greenbeanio

greenbeanio

mental health

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All Content by greenbeanio

  1. "He wants his Ativan? Well I'm not giving it to him"

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

    It's not necessarily always a power trip. I work in psych and sometimes there is a good reason to delay a PRN. Sometimes orders are written so that patients can take all their PRNs really quickly in...

  2. Ideas for groups run by RNs?

    greenbeanio posted a topic in Psychiatric

    Do RNs facilitate groups on your unit? If so, what are the topics that generate the most interest among the patients? And what are some good sources for materials? If not, what groups do you wish...

  3. Tell us about a GOOD day at work!

    greenbeanio replied to greenbeanio's topic in Psychiatric

    Hygiene Queen - dreamy indeed! I love shifts when I feel like the patients got the attention they need and deserve! JustKeepSmiling - Seems like most of the things you list are things you really...

  4. Ideas for groups run by RNs?

    greenbeanio replied to greenbeanio's topic in Psychiatric

    Thank you all! Do you have any links to handouts or details of the information you present? It would be good to have something as a starting point to then adapt for our own

  5. Tell us about a GOOD day at work!

    greenbeanio replied to greenbeanio's topic in Psychiatric

    OMG - that's a GOOD shift?! LOL! But yes, good co-workers make such a

  6. Online PMHNP programs...good idea?

    greenbeanio replied to Ted D's topic in Psychiatric

    Thanks for posting this, Ted. I've been working in inpatient psych and I am also tentatively interested in finding out more about reputable online PMHNP programs. Anybody have any

  7. How many shifts to work in order to prevent Burnout.

    greenbeanio replied to everyday6/12's topic in Psychiatric

    My facility considers us full-time at 32 hours and I think that's wise. The work we do is much much more draining than your average desk job. 32 hours of acute psych nursing is like 48 hours of a...

  8. Dogs: A nursing intervention?

    greenbeanio replied to Angeljho's topic in Psychiatric

    We have Pet Therapy on our unit once every two weeks, and we wish we could have it every day - the patients love it. If a patient is phobic or allergic we cancel Pet Therapy for the duration of the...

  9. Typical Day at Work?

    greenbeanio replied to RN1485's topic in Psychiatric

    I don't know. I don't think it's like that everywhere. We mostly just cover the basics in our notes, do charting by exception, and its all computerized. I'm the slowest one of everybody and even I...

  10. Passed PMHNP ANCC TEST

    greenbeanio replied to PMHNPFNP's topic in Psychiatric

    Congratulations! And thank you so much for sharing what you found

  11. what interferes with counseling

    greenbeanio replied to studyingRPN's topic in Psychiatric

    What gets in the way? Tasks. Tasks get in the way. Charting, charting and more charting. Charting that nobody looks at. Little things that pts need - supervising pt's getting #s out of their...

  12. Crisis stabilization unit-common medications

    greenbeanio replied to caughtbuckinoff's topic in Psychiatric

    Emergency meds Risperdal (liquid) 2mg with Ativan 2mg. Or IM Haldol 5mg, Ativan 2mg & Cogentin 1mg. Psych meds in no particular order: Wellbutrin Zoloft Prozac Paxil Effexor Cymbalta Celexa...

  13. Dying of starvation

    greenbeanio replied to Missingyou's topic in Medical Assistant, CNA/MA

    Water denied to a DNR patient on hospice who is asking for water? That is just cruel. That is a violation of patient rights. She should be able to have water if she wants to after really good mouth...

  14. Tips for Psych nursing

    greenbeanio replied to HeatherPsychRN's topic in Psychiatric

    This is your tip for psych

  15. Models of nursing in Behavioral Health

    greenbeanio replied to NJRN33's topic in Psychiatric

    We do primary nursing and I love it! The insanity of being "the med nurse" for 25 patients - OMG. I'm so glad I don't work in any of those places any more. I'd much rather be the primary nurse for 6-8...

  16. Why can't CPI be 2 years like everything else?

    greenbeanio replied to adnrnstudent's topic in Psychiatric

    I am glad to brush up on skills I rarely have to

  17. long nails as "sharps"?

    greenbeanio posted a topic in Psychiatric

    If you had a patient with a personality disorder who is not psychotic but has an aversion to rules of any kind and of limits being set .... and if this patient had assaulted staff 3 times in one week,...

  18. non-religious overseas medical work

    greenbeanio replied to Mr. Murse's topic in General Nursing

    Children's charity for cleft lip and cleft palate surgeries - Operation Smile Partners In Health Healthcare Volunteer Abroad- Medical, Dental, Nursing Volunteering worldwide with United Planet...

  19. alternative to trauma shears?

    greenbeanio posted a topic in Psychiatric

    What do you have on your unit to cut down a patient who has attempted suicide by hanging? Regular trauma shears? Rescue hook like a seatbelt cutter? Or something more specialized? I worked at a...

  20. alternative to trauma shears?

    greenbeanio replied to greenbeanio's topic in Psychiatric

    Found it! Here it is: S-CUT - The Emergency Cutting Tool for Rescue Services It's called the S-cut. "S-CUT replaces scissors, knifes and similar tools. Ordinary fabrics as well as leather belts,...

  21. Patient on patient abuse?

    greenbeanio replied to Vedder316's topic in Psychiatric

    All residents have the right to be safe and free from harassment. To say that this is baseline and do nothing about it is negligence on the part of the management towards the "non-bully" residents. I...

  22. Are bras contraband?

    greenbeanio replied to laurenp_rn's topic in Psychiatric

    I know of a patient who hung herself with a sweater. You can't take everything away. Especially things like bras which affect a patient's dignity so much. The best protective factor is

  23. What are so suggestions for combating depression and anxiety

    greenbeanio replied to dulcet's topic in Psychiatric

    Read this book, and really use it: The Depression Workbook: A Guide for Living with Depression and Manic Depression, Second Edition: Mary Ellen Copeland, Matthew McKay: 9781572242685: Amazon.com:...

  24. New grad psych nurse... need some advice

    greenbeanio replied to GenDaRN's topic in Psychiatric

    Manual skills are a use-it-or-lose-it kind of thing. Med-surg nurses don't remember their labor and delivery skills, or any other skills they don't use often. Like so many people have already said,...

  25. psych nursing and lunches

    greenbeanio replied to aroyce's topic in Psychiatric

    We don't clock out for lunch - it is assumed that we will take a 30-minute unpaid lunch break and so we get paid for 8 hours of a 8 1/2 hour shift. The culture of our unit is such that people take...