Mr Ian

Mr Ian

mental health; hangover remedies

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All Content by Mr Ian

  1. Having an ethical dilema

    Mr Ian replied to meluhn's topic in Nursing Educators, Faculty

    While they're a student - clinical responsibility is the nurse preceptor/mentor. When they graduate - it becomes the BoNs. The administration is not liable for competence in the workplace - merely...

  2. Having an ethical dilema

    Mr Ian replied to meluhn's topic in Nursing Educators, Faculty

    Good luck to you meluhn - make sure you build some suitable networks amongst the powers-that-be. I've recently moved into a managerial position and my first job was to make me seem irreplaceable...

  3. Question regarding psych nurses.. problem

    Mr Ian replied to BlueTexas89's topic in Psychiatric

    I'm always reluctant to comment given only one side of a situation - however, I loathe the use of restraints - moreso with elderly - so I will break my rule. Even if there was a clinical issue behind...

  4. Having an ethical dilema

    Mr Ian replied to meluhn's topic in Nursing Educators, Faculty

    The 2004 Duffy report (UK) spoke of "failing to fail" and how incompetent nurse students are being processed through regardless. Some of it is to do with poor mentoring on the ward (incl. poor support...

  5. Violations of Mental Health Act

    Mr Ian replied to AnonymousCanadian's topic in Psychiatric

    Patient's have an implicit right to this information. You are right to raise concern. However, the doctors are not liely to help as it presents a huge conflict of interest. This doesn't mean they...

  6. Is there a future in Psych Nursing?

    Mr Ian replied to rookie_rn's topic in Psychiatric

    Eventually the State(s) will realise that mentally unwell people are just as much a loss and drain on the economy as their medical counterparts. (hospital, police, social services, welfare; lack of...

  7. Can child and adolescents psych be mixed on same unit?

    Mr Ian replied to Shell5's topic in Psychiatric

    As per my other post - mental health gets lumped into whatever suits operations and not common sense or clinical

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

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

    I can't not comment! Firstly Shell5 - thankyou for sharing your perspective and I acknowledge you 100% in this. There has always been debate on 'how to manage borderline PD' - which has always...

  9. Sucker punched. First time I was ever punched by a man.

    Mr Ian replied to wonderbee's topic in Psychiatric

    Sorry about your experience Kitty... There are two serious issues: The statute of limitations does not really apply in this sense - a reasonable time delay (I guess a few weeks) is acceptable....

  10. Residential Mental Health Units... need advice

    Mr Ian replied to ex1140's topic in Psychiatric

    Please explain a "VA" ? Sounds weird set up - if you're there just to chart clinical incidents - what happens to them when you chart them? What other purpose do you serve? Is there any therapeutic...

  11. Long acting antipsychotic

    Mr Ian replied to riverkinz's topic in General Nursing

    Since no one talks her language - it's no wonder she talks to herself Who else has she got? Can the nurse who she can communicate with be utilised better? In elderly care half the battle is sheer...

  12. Discussion: lobotomize the patient or lobotomize the system

    Mr Ian replied to Jo Dirt's topic in Psychiatric

    ba-boom~tish....

  13. Discussion: lobotomize the patient or lobotomize the system

    Mr Ian replied to Jo Dirt's topic in Psychiatric

    Yes there are. This would be like considering an above knee amputation for an ingrowing toenail. Is it medicine? Is it a disease? We intervene once harm has been done and risk reduction occurs...

  14. Documentation Between Visits...HELP!

    Mr Ian replied to athomemom56's topic in Private Duty

    Firstly, your (lawful) responsibility is to follow written medical orders. And I would not take a verbal order from a nurse at all. A doctor's verbal would only be half as bad. Your professional duty...

  15. Documentation Between Visits...HELP!

    Mr Ian replied to athomemom56's topic in Private Duty

    1. Keep a diary and document as you go. Write the information on the page you are due to next visit (so you notice to do it that day) and date your entry next to the info as if a clinical file when...

  16. Acronyms/Abbreviations

    Mr Ian replied to nursemike's topic in General Nursing

    Mike: Ignore that idiot above. I'd certainly appreciate it - I struggle with some abbreviations being somewhere on the bottom of the

  17. Acronyms/Abbreviations

    Mr Ian replied to nursemike's topic in General Nursing

    IMO ITA

  18. Sorry HIPAA confusion again!!!!!

    Mr Ian replied to mina123's topic in General Nursing

    Note - Highlighted in bold. Define "capable" Define "given the opportunity"? Who's professional judgment? What is a health care decision? What has that got to do with consenting to release private...

  19. shaken about psychotic patient incident last night.. very long..

    Mr Ian replied to inthesky's topic in Psychiatric

    I totally agree - but I've seen it happen. Pts who don't actually require the level of intervention offered (not saying the case inthesky presented didn't) who are compliant with staff direction,...

  20. shaken about psychotic patient incident last night.. very long..

    Mr Ian replied to inthesky's topic in Psychiatric

    Incidentally, there is no evidence to suggest coercive/enforced medication is actually beneficial to the patient. It is only one of an often limited repertoire of 'tools' psychiatry uses. That, and...

  21. Am I paranoid; or do all my clinical instructors dislike me?

    Mr Ian replied to cincin1's topic in General Nursing

    Hi cincin The solution is to stop caring. So what if they don't like you or pick on you more than the rest? Just think about the extra experience you're getting in presenting yourself as a clinician....

  22. Should you tell your boss about your anxiety?

    Mr Ian replied to kambra's topic in General Nursing

    Hi kambra The decision to disclose really remains yours but that decision should be based on weighing up the issues. 1. Does your anxiety effect your work in ANY way? - eg making you late, distracting...

  23. Sorry HIPAA confusion again!!!!!

    Mr Ian replied to mina123's topic in General Nursing

    Unless the patient has given consent for release of information to those specific family members it's a

  24. HIPAA regs info

    Mr Ian posted a topic in HIPAA Challenges

    A friend in US is asking about access to clinical records under HIPAA. Thing is they're not sure (and neither am I, being as I'm over here and not over there) where HIPAA applies. Is there a...

  25. HIPAA regs info

    Mr Ian replied to Mr Ian's topic in HIPAA Challenges

    You are smart.