CharlieRN

CharlieRN

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All Content by CharlieRN

  1. Civil Commit to Forensics?

    CharlieRN replied to FutureRNMichael's topic in Psychiatric

    I have been assaulted and have filed charges against the patient at the request of my supervisor. The police were polite about it but did not expect anything to come of it. The supervisor was...

  2. need info on depression in crit care units

    CharlieRN replied to Saifudin's topic in Psychiatric

    Another factor often overlooked is sleepdeprivation in critical care. Critical care bed rest is not the same as restful sleep. It is frequently interupted and thus deprives the patient of REM sleep....

  3. Addiction

    CharlieRN replied to krisssy's topic in Psychiatric

    I like the definition I heard at an AA meeting, "if alcohol (insert drug of choice) causes a problem in your life, then you have a problem with alcohol." The definition of dependence is that stopping...

  4. Wellbutrin causing depression?

    CharlieRN replied to JustSearching's topic in Psychiatric

    earle is correct. Also any anti depressent and wellbutrin in particular can exacerbate the mood swings in bipolar. Usually it is the exacerbation of the manic phase that causes

  5. DID question

    CharlieRN replied to Stdy2BaNurse's topic in Psychiatric

    Interesting exposition Wolfie. I think of all of those as disorders as being disorders of repressed intolerable memory. The problem being that we have a wonderful brain designed to remember. So...

  6. DID question

    CharlieRN replied to Stdy2BaNurse's topic in Psychiatric

    I agree with thunderwolf and elkpark, DID is indeed a severe form of PTSD. It necssarily is formed by severe, usually sexual, intrafamilial torture in early childhood. So you can't have DID without...

  7. DID question

    CharlieRN replied to Stdy2BaNurse's topic in Psychiatric

    I have worked with hundreds of DID patients as primary nurse. One of whom may have been Truddi Chase. There is contraversy re how common DID is mostly due to its sx pattern overlapping the...

  8. Eps

    CharlieRN replied to teamplayer's topic in Psychiatric

    I don't think I have ever, in 20 yrs of psych nursing, seen anyone "fake" EPS. Pretty much impossible to fake cogwheel ridgedity, in any case. Why fake it? What is the pay off? What is gained by the...

  9. Help? How do you give 'consequences' to adult patients?

    CharlieRN replied to Meerkat's topic in Psychiatric

    It depends on what the philosopy of treatment is for your unit. What is the dx of the patients? What are you trying to accomplish with the patients? Are the patients capable of better behavior or...

  10. How Much Do You Disclose About Your Experience With Mental Illness?

    CharlieRN replied to Meerkat's topic in Psychiatric

    elkpark is, as usual, right on the money. Any effort by the client to talk about your issues is an effort to avoid talking about their own. It is a waste of their time and money. Also I don't think...

  11. Ready to function as

    CharlieRN replied to mebeafrn's topic in Psychiatric

    I'm a night supervisor at an approx 110 bed free standing Psych Hospital. We have five inpatient units, one for children, one for adolescents, one adult duel dx subabuse/psych, one general adult...

  12. Resources on drug/alcohol detox

    CharlieRN replied to IMustBeCrazy's topic in Psychiatric

    do you have a detox protocol? If you don't, put one together and offer it to your Docs for input and approval. It should detail frequency of vital signs, prn meds and the reasons to give them, it...

  13. From psych to med-surg??

    CharlieRN replied to Louisepug's topic in Psychiatric

    Advantages: no uniform. Little or no lifting. Relatively little contact with bodily fluids, though if it needs to be done, nurses will do it. You can go years without making a bed. On some units you...

  14. x post Medication management...( kindalong)

    CharlieRN replied to chicagrl72's topic in Psychiatric

    Is she perchance the doc who supervises your therapist? This is often the case. Frequently the therapist is functioning under the licsence of the MD who manages the meds. If so she has a legit...

  15. Ready to function as

    CharlieRN replied to mebeafrn's topic in Psychiatric

    Sounds like a basic orientation failure. I think I would have them function as mental health workers( or whattever your institution calls psych nursing assistents) for awhile until they can...

  16. staff safety

    CharlieRN replied to kenyanthropus's topic in Psychiatric

    I wanted to add an example of how this works. We used to have a ridged bed time on our adolescent program. 10:30pm was absolute lights out. No patients were allowed out of their rms except to go...

  17. The Magic of Touch

    CharlieRN replied to NRSKarenRN's topic in Holistic

    I was taught massage in Nursing school. When I worked med surg on the 11-7 shift we used it only to apply lotion as part of skin care to the "roll and wipe" population. That was in 1980. After that...

  18. staff safety

    CharlieRN replied to kenyanthropus's topic in Psychiatric

    Our facility went through a similar push for reduced restraints. It can be done. However, the trick is to have the alternative plan of practice clearly taught to the staff and in place before you...

  19. From psych to med-surg??

    CharlieRN replied to Louisepug's topic in Psychiatric

    In the US at least nurses are expected to be generalists. The license is good in any speciality. In fact I have seen a number of nurses go from psych to med/surg. One was an unoffical mentor of...

  20. Holistic RN or chiropractic?

    CharlieRN replied to abell's topic in Holistic

    There is also this site:http://www.chirobase.org/03Edu/botnick.html and this onehttp://www.chirobase.org/index.html. Finally: Randi.org is not a "paranormal site" it is a skeptic

  21. Holistic RN or chiropractic?

    CharlieRN replied to abell's topic in Holistic

    Go to the link and read the part titled "bitten by

  22. Jumping from a BA in Psychology to a Psychiatric nurse

    CharlieRN replied to mystikchik1031's topic in Psychiatric

    GOOD ADVICE SO FAR I had a BA in English Literature and 5 years full time experience as an orderly in a general hospital before I went for my RN. I went the associates degree route and by going to...

  23. Any Psychic Nurses?

    CharlieRN replied to chelsea32's topic in Holistic

    I have long considered that I was psych, possibly shamanic. The subjective evidence of the psychic experience is 100% convincing. However we now live in an age of science. Any phenomenon as wide...

  24. Lithium and fluid intake, need your input

    CharlieRN replied to kadokin's topic in Psychiatric

    The senario I have seen was not just increased fluid intake but increased salt intake with increased fluid intake. ie: Two bags of chips a day and an additional 2 liters of softdrinks during a summer...

  25. Banning smoking for psychiatric patients

    CharlieRN replied to Bjo's topic in Psychiatric

    My employer severly restricted smoking on the adult programs and compleatly stopped smoking for adoescents a few years ago. It is an ongoing but minor problem. Smoking is not a good thing. But we...