CharlieRN

CharlieRN

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All Content by CharlieRN

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

    CharlieRN replied to gcja's topic in Psychiatric

    Let me state, as a starting point, that I like borderlines. In treating psych patients who have primary personality disorder one needs to consider first the limits of the envirornment. You just can't...

  2. Gero-psych

    CharlieRN replied to nutribeat's topic in Psychiatric

    My facility has tried to get a gero psych unit up and going a couple times but has backed off it for a couple reasons. One is that the facility is only reimbursted at the in pt psych rate but the...

  3. Becoming a MH nurse

    CharlieRN replied to kristen38's topic in Psychiatric

    Detox is deffinately psych nursing but it does have a strong medical component. Your assessment is right on. Your clients will be very sick with their detox and concurent medical problems related to...

  4. MSN in Psych Nursing or MA in Psych?

    CharlieRN replied to lc3's topic in Psychiatric

    I too have some concerns about the jobworthiness of masters on psychology. In my area masters level psycholgists can't practice independently. So the MA is just a step onthe road to the PhD. If you...

  5. Getting burnt out?

    CharlieRN replied to vegnurse21's topic in Psychiatric

    Re Union. My work place is unionized. Initally we organized under a national teachers union but our local felt that we were not ideally represented by them. So we switched to United Nurses and...

  6. Becoming a MH nurse

    CharlieRN replied to kristen38's topic in Psychiatric

    Since you already are on the masters track, I would recommend, if possible, a year of med/surg followed by a year of emergency dept, before going back for the MN. As I have said repeatedly, in the...

  7. Med education

    CharlieRN replied to MN2MSrn's topic in Psychiatric

    We use both groups and 1:1 for med ed. Individualized med ed can be done in a group setting provided the group is not too large. The format is along these lines; "today I'd like to talk about...

  8. psychiatric treatment for medical professionals

    CharlieRN replied to LanaBanana's topic in Psychiatric

    I don't know of any special programs. We treat med pros on our general progams. I have had both MD's and RN's. It is our policy to treat them exactly as other clients, never assuming that they know...

  9. Which degree to get?

    CharlieRN replied to kittiesareus's topic in Psychiatric

    I agree BSN is best for diversity of job paths and immediate finanacial reward. The BA pcych is a loser, we seek those for jobs as "mental health workers", read that as psych nurse's aids. The BA in...

  10. my encounter with a schizophrenic

    CharlieRN replied to shock-me-sane's topic in Psychiatric

    S-M-S, thats the task oriented verses process oriented thing. Like I said, in a med surg environment you are excused for being task oriented. I'll never forget my shock when, on my first day on...

  11. my encounter with a schizophrenic

    CharlieRN replied to shock-me-sane's topic in Psychiatric

    There is nothing to prevent a patient being sick with more than one condition. I agree that the behavior you report sounds a lot like an addict manipulating for drugs. Both the ativan and the...

  12. Ideas for Psych Nursing Post Conference

    CharlieRN replied to nurse402's topic in Psychiatric

    Have one of your sudents present a little bit about one of their interesting cases. (Pick a patient who is a good example of his diagnositc type) Then discuss with the group the characteristics of...

  13. Getting burnt out?

    CharlieRN replied to vegnurse21's topic in Psychiatric

    Time to get your union involved. No Union? Get one! Seriously, Nurses need collective bargining power. Not just to protect ourselves but to protect our patients. Capitalism is an amoral system....

  14. New ideasfor therapeutic groups-children

    CharlieRN replied to berniemcr's topic in Psychiatric

    What you can do is dependent on the cognitive level and cooperativeness of the group. Frequently, when dealing with kids with behavioral issues, they may not be willing to cooperate with any program...

  15. Confused Student; Please Advise!

    CharlieRN replied to cns48's topic in Psychiatric

    I have to weigh in on the side of getting the year or so of med surg or similar experience. I did, on the advise of the ER supervisor, and I got to say I hated it. I got a bit of GERD, but it was...

  16. Holistic/Preventative Nursing

    CharlieRN replied to rnstar43's topic in Holistic

    The use of alternative techniques in a preventive role is highly appropriat. I have a problem with their use in a treatment role for an existing and progressing condition instead of evidence based...

  17. Ionized sea salt soak?

    CharlieRN replied to meownsmile's topic in Holistic

    I was going to ask just what an ionized sea salt was, but you have answered that already. One question, are the "ionizing rods" attached to any source of electical power? There is a long history of...

  18. Spiritual experiences in nursing practice?

    CharlieRN replied to spiritualnurse's topic in Holistic

    If you have a technique that helps you regain your inner balance and sence of being at peace there probably will be no harm in sharing it with the patient, if they express a desire to know. It would...

  19. Aromatherapy and nursing practice

    CharlieRN replied to DZcarrie's topic in Holistic

    I would be very surprized if you can find any scientific evidence for the effectiveness of aromatherapy beyond that of placebo effect and of being a "comfort measure". There is a wealth of support for...

  20. Maximum Security versus Medium/Minimum Security psych

    CharlieRN replied to MissNursieNurse's topic in Psychiatric

    We briefly toyed with a unit that was intended to house "difficult" and forensic patients. We set it up so that any room could be locked, there were several rooms with observation windows so that a...

  21. anyone work for UHS facilities?

    CharlieRN replied to texascowgirl's topic in Psychiatric

    Jargon Check! Que significa,

  22. 1st Psych Job Soon!

    CharlieRN replied to NickiLaughs's topic in Psychiatric

    Unless I have some idea what population this psych unit serves it is hard to advise you. Assuming that since it is a "community hospital" they are serving a "general adult psych" population. I'm a...

  23. Hard of Hearing Nurses in Psych Setting

    CharlieRN replied to jprn05's topic in Psychiatric

    Wolfie hit the nail on the head. The case of persons with glasses is exactly similar. One of our unit supervisors uses hearing aids and I would never have become aware of it if she had not...

  24. Psych nursing skill set

    CharlieRN replied to MissNursieNurse's topic in Psychiatric

    I'm of the opinion that basic nursing skills are like riding a bicycle. It comes right back to you. Your psych skills will overlay your other nursing skills though, so that you will need to...

  25. looking for some input from psych nurses

    CharlieRN replied to gfmRN's topic in Psychiatric

    I see the "institutional Licesure" of the type I act under as perfectly legal because my dx is never acted upon in any way until after it is accepted by the on call MD and further is only valid within...