Mr Ian

Mr Ian

mental health; hangover remedies

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All Content by Mr Ian

  1. Monitoring patients for lithium toxicity

    I was going to post what I remember about Lithium titration and testing (been a few years since I did in-pt acute so I had a quick read up) - but I found this PDF file instead which might be of use to the OP - and is much better than me making a dill...
  2. Insomnia meds for psych patients?

    jjohnny - informative post; thx As for the general debate: I've long had a problem with the sledgehammer approach to sleep issues. My local medics (non-psych rural hospital) have a standard practice to prescribe Temazepam to everyone with a sleep pro...
  3. Monitoring patients for lithium toxicity

    It would indeed be a RM issue. The risk factor being an incompetent doc. I'd be wary of the nurse manager not wanting to report the issue and your colleague should get something in writing to that effect with perhaps a clear indication what they inte...
  4. I am RED HOT over this one.............

    To hopefully clarify the legal point - it would be the union's practice to exhaust all non-legalese avenues before engaging their legal services. This is common as it seeks to reduce the use of legal services that might not be required. However, the ...
  5. The Secret Hospital

    oh you young 'uns :vdgmg::grn:
  6. The Secret Hospital

    Not a clue. But I had a look about. Found this on Hansard of you hadn't seen it before - http://hansard.millbanksystems.com/commons/1980/nov/11/rampton-hospital And there was a page with a follow up story called The Rampton Report in 1980 too. (YTV)...
  7. I am RED HOT over this one.............

    You're probably not far wrong that the U/M is intimidated by your union status. Most places function as adversarial with unions - which is a pity. They function much better when they are mutual goal directed - and the purpose of a union is to preserv...
  8. I am RED HOT over this one.............

    I'm not a lawyer - (INAL) - but.... If the U/M has written you up repeatedly for things others have done - getting that evidence together may serve you well after these shenanigans. It's not uncommon once a manager has started such a process to pull ...
  9. I am RED HOT over this one.............

    I understand your frustrations - I was in a similar position 3 years ago - and one prob 5-6 years before that about clinical judgment. It is not pleasant and management tend to target scapegoats with emotional venom rather than attempting to resolve ...
  10. I am RED HOT over this one.............

    So what are they pulling you up for? Some medication adminstration error? And reporting it to the BON? From that scenario it sounds as if you made a lesser mistake than charge RN. Tho it is wrong to make up and leave meds (they should go pot to patie...
  11. Did anyone consider becoming a psychologist first?

    Not really before - but then I didn't know I was interested in mental health nursing til I finished the 3 year course (in pure Mental Health Nursing!) Since then I've toyed with the idea - but that's cos mental health nursing is poorly recognised or ...
  12. Need information,

    Sounds like what we call Director of Nursing. Chief Nursing Officer is a title they give here (Oz) to the lead senior nurse - also in the UK - who act as advisor to the government. Incidentally, I am neither. But I have a staff of 4 and a water machi...
  13. New Grad -- Reference Books?

    Any book that reduces nursing to being "incredibly easy" - is obviously missing some text :wink2:
  14. New at leading medication group on CD Unit

    Well again I'd love to help - but what is a CD unit? All I could find was Communicable Diseases.
  15. Inpatient Smoke free ward - HELP!

    In the most litigious country in the world - I'd like to see an employer force an employee to be exposed to a carcinogenic and feel perfectly safe about that.
  16. I am RED HOT over this one.............

    You were all involved (3 nurses; 1 doc) in the incident. They have been reprimanded or exonerated and continue to work. You have been suspended and reported to the BON. That's a significant difference. I guess they're holding you specifically respons...
  17. Inpatient Smoke free ward - HELP!

    I despise the smoking bans on patients who are detained against their will. It is, as far as I'm concerned, a discrimination. Prisons have not introduced such bans - and they have much tighter regimes for violence control. I am also a smoker. But I u...
  18. I am RED HOT over this one.............

    Have you asked the employer to explain why they have treated you differently? Even if they don't respond to the question - the different perceived treatment will be in writing. But get legal/union advice first.
  19. Hello Psych Nurses & Future Psych Nurses, Please Read

    i have been a mental health nurse for many years and it did not do me no harm. incidentally i am typing this with my nose for no reason
  20. A little freaked out. Need advice.

    Don't get drunk. Prevention is better than cure.
  21. Report sheet

    Our report sheet was a blank piece of lined paper - we wrote the relevant pts name on there and summary of the event... Eg: Ted Smith: Adm. 14:00 S48/49 (assault) Dx Paranoid schiz; Depot last given 4 days ago. s/b psych or Bob Jones: Fell out of bed...
  22. Vitamins as treatment

    I think we should throw away the expensive pills anyway and just go play in the sun
  23. What can I do about sister with hoarding OCD

    Well given that most my thoughts didn't actually tally with your answers to what I expected .... I can only say I don't think she's got Asperger's. To be honest - as a professional I shouldn't speculate - and nor should I really discuss what your sis...
  24. Need help! Not sure where to go!

    which country - or state?
  25. Need help! Not sure where to go!

    http://www.google.com