CharlieRN replied to nurse lala's topic in Psychiatric
If you are aware of your areas of weakness then you will most likely be OK. The trouble comes when a patient's situation "hits you where you ain't". I have seem this happen to a nurse and it nearly destroyed her. We were working on a women's speci...
CharlieRN replied to PurifiedH2O's topic in Psychiatric
On a psych unit the nurse is often the person watching and managing the patient's physical health. There is a whole team of folks focused on the psychosocial aspects of the case. You may be the only one who is aware the patient's low grade fever an...
CharlieRN replied to <3Nursing07's topic in Psychiatric
My facility is working toward having the nursing supervisor do the face to face on the night shift. The Doc on Call used to have to come in for it. They seem to think that it will be legal. This is important to me because the night supervisor is M...
CharlieRN replied to Nurseterr7's topic in Holistic
I would only use it if the product you are selling has a health related aspect. ie. I used to purchase a service regularly from an RN, but I only found out she was an RN by accident. She was my barber. Plenty of RN's are making their living doing ...
CharlieRN replied to passionflower's topic in Holistic
Oddly enough I actually think the nurses at my facility do practice pretty holistic nursing. Not that they are involved in much of what I would term "woo-woo" interventions, but they see the whole person more than the MDs do. In our case, because o...
Playing devils advocate but I would love to have people smell things that are actually very good for them but have sharp or offensive smells. Garlic, onioin, B vits, Penicillin for example and then some pleasant smelling but poisonous items. It se...
What a hoot! As it happens my immediate boss (VP for Admissions), and I are in the process of modifying the admissions paperwork at our facility to include nursing diagnosis as required by Joint commission. Between us we probably have over 50 years ...
Anecdotal evidence written in a book is still anecdotal evidence. What double blind studies were done and which major, peer reviewed, medical journals were they published in? If you need to be a "believer" then we are still talking "woo-woo". No ...
CharlieRN replied to watchaknow's topic in Psychiatric
I'm not familiar with the LVN licensure but I think it is similar to LPN(lic practical nurse). My institution has phased out all its LPN positions. My understanding is that it was felt that their training did not prepare them adequately for accessm...
Just to offer a little balance. Pain meds are addictive. It is perfectly possible to have real chonic pain and be addicted to pain medication. While by no means does everyone who is put on pain meds become addicted, many do. I work with addicts all...
CharlieRN replied to volsfan's topic in Occupational
This old news, many years old, but I got my emt before my RN. I thought I would be able to earn more as an emt than as an orderly. In fact my emt and $1.50 would get me a cup of coffee. Police and fiefighters with EMTs earn a good wage, because th...
CharlieRN replied to saludable's topic in Holistic
Good luck. If you do find any sound, double blind, scientific studies that support these therapies having curative, as opposed to plative, validity please share them.
CharlieRN replied to time2getreal's topic in Psychiatric
I don't know about licensure requirements. My employer wants potential psych treatment staff to be out of treatment and symptom free for 2 years. I sure there are plenty of depressed nurses with borderline traits working in non psych positions.
CharlieRN replied to psych nurse's topic in Psychiatric
We are have a no smoking policy inside the buildings but permit patients to smoke on fenced in porches. Since they are unable to leave the smoking area, they don't need close supervision. They are not permitted on the smoking porches during the 11p...
This is probably not real helpful, but I'm not sure this pt is correctly dx as borderline. He sounds more antisocial to me. Thinking of him as a manipulative criminal/ con man may be helpful in coming up with a way to deal with him. I'm thinking m...
CharlieRN replied to jaimealmostRN's topic in Psychiatric
Call the doc and ask! That's what she gets the big bucks for. Some transitions need to be tapered. I could look it up and tell you what the books say, but then I'd be practicing medicine.
CharlieRN replied to here_kitty's topic in Psychiatric
This is what I'm talking about. On a med surg unit if a staff person is grumpy or maybe hung over, noone cares so long as she does her tasks. A psych nurse's work is done with their voice and mind and personality more than it is with their hands. ...
CharlieRN replied to PsychRN-Kris's topic in Psychiatric
I'd second morgans comment. Avoid unnecessary touching. Before I was a psych nurse I was a very "touchy-feely" type person. Now when a client is in distress, I offer them a kleenex. Gives me some physical way to express concern yet is unambiguos....
CharlieRN replied to here_kitty's topic in Psychiatric
no white uniform! my peers are sane! seriously, the general nursing population reflects the mental health of the general public. psych nurses are held to a higher standard. and in a good institution we are careful to help each other stay sane. when i...
CharlieRN replied to here_kitty's topic in Psychiatric
frustration with there not being enough money to keep patients long enough to do good work with them. We are frequently pushed to discharge patients before they are ready. Ingeneral health insurance underfunds psych. I suppose that is the publics ...