky

  1. Simply the best...

    inthesky replied to Whispera's topic in Psychiatric

    My favorite part is when a patient thanks me for helping him/her and making a difference or looks at me in a "I feel important and cared about" way. It never gets old and warms my heart every time....

  2. mica/substance abuse...anyone?

    inthesky replied to midnitelpn's topic in Psychiatric

    guns and liquor?? The residential facilities in my area will not accept people with positive u-toxes. Anyone with a positive BAL must start at an IP facility (such as the one I work at). A few...

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

    inthesky replied to Joandarco's topic in Psychiatric

    I suppose they are not. I am thisclose to getting 'terminated' for getting scared during an emergency (I didn't actually panic and did do what I needed to do, but I definitely could have done better...

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

    inthesky replied to inthesky's topic in Psychiatric

    I once had a lab job counting termites. Maybe I can be a worm farmer if this nursing thing doesn't work out

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

    inthesky replied to inthesky's topic in Psychiatric

    Thanks so much for this article. As I'm sure that meds prevent some damage, I am not convinced that the meds don't contribute or at least exaggerate the presentation of some of the 'slowness'. In...

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

    inthesky replied to inthesky's topic in Psychiatric

    Maybe it is once a week at your facility (and I respect and admire you for working with such a heartbreaking population), but it is a few times a year at mine. In my defense, I have never been in the...

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

    inthesky replied to inthesky's topic in Psychiatric

    thanks guys! To respond to some of the posts: -psychotic episodes burn brain cells? it actually makes sense. fascinating -the other nurse was a very experienced nurse. I wanted to watch her do her...

  8. Sleepwalker found frozen after taking Ambien

    inthesky replied to Anxious Patient's topic in Patient Medications

    I think it is very sad as well =(. I have a really rough day yesterday, so that probably didn't come out well.

  9. Sleepwalker found frozen after taking Ambien

    inthesky replied to Anxious Patient's topic in Patient Medications

    I wish I didn't have to take sleeping pills, but I can tell you that the damage caused by chronic insomnia is worse. Night after endless night of 2 hours to fall asleep and 30min-60min awakenings all...

  10. Psych Patients Receiving Poor Care in the ER

    inthesky replied to SuperPsychdRN's topic in Psychiatric

    Some of our hospitalists openly refuse to come (if we manage to even get a return phone call) and are often rude to the nurses. We had to contact the house supervisor on a rather regular basis. One...

  11. Sleepwalker found frozen after taking Ambien

    inthesky replied to Anxious Patient's topic in Patient Medications

    I've had issues with ambien. I once answered my door close to naked and had a conversation about my neighbor about her antagonism of my personal freedoms (she used to call the police if I was...

  12. Anybody else struggling with anorexia and bulimia?

    inthesky replied to lovingtheunloved's topic in Nurses Recovery

    I suggest that you start by seeing a therapist. Please don't wait for things to spiral out of control. Ambien is not the only sleep med in town and not all of them are addictive. Very good work on...

  13. New grad seeking "low abuse risk" specialty advice

    inthesky replied to shopgirl44's topic in Nurses Recovery

    I wouldn't recommend psych. I give narcs and benzos all day long. Half my job of med nurse is differentiating the people who would benefit from the meds and those who are addicted. the best to you...

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

    inthesky replied to Joandarco's topic in Psychiatric

    We get very few people over 85 and we don't do ECT. I agree that restrictive environment would be especially poor for the elderly. A patient said to me a few weeks ago at admit "you search...

  15. Discussion: lobotomize the patient or lobotomize the system

    inthesky replied to Jo Dirt's topic in Psychiatric

    Who gets to the person who decides whether medications will work or what is the definition of lobotomy-worthy

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

    inthesky replied to Joandarco's topic in Psychiatric

    My unit is harsher than I thought. No food of any kind..no exceptions..even birthdays. Our dietary department is actually really poor. The diabetic trays look almost identical to the regular...

  17. Teaching Guided Imagery to Patients

    inthesky replied to stellina615's topic in Psychiatric

    All patients (except ones who leave AMA or refuse) discharge with followup appointments already scheduled. I find that any patient who stays longer than two weeks is at high risk for decompensating....

  18. Psych Patients Receiving Poor Care in the ER

    inthesky replied to SuperPsychdRN's topic in Psychiatric

    My hospital has a special psych annex, but we do sometimes get straight admits from the ED and they are horrible! About a year ago, a psych patient actually died of sepsis in the waiting room! We get...

  19. Anybody else struggling with anorexia and bulimia?

    inthesky replied to lovingtheunloved's topic in Nurses Recovery

    I recovered from an eating disorder =) and getting through college like that was extremely rocky. Something finally clicked for me; it is hard to explain. It was a combination of a lot of really...

  20. Application frustration....GRRRR.

    inthesky replied to 81FSUseminole's topic in Nurse Practitioners, NP

    I'll find out in April When I first graduated, I was not sure when(if) I was going to go back to school. I was really discouraged about the new DNP and needed RN experience anyway. As overwhelming...

  21. Application frustration....GRRRR.

    inthesky replied to 81FSUseminole's topic in Nurse Practitioners, NP

    I applied to four colleges and it was a nightmare. Every college wanted something obscure and different. I took the GRE, wrote tons of different essays, got a varicella titer, a physical, an extra...

  22. How are local hospital's are doing

    inthesky replied to Kabin's topic in Arizona Nursing

    No slowdown in behavioral health. More and more people with lost jobs and homes

  23. Torn over FNP or MD...

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

    I think I am more of a 'doctor person' and a 'nurse person', but I'm making do. I was pre-med, but I have an illness which makes it very unhealthy for me to work too much and sleep too little. I...

  24. Online PMHNP schools

    inthesky replied to luv2yoga's topic in Post Graduate Students

    I'm worried about clinicals as well. In my city, many of the outpatient state agencies mental health providers are NPs. The agencies will be the first I

  25. looking for good, but cheap psych NP programs

    inthesky replied to inthesky's topic in Post Graduate Students

    Thank you for your suggestions =) My hospital helps to pay for MSNs as well, but well..i see what the CNLs do =P I really enjoy the Vet population (I did a student summer psychiatric RN...