CharlieRN

CharlieRN

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All Content by CharlieRN

  1. Depression in Children and Adolescents

    CharlieRN replied to cJessica's topic in Psychiatric

    Jessica, I'm not involved in either research or education so I'm not going to quote studies and papers to you. I do work in admissions screening at a private psychiatric hospital. Depression in...

  2. Paranoid patients

    CharlieRN replied to NPAlby's topic in Psychiatric

    Have to agree that "humoring" any psych pt is a bad idea. In general delusions should be gently confronted. But that is what beochicken was doing. She was confronting the reality of the patients...

  3. Bipolar Mania defense mechanisms

    CharlieRN replied to nicuRN2007's topic in Psychiatric

    Scrubs, Denial is almost always the first defense mechanism any of us use when faced with the intolerable. Its the, "no this isn't happening" response. If it does not work the dysfunctional person...

  4. How difficult was it for you to find a psych nursing job, or easy?

    CharlieRN replied to CrystalClear75's topic in Psychiatric

    I assume you are already an RN. I gooogled "employment mental health nurse Pittsburgh" and got thousands of entrys. I did not have a hard time at all getting work. My current employer, whos name I...

  5. Do Any of Your Psych Units Use Yoga for Therapy?

    CharlieRN replied to Meerkat's topic in Psychiatric

    Its pretty tough to snow the insurance companies. They know that yoga is something offered at the local

  6. Administration of Prolixin and/or Haldol IM

    CharlieRN replied to lisaow's topic in Psychiatric

    Write a polite letter of protest to your supervisor with specific references to the books you have researched. Explain why you are reluctant to use the method they have been using at the facility....

  7. Bipolar Mania defense mechanisms

    CharlieRN replied to nicuRN2007's topic in Psychiatric

    easy one. Denial. Manic patients tend to like being manic and while manic they may refuse to see anything wrong with their behavior. It is the depressive phase of Bipolar that tends to be...

  8. Psych Medications

    CharlieRN replied to Toothbrushx2's topic in Psychiatric

    I don't recall any such connection but I could have missed it. This is something to take up with your

  9. Advice for new Psych RN please!

    CharlieRN replied to finallyanRN's topic in Psychiatric

    In general, I suggest that you give your next shift peers the kind of info you would find helpful yourself. Vital signs and other physical data is pretty useless unless the client has some unusual...

  10. Do Any of Your Psych Units Use Yoga for Therapy?

    CharlieRN replied to Meerkat's topic in Psychiatric

    I ran physical exercise/relaxation group for awhile that borrowed from yoga. I don't know how theraputic it was. It did keep the patients entertained and helped them get an active start on the day....

  11. counting controleds when your the only nurse?

    CharlieRN replied to Tiggur's topic in Psychiatric

    Since you are writing the policy you have a lot of power here. Obviously you can't have another nurse count with you. There is no other nurse. But it would be good to count the abusable meds on a...

  12. Patient Care Essay

    CharlieRN replied to Aussie_Amy's topic in Psychiatric

    Aussie, Like the Wolf said. Too much info, too broad a subject. I suspect you are giving us what you were given. It may well be a case of needing to read your instructors mind. You are in a...

  13. Getting burnt out?

    CharlieRN replied to vegnurse21's topic in Psychiatric

    One of the nifty things about nursing is that if you don't like one area you can change. Your licensure is as a generalist. I have noticed that I tend to stay in a position about 3 yrs unless I like...

  14. The Kinder Gentler Psych Unit

    CharlieRN replied to Meerkat's topic in Psychiatric

    Just a thought re restaint. There is a documented incidence of serious injury during restraint proceedures. This is no surprise. We all know what we are being forced to do has some risk to the...

  15. Can You Detain a Patient Just For Being Manic?

    CharlieRN replied to Meerkat's topic in General Nursing

    Ok I'm not familiar with the wording of the "Baker Act". I presume it is a state law empowering MD's to involuntarily hospitalize a person. In general it is illegal to involuntarily hospitalize...

  16. Just an Accident? Or Intentional Killing?

    CharlieRN replied to Meerkat's topic in Psychiatric

    Against my better judgement I have to ask, How old was the "older brother" when he drowned? How much older than the client was he? What is the rest of the family constellation like? Any hints of...

  17. Just an Accident? Or Intentional Killing?

    CharlieRN replied to Meerkat's topic in Psychiatric

    This what we have courts for. Nurses care for their patients, without judging them. It is our job to be our patients advocates, always, even if they are murders. I have had atleast one, quite...

  18. Eating Disorders

    CharlieRN replied to ashleyjean3's topic in Psychiatric

    My employer treats ED on its general adolescent inpt program with reasonable success. I personally would prefer a dedicated

  19. illegal use of QR???

    CharlieRN replied to Karina212's topic in Psychiatric

    The kind of quasi legal use of quiet room is an indicator that the adolescent program in question is out of control. You are bending the rules to make things work. This is not safe and is very...

  20. fired - now no

    CharlieRN replied to Nanaie4ever's topic in Psychiatric

    I don't have a lot of contact with the legal side of Nusing but my instinct is to lodge a complaint or at least a statement with the B of N. It also seems that if your former employer is blocking you...

  21. DID question

    CharlieRN replied to Stdy2BaNurse's topic in Psychiatric

    Responding to Wolfie's invite I will coment on your post. Both of these symptoms can be addressed by reference to the first DID client I ever delt with. She was a 29 yo, single, caucasion female....

  22. Resources on drug/alcohol detox

    CharlieRN replied to IMustBeCrazy's topic in Psychiatric

    The various scales are usually well tought out and researched. There is no substitute for experienced professional judgement and a clear eyed sceptical but friendly attitude. Addicts will lie to...

  23. Tipping a doctor, acceptable?

    CharlieRN replied to gtmoore's topic in General Nursing

    I am curious. Is the grandfather in question ethnicly, or culturally, Jewish? There is a cultural belief or custom I have noticed amoung persons of Jewish heritage to be very uncomfortable with...

  24. Borderline adolescents

    CharlieRN replied to Mudfiend's topic in Psychiatric

    Nice to find someone else who likes borderlines. I share the belief that this is an improper dx for an adolescent. I know my facility will not accept it. I can't recall just what the DSM says about...

  25. quick questions

    CharlieRN replied to Kidrn911's topic in Psychiatric

    I am an ADN nurse and I function as a Nursing Supervisor in a free standing private psych hospital. However I have a Batchelor's degree in another field and some grad school credits. ADN is fine for...