CharlieRN

CharlieRN

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All Content by CharlieRN

  1. What do you Tell Someone Who Doesn't Believe Mental Illnesses Exist?

    CharlieRN replied to ChristineN's topic in Psychiatric

    Drug induced psychosis is a legit psych diagnosis and so is Schizophrenia. But they are not at all the same thing. There are also people who believe they have been possessed by a devil. I...

  2. What do you Tell Someone Who Doesn't Believe Mental Illnesses Exist?

    CharlieRN replied to ChristineN's topic in Psychiatric

    Let me guess, you met this a$$hat over on Theology On

  3. What do you Tell Someone Who Doesn't Believe Mental Illnesses Exist?

    CharlieRN replied to ChristineN's topic in Psychiatric

    Another approach might be to avoid the labels and instead discribe the sx. Then ask, "if this were somone you were responsible for, how would you deal with it?" For example: "This is about your...

  4. Suggestions For Leading A Group Session?

    CharlieRN replied to Meerkat's topic in Psychiatric

    Group leadership is a therapy role. You are right to be careful. An insight oriented group should be co lead. Two leaders for not more than a dozen patients. The leaders take turns talking or...

  5. What do you Tell Someone Who Doesn't Believe Mental Illnesses Exist?

    CharlieRN replied to ChristineN's topic in Psychiatric

    First: Belief systems color how the world is preceived. Modern medicine is a special case of the scientific world view. It is evidenced based therapy. Modern psychiatry is a part of modern...

  6. How Do I Approach This?

    CharlieRN replied to Meerkat's topic in Psychiatric

    Re DBT: It is my understanding that it is a good framework for the staff to be working within when they have to deal with Borderlines. That is, even if your unit is very short term ,you should know...

  7. New to psychiatric nursing-Help

    CharlieRN replied to debinius's topic in Psychiatric

    Stuper; MR equals "mentally retarded". Hi Wolfie, I have been busy. Debinius; I ment to add this in my first post but I ran out of time. I was online at work and the next shift came in so it was...

  8. New to psychiatric nursing-Help

    CharlieRN replied to debinius's topic in Psychiatric

    Yes, yours is a pretty standard general psych unit. The only thing I find surprising is the "homeless" housing aspect. I find it remarkable that doing that, in the absence of psych sx is getting past...

  9. Weapons on Site

    CharlieRN replied to Aneroo's topic in Psychiatric

    I think that the decision to not bring a weapon into any facility rests with the police officer involved. He/she is the person responsible. Most likely the policy of the police department, not that...

  10. Psych Specialty--The Red-headed Stepchild of Nursing?

    CharlieRN replied to Meerkat's topic in Psychiatric

    My areas of specialty are psych and emergency care. I have heard ER nurses say they can't stand working with psych patients and a couple hours ago heard a Psych nurse say how she could not stand...

  11. CATS AND SCHIZOPHRENIA/ this is so stupid

    CharlieRN replied to RENAISSANCE RN's topic in Psychiatric

    I looked over the data abit. The highest correlation of serum antibody presence to schizophrenia is 60%. This is much less than a direct causative link. Looks like a pattern indicative of a causative...

  12. Good response from some meds but they stop working.

    CharlieRN replied to ZZTopRN's topic in Psychiatric

    It seems like you are very rapidly habituating to the drugs but I doubt that is what is actually going on. You can go on trying different meds until something works or they decide you are a candidate...

  13. Emdr

    CharlieRN replied to krisssy's topic in Psychiatric

    Have to admit I never heard of it. Any process that leads you to a realistic feeling of safety and being in control when exposed to stimuli that remind you of the trauma is worth exploration....

  14. What do you live for?

    CharlieRN replied to Curious1alwys's topic in Psychiatric

    trashej, There are many types of talk therapies, if you did not hit it off with the first therapist, try one who has a different style. But first get on an anti depressant. Chemistry is the easiest...

  15. What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

    CharlieRN replied to yazisizit's topic in Nursing Humor

    Here is one from the dark ages before nursing school when I was the night orderly in a medium sized general hospital. When there was need for emergency OR staff on a weekend I was sometimes offered...

  16. As a psych nurse, what non-psych nursing skills do you wish you were stronger in?

    CharlieRN replied to Thunderwolf's topic in Psychiatric

    Infectious diseases and orthopedic care. I'm already pretty strong in a code situation otherwise I would put that

  17. Mom is worried about safety/security..

    CharlieRN replied to nationwide drama's topic in Psychiatric

    You have been given excellent advice. Wait till you have some experience before you lock yourself into a speciality. Nurses are by the nature of the job non specialists. Our primary job is to...

  18. roles of the nurse when it comes to sexual disorders

    CharlieRN replied to Ronold's topic in Psychiatric

    I've worked with just about everything. My suggestions: Maintain extra good boundries. Try to actually be non judgemental. One possible helpful thought: These pts may have really low self esteem,...

  19. What do you live for?

    CharlieRN replied to Curious1alwys's topic in Psychiatric

    Thrashej Listen to the Wolf!! Thunderwolf is giving you excellent professional advise. Get into therapy. Get on antidepressents. Keep active. To which I will add: Maintain your routine. This can...

  20. psych degree?

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

    I'd hire you. But I would really prefer psych nurses that have some medsurg or emergency medicine experience. The Psych care environment is lousy with people with psych degrees. Someone with a...

  21. Advice for student beginning psych clinicals?

    CharlieRN replied to enfermeraSG's topic in Psychiatric

    Good advice so far. One small but significant bit. Never hang your keys from your belt or neck, or walk aroung the psych unit playing with them. Your Keys are a visible symbol of your power and...

  22. Antidepressant PRN

    CharlieRN replied to goodknight's topic in Psychiatric

    Any depression pt is a high OD risk. Back when I worked ER we would get a lot of OD's. Most were treated with Ipacac, followed, after vomiting, with activated charcoal in citrate of magnesia. Most...

  23. help with pathophysiology of depression

    CharlieRN replied to eko's topic in Psychiatric

    I would characterize this as a mild to moderate depression. This is only my own "rule of thumb", but hypersomnia is generally a lesser sx than insomnia. On our assessment of depression we ask...

  24. help with pathophysiology of depression

    CharlieRN replied to eko's topic in Psychiatric

    Its been a long time since I was in school, can you be a bit more specific about what you need? I know a lot about depression, but not much about what it is you need. short form: Depression is a...

  25. Can you refuse to work with a certain MD?

    CharlieRN replied to mfshirk's topic in General Nursing

    I have written up a doctor once in my career. I did it very carefully, in fear and trembling. Must have done ten drafts of that note. Boy am I glad! I handed my note to the ER unit supervisor, he...