PMHNP10

Hardly a scientific observation, but regardless, the above observation doesn't change the fact that a majority did in fact vote for the union. So now you have a choice between becoming active in your union (similar to what TXdude is stating he'll do)...

good rule of thumb, but the OP wouldn't have asked nor thought anything about her actions had the other nurse not cried foul

Which is the moral of the story--as sad as we might feel the reality is, having contact with a patient when we are not on the clock is walking a line that can land you in a courtroom and/or unemployed. It's just not worth the risk if you value your l...

I agree it was a nice gesture; and that everything has to be a "HUGE issue"; but unfortunately, we have to walk this line because of our litigious society, and because any given human can have impure (i.e. predatory) intentions, regardless of how pur...

I have an idea--go to the patient and ask them what they'd like to be called--honey, sweetie, Mr./Mrs. ______, etc. In an environment where they have so little control over their lives--i.e., when they eat, what they eat, when they shower, where the...

I'm sorry, but I do not know which statement someone might take too literally. Could you please point out the specific statement I made that you're referring to (after all I made a million of them, give or take)? As for Dr. Schmo--as a rule, while wo...

first of all, congratulations of finishing nursing school; now the real fun begins; good luck to you 2nd--GPA is only part of the picture; many schools require a grad exam (e.g., GRE); so if you rock on that, the GPA won't necessarily keep you out; a...

Having just completed an online program, I would absolutely not be the right person to promote them based on my experience. Another interesting point...I do not know the accrediting system, but I just finished a program that was suspended by the sc...

You bring up an intersting point--Do you think the doctor you're working with to treat patients in an outpatient setting would be comfortable with you saying..."well I'm here to learn how to become a primary care provider", because that is the expect...

Let me first say that I loathe being lectured at; my ADD starts firing on all cylinders within minutes (and even seconds) of the start of a lecture, and for this reason, as a rule of thumb I absolutely love online classes; some things are better for ...

absolutely there's a difference; but the DSM IV doesn't highlight it; hopefully the DSM V will; the scenario I presented is clearly dependence based on hitting the minimum of 3 criteria, but in the current thinking by some, dependence=addiction, I su...

except alcoholism; it often gets them one way or another

thanks for finding that; I'm guessing that source doesn't specifying nursing, so I suspect a majority of psych lawsuits come at the inpatient level because of what occurs (e.g., PRN emergency injections, force hospitalization, force PO meds [with IM ...

why would I be offended? I posted about documentation because I knew someone would respond thinking they disagree with me, but in fact what they say is pretty much in agreement with me (I even bold faced the word "not"; so although you went in to gre...

psych in particular because we aren't real nurses:yawn: but really, like you allude to, even if you could look into a crystal ball and discover that you retire a psych nurse after 40 years of being a psych nurse, getting a minute or 2 of some form of...

-regular schedule of going to bed/waking up--get the circadians all sorted out -bed is for 2 things--sleep and sex (no reading, tv, computer, eating, etc.)--see below -no heavy exarcise at bedtime--it'll wake you up -no caffeine after lunch--self-exp...

it's interesting because the DSM IV-TR defines addiction as substance dependence; there is no separation, but many folks who study addictions medicine do not like using the term addiction or addict; however, IMO, the problem with the DSM is that an i...

I've always had the thought that I don't want to make the defense attorney's job easy, so I omit names of people that can be easily identified (e.g., ED physician, charge RN, house supervisor, ED RN etc.). I haven't worked a floor position for quite ...

absolutely, positively not; my experience is that online takes the teaching out of education, and that is not a good thing

I'd like to post a few vignettes of patients and ask what would you do if you were in charge of the program/unit involved (i.e., how would you handle the situation)? Please provide a rationale for your decision. 1) John, is participating in an outpa...

someone in every facility has the "power" to determine how to manage a given situation, whether it's as part of a committee, or if you are the owner/founder of a private facility; there are rules in place and consequences for violating those rules, w...

you are the "proper people"; congrats on the promotion; so what do you do with these folks?

thank you for your responses; overall I agree with you except I'd probably boot the frisky adolescent couple out of the program; word gets around in the mental health community and if the word is that you can hook up and the consequences aren't too s...

oops, lol; unfortunately I cannot edit, so from hereforth, John is a female so aside from the lack of editing on my part, do you have any responses to any of the scenarios?

If there is a 6 bed unit is it legally ok to staff the unit with 1 RN and 1 tech...no LVN, no charge, just those 2 people? If this isn't supposed to occur, but does because the hospital says the house sup is the other available RN, is that a loophol...