Mish56

Mish56 BSN, RN

Psych

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All Content by Mish56

  1. So, would you or wouldn't you (brand new nurse on unit...)

    Mish56 replied to onehusbandsevenkids's topic in Psychiatric

    Well, I just don't know....could you just do one baked item so you could also bring some coffee? LOL So, who won the

  2. Yale Univeristy anyone?

    Mish56 replied to kateyes7's topic in Travel

    Kat, I work at Yale-New Haven, in psych, my sister has worked in the CCU for 100 years. The union comment must be more than 8 months old, union is long gone. UNLESS you are talking about actually...

  3. Psychiatric NP outlook

    Mish56 replied to nuberianne_RN's topic in Psychiatric

    I've got to second what Jules said...the need is great for psych NP's, espicially if you also have prescriptive

  4. RN with dysthymia. Would mental health nursing / psych nursing be a bad job choice??

    Mish56 replied to VU RN BSN's topic in Psychiatric

    Villanova; so long as you know your own issues and boundries psych nursing can be very rewarding. BUT, I assure you that after 30 years in this field, I can tell you my co-workers are a very stable...

  5. ACT team and safety

    Mish56 replied to cowgirl42's topic in Psychiatric

    Hey Cowgirl, I take it by ACT team you mean Assertive Community Treatment? Those folks who track down mental health clients living on the streets? I have NOT done this, I did work briefly as a VNA...

  6. how do you guys do it?

    Mish56 replied to june2009's topic in Psychiatric

    Teensmom, PLEASE understand this conversation! I can certainly understand your response! I don't think there is one amongst us that believes for one second that all children suffering with mental...

  7. how do you guys do it?

    Mish56 replied to june2009's topic in Psychiatric

    I was re-reading this thread today, and it does sound very depressing and hopeless. And Catcoon, you are an example of why pedi-pysch nurses go to work everyday, because we all know (and pray) that...

  8. Really stuck.....

    Mish56 replied to yuyu75's topic in Psychiatric

    Every hospital uses CNA's and mental health workers differently, but on my general psych inpatient unit, our CNA's do the physical care, ie: VS, assist with ADL's, draw bloods, EKG's, constant obs,...

  9. Work Weekends Only.

    Mish56 replied to newonboard's topic in Connecticut Nursing

    Here are a couple of links for you. Google "Baylor Nursing CT" or any other state for that matter. Weekends only, FT benefits is called "Baylor". OR, click on the ads here on allnurses!...

  10. Lithium -- teaching "hook?"

    Mish56 replied to Cree8ive1's topic in Psychiatric

    Cree; I maybe too late for your presentation, BUT...to me the most interesting thing about psych meds, is where we have "stolen" them from. Until recent research into neurochemistry, we have stumbled...

  11. paranoid schizophrenic w/auditory hallucinations

    Mish56 replied to RockyCreek's topic in Psychiatric

    Rocky; You must hate getting psych patients as much as I hate getting med patients! In my hospital we are currently creating a job for a pysch nurse, to work with the med surg nurses who haven't a...

  12. so burned out

    Mish56 replied to edisonnurse's topic in Psychiatric

    awe, Edison, I so feel for ya!! Been there done that! However....I'm still in psych 30 years later. But REALLY, I remember I felt that way when I left my first job after 2 years (private hospital,...

  13. Malingering

    Mish56 replied to RN.38SPCL's topic in Psychiatric

    Interesting thread. I recently had a re-admit and the guy actually had the diagnosis from years ago. Now he has metastatic CA, and comes to us as he goes ED to ED seeking pain meds (opiates of...

  14. How can I get into Psych?

    Mish56 replied to MLMRN1120's topic in Psychiatric

    I went straight into psych from college, never looked back, that was 30 years ago. If your hell bent on getting med surg exp, major medical hospitals may have a med-psych unit, not an easy population...

  15. Lithium toxicity

    Mish56 replied to cherilee's topic in Psychiatric

    I've seen a few people move towards Lithium toxicity. I've included a link to an article that spells out symptoms and management pretty clearly. Make sure your patients are aware of the dangers of...

  16. I think I made a mistake - advice please!

    Mish56 replied to Kathyada3375's topic in Psychiatric

    Ah! Dear ol' HIPAA. It has baffaled more nurses than I can count! And of course it will, it's a government reg. 1). No, you did not violate HIPAA. In an emergent situation, such as an OD, information...

  17. Beyond Meds and Charting

    Mish56 replied to DaFreak71's topic in Psychiatric

    DaFreak et al: I am an inpatient psych nurse. When I started back in 78, we had patients for months to years, We did group therapy, family therapy (as a co-therapist),movement therapy, art therapy,...

  18. Haldol and Ativan cocktail IV

    Mish56 replied to TRAMA1RN's topic in Psychiatric

    alpha, i'm not sure how to respond to your post?! mind you i work on an inpatient unit, so we know what medications have been given, and therefore know what adverse effects to look for. severe...

  19. Haldol and Ativan cocktail IV

    Mish56 replied to TRAMA1RN's topic in Psychiatric

    we do the 5/2/1 99% of the time. HOWEVER, I had one attending I worked with years ago, who during a really violent episode (the patient, not MD) he ordered versed IM. I bless the floors he walks on!...

  20. CT/new haven hospitals okay with being gay?

    Mish56 replied to MagnesiuM's topic in Connecticut Nursing

    Magnesium, sorry for not answering sooner. 1st (and most importantly) I was away on vacation and unplugged!! 2nd, I guess it's just a non-issue in my mind. I'll try to be objective.... I have 4 (at...

  21. Haldol and cogentin IM

    Mish56 replied to New2ER's topic in Psychiatric

    Although I've only been a psych RN 30 years, the "which doesn't mix?" question comes up time and again. We give alot of 5-2-1 ie: Haldol 5 mg/Ativan 2 mg/Cogentin 1 mg IM in emergencies. Irrelevant of...

  22. Yale New Haven

    Mish56 replied to EnergizerNurse's topic in Connecticut Nursing

    RN 28; I work in adult psych, I normally have 6-8 patients, totally managable in psych as we only carry one "total care" patient at most. Psych is another ballgame than med-surg for instance. Every...

  23. Do you wear different scrubs for psych?

    Mish56 replied to angelfire280's topic in Psychiatric

    I've been a psych RN for 30 years now...I'm really happy when I make it to work in something more formal than my PJ's. (Am I the only person that thinks the day shift starts way too early?). Hospital...

  24. I was told that Psych Nursing is "too depressing"...

    Mish56 replied to cherubhipster's topic in Psychiatric

    Thunderwolf says it all! I'll take a million psych patients over 1 hospice, or med/surg for that matter. What can be more rewarding than helping just one human soul turn a corner to healing?...

  25. Abilify

    Mish56 replied to Orca's topic in Psychiatric

    This thread was started in 2003!! It's almost as old as Abilify! I love the comment about the linguistic effects! We had a LOL session at work about the people who get to name this stuff, must be...