CharlieRN

CharlieRN

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All Content by CharlieRN

  1. alternate ways of treating borderline personality disorder

    CharlieRN replied to hsieh's topic in Psychiatric

    Hi Cat, I see you got a lot of flak about this. The difference between reading about BPD and dealing with it is in intensity. Many people occasionally feel self distructive but the bdp is the one...

  2. Typical day in Psych nursing

    CharlieRN replied to monstermunch's topic in Psychiatric

    Lets assume we are talking about a typical day on a short term inpatient program. 7 to 7:30am listen to report from evenings and nights, then the med nurse prepares am meds for patients who will come...

  3. are all psych facilities like this?

    CharlieRN replied to celle507's topic in Psychiatric

    I've been a psych nurse probably as long as you have been alive and I second the motion. If you feel more than a little uncomfortable, get some experience with adults before you deal with kids. By...

  4. suicide threats- how do you tell?

    CharlieRN replied to carroll's topic in Psychiatric

    TraumaRUs gave you good advice. 50% of people who attempt suicide give some warning such as threats, of course that means that 50% do it with no warning at all, but that's not our problem. So yes...

  5. What is ur fave area in Psych

    CharlieRN replied to ellieRN06's topic in Psychiatric

    I have worked with just about all populations. They all have their good points. The hoplessness of the schizophrenic and MR patients wares on me. I loved working with women who had survived severe...

  6. My CoWorkers Were Brilliant During A Code Last Night!

    CharlieRN replied to Meerkat's topic in Psychiatric

    Feet tickling does sound pretty clever. Not to be a monday morning quarterback, but why was it essential to get the buckle away from the client? So she has a buckle in her mouth, so what? All she...

  7. Resigned from job

    CharlieRN replied to nurse43cat's topic in Psychiatric

    If my heart were giving me warning signs I would be looking for a lower stress type of work. Industrial or school nursing comes to my mind. If I wanted to stay in psych, maybe a job in a clinic or...

  8. Antisocial Personality disorder....

    CharlieRN replied to Lisa CCU RN's topic in Psychiatric

    I have never seen successful tx but then I work exclusivly inpatient. Psychiatrist that I asked said most of these folks are "treated" in the criminal justice

  9. Staffing ratio standards?

    CharlieRN replied to solagratia's topic in Psychiatric

    Exact answers need to take into consideration other factors besides just the number or nurses and clients. What is the population being served? What is the level of acuity? What is the physical...

  10. Please help Please!!!

    CharlieRN replied to nurse2b1018's topic in Psychiatric

    Achot chavi has given excellent advice. Do relax. Just focus on becoming the best nurse you can be. There is nothing you will be taught in nursing school that is useless. Counseling tends to be a...

  11. What to do?

    CharlieRN replied to tobehealthy's topic in Psychiatric

    Yes, nurses do some counseling, but its not their main reason for being on the behavioral health team. The behavioral health environment is lousy with various flavors of psych specialists....

  12. Animal Cruelty ' Therapy'?

    CharlieRN replied to Meerkat's topic in Psychiatric

    With all dur respect 'cause I know you are a competent professional, but where is the "long term residential treatment center" that could handle this client. I'm assuming from the tenor of your...

  13. Contraband in psychiatric emergency rooms

    CharlieRN replied to psych nurse's topic in Psychiatric

    Had one hide a bottle of pills in the middle of her knitting yarn. Another had a change purse full of librium. Had a male pt who had a butcher knife in the leg of his long

  14. borderline-help: 2 different nurses/2 different approaches

    CharlieRN replied to gcja's topic in Psychiatric

    Like mercy and RN/ said. I would add that treating BPD is all about teaching, but, as with children who have been abused, you need to show them, not tell them. You need to demonstrate, in a...

  15. Can RNs be self employed?

    CharlieRN replied to 91W's topic in Psychiatric

    The short answer is "sure". Historically that is what nurses were. They did "private duty". This can be as a one to one nurse who stays at the bedside of her patient when he is hospitalized or at...

  16. What to do?

    CharlieRN replied to tobehealthy's topic in Psychiatric

    I am a 59 yr old man who has worked in nursing since 1972, been an RN since 1979 and has worked in psych since the mid '80's. I am now the night supervisor at a small, freestanding, psych hospital....

  17. about psychiatric nursing course

    CharlieRN replied to Hannah001's topic in Psychiatric

    Hannah, I would suggest that you ask the Ca board of Nursing for suggestions. They should be able to recommend a school. Lucianne may be right but it seems excessive to have to enroll in a full...

  18. borderline-help: 2 different nurses/2 different approaches

    CharlieRN replied to gcja's topic in Psychiatric

    Two points: I was responding to Lana's post not the primary one. In reference to the initial question, I'm with the first nurse. Letting her sit out her wakefulness is vastly perferable to the show of...

  19. Contraband in psychiatric emergency rooms

    CharlieRN replied to psych nurse's topic in Psychiatric

    I recall with embarassment one occasion where I contrabanded a patient on admission removing a bottle of valium from her and giving it to her husband to take home. A couple days later unit staff...

  20. Uninsured: Dual Diagnoses

    CharlieRN replied to jadespirro's topic in Psychiatric

    1 The political action question has been answered adequately by others. 2 No. You can't treat both dx simultaneously. The focus must be on the sustance abuse treatment first. We tried it the...

  21. borderline-help: 2 different nurses/2 different approaches

    CharlieRN replied to gcja's topic in Psychiatric

    You need a serious answer to this, so here goes:"If there is not an opportunity for good therapeutic communication on the day shift and there is a possible opportunity for it at night when the pt...

  22. 1:1 Vigilance is sooo boring....

    CharlieRN replied to BoogiePop's topic in Psychiatric

    Have to agree 1:1 is boring, but very necessary. We try to assign it in one hour blocks. We don't have a problem with the watcher reading or doing a cross word or something similar but we expect...

  23. Animal Cruelty ' Therapy'?

    CharlieRN replied to Meerkat's topic in Psychiatric

    I'm not sure exactly what the ideal tx plan is for a child who hurts animals. I do have a lot of experience with people who hurt themselves. With them the use of an alternative, less dangerous...

  24. Pardon my ignorance..

    CharlieRN replied to funinsun's topic in Psychiatric

    My facility is no Prison but we use travelers. Yes, med/surg experience is a good thing to have. If you make a concerted effort to maintain your physical accessment skills via inservices and...

  25. Is this right for me?

    CharlieRN replied to Jupiter Crash's topic in Psychiatric

    Ho Boy! well first, a psych nurse is a nurse. A nurse's primary duty is to form and foster an environment in which healing is possible. It is not to heal or cure. As a psych nurse you are...