PMHNP10

PMHNP10

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All Content by PMHNP10

  1. Pick your battles with your LNA.....

    PMHNP10 replied to bluemorningglory's topic in Patient, Colleague Relations

    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...

  2. Are online NP programs good for the profession??

    PMHNP10 replied to gerry79's topic in Nurse Practitioners, NP

    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,...

  3. Graduate school question

    PMHNP10 replied to nurse1219's topic in General Nursing

    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...

  4. Are online NP programs good for the profession??

    PMHNP10 replied to gerry79's topic in Nurse Practitioners, NP

    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...

  5. Are online NP programs good for the profession??

    PMHNP10 replied to gerry79's topic in Nurse Practitioners, NP

    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...

  6. Are online NP programs good for the profession??

    PMHNP10 replied to gerry79's topic in Nurse Practitioners, NP

    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...

  7. How Can You Tell if a Pt. Is Addicted???

    PMHNP10 replied to Pretty in Ink's topic in Addictions

    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...

  8. Med Errors

    PMHNP10 replied to UM Review RN's topic in Patient Medications

    except alcoholism; it often gets them one way or

  9. Do you include co-workers' names when charting? How do you chart?

    PMHNP10 replied to rn4ever?'s topic in General Nursing

    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...

  10. Do you include co-workers' names when charting? How do you chart?

    PMHNP10 replied to rn4ever?'s topic in General Nursing

    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...

  11. still a good idea to get med/surg experience first?

    PMHNP10 replied to HowserDoogie's topic in Psychiatric

    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...

  12. Sleep Hygiene

    PMHNP10 replied to BSN_DEC_2006's topic in Psychiatric

    -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...

  13. How Can You Tell if a Pt. Is Addicted???

    PMHNP10 replied to Pretty in Ink's topic in Addictions

    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;...

  14. Do you include co-workers' names when charting? How do you chart?

    PMHNP10 replied to rn4ever?'s topic in General Nursing

    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...

  15. Are online NP programs good for the profession??

    PMHNP10 replied to gerry79's topic in Nurse Practitioners, NP

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

  16. What would you do if you were making the decisions?

    PMHNP10 posted a topic in Psychiatric

    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...

  17. What would you do if you were making the decisions?

    PMHNP10 replied to PMHNP10's topic in Psychiatric

    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...

  18. What would you do if you were making the decisions?

    PMHNP10 replied to PMHNP10's topic in Psychiatric

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

  19. What would you do if you were making the decisions?

    PMHNP10 replied to PMHNP10's topic in Psychiatric

    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...

  20. What would you do if you were making the decisions?

    PMHNP10 replied to PMHNP10's topic in Psychiatric

    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

  21. Staffing a unit

    PMHNP10 posted a topic in General Nursing

    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...

  22. Staffing a unit

    PMHNP10 replied to PMHNP10's topic in General Nursing

    medi-psych

  23. What is the right answer?!

    PMHNP10 replied to Farza's topic in General Nursing

    what is aseptic and why would a septic (not aseptic, but a septic) caregiver be bad for an acutely ill pt. who, say, just came out of

  24. A sufficient ICU orientation (internship)

    PMHNP10 posted a topic in MICU, SICU

    So if an experienced m/s tele nurse would like to explore the world of critical care, how long of an orientation would be appropriate? What length is iffy (i.e., certainly not an excellent...

  25. A sufficient ICU orientation (internship)

    PMHNP10 replied to PMHNP10's topic in MICU, SICU

    my understanding is that the nurse wouldn't take on any CABG or balloon pump patients until after a year; I've also heard the acuity isn't as high as other hospitals and that often the MDs leave pts....