Hi, been a few years since I posted but would like some input please. How do you manage pt's that self harm in an inpatient environment? At present we have a very hands on approach which usually results with intensive nursing in a highcare environm...
Hi, we went smoke free about 6 years ago with very few issues. We were expecting violence to increase but that was not the case. Can I just get some feedback if your hospital is smoke free and which state or country you are from. Thanks
kiwipsychnurse replied to swimrn1's topic in Psychiatric
You will love this. Day shift 8 nurses 15 patients. Afternoons 5 to 15 and nights 3 to 15. I think these are the best ratios in the world. Forensic psych hospital, Auckland, New Zealand.
This has been an ongoing issue for the past few months. I guess this is what happens when management try to drastically reduce seclusion but not provide viable alternatives. This week the staff are stopping work for 2 hours in an attempt to sort this...
kiwipsychnurse replied to ashleyisawesome's topic in Psychiatric
Hi, Work in a psych hospital in New Zealand. Most of us just wear jeans and tee shirts. Today I'm wearing a Canadian Rugby jersey, jeans and trainers. Due to the amount of sport we play with the patients it would be very impracticle to dress up altho...
kiwipsychnurse replied to Mashira's topic in Psychiatric
I suspect we will never agree on this issue. Makes me thankful for the country I live, the laws we have around Health and safety in the workplace and the strong union nursing has in New Zealand. Note: you can't sue for personal injury in NZ (that is...
kiwipsychnurse replied to Mashira's topic in Psychiatric
I have seen cell take outs of mentally ill inmates in a psych wing of the prison in Ohio. The guards went in with pepper spray, shields and body armour. The patient was extreme pain while they restrained him and carted him off to off to another room/...
kiwipsychnurse replied to Mashira's topic in Psychiatric
Could it be that the difference between our psych system and yours is you select which patients are suitable for your hospital and if they are too violent and aggressive then you send them to prison? This ensures your hospital's patients are relative...
kiwipsychnurse replied to Mashira's topic in Psychiatric
My work place. 8 staff to 15 Pt ratio; if acuity increases then the staff to pt ratio increases. I think we can handle 99% of violent situations and have only had to call the police once in 18 years.
kiwipsychnurse replied to Mashira's topic in Psychiatric
Thank goodness we have acts of law that prevent this type of issue. If someone is trying kill you and you are sleeper hold and you punch them in the groin you get fired? So basically you need to be a punching bag? And not defend yourself because of f...
kiwipsychnurse replied to kiwipsychnurse's topic in Psychiatric
I learnt that if your busy on nights and I'm excluding admissions then dish out the PRN. Having patients up all night drinking tea and coffee watching TV is not promoting recovery as all they do is sleep the next day. Also avoid talking to them on ni...
kiwipsychnurse replied to Mashira's topic in Psychiatric
Seated holds sounds like you require a great deal of strength for this method to work. I have no idea how this works I'm guessing you have a nurse either side and sit the patient down and prevent them standing up. If we tried to use such techniques i...
Yesterday I attended a sensory modulation forum. This approach was targeting reducing selection and restraint. The speaker was an American OT by the name of Tina Champagne. Some of the concepts were to get in early with an agitated/distressed patie...
Yesterday I attended a sensory modulation forum. This approach was targeting reducing selection and restraint. The speaker was an American OT by the name of Tina Champagne. Some of the concepts were to get in early with an agitated/distressed patient...
