IMustBeCrazy

I'd be long gone from that environment. Your facility is not providing safe and proper resources, monitoring or policies for milieu control. Is it any wonder that your unit is experiencing a spike in acting-out behavior? It has become sport for your ...

If she's not suicidal, taking overdoses, harmful to others or such a self care deficit that she a harm to herself (for example so grandiose/delusional she is walking out in the snow in the dead of winter in bare feet), then she is beyond your reach a...

Acuity tools on inpatient psych are very misleading IMO. Acuity is supposed to be a numeric measure of the TIME spend with a patient or on their care (med rec, getting orders, completing admit paperwork etc.), based on their condition. So, theoretica...

IMO you are just a call away from a HIPAA violation (privacy, remember?) and losing your license. Former patients? All attached to you on the internet?? Scary stuff.

Law Enforcement officials can NOT deny you the opportunity to give a written statement. In fact, you can hand write a statement and deliver it to the nearest LE office. I don't care if the situation occurred 2 weeks ago. Sounds like someone is try...

I have no problem being compassionate. However, in the U.S., stinky = unclean. Unclean is probably not what we want to project in a hospital environment. It makes patients (as well as staff) uneasy and feeling like they're getting poor care. Pres...

bingo! i had viral meningitis, and it was nasty. my head was splitting, i wanted no one or nothing to come near me. any stimuli is too much. you better remember to turn the lights off or very low when you are done assessing your pt. no or very lo...

CPI is a complete joke. I suspect it was put together by corporate bean counters who have never had to be out from behind their desks in their entire career.

Hello again! I need to call upon your expert advice in this forum to get pointed to a few outstanding resources on drug/alcohol detox. Specifically, I'm looking for books/websites that have a good rundown of detoxing for both based on nursing assessm...

Amen!!! I agree 150%! I have said it before and I will say it again, psych nurses need to have EXCELLENT assessment skills AND the fortitude to advocate for their patients, no matter what their diagnosis is. The often thought but extremely incorrec...

Understood. But this doesn't even qualify as a "compromise." It is merely a shell game where you lose sight of the real issue via and smoke and mirrors. The ANA, with their purported massive resources, is proprosing schlock like this when CA has st...

This sounds like a great idea in theory, how many of you have read the letter in its entirety? (bolds are my emphasis): --------snip---------- I am writing to urge you to cosponsor the Registered Nurse Safe Staffing Act (S. 73/H.R. 4138), legislation...

1. No 2. I haven't seen a compelling reason to join. They seem to be their own best enemy, for example in proposals that seek to divide rather than bring together nurses from all backgrounds, from Diploma to ADN to BSN and beyond. In addition, I ...

No flame here, just another viewpoint. I work with families all the time that are crazier than the one admitted. Here is my take: The bottom line is that the POA-HC is *supposed* to act in the best interests of their charge, unless there is some re...

How typical for mgmt to say "just make it work" rather than meet with staff to come up with a decent working model. /vent off

The suffering that I refer to is the change in the therapeutic milieu that occurs for the patient when it is obvious that the nurse is also having problems with mental health issues. This is completely different than, say, a nurse with cardiac issu...

First of all, I think the strongest advocates for any disease can be the survivors themselves, so yours is a noble goal. I would, however advise extreme caution and urge you to be super careful that your symptoms are managed at all times. The *last*...

I suppose this would be best to back up with objective trial results, but I don't feel like googling atm. I can say that in practice, *generally speaking and not accounting for age variables*, initially Seroquel tends to make people drowsy on low dos...

"Because my tube top and daisy dukes are in the wash?"

Don't take "no" or "it's too late now" for an answer. You have the right to seek out an additional opinion or even seek out non-traditional treatment options. Case in point, family member injured back while working at hospital. While their work com...

Your first mistake is putting full stock in the assessment from the doc at your hospital AT WHICH YOU SUSTAINED INJURY. He/she normally may be a great doc, but don't ever forget where they get their check. GET A SECOND OPINION NOW. Preferably from ...

No one is suggesting that ALL Medicaid/Medicare *OR* private insurance patients are yucky. I am specifically referring to the ones that don't show, are disrespectful, argumentative and non-compliant. Hope that clarifies.

Why would anyone advocate dumping a yucky patient on an NP practice? If I were an NP I would run a completely CASH business. Caring is all well and good, but providers have to eat, too.

If you read any of my prior posts, I have no love lost for many licensed staff at nursing homes. There are some that are fabulous, but more often than not it's my *opinion* the staff are nasty, not infrequently incompetent or at least socially cluele...

from: http://www.dol.gov/dol/allcfr/esa/title_29/part_825/29cfr825.302.htm topic: what notice does an employee have to give an employer when the need for fmla leave is foreseeable? "(e) when planning medical treatment, the employee must consult wit...