wingding

wingding

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All Content by wingding

  1. Psych nursing is easy

    wingding replied to studentnurse9806's topic in Psychiatric

    OMG - Easy? Obviously you haven't had manic, aggressive or harming self yet. I don't consider 4 pt. restraints while a pt. is trying to bash own head into the floor easy. I don't consider talking...

  2. Tactful education; Obesity

    wingding replied to BlueLightRN's topic in Patient Education

    Good advice - start small, basic & get used to small changes. Pt. needs positive reinforcement to keep on that roll. Obese person has eyes - they can see themselves. No on wants to be fat -...

  3. Psychiatric nursing... do you really lose all your nursing skills?

    wingding replied to lilmoongoddess's topic in Psychiatric

    Sad thing - I had a doctor tell me that nurses were for comfort care. Retired APRN is right - nursing is much more than "procedures". My outlook is that once we are shown, do with coaching &...

  4. Psychiatric nursing... do you really lose all your nursing skills?

    wingding replied to lilmoongoddess's topic in Psychiatric

    If you are a psych nurse wanting to keep all your med-surg skills "fresh", then put in to float to med-surg when there is low census. This will keep you doing procedures & adding personal...

  5. routine at psych unit-morning gathering

    wingding replied to parabone's topic in Psychiatric

    Our morning "Community Group" is held with whoever will attend. We hand out self assessment sheet to get a focus on any pt. & how they are sleeping, anxiety level, thoughts to harm self or...

  6. What do you think about this Staff/pt ratio? Potential job offer

    wingding replied to ivyleaf's topic in Psychiatric

    1:8 ratio is ok -- I have worked 10-12 when we were short staffed & it is very difficult to give good care. Just know & keep an eye on your possible critical ones (withdrawl from ETOH &...

  7. psych nursing and lunches

    wingding replied to aroyce's topic in Psychiatric

    We are not allowed to eat or drink at the desk - and I think it is just good manners not to do it in front of the patients. Weekends a lot of people bring & eat in the back room, bite here &...

  8. End result efficacy P.O. vs I.M. PRNs like Haldol / Ativan

    wingding replied to adnrnstudent's topic in Psychiatric

    When pt. is hearing "low voices" I usually choose a Zyprexa first - Haldol & Ativan more for agitation. Anyone else? I use the IM for when they need it now & if they are not too bad I go...

  9. Does psych nursing affect ur home life?

    wingding replied to ProgressiveThinking's topic in Psychiatric

    Psych nursing has made me a better person & continues to make me stronger. I quickly realized that we are all just 1 or 2 events away from being a patient ourselves - everyone has something that...

  10. New grad psych nurse... need some advice

    wingding replied to GenDaRN's topic in Psychiatric

    When I took my physical for my first RN job on psych unit - Dr. said "Oh, you're going to pass meds". At first I thought "uh oh" & now I am furious at his remark! Med Surg nurses won't float to...

  11. Best way to handle a delusional patient when they accuse you?

    wingding replied to imapsychrn's topic in Psychiatric

    My standard statement "I'm sorry you feel that way, but I do not listen in on you or any one else" - then turn & walk away. You are the nurse in control - do not let it become a "Yes you do" "No...

  12. question about "cutters"

    wingding replied to sarasmith805's topic in Psychiatric

    So sorry you had that experience - those nurses are probably burnt to a crisp. When I have someone that is a cutter, my first is to question why & usually my next words are "Child, we need to...

  13. Nursing for dummies

    wingding replied to SoCal student's topic in Psychiatric

    I got my job right away, but still felt inadequate. I keep my psych textbook open & read, re-read & read again the chapters that applied to the patients I have. Same with my med-surge book,...

  14. Psych Nursing, oh yeah!!!

    wingding replied to Hotfornursing's topic in Psychiatric

    I am learning it takes a special person to be a psych nurse. I think it is the best of all worlds - I still get to do wound care, patients on paper (intake paper before presenting to dr.), Rapid...

  15. IM Ativan

    wingding replied to dc529's topic in Psychiatric

    I was taught to draw a B52 STAT - I draw Haldol 1st, mix into the Ativan to dilute & then draw the Benadryl last. I use an 18G to draw (helps it to go quicker) & change to a 22G to administer...

  16. I feel like I caused a patient's death and I can't get over it

    wingding replied to jane82's topic in Patient Safety Issues

    jane82 - from one new nurse who is overwhelmed to another ---- DON"T YOU QUIT --- Don't you dare quit on this note --- you have experienced ALL of our worst fear - a pt. death that you may have...

  17. New Nurse Growing Pains?

    wingding posted a topic in First Year After Licensure

    Ok - so I'm a new

  18. Another burnt out nurse - questioning everything. . .

    wingding replied to AlphaPig's topic in Medical-Surgical

    I forced myself to go through nursing school at 48yrs old after being laid off from my job of 15 years - graduated when I was 50 -- if for nothing else, then for the $$ job security to retirement. You...