alfa-sierra

alfa-sierra BSN, RN

Psych

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All Content by alfa-sierra

  1. Got the job! Now help me refresh my memory...brainstorm!

    alfa-sierra replied to mingez's topic in Psychiatric

    Get familiar with charting format: B(behaviors)-I (interventions)-R(responses to interventions)-P (plan) or some variation, or P(problem)-I-R; describe behaviors in clinical language, know what is...

  2. I hate my boss!

    alfa-sierra replied to madwife2002's topic in General Nursing

    Managers of this caliber may have a place in a Smithsonian museum but not in my organization. A good manager has to be a secure person to begin with, and understand that People are the most valuable...

  3. Santa Barbara Cottage Hospital

    alfa-sierra posted a topic in Psychiatric

    Has anyone worked at Santa Barbara, CA Cottage Hospital Psych Unit? If so, would you share your impressions, and how do you rate the program? There appears to be relatively frequent recruitment. I...

  4. What The Bleep Happened To The Shortage?

    alfa-sierra replied to Pedinurse888's topic in Massachusetts Nursing

    It is unfortunate that unlike the AMA with MDs, the ANA does not have the clout (?!) or the will to keep the supply of nurses from exceeding the demand. If in fact there is another shortage looming...

  5. What The Bleep Happened To The Shortage?

    alfa-sierra replied to Pedinurse888's topic in Massachusetts Nursing

    Do not settle for the mediocre. Check with Duke Medical Center, NC. They were accepting not long ago applicants for 1 year long top notch internships if you commit to work with them for 2 years...

  6. Activities for mental illness in a psychiatric institution

    alfa-sierra replied to ritaPHIL's topic in Psychiatric

    I take it yours is a longer term facility in the Philippines? With that climate year round you can include some fun permanent outdoor projects (eg: garden or horticulture patch or aquaculture) and...

  7. Haldol and Ativan cocktail IV

    alfa-sierra replied to TRAMA1RN's topic in Psychiatric

    I respond to Mish's red herring posting only out of respect for the learning value of this site. Fallacies, or arguments with flawed logic, detract not only from the truth but from the integrity of...

  8. psych nursing-which one is less violent?

    alfa-sierra replied to cutehumor's topic in Psychiatric

    Provided that all groups are treated with the same positive regard and professionalism and contrary to what probably appears to be common sense, the Forensic are in my experience likely to be the...

  9. Haldol and Ativan cocktail IV

    alfa-sierra replied to TRAMA1RN's topic in Psychiatric

    Sadism and ignorance can, and often do, go hand in hand. I stopped keeping track of how many times "psychiatric" nurses fail to identify akethisia as a reaction of too much antipsychotics, leading...

  10. what do nurses hate about doctors?

    alfa-sierra replied to futureMD's topic in General Nursing

    very

  11. Rumor of a six month 200K RN position in Iraq????

    alfa-sierra replied to pdaddy's topic in General Nursing

    ibc (www.iraqbodycount.org) quotes 90,000 civilian casualties, all inclusive-iraqs, americans, british,south african etc) since 2003. the following, a much sober count, is an excerpt from wikipedia...

  12. Rumor of a six month 200K RN position in Iraq????

    alfa-sierra replied to pdaddy's topic in General Nursing

    Would that be dead or

  13. what do nurses hate about doctors?

    alfa-sierra replied to futureMD's topic in General Nursing

    Kudos to you for seeking feedback. I 've been a (male) nurse for 15 years. Some doctors are genuinely confident, humanistic and have a sense of humor. Others, both male and females, have all the...

  14. chemical restraints

    alfa-sierra posted a topic in Psychiatric

    Is it legal to administer a standing IM antipsychotic medication PRN severe agitation to adults in psychiatric units against the patient's will? If not, in the absence of a clear hospital policy, what...

  15. chemical restraints

    alfa-sierra replied to alfa-sierra's topic in Psychiatric

    Thanks for sharing your experience in this

  16. chemical restraints

    alfa-sierra replied to alfa-sierra's topic in Psychiatric

    Beautifully said. Thank

  17. Abilify

    alfa-sierra replied to Orca's topic in Psychiatric

    Abilify as good as a glass of water? That's generous... I totally agree. In my neck of the woods, no psychiatrists worth their grains of salt, will prescribe it to really sick patients, except as...