At my hospital (I work with Adolescents) we only give IM if there is no other choice. If a patient (even if out of control, violent and/or requiring restraints) is willing to accept a PO PRN that is...
PRNMEDS replied to enfermeraSG's topic in Psychiatric
I think this issue has been discussed numerous times in this forum so you may want to check some of the older threads. That said I will post a quick reply that hopefully will be of some help....
PRNMEDS replied to Nurse Ratched's topic in Psychiatric
I am with TitaniaSidhe on this one. We have had this on several occasions. You have to also consider the other patients rights and safety. Usualy settles down quickly - the Ativan is good, but I find...
I don't know anything about software for doing Tx Plans, but I do type my treatment plans each week. I started about 8 months ago and for me it works great. It makes it easy to see what last weeks...
I work primarily with Adolescents and we use both of these medications regularly = and rarely for Schizophrenia. Depakote started as anti-siezure med, but is used often as a Mood Stabilizer. That...
PRNMEDS replied to Lawnurse's topic in Psychiatric
I work in a hospital that has only Adolscents, and unfortunatly we are forced to use restraints (4 -pt - leather restraint to bed, or locked seclusion) several times a week. Our hospital policy is...
All through nursing school thats all I heard - get at least a year of med-surge etc. I don't agree - if you think you will like Psych then try it. You can always go back to med surge. Yes you will...
PRNMEDS replied to Scots jim's topic in Psychiatric
Have you tried contacting the State licensing agency? I think the best thing you could do is to contact them directly. I am providing the link to the homepage as well as email for general nursing...
PRNMEDS replied to margo123's topic in Psychiatric
My hospital has closed nurses stations, but when JACHO came it was something they were not thrilled with. Felt we should be able to see everything and easily interact (despite fact that unit is on 3...
Last week we had a guest speaker (Psychiatrist) that mentioned it is good practice to monitor Prolactin levels on patients taking Risperdal. At my hospital we don't generaly do this. Wondering if...
Our hospital pharmacy recently advised us that she was unable to purchase bottles of liquid thorazine because the manufacturer was no longer producing it. Has anyone else encountered this problem?...
PRNMEDS replied to 5thflrnurse's topic in Psychiatric
What age group are you planning to work with? I work mostly with Adolescents (12- 17). Yes it can be very rewarding, as well as frustrating. With adolescents we see a lot of ADHD, BIPOLAR, CONDUCT...
PRNMEDS replied to NewbieNurse2005's topic in Psychiatric
Your age will work against you - BUT that does not mean you will be taken advantage of or make you a push over. There are 50 year olds that have that happen to them - it depends on YOU and how YOU...
[Hey you just described how I feel EVERY day! Seriously, take a deep breath and relax. Its not unusual to feel that way at first. Psych is unlike all your other rotations. In med surge you...
I disagree with most of the above posts. All I hear is "what if this" "what if that?", "there are no tests". "it MIGHT be bad" Well what about the kids that are SUFFERING NOW? Lets do studies for...
I don't think there is a national organization that sets laws for restraints but rather is done on state by state basis. In NY it is OMH (Office of Mental Health) in conjunction with JACHO. The...
PRNMEDS replied to Karina212's topic in Psychiatric
I know three coleagues who have recently earned their NP in Psych. All three are still working at least part time at their old position (two have administrative jobs) and our using their NP part...
After all restraints we are required to do a debriefing from with the the patient. Currently our form is a 10 question two page horror that seems to only re-agitate the patients. Does anyone eles do...
PRNMEDS replied to Karina212's topic in Psychiatric
I too work with Adolescents (and childrens unit when staffing is bad). The above posts makes some good points - be careful of putting self in position for allegations (though in my experience - it is...
Not sure if it would help but we have a one page AIMS form we use. On admission (and if Dr. orders after) we fill it out. It list involuntary muscle movements of face, hands mouth etc. You circle...
Not sure if you will find it rough and tough. There are a number of jobs at hospitals available I am sure. Depending on hospital is what determines what qualifications are needed. How much per hour...
1 What about your unit makes it safe, well-run and a good place to work? Well I don't think I or many of my co-workers would describe our hospital this way, yet I do enjoy my work. It can often be...