kiwipsychnurse

kiwipsychnurse

Mental health

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All Content by kiwipsychnurse

  1. Pennsylvania: No seclusion, PRN or restraint.

    Thanks for that. So thats how they keep their seclusion figures down, they farm the hard to manage patients to other states. Very
  2. Got slapped by pt. Staff splitting. Need feedback.

    After thought. There is a difference between bad behaviour and assault. You assault a nurse in my work place you will end up being
  3. Can Staff Close Their Eyes While On 1:1?

    Most funny 1:1 I ever saw was when we had just had handover and the morning and afternoon shift were exiting the handover room. A female patient was on 1:1 and the nusre assigned to her had their back...
  4. Pennsylvania: No seclusion, PRN or restraint.

    The reason I am quoting PA is that at present whenever research is quoted it seems to come from the state of PA. I'm realistic about restraint and seclusion. I personally teach restraint training to...
  5. Got slapped by pt. Staff splitting. Need feedback.

    So you can get badly beaten up in your unit and the patient is allowed to just carry on what they were
  6. Can Staff Close Their Eyes While On 1:1?

    No sleeping on a 1:1, they are on those ob's for a reason. Only time you can close your eyes is to
  7. Got slapped by pt. Staff splitting. Need feedback.

    This is bad. Is seclusion not an option? From what I read in your initial post, this situation will probably continue to escalate. Your hospital must have policies around violent patients and how to...
  8. Pennsylvania: No seclusion, PRN or restraint.

    The research paper I have states that there was no increase in staff injuries. If your from one of these hospitals in PA I would love to talk to you, I have a few
  9. No scrubs allowed in psych?

    No scrubs here in New Zealand. Most of us wear jeans and t shirts. T shirts cant have any logos that promote alcohol or drug use. Which makes sense when you are taking and alcohol group and trying to...
  10. How dangerous is Psych nursing?

    10 years and only been punched twice. Nothing serious. You get more injured playing soccer or rugby. Also Nurse to patient ratio is big factor
  11. How many patients per RN/LPN?

    usually 1:3 ratio here in New Zealand Forensic Nursing. Sometimes 1:2. I keep telling people we have the ratio's in the
  12. Admissions process, is this how it is everywhere?

    You will be pleased to know that its very much the same in New Zealand. NZ law requires that in order to be sectioned (placed under the mental health act) they require assessment from a doc, hence...
  13. how do you manage a patient who has delusions

    For me delusions are all about risk management. If they seem quite harmless eg. I have a million dollars somewhere, then I just ignore it. If there is any element of danger/risk involved then he/she...
  14. Management of the med window

  15. Mental Health Acute Wards

    We are gearing up for non smoking in 2010. Glad I dont work in the acute side of the service, thats going to be a rough 3
  16. do you talk about work?

    I work in the end of the service where people are about to be released. The only unit that is unlocked in the whole complex. Yep he can feed the
  17. Losing your skills in psych?

    It's like anything, if you dont use it you lose it. For me to return to a medical hospital I would need a very good induction. Skills are there but would really need alot of polishing. For example...
  18. do you talk about work?

    At first I used to tell my wife so much about the in's and out's of a general mental health ward. 9 years later, generally only the funny stuff. Recently one of my patients was feeding eels in a...
  19. No Inpatient Psych RN positions available, now what?

    New Zealand mate!! Lord of the rings All Blacks (Rugby) Clean and
  20. Seclusion/restraint reduction

    Hi, I looked around to find an active nursing forum and this one seems to have it all. Just joined up and look forward to becoming an member. Work as an R.N in a forensic hospital in New Zealand. I'm...
  21. Seclusion/restraint reduction

    This is good guys, the information you are providing. I'm shocked to here a Rec officer is running the hospital, that would not happen here. Nurses run hospitals. Sounds like you need to make this a...
  22. Boderlines in general mental health suck you dry and cause mass disruption. No easy answer will solve this one. As stated you need the whole team coming from the same direction and that is hard to...
  23. Management of the med window

    We have a locked smoking room and the room remains locked until everyone takes their meds. Peer
  24. disallusioned with nursing! psych new grad

    I'm sure we have the best ratios in the world. Our acute inpatient unit has 15 beds and 9 staff, hence very little violence. The unit I work on has 8 beds and 2 staff, however ours is the end of the...
  25. No Inpatient Psych RN positions available, now what?

    Hard to believe NY has an over supply of psych nurses. We are so short of them in NZ. Have you thought of having a 2 year break and coming to the otherside of the