Mr Ian

Mr Ian

mental health; hangover remedies

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All Content by Mr Ian

  1. How do you work with the "SUPERNURSE"!!!

    Mr Ian replied to akrn70's topic in General Nursing

    Over compensation - borne out of lack of security and faith in oneself. Often found to be living in an oppressive domestic violence situation at

  2. Nurses, physicians weigh in on new doctoral nurse degree

    Mr Ian replied to Brian's topic in Doctoral Nursing Degrees

    This confusion of the patient for people having the title Doctor confuses me. If I get two people in front of me with the title of Doctor - one with a simple degree in medicine, the other with a PhD...

  3. nursing students and behavioral health units

    Mr Ian replied to inthesky's topic in Psychiatric

    We're in the same book - I'm reading from a different chapter. :wink2: If you can spend the time with the 'deluded' patient you can often establish a root-cause that is reality based. "CIA putting...

  4. nursing students and behavioral health units

    Mr Ian replied to inthesky's topic in Psychiatric

    "delusions" are simply another perspective on life. Most often I find that psych patients get written up as deluded just for having a different perspective. If you talk to God you are religious If he...

  5. Advice on difficult resident/vent - sorry for length!

    Mr Ian replied to evilolive's topic in Geriatric, LTC

    If the pt is refusing medications then there's little point in reviewing any efficacy of a medication regime. But there may be a benefit in reveiwing why he's reluctant to accept them. Very often it's...

  6. Would you put your initials on verbal orders?

    Mr Ian replied to Thundercat's topic in General Nursing

    Not a chance; no way. Ever. And if she insists - ask for it in writing. If she threatens - ask her for her license number for the BON. If she cries - give her a tissue. Then tell her to put her own...

  7. Nurses, physicians weigh in on new doctoral nurse degree

    Mr Ian replied to Brian's topic in Doctoral Nursing Degrees

    I'm kinda sick of this Spartacus debate as to ownership of the Dr title. The stewardess should be calling for "anyone with a basic medical degree in the house who insists on being called 'doctor' for...

  8. critical thinking

    Mr Ian replied to POMD01's topic in General Nursing

    A care

  9. Reporting during a rapid response or Code Blue

    Mr Ian replied to bakpacker13's topic in First Year After Licensure

    Now all that real nursing stuff scares me... talk about HRs and BPs and PO2s and stuff just goes over my head. But give me weird anyday and I'm happy as a pig in muck. I'll assume you know the general...

  10. Time management: How do you do it?

    Mr Ian replied to Michael_65's topic in General Nursing

    It'll come. As you become more proficient with your tasks your time will manage

  11. Discussion: lobotomize the patient or lobotomize the system

    Mr Ian replied to Jo Dirt's topic in Psychiatric

    It's an interesting concept. And it's already rapidly growing. Neuromodulation is already a tested technique (in rats) and has demonstrated that behaviour can be controlled not only by removing...

  12. Student Ns--help with care plan for mentally retarded patient

    Mr Ian replied to Dianacabana's topic in Psychiatric

    ..and involving the carers can also help you to understand how they function at the group home. No good setting up any regimens that are not going to be followed through once discharged. The carers...

  13. nursing students and behavioral health units

    Mr Ian replied to inthesky's topic in Psychiatric

    inthesky: I'm really starting to feel for you in the position you seem to be facing. I'm going to offer unsolicited opinion and advice and it's for you to decide if you want to take any notice or if...

  14. any suggestions for handling PRN

    Mr Ian replied to rnpeg's topic in Psychiatric

    Then I'd exert my energies into something else. No point flogging a dead horse. Your point is valid - you are absolutely right - now forget about it and do something that'll get a positive outcome....

  15. good management or complete contempt for staff...what's your thoughts please?

    Mr Ian replied to scared'o'needles!'s topic in General Nursing

    I wouldn't be surprised if someone waited til 4:55pm on Friday then punch her on the nose and tell her at least she's got the weekend to get over it.

  16. FREAKING out... my first fall and an investigation is on.

    Mr Ian replied to SweettartRN's topic in LPN, LVN Corner

    Just to add to the other comments: When it comes to bad outcomes and the BON there are two main things they look at: 1. Was normal protocol/practice followed? Even if they were not - there are often...

  17. any suggestions for handling PRN

    Mr Ian replied to rnpeg's topic in Psychiatric

    Stop attention seeking. Sorry... you know I can't resist. Of course I agree with you - the dismissive attitude of psychiatry that almost routinely dismisses and invalidates peoples' experiences...

  18. Advice on difficult resident/vent - sorry for length!

    Mr Ian replied to evilolive's topic in Geriatric, LTC

    I've been called to review an elderly gent; recent stroke and now living in a nursing home. The nurses think he needs reviewing because when he goes for a cigarette and they don't give him one he gets...

  19. New Director of Clinical Services struggling with staffing issues

    Mr Ian replied to ChristinaDCS's topic in Geriatric, LTC

    ...and staff burn out is like a

  20. Management Project; Preceptor Program

    Mr Ian replied to MamaShortRN's topic in General Nursing

    First - don't panic. All you're doing is putting down on paper what you do at your facility and how to teach a new nurse to do the same thing to a reasonable standard. I don't know if there are...

  21. any suggestions for handling PRN

    Mr Ian replied to rnpeg's topic in Psychiatric

    Depends a lot on which sort of PRN you're talking about. The simplest way is to get the prescribing pdoc to take responsibility as they should. If a patient is requesting max/high frequency PRN - the...

  22. I seriously need HELP in Psych Documentation!

    Mr Ian replied to DaisyChains's topic in Psychiatric

    To add to whispera's list - behaviour and content of conversations. Energy levels, sleep, any s/e's evident, interpersonal relations - isolating/mixing; ability to engage in conversation; concentrate...

  23. What's unique to geropsych patients?

    Mr Ian replied to RN007's topic in Psychiatric

    Quality of life is more important than anything. Alleviate problems with the least interventions necessary and promote the good stuff as much as possible. The little things matter and don't look for a...

  24. What's Your State Hospital Policy R/T BPD/O?

    Mr Ian replied to autumn-moon's topic in Psychiatric

    self harm fits many theories: 1. To "feel" the pain that is otherwise intangible - a detachment from emotions; inability to cry/grieve leaves little options to deal with emotional pain. 2. Endorphin...

  25. UK Agency Nursing

    Mr Ian replied to Squatront's topic in International Nursing

    Yes I do Pili - but they were all local agencies in my area. I'd recommend you do some local research - register with a couple of agencies to find out the local business and talk to other nurses who...