purplekath replied to edisonnurse's topic in Psychiatric
Cogentin is not routinely given with benzos. I don't even routinely give it unless I'm dealing with someone with a known hx of ESP, or if I am giving something like Clopixol Accuphase where it is a big dose of anti-psych mx which makes ESP more prob...
purplekath replied to buff nurse's topic in Nursing
60 is routine...80 is common...more than that, quite often. Mandatory overtime....sigh.... Honestly, a 40 hour week seems quite cruisy these days. lol... sad but true
purplekath replied to Joe NightingMale's topic in Nursing
Our facility is ok for us to keep gifts - I work in a state psych hospital, and most of these folks don't have a bunch of money, so it is not really a big problem. I have an area in my study with boxes of little gifts from patients. The most precio...
purplekath replied to al7139's topic in Psychiatric
Hi Amy, Tricky situation for you! I'm in Australia and have no idea how the system works over there. With regard to managing this guy on the ward, you need to know that he is not doing what he's doing deliberately or to be manipulative. He is mani...
purplekath replied to njmonsterboi80's topic in Psychiatric
Actually, I'm going thru this right now. A very close friend of mine was admitted tonight and is a forensic case. Management has been really strict about it with me, and I'm actually very thankful. I'm not to nurse him, have been told I must stay ...
purplekath replied to PostpartumNurse'07's topic in Psychiatric
It is both less hectic but has much more responsibility than hospital based mental health. Not sure what Canada is like but here it involved having a "case load" of mental health clients. Up to about 20. Your job is to try and keep them well in th...
purplekath replied to hsieh's topic in Psychiatric
I think most of us working in the area would agree that it is a disorder that can always use more ideas in its treatment. I think it is totally necessary to try and get a handle on the worldview of the patient, both as a person with a diagnosis and ...
purplekath replied to DiannaK's topic in Psychiatric
ummm..noooo...this not normal at all. wow, I am floored too! These drugs are powerful and certainly not suitable for a child. I suggest you do a little detective work and find out how this kid ended up on these meds. Did you get what the dosage w...
purplekath replied to nmb81's topic in Psychiatric
It is so important to build rapport with your patients. It humanises what can be a dehumanising experience for them. And it really helps when it comes time to ask the probing and other difficult questions, as well as in laying boundaries. Rapport ...
purplekath replied to FrankieJane's topic in Psychiatric
Wow, what a great nurse you are! He is very fortunate to have someone who cares for him as holistically as you obviously do. It could well be that his anxiety is increased by the Seroquel - if he feels that he is "crawling out of his skin", can't sit...
purplekath replied to purplekath's topic in Psychiatric
Oh trust me...I have strong feelings too. I think most of us do. But guess that a big part of wanting to help these ppl are because ultimately it helps society, including potential victims of crime. I'd still be interested in hearing your point of...
I work in an acute unit which deals with the forensic mental health cases for our city. Lately I seem to have had a lot of ppl with paraphilias of an illegal nature -- namely pedophiles, voyeurs, rapists etc. Often we get these patients because the...
purplekath replied to MSN Student's topic in Psychiatric
Oops, I also include a section for medication....any PRN I have given and why, and any medication changes I have requested or have been made, any adverse reactions observed.
