greenbeanio

greenbeanio

mental health

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All Content by greenbeanio

  1. Question to all nurses who work in Psych

    VegGal, Can't speak for all inpatient settings but in the 3 that I have worked in, "med passes, initial assessments, ongoing assessments, monitoring clients and documentation" just about sums it up, in addition to admissions, discharges, and going ba...
  2. Psych Nurse Report Sheet

    I got a blank page when I opened it?
  3. 22,000 Nurses Refuse *Mandatory* Vaccinations

    This is EXACTLY what happened to me. And yes, I know that a killed virus cannot give me the flu. But what a coincidence - the ONLY time I have the flu in 37 years is shortly after the ONLY time I had the flu vaccine. My theory - and it's just a theo...
  4. Does anyone use nursing diagnoses in mental health care anymore?

    Yup! Better still, they are supposed to be updated every shift, section by section. Makes for a lot of documentation busywork and nobody cares what they say. :/
  5. Home Health Psych Nurse

    I'm just starting out in home health psych - transitioning from inpatient psych. Hoping you get more responses since I'm still in training and had some of the same questions and concerns as you do. My agency seems to have mostly patients with schiz...
  6. Code blue on psych floor

    OMG. "Is it for real?"! How traumatic for you!
  7. Spanish resources for psych nursing?

    As a last resort, if you have a laptop, take it over to the kid and start using Google Translate. You will get some funny looks from him because the translations can be pretty hilarious and awkward, but at least he will get the gist of what you're tr...
  8. I need some input...

    Whispera, you have helped so many for so long. Thank you. I am much less experienced than you but feel free to PM me.
  9. Is specialized training required?

    Do yourself a favor and get this book and read through it cover to cover: Inpatient Psychiatric Nursing: Clinical Strategies & Practical Interventions: 9780826109712: Medicine & Health Science Books @ Amazon.com It is the best "training" yo...
  10. scheduled meds with prns

    So much depends on the individual patient, and what their body can handle. Some of them can have enough antipsychotics to slay a horse and still be walking around quite calmly. Some of them need it to stay in control. And then again, some are med-see...
  11. That's what I've been hearing recently. That it's unrealistic for patients on acute inpatient units to expect a one-to-one check in with staff each shift, or individual patient education. That these days its all done in groups. And the depression/an...
  12. I handled this poorly. What would you do?

    As someone said, hindsight is 20-20. So in the situation I would probably have said "This is completely inappropriate, and frankly pathetic and ridiculous. What exactly are you hoping to get out of this?" Then I would have reported it to the supervis...
  13. Like this stuff: https://en.wikipedia.org/wiki/Psychiatric_and_mental_health_nursing#Therapeutic_relationship_aspects_of_psychiatric_nursing
  14. Innovative Mental Health Care

    OMG! Where is this wonderful unit you speak of? Sounds great!
  15. Good books on psychiatric nursing?

    Here's one I think is very good - very practical and geared towards real life inpatient psych. Its called... Wait for it... Inpatient Psyhiatric Nursing! By Linda Damon et al. If you get only one book for inpatient psych, this should be it! Inpatien...
  16. NEED ADVICE Male Borderline!!!

    We use a behavior plan, refer all questions and concerns to their contact person who sets a time to meet with the pt for a finite length of time that is not extended. And encourage the pt to write down all of their concerns so that they can be addres...
  17. Calling a transgender patient an "it"

    So here's a curious fact. The post by cheezwizz90, RN has disappeared. So have all the posts that quoted him. If you google part of what he said, it shows up in the search. But when you click on the links you can't see either the original post or th...
  18. Tell us about a GOOD day at work!

    Did you have a good shift lately? Tell us about it! What makes you happy at work? What makes the hard work worth it?
  19. Tell us about a GOOD day at work!

    Love it! What was the group about? And I MUST know how you stopped a fight with your funky socks!
  20. Tell us about a GOOD day at work!

    Oh, now I get it. I had posted this in the Psych Nursing forum so I assumed you were on a psych unit.
  21. Being Nurse Ratched

    Thank you for posing this question - I think we need to consider everything we do in this light and not keep doing things "because that's what we do". (My comment is off-topic, I know, but I just had to respond to this. :) )
  22. Being a nurse in MA/New England

    No utopias anywhere in nursing but I think the Western Mass workplace culture is better than a lot of other places. There seems to be more of an expectation of healthy communication, and dysfunctionality not being the accepted norm.
  23. Greenfield Community College ADN program

    Do you know what # you are on the wait-list? I know somebody who was notified the day before the program started that they were in. So don't lose hope! Also, if it turns out that you don't get in, you might want to go ahead and do their 1-year LPN p...
  24. Benzo free inpatient hospital?

    Thanks, Jules. What do you think of the use of anticonvulsants in mild alcohol detox in a patient with no hx and low risk of seizures or DTs? You know, the patients who have no objective symptoms and whose only detox symptoms are "really bad anxiety,...
  25. Benzo free inpatient hospital?

    OP: When you have a long-term heavy drinker, does she do anything to prevent seizures, even if it's not a benzo? Because I think that would be important. One of our docs sometimes used scheduled Depakote for seizure protection instead of putting som...