lucianne

lucianne

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All Content by lucianne

  1. Childhood panic/anxiety disorder?

    lucianne replied to VShaw's topic in Psychiatric

    I've worked with kids with anxiety and a couple with school refusal. We've had good results working with these kids, but it takes patience, time, and understanding. People who don't believe the child...

  2. 4 year old bipolar????????

    lucianne replied to TinyNurse's topic in Psychiatric

    Oh, OK. I thought when you said you'd "never buy it for 2, 3, and 4 year olds" you were saying you didn't believe that children could have bipolar disorder. I'm still confused about who "they" are who...

  3. 4 year old bipolar????????

    lucianne replied to TinyNurse's topic in Psychiatric

    And you've spent how many years working child psych, Tom? Saying a 4-year old can't have bipolar disorder is like saying a 4-year old can't be diabetic. I'll grant that it's very difficult to...

  4. 4 year old bipolar????????

    lucianne replied to TinyNurse's topic in Psychiatric

    tinynurse, are you asking what psych nurses think about the diagnosis, the meds, the age of the child, or what? I couldn't speak to the diagnosis without knowing the full history. The behavior you...

  5. Survey: Do you leave work at your scheduled time on a regular basis?

    lucianne replied to Brian's topic in General Nursing

    I rarely get out on time. Seems like there's always a late admission or someone decides to have a come-apart right at shift change. The kids usually don't know night shift very well and there isn't...

  6. Doing away with Restraints?

    lucianne replied to FutureRNMichael's topic in Psychiatric

    We don't use mechanical restraints on our child and adolescent unit. Seclusion or physical management by a 2-3 person team is usually enough to allow someone to regain control of themselves. We don't...

  7. Low fat diet and preschoolers

    lucianne replied to gerry79's topic in General Nursing

    I also heard that children need whole milk up until age 2. I think if they want to instill healthy eating habits, they should teach their child to eat foods that are naturally low in fat rather than...

  8. A question about clogs

    lucianne replied to laurasc's topic in General Nursing

    I love my Danskos (can't wear them at work though). I also have an arch that's a little off but I just buy shoes a half size larger than I need for length. I like Merrills for work--not the prettiest...

  9. New to Nursing and Psych

    lucianne replied to chr!ssyrn's topic in Psychiatric

    psychrn03, you're very lucky you didn't get caught. At our facility, if we have to call security they do their own reports about what they've done on the unit (and while they may not have mental...

  10. i have a question about su

    lucianne replied to catz's topic in Psychiatric

    Ours don't because we are a child/adolescent unit and per our policy, no child is ever in "seclusion" alone. I think most adult units with seclusion rooms do have cameras in them and I know of at...

  11. child care problems

    lucianne replied to marshalbc77's topic in General Nursing

    Other than the paid vacation, I don't think your childcare provider is being unreasonable. Why should she suffer because you get cancelled at work or because your child is sick? Her utilities aren't...

  12. Taking the first step

    lucianne replied to proudpapa's topic in Psychiatric

    Do you have a degree already? If so, you might be better off looking into a second-degree program or an accelerated program and getting a BSN. If the reason that you wanted to be a psychologist is...

  13. Dairy Connection to Headaches?

    lucianne replied to Tweety's topic in General Nursing

    suzy, aged cheeses are notorious for causing migraines, if she stays with fresher cheeses, she should be

  14. Dairy Connection to Headaches?

    lucianne replied to Tweety's topic in General Nursing

    Do you snore? Have any apneic episodes? As I recall from your threads on dieting, you aren't overweight, but apnea can occur in those who aren't overweight (especially if it's central and not...

  15. Getting paid to be a fake patient

    lucianne replied to happystudent's topic in General Nursing

    It's called a "standardized patient" and our local college of nursing is using them, as well as the med school. There's at least one guy who does this for a major source of his income (I think he...

  16. How to do mental health nursing?

    lucianne replied to a-rose's topic in Psychiatric

    Good, let's start over. Maybe you could start a thread about the specific types of problems you are having with the nurses you work with and ask for some constructive ideas for dealing with them or...

  17. How to do mental health nursing?

    lucianne replied to a-rose's topic in Psychiatric

    diana, If you see nurses practicing outside their scope of practice, by all means, report them to the Board of Nursing. RNs should not be prescribing medication. If you are so unhappy with your work...

  18. working three 12's

    lucianne replied to jacey's topic in Psychiatric

    My first thought: Utter exhaustion. Actually, 7p to 7a might not be so bad. You'll probably have the roughest part of the shift (evening and bedtime) over with early and nights usually aren't too bad....

  19. Frustrated and exhausted

    lucianne replied to shorty0201's topic in Psychiatric

    Does your daughter have an official diagnosis--not that a dx is the be-all and end-all, but it helps categorize her behaviors and helps direct her therapy. What Bipolar meds did you try? It might be...

  20. Family Members of an Old Patient of mine....

    lucianne replied to live4today's topic in General Nursing

    Since I work in psych, I don't acknowledge my former patients except with a smile unless they start a conversation with me. Sometimes their parents will come up and talk to me and fill me in on how...

  21. MD orders for meds

    lucianne replied to PMHNP10's topic in General Nursing

    Yes, I would question every time a new order is written for the same med (or new med treating same symptom) and there is no order to D/C the first one. Our docs typically write: "D/C Old Med per route...

  22. MD orders for meds

    lucianne replied to PMHNP10's topic in General Nursing

    The first order must be d/c'd in writing or by verbal order. Of course, it would have been wisest to write "continue 100mcg po" with the second order but that didn't happen. I have had doctors write...

  23. CNA's in Psych settings

    lucianne replied to FutureRNMichael's topic in Psychiatric

    Our facility uses patient care associates who do not have CNA training on the child and adolescent inpatient acute unit. Patient care associates are generally--though not always--collge grads who have...

  24. LTAC, post ARDS, rehab...

    lucianne replied to zcubed's topic in General Nursing

    My mother was in ICU on a vent for 2 months in New Jersey (perforated ulcer while visiting my sister). She had a history of ARDS following another surgery a couple of years ago. My stepfather was able...

  25. Nurses are not Doctors

    lucianne replied to Plato's topic in General Nursing

    Hi bender 73! Hi