CharlieRN

CharlieRN

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All Content by CharlieRN

  1. Where are the PD nurses

    Clair, I can't get too specific. I don't live anywhere near Florida. There is a foot of snow on my front yard. Generally, in the US, borderlines will be treated on general psych units under a...
  2. What does it take to be a psych nurse?

    I stand corrected, my data re: LPN vrs RN ed. is out of
  3. My daughter and her RTC

    Sounds like a more aggressive treatment plan then is possible in the the litigious USof A. Here the responsible physician would be afraid to be sued if, as can happen, such a kid does kill or maim...
  4. Residential Psych Treatment - Med Administration

    Melissa, You were recently promoted to supervisor? And, recently made infection control officer? And JCAHO is just around the corner? Watch your back, dagger coming soon! Sounds like a set up to...
  5. Not to beat a dead horse, but here's another useful
  6. How many of you practice homeopathy?

    Do you understand what annecdotal evidence is, and why it is not useful evidence in a scientific sense? Annecdotal evidence says a thing happened once, under uncontroled circumstances. Yes, this...
  7. How many of you practice homeopathy?

    2 words : annecdotal evidence 2 more words : placebo effect Jeeze folks, modern nursing is a branch of modern medicine. Modern medicine is based on modern science. It is the science that has made the...
  8. Psych BSN

    Over the years I have seen various psych professionals come into the hospital setting after getting impressive degree's and even being in private practice, and then seeing them fall apart. Sanity is...
  9. Interesting Psych Issues? Looking for paper topic

    Well, hitting to your strengths, how about looking into the rights of pregnant psych pt's and their newborn's. Women who are pregnant should not take psych meds. If they or their MD's op to do so...
  10. Psych BSN

    Psych is an area where degrees are helpful both in getting the job and in doinig it. Clinical experience in a large psych facility is a more important indicator of competence, but it is hard to...
  11. What does it take to be a psych nurse?

    Tina, skip the LPN. It takes nearly as long to get an LPN education as an RN. Most LPN courses will not count toward a latter RN degree, so you just have to take it all over again. LPN's get paid...
  12. Re: vloices in head

    Two different sx pictures: 1) pt complains that he hears people talking about him but they always deny it and sometimes there is not even anyone there when he looks. He is inclined to think someone...
  13. Info/opinion re ECT

    zoe, As far as I know there is no "test" for borderline. There are some tests for depression. My best guess would be that the doc is looking for an alternative cause for your
  14. Info/opinion re ECT

    " I'm having neuropsych testing soon - this will help to determine if I should do it or no?" I don't know. Why does your doc want the
  15. One summer evening at our inner city ER I did the initial intake on a somewhat intoxicated hispanic man who complained, "there is stuff coming out of my stomach." I asked if he was nauseous or...
  16. Hearing voices in her head?

    Thunderwolf knows his/her stuff. Voices that a patient can clearly identify without prompting as being inside her head suggest dissociative process. Voices experienced by the patient as being...
  17. Need advice in dealing with a "contrary" Psychiatrist

    Let's agree that Nikiki"s doc is an ***. There is no law saying he has to be polite to anyone, not even his patients. The things he called Nikik on were violations of law. The things he was guilty...
  18. Search and Seizure

    I was not part of the hiring process but the mix was eglectic(sp). They had a veriety of backgrounds, and differing levels of education. I don't believe any were less than bachelor level and some...
  19. Very stressed .. need answer

    The short answer is a resounding "yes". I have seen it several times. The more common diagnosis is something on the order of "parent child relational problem". MDBP is a tough one to prove and is...
  20. If you are not a nurse yet then that is the real question. Do you want to be a nurse? Nurses, even psych nurses are generalists. We are expected to be willing and able to do, or be trained to do,...
  21. Info/opinion re ECT

    Were I too depressed to function ECT would be my treatment of choice. The best results I have seen were with severe intractable depression. I'm not so sure about use with bipolar d/o and use of ECT...
  22. Need advice in dealing with a "contrary" Psychiatrist

    Back when I was an EMT(emergency medical tech), many years ago, they taught us that when we came on an accident scene, to ask loudly, "Who is in charge?" If no one answered, the EMT was. That only...
  23. Got any funny acronyms at your ER???

    TA = "theraputic assassination" as in:" her dad needs a TA", said of pregnant 12 yo. "Positive suitcase sign" = There is an overnight case under the stetcher. Most dramatic example of it was a...
  24. Child Psy. Unit/Grrrrr+gripe

    Houston sounds like you have a nasty case of deaf administration. Do you have a union? If not, get one! The presence of a union does wonders for administrative sensitivity. I assume you have...
  25. staffing ratio

    Day and evening shifts, staff to patient ratio is about 1 to 3. This would be with two to three RN's per unit on days and evenings and one RN per unit on 11 to 7 shift. Units are about 24 beds mostly...