CharlieRN

CharlieRN

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  1. RN with past psych probs as psych nurse?

    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...
  2. 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...
  3. Face to Face Locked Orders

    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...
  4. Use of RN on business cards

    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 ...
  5. All nurses are NOT holistic, sorry.

    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...
  6. Does anyone here have...

    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...
  7. Disturbed Energy Field? Yes or No?

    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 ...
  8. magnet therapy

    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 ...
  9. Ionized sea salt soak?

    Sounds like snake oil to me.
  10. Need assistance Please

    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...
  11. Would appreciate some opinions on pain management

    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...
  12. EMT in place of Critical Care

    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...
  13. dryer sheets inbetween dressings?????

    I'm pretty sure that the mint oil is used as a room deodorizer noyt applied to the wound or dressing.
  14. Holistic nursing evidence based

    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.
  15. What is ur fave area in Psych

    Yeah they are a real party crowd who know how to have a good time.
  16. Would it matter if someone wanting to go into nursing had

    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.
  17. Boston Recovery Model

    They have found a way for Boston to recover? I had given up all hope.
  18. Feasibility of non-smoking policy in psychiatric hospitals?

    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...
  19. 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...
  20. Lexapro

    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.
  21. Poll: What do you love about psych nursing?

    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. ...
  22. Keeping Yourself Safe

    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....
  23. what would your conclusion be

    I can't give much feedback without data about current/past behaviors. What has she done that makes her of interest to psych?
  24. Poll: What do you love about psych nursing?

    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...
  25. Another poll: What DON'T you like?

    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 ...