Hukilau

Hukilau

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All Content by Hukilau

  1. Do I NEED Med-Surg training to be a psych nurse?

    I never did a day of med/surg nursing after school. But I have been fortunate in working on psych units with a good mix of nurses who have always done psych and those who have a lot of experience in other areas and have come to psych recently. When t...
  2. Do I NEED Med-Surg training to be a psych nurse?

    I never did a day of med/surg nursing after school. But I have been fortunate in working on psych units with a good mix of nurses who have always done psych and those who have a lot of experience in other areas and have come to psych recently. When t...
  3. CNA is a cutter

    In answer to your first question, there is probably no reason to worry about the patients she works with. It sounds like she is highly skilled, insightful and professional. As for the secondary question about whether she's BPD, I would say she probab...
  4. CNA is a cutter

    In answer to your first question, there is probably no reason to worry about the patients she works with. It sounds like she is highly skilled, insightful and professional. As for the secondary question about whether she's BPD, I would say she probab...
  5. RN with depression/anxiety

    I have worked in psych nursing for 20+ years, and one thing I know is that we all go through difficult stuff. Don't beat yourself up for it! In fact, I've done some of my best work when I've been depressed, lonely, anxious etc... Just be upfront abou...
  6. I need to know!!

    Please help me too! I want a job where I don't have to clean up after anyone and perhaps not talk to them very much either. Certainly not smell or hear them. But I want to help them and get paid well for it. Oh, wait... I just saw an ad for a psychic...
  7. Psychiatric Advance Directive

  8. Psychiatric Advance Directive

    My only experience with PAD was in a hospital in Hawaii. Although Hawaii does not yet have laws regarding this, a local advocacy group had presented a workshop to patients at another facility and had helped several patients fill out a PAD. One of the...
  9. Restraints for acute patients...

    Actually there are Federal requirements now for facilities receiving Medicare/Medicaid funds. Here is a link to get you started. It pertains mostly to children but you can follow links to the regulations for adults. http://www.bazelon.org/issues/rest...
  10. demand for psyche NP's

    Assuming you already are an RN with a BA or BS, consider getting your Master's in something else. I got an MA in Counseling and that combined with the RN and a BA in Group Dynamics gives me a more in-depth understanding of the field than any MSN deg...
  11. What's Your State Hospital Policy R/T BPD/O?

    Yes, a primary staff contact person and an agreed upon plan of care is the key concept in an inpt unit. I have found it's also helpful if the pts outside therapist has a standing agreement that she/he won't see the pt while they are in the hospital. ...
  12. Group Therapy Ideas

    As I said, if you haven't seen it I don't expect you to believe it, but that doesn't mean it isn't so.
  13. I got a BA in Group Dynamics and got a job as a "psych tech" at a local hospital. I liked the work and began thinking about furthering my education/credentials. I considered MSW and MA programs, but some of the people who were working the same job as...
  14. Group Therapy Ideas

    "Basic level nursing practice is characterized by interventions that promote and foster health and mental health, assist clients to regain or improve their coping skills or abilities, and prevent further disability." If you read my original response ...
  15. Group Therapy Ideas

    A couple of points and then I'm done with the debate about whether inpatient therapy groups are appropriate and who should do them.1) Educational groups are extremely valuable and should be a part of any inpatient program. 2) It is correct that inpat...
  16. Group Therapy Ideas

    Elkpark is correct that typically staff nurses don't do group therapy but I disagree that it is outside the scope of practice. (You just can't call it "psychotherapy" since that refers to a specific form that requires specific credentials.) A Psychia...
  17. Group Therapy Ideas

    One thing I didn't mention: The type of group you do depends somewhat on the functioning level of the group. With lower functioning groups it is best to do structured exercises. With higher functioning groups you can be more creative. These are somet...
  18. Group Therapy Ideas

    I believe the definitive work is still Yalom's "Inpatient Group Therapy." Trouble is, this won't work very well if it's not used consistently. If you're taking "turns" with other staff and everyone decides what they are going to do, you're better off...