greenbeanio

greenbeanio

mental health

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All Content by greenbeanio

  1. Best practice ideas for handling delusions...?

    greenbeanio replied to WannaBeNrse's topic in Psychiatric

    I found this article by Richard Lakeman at work and I think it's very helpful: View a PDF Here's an excerpt from the introduction to his article: "One of the most perplexing interpersonal situations...

  2. How do you talk to patients with weight issues?

    greenbeanio replied to CrystalSSA's topic in Patient, Colleague Relations

    This is such a sensitive topic that it's not one that is fruitful to discuss until the patient is ready and brings it up. So what I usually do is start talking in a general way about constructing a...

  3. What to do after a rough shift?

    greenbeanio replied to Brian's topic in Nurses Rock

    My poor husband... gets an earful!

  4. sunlight and nightshift

    greenbeanio replied to anotherone's topic in Health, Stress Management

    I sleep in a completely quiet and totally dark room, thanks to my husband's ingenuity with thick black trash bags and duct tape! What doesn't work though is weekends or holidays when my husband...

  5. Depressed night shift worker

    greenbeanio replied to LithEruiel's topic in Health, Stress Management

    Well, I would love to work a few nights in a row. I am never scheduled for more than two 8-hour nights in a row, and let me tell you, the constant flipping back and forth is absolute torture. I NEVER...

  6. sunlight and nightshift

    greenbeanio replied to anotherone's topic in Health, Stress Management

    Reading this thread reminds me - we use lightboxes on our (inpt. psych) unit for some of our patients. Maybe I could ask if I could use one of them while I am charting! And thanks for the reminder in...

  7. A Question for Night shift Psych Nurses - Do you limit PRNs?

    greenbeanio posted a topic in Psychiatric

    Do you limit PRNs to what they are prescribed for or do you give patients what they are asking for as long as it's safe to do so? I am a fairly new nurse (a little over a year) and I am the med nurse...

  8. A Question for Night shift Psych Nurses - Do you limit PRNs?

    greenbeanio replied to greenbeanio's topic in Psychiatric

    I think what I am most uncomfortable with is giving out benzo-antipsychotic combinations just to help someone sleep. I'd much rather give out antihistamines for sleep, like Benadryl or Vistaril,...

  9. Evidenced Based Paper

    greenbeanio replied to Scarlettz's topic in Psychiatric

    So many topics, so little time! Implementing evidence-based best practices for trauma-informed care on the inpatient psych unit Correlation between depression and diabetes and the implications for...

  10. A Question for Night shift Psych Nurses - Do you limit PRNs?

    greenbeanio replied to greenbeanio's topic in Psychiatric

    And in case you're wondering what my objections are to handing patients whatever PRNs they request, it's really not about being controlling or anything like that. I am uncomfortable with it because...

  11. When to run?

    greenbeanio replied to NurseandGrow's topic in Psychiatric

    Normally I'd say yes, exactly. But today a schizophrenic patient who is normally very pleasant and with whom I thought I had a very good relationship suddenly got really irritable with me. All I said...

  12. When to run?

    greenbeanio replied to NurseandGrow's topic in Psychiatric

    When someone is about to attack, I don't know that there would be time to run. The psych nurses I know who were attacked and injured were very experienced psych nurses and even they never saw it...

  13. What is a Psych Nurse's daily routine?

    greenbeanio replied to Macann's topic in Psychiatric

    Yes, a psych unit is very different from a medical unit. How much orientation will you get? What shift will you be working? What the daily routine looks like varies from unit to unit but also shift...

  14. What are your thoughts on patients who request no male nurses taking care of them?

    greenbeanio replied to Mike A. Fungin RN's topic in Men in Nursing

    the issue may be beyond that of mere "modesty". we need to bear in mind the needs of abuse survivors even if the patient has not identified a hx of abuse. if we are to provide "trauma-informed care",...

  15. Handover information

    greenbeanio replied to Fenness's topic in Psychiatric

    Not entirely clear as to what you are asking. Can you say more? In general, I've found that report starts with an overview covering such information as: Census, Capacity, Discharges - completed and...

  16. dilemma regarding antipsychotics

    greenbeanio replied to evanpatten's topic in Psychiatric

    I once asked a doctor why a particular patient was on an antipsychotic when he had no sxs of psychosis, just severe depression. He said it was because the insurance companies wanted them out so fast...

  17. dilemma regarding antipsychotics

    greenbeanio replied to evanpatten's topic in Psychiatric

    I don't necessarily agree. Before I even considered nursing as a career, I had an experience as a patient that has really stayed with me. I had spent years using nothing but alternative healing and...

  18. To resign early or risk getting fired?

    greenbeanio replied to NYtoCAtoNY's topic in Patient, Colleague Relations

    It's not about "pasting on a smile". A smile is simply an external manifestation of an internal attitude and orientation to other people. A positive attitude towards our work and towards life in...

  19. My warm and fuzzy for the night

    greenbeanio replied to Mandychelle79's topic in Psychiatric

    Thank you for posting this experience. This is exactly what I needed to have

  20. Magazines, books and videos for inpatient psych unit

    greenbeanio posted a topic in Psychiatric

    I am looking for some interesting, educational, and yet safe (not triggering) magazines, books and videos for patients in an inpatient psych unit. What would you

  21. alternatives to hospital-based psych nursing?

    greenbeanio posted a topic in Psychiatric

    I went to nursing school to be a psych nurse as a second career, but now, a couple of months into my first job in a psych hospital, I'm not sure I'm cut out for working in a hospital like this. I am...

  22. alternatives to hospital-based psych nursing?

    greenbeanio replied to greenbeanio's topic in Psychiatric

    Imei - thank you for the suggestion. So would that be a CNS degree or an NP degree? And do you know of any good programs where you actually learn how to do psychotherapy, not just prescribing? Wabi...

  23. Rude interviews - Common?

    greenbeanio replied to gnursjr2's topic in Psychiatric

    Very bizarre - not normal, IMO! My unit manager was so friendly and personable. She is the reason why I decided a few minutes into the interview that I was taking the job if I was offered it. I'd...

  24. Hartford Grad Nurse Residency Program

    greenbeanio replied to GuatericanNurse's topic in Connecticut Nursing

    Anyone know of any other new grad programs in

  25. Does anybody ever fail clinical because of time management? ethical question

    greenbeanio posted a topic in General Students

    Does anybody ever fail clinical because of time management? Or am I the only one? Med-Surg clinical has me teetering on the brink. I have a clinical instructor who has been riding me all semester,...