Just curious..... There is always griping going on at my job in a state acute care facility that pts. with Borderline Personality D/O require so much staff and so much time to keep them safe that the patients with psychotic disorders such as Bipolar ...
It's getting near to the time when I can apply to take the exam for certification in my psych specialty. Anyone know where there are any resources out there to help me prepare for this? And for those of you who have taken the exam....how difficult i...
autumn-moon replied to sax_journey's topic in General Nursing
I remember the last semester of nursing school....we all felt like *imposters*....and going to work as an actual nurse, it was even worse...here were these trusting patients, thinking that I actually knew something!! My preceptor was a very good, b...
autumn-moon replied to autumn-moon's topic in Psychiatric
I think I can see that this is going to be another "Big Anxiety Event" like the NCLEX exam. I was so nervous that I forgot where I parked!!! But I did manage to pass the exam with the minimum number of questions and was LESS worried than my peers ...
autumn-moon replied to autumn-moon's topic in Psychiatric
I appreciate the feedback. Yes, I do mean the ANCC exam. In my hospital, nearly all the nurses who have been there awhile do have their certification and we need it to move up from the lowly position of RN II to RN III or move on to Clinical Nurse S...
autumn-moon replied to margo123's topic in Psychiatric
No enclosed nurses station here. I work in an acute care state psych hospital and my unit has a cap of 26 pts (although at times we have been so full that we've had to take in an additional pt. or two). We do have a small room behind the nurses' st...
autumn-moon replied to autumn-moon's topic in Psychiatric
Unfortunately, in our setting, most of the borderlines are hardcore....even the kids (with whom I don't work...I don't have the energy for that! I actually do enjoy working with them....up to a point. I don't think we're doing them any favors kee...
autumn-moon replied to VivaLasViejas's topic in General Nursing
Well, it's always the vomit-smell thing that gets me worst, but here are a few things I've encountered: Getting assigned, my first semester of nsg school, a patient who'd shot off most of his face with a shotgun to avoid jail (not the brightest star ...
State acute care psych hospital. MD writes, primary RN (usually)or other available RN notes it in chart and transcribes into MAR. Order faxed to pharmacy. Each shift does at least one informal chart check with 11-7 doing written 24hr. check. Chart ...
autumn-moon replied to pjhrn1north's topic in Psychiatric
DBT cont...... TREATMENT STRATEGIES Within this framework of stages, target hierarchies and modes of therapy a wide variety of therapeutic strategies and specific techniques is applied. The core strategies in DBT are 'validation' and 'problem solvi...
autumn-moon replied to pjhrn1north's topic in Psychiatric
Here is an article I found recently about DBT. It's long, so I'll have to post it in 2 sections. Hope it's helpful for those of you who were asking...... An Overview of Dialectical Behaviour Therapy in the Treatment of Borderline Personality Disorder...
autumn-moon replied to fourbirds4me's topic in New Nurse
I am working as a nurse resident in psych and do not feel very supported. Confused, is more like it. I am starting to get the feeling that a synonym for "therapeutic" is "not very nice" and that the nurses I work with are very therapeutic.... So I gu...
autumn-moon replied to USA987's topic in New Nurse
Man, I wanted to say *exactly* what you all have been saying about 2 or 3 weeks ago, so I'm glad someone got this thread going. I too, have been having a hard time adjusting. I really thought my preceptor thought I was hopeless. A couple weeks ago I ...
autumn-moon replied to ktwlpn's topic in Psychiatric
Well, my advice, as a newbie nurse, but with many yrs. of experience in the psych field.... Sounds like you are doing great! I too, run up against some of the same stuff with the "more experienced staff" on my unit. Maybe I'm just new and naive, but ...
Oringinally posted by Cooker 93 Being a brand new nurse and also in the Psych field, I do run into this. I have a preceptor (I'm a nurse intern) who has been doing this for a looong time. She often tells me NOT to give the PRN. I too, feel that if...
autumn-moon replied to live4today's topic in General Nursing
In nursing school, our uniform was white pants, white lab jacket, burgundy (school color) polo shirt, white hose and white shoes (no sneakers). I always felt like a glow-in-th-dark version of the Pillsbury Doughboy!! :chuckle Now, it's the opposite ...
autumn-moon replied to Monica RN,BSN's topic in General Nursing
I'm a new grad (ADN) in NH. I work in as a state employee in an acute psych hospital, admission unit. My new-grad pay (while still on my temp. license) was $16/hr. After passing the NCLEX, I am now an RN I, which pays $18.44 (days) and still working ...
I have put in my first week as a "nurse resident" at our state psych. hospital (APS) and am on an admission unit with adults and adolescents. I graduated from nursing school (ADN) last month and am due to take the NCLEX on July 2nd (like no major st...
I will cop to taking antidepressants. I had tried many things in the past and the docs I saw did not diagnose me as depressed...they gave me Ativan, Xanax, or tell me to exercise or "get a hobby" etc. The was sort of an overriding dysphoria which s...
autumn-moon replied to szccdw's topic in New Nurse
Hello and congratulations fellow new grads! This is my first post after "lurking" at this site for months...too busy studying to type!! Anyway, in answer to the question...I'm starting working as a grad. nurse in the state acute psych. hospital on F...