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question about IM emergency meds from new psych RN
No never... the law is the law... If you dont do it, in my books, youre abusing the patients rights which in turn, I feel, is abusing the patient. Ireland has a shocking (not near as strong a word as needed) history in psychiatric care. Its a disgrace. I could talk to you for hours about it and you would honestly have difficulty believing that it ACTUALLY happened in the last century never mind the last 20 years. So I feel strongly about "little" things like asking 3 times before IM. It could be you or I someday is how I always look at it. Anyhow, peace out :)
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Why are we as Psych nurses seen as bottom of the barrel?
Im as proud as I can be of being a psych nurse.. This idea of "well its not really nursing" is ********. Id like to see a general nurse deal with people on an acute admission unit WITHOUT a "chemical straightjacket". Or help someone deal with awful audio hallucinations WITHOUT drugs.... Psych Nurses ROCK....... the rest are just jealous !!
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question about IM emergency meds from new psych RN
Hey..... I just qualified as an RPN in Ireland. Over here, we do 4 years psych or whatever discipline you pick (general, Intellectual disability etc) I have tons of experience in the very thing youre talking about. If it were me I'd............... 1. Dorsogluteal, easy to find, safest, and patient cannot hit you 2. Decide with your team where youre gonna IM before you go to do it..... 3. Yes, aspirate for blood......... All procedures are still valid. 4. The deltoid is ok but generally cant hold enough of the drug you want to inject.. So if you need to IM 5ml haloperidol and 2ml ativan (+ 2ml H2O)..... youre gonna hit trouble.....The dorsogluteal site is not even that big so itll take 2 Ims... But the less injections the better...... Then obviously if your patient was in plaster around his backside youd chose somewhere else..... 5. Id always ask will they take PO (liquid or tab) at least 3 times before giving an IM...its in the law here. If the person was charging a nurse, well you restrain them and ask. 3 times if nessescery while still restrained. I always talk to the patient about what happened a day or two later (or when they are well enough to) so as to deal with any ill feelings or resentment the patient might hold against me.. Youll find generally they understand but it shows respect and thats the holy grail in psych nursing.. You may meet this patient again in the same scenario, and because they know you repsect them, they may trust you and take the oral PRN instead of the whole "involuntary IM" which no one wants.. Hope I was able to help you.... Take it easy and keep a cool head!!
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Any other autistic nurses out there?
Hahahahahahahahahahahahahahahah Thats funny.... I was the same. I had a twitch in my foot--- diagnosed myself with MS.......Had a migraine which I thought was stroke.. The list goes on... Im seriously laughing here !!!!
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Any other autistic nurses out there?
Hmmmm , Maybe.... Im not sure. I thought I was mad until I became a psych nurse.
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rectal tube/malecot
Ouch, yikes,
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what is the most beautiful thing in being a nurse?
For me the best thing in nursing is being in a position whereby you can help people and make a difference. I work as a psych nurse and often see people in all states of distress. Its one of the best feelings when they walk out the door, their condition under control and feeling that their hope has been restored and they feel equiped to take a hold back on their life. Being a part of this is amazing. As a nurse, we're the person in contact most with people and this is great. While it is a hard job and when youre tired youre really tired but at the end of the day, you cant beat helping people. One of the first things I noticed when I started nursing was that I came home I would think "I actually never knew what they meant when they said being satisfied by your job until now". For me, its the best job in the world.
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What was the MOST ridiculous thing a patient came to the ER for?
I worked in "GrangeGorman" psych hospital for a while while I was a 3rd year student. Its one of the last psych institutions left in Ireland and is soon to be closed down (thank god). For the weeks I was there, I'd often see an old women walking around the grounds alone. This place is huge and so so old (1815) and really eerie. Anyhow, I asked my preceptor about the old women and it turns out she was involuntarily admitted when she was 16 ( she was 76 when I saw her) for having a baby out of wedlock. Shes been there for 60 years....... It's the saddest thing Ive ever seen. For years she was on all sorts of psych meds for absolutely nothing and developed all the EPSE's associated with older psych drugs. She's still there as she's so helplessly institutionalised. This is certainly not an isolated case over here. With the "special relationship" (those were actual words in our constitution until recent years) between the Irish government and the catholic church this kind of thing was rampant, Magdaline laundries etc..... Isnt it absolutely disgusting? The sooner the better religions are done away with the better. Its all but died over here now thank god. We still have the nuts (you'll get them everywhere but they have no power anymore). They certainly dont have the power the christian right in USA or theocratic governments eg Iran posess. Anyhow, I guess I rambled a bit, but its certainly "a ridiculous thing" to be admitted for.
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Brain of a Nurse
No mention of eyes in the back of our heads..... Probably the single most important thing.... after the bullet proof disposition..
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Ok, what's the real deal with new grads?
Hell hath no fury like a nurse called lazy.
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A Nurse CAN be both sexy & smart
Regardless of whether sexy belongs in the workplace.... If youre seriously sexy, , , well you just cant hide it.... Im a "male" nurse intern and my god some of the girls I work with are incredible.. They all dress respectful and proper.... But they just ooze sexiness.... Maybe Im just a pervert..... Either way, theres my 10 cents..
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What's Your Best Nursing Ghost Story?
I was in my 3rd year in college and was working with a nursing agency as a carer to pay my bills etc. They sent me out a monastery owned by the Carmelites for a night shift. The night shift passed without incident. In the morning I met the head nurse on the way out and asked her if they could call me in future instead of the agency as I would work nights there Fri-Sun every week if they wanted. She agreed and so I began working there. There was only about 10 priests in the whole place. Only 2 of them needed assistance in the mornings so most of the night was spent studying for exams or wandering around the monastery. It was a fantastic building with long marble corridors, windows of stained glass 40ft high and a huge spiral brass staircase at one end and a huge marble one at the other. Looking out the windows there was a lake and the ruins of a centuries old church. My time there began relatively easy. Id go in at 22:00 and finish at 07:00. They had a huge kitchen downstairs with the absolute best of food. As only religious institutions do !! So about 03:00 I'd make my way down there to root through the walk in fridges and feed myself. The first thing that happened to me was that I'd begin to smell flowers (Im not sure what kind they were, but it was always the same smell) completely out of the blue. The smell would only last for a split second almost as if when I noticed it it would disappear. I even went so far as to check my office for those plug in deodourisers but there was none. One night I was a little late arriving for work. Instead of getting changed first, I instead went to the nurses office to quickly read the hand-over book so I could be up to speed in case I met anyone on their way out. As I went into the office, which was complately black as it had no windows, there was an intense bright flash just at the far corner of my eye. I turned to look and a breeze blew past me with that same smell of flowers I was used to smelling by now.... WOW, , I thought and then saw a tiny little spot of light just vanish in front of me. I turned on the desk lamp and sat down thinking this was the coolest thing I had ever seen. As the weeks went by Id occasionally smell the flowers again and again but no more lights. So, those kitchens Id mentioned earlier........ well one night I was down there on my own scrounging for food! I never turned the lights on in the kitchen as it was fairly illuminated by those neon insect lights. As I was stnding inside the fridge I heard the sound of what I can only describe as cutlery being moved about on the metal food preparation tables. I was a little spooked but reassured myself that it was late, I was tired and not to be afraid as it was probaly the same thing that made the flowers smell and lights...... I left quickly none the less... After that I always put the lights on when I went in there. Another night, I put the lights on as I walked into the big kitchen and noticed a huge gust of air fly by me as I walked in. . . again I thought "its late, Im tired, dont freak myself out"..........so there I was, , in the back of the walk in fridge putting some ham on a plate when I heard the loudest bang.... I almost s.h.i.t myself on the spot as I turned to investigate the fridge door slammed shut on me and the lights went out.... I dropped everything, pushed the open bar on the door and ran upstairs to my office.... My heart was about to jump from my chest.... In the morning I went back down to clean up my mess. I checked the door, and as I expected it was one of those safety doors on walk in fridges/freezers that cannot swing closed, only swing open....... So it had to have something push it closed. I pushed it a few times to see how much force was nessescery to close it and I found I had to give it quite a hard push....
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A "chick's" perspective on Men in Nursing
Being a male nurse is cool. None of the ****** **** the girls get involved in and the chicks love ya because "youre so caring" !!! Best job ever. Definite leg opener.
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OK we get it STUD, you're straight
Gay male nurses?????? Hahahahaha in Ireland its taken for granted youre gay if youre a "male" nurse... Ive given up being perplexed by this assumption and just let people wonder.
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Discouraged by friends.
Hey, , Im just about finished my BSN in psych nursing. I can tell you it is without a doubt, the best thing I have ever done in my life. I worked in factories like you and had so many jobs that sucked the life from me. I couldnt believe how rewarding nursing was. I feel lucky to be where I am. Im not sure I can give you advice regarding what to do in school etc as nursing degrees in Ireland are completely different. We do 4 years (BSN) in a specific discipline (general, psych, midwife, intellectual disability or paeds)..But ! I can tell you I often reflect of how lucky I am to be a nurse. You cant beat helping people is the way I look at it.... At the very least----------its good karma. good luck