CharlieRN

CharlieRN

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All Content by CharlieRN

  1. 15 minute checks...worth using??

    CharlieRN replied to Meraki's topic in Psychiatric

    Our routine checks are q 30mins. We uses 15's as the next step. For example I admitted a suicidal pt last night who contracted for safety while in the hospital. She went on 15's. If she had not...

  2. Search and Seizure

    CharlieRN replied to Meraki's topic in Psychiatric

    We tried a "crisis team" approach a few years back with good results. We hired several really big, strong and extreamly well trained guys. Not just well trained in techniques of physical control but...

  3. 15 minute checks...worth using??

    CharlieRN replied to Meraki's topic in Psychiatric

    Yes.

  4. intrigued, yet nervous about psych nursing

    CharlieRN replied to MCH123's topic in Psychiatric

    There are good psych facilities, fair ones, and bad ones. Shop around. One caution, try to get your own **** together before you try to help others with similar problems. If you are drinking...

  5. Search and Seizure

    CharlieRN replied to Meraki's topic in Psychiatric

    Our patients are told they will be searched in admissions. Hopefully we talk them into it. If they balk on the unit we would call the doctor on call for orders to either discharge immediately, place...

  6. Need advice in dealing with a "contrary" Psychiatrist

    CharlieRN replied to Nikilea's topic in Psychiatric

    Elkpark has it right. Discharge orders are suggestions. In following them rather than orders written by the attending at your facility, you are simply wrong. Worst case: charged with practicing...

  7. How does your facility handle swallowers?

    CharlieRN replied to medpsychRN's topic in Psychiatric

    Serious Answer We treat it as a dangerous self distructive behavior, or as a suicidal one, depending on the psycho dynamic of the patient. The patient must be treated to render the behavior not life...

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

    CharlieRN replied to EarthChild1130's topic in Psychiatric

    Another point; Frequently on a psych unit, the "Doctor" is a psychiatrist. He or she is even more of a specalist than the RN who went direct to psych from nursing school. Psychiatrists very often...

  9. magnet therapy

    CharlieRN replied to weezieRN's topic in Holistic

    Zenman you are clearly thoughtful about your awareness of the limitations of the scientific method. I have no problem with that. Have you read "Science is a Sacred Cow"? Helllllo Nurse has...

  10. magnet therapy

    CharlieRN replied to weezieRN's topic in Holistic

    So are you denying the validity of double blind studies used by main-line pharmacutical companies and government agencies to determine the effectiveness of medications? Granted the biologic sciences...

  11. magnet therapy

    CharlieRN replied to weezieRN's topic in Holistic

    Are you seriously suggesting taking the word of one of the all time greats of pyramide sales plans. The essence of pyramide selling is dishonest advertisement. Amway is a pyramide sales operation....

  12. magnet therapy

    CharlieRN replied to weezieRN's topic in Holistic

    The inablity to separate the observer from the phenomenon is only relavent to subatomic physics. It would certainly be possible to set up a double blind study of magnet therapy. I have no...

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

    CharlieRN replied to EarthChild1130's topic in Psychiatric

    I don't think its your imagination. Insurance companies are applying constant pressure to only admit the sickest patients. They would like to have only duel diagnosed patients on inpatient units....

  14. magnet therapy

    CharlieRN replied to weezieRN's topic in Holistic

    If anyone can offer any solid scientific evidence, ie: a double blind study done by an independent agent, please post it. Weezie asked 9 mouths ago and only anacdotal evidence has been

  15. Anyone practice Guided Imagery?

    CharlieRN replied to icuabbie's topic in Holistic

    I have used it on several occasions. It can be a very effective tool in giving the client a subjective sense of relief and possibly allowing them to resolve psychological conflicts. It is, and must...

  16. Need help with young child first visit to psych.

    CharlieRN replied to dawngloves's topic in Psychiatric

    Whatever you say make sure it is true. You are, or at least should be the person who your child trusts most in the world. Don't throw that away just to make it easy to get her into the office the...

  17. Nurse prescribing in substance abuse

    CharlieRN replied to Alan Long's topic in Psychiatric

    Alan I fully appreciate that you want a much more statisticly significant answer than this. But anyway, how much worse can they do than MD presciption? A good precentage of the heroin addicts I...

  18. I have a problem with this...

    CharlieRN replied to FutureRNMichael's topic in Psychiatric

    Mike I work now in admissions. I collect the data, observe the patient, take the history, formulate my impression of a possible diagnosis and then call a psychiatrist to present the case and get...

  19. Scared

    CharlieRN replied to sammilynn's topic in Psychiatric

    Sammi I put off entering nursing school for a full year just because I knew there would be a psych rotation. I was not afraid I would screw up, I was afraid of crazy people. That was in 1977. I...

  20. metal detector policy

    CharlieRN replied to PsychRN13's topic in Psychiatric

    My facility has a metal detector but has not found it useful. I personally don't trust them. My family owns a couple non-metalic knives so I know they are readily available. They are professionally...

  21. Asperger's syndrome

    CharlieRN replied to michelle95's topic in Psychiatric

    Michelle, Asperger's is a complicated condition. I think the psychiatrist is well advised to want to wait before sticking a potentially damaging lable like that on a child. I'm really not thrilled...

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

    CharlieRN replied to EarthChild1130's topic in Psychiatric

    Need it "no". But should you make every effort to get it "yes". It will make you far safer for your patients and more useful to your employers. Those who don't have med-surg experience are the ones...