SoCal student

I work at a locked psychiatric hospital with acute psych, detox, and gero-psych units. We have a mix of voluntary and involuntary patients. When working on the detox unit, nearly every patient is voluntary and, it's not uncommon to have patients req...

Correct.

I've been working in acute psychiatric/chemical dependency for about 7 years now and have always considered incorporating music more in my care. I work in a smaller hospital with plenty of autonomy and have been known to bring my guitar in for times ...

I've been an RN for 7 years in acute psych inpatient and administered CPR for the first time just this week. I never even had a chance to administer CPR as a student and have been lucky enough to have not needed it in 7 years of practice. It was also...

Awesome, thanks for the insight, ya'll.

It's been my understanding that many opiate (among other) addicts also abuse phenergan as it can potentiate the effects and can also be sedating. I work in detox/rehab and patients consistently request phenergan, specifically IM. Our docs have instru...

That power point states very basic information that I've been well aware of for years. You're kind of missing the point again. I'm not talking about holding them for any extended period of time against their will. I'm talking about opening the locke...

Thanks for weighing in. As to your last point: I truly appreciate you noting that. I've come here with this question after being dissatisfied with my coworkers' approaches towards this issue (basically, "Well our facilities policy is..."). They seem ...

I already explained the requirements and process for initiating, certifying, implementing a legal hold in my state. I have also already explained how voluntary admissions and discharges work in my state (at least in the facilities I have worked in). ...

With the exception of the probably purposely confusing run on sentence, this is pretty much exactly what I was looking for. I really appreciate you finding it! Can you tell me the source of that passage? Thanks!

Would you mind pointing me precisely to your state's law that cites this? If you can't, you're pretty much in the same boat as me. Psych nurses, at least in my state (the sample of co-workers I've asked - the only ones I have asked before asking h...

Maybe I worded it wrong. Sure, you could find me liable. But, if you're a patient that was falsely imprisoned and you're suing for damages, do you go after the RN or the hospital that enacted policies that, when followed by staff, resulted in the fa...

I've searched the Nevada statutes and could not find an answer. I haven't asked everyone in my facility as I'm not keen on being marked as anything (even if for a valid reason). I have asked a number of people and, no, they do not know the answer. Fi...

Yep, it used to be in the paperwork (not sure why it was removed) and the common reply to that from detox patients was "I was so intoxicated/I was withdrawing so badly upon admission, I signed so many papers, I don't remember..." That's another quest...

Yes? I appreciate you weighing in and I'm not being facetious either. Just as I'm trying to figure if a legal right exists for me to keep a patient against their will when they do not fit criteria for a legal hold, you would need to figure out if a ...

Totally. And that is my ultimate question. What is the state's legal precedent? Yea, my employer would fire me if I opened the doors. And it's very unlikely that a patient would come after me personally for liability if I followed policy and, went u...

If a medically and mentally stable patient stands up and begins walking out of their room/hospital, are you going to physically lay hands on them as they say "I don't care, I'm leaving against medical advice"?

I'm a psych RN of about 6 years. I've gone along with my facility's policies as I'm usually able to de-escalate a pt. and, once they've made enough noise, I can basically force a doc to see them and shift the onus to them. My facility is a psychiatr...

I suppose it is a question I can approach the state division of mental health about. Or my nursing board? To my knowledge, there is no separate designation for a "psychiatric admission" when patients come in voluntarily for discharge. I guess my st...

I've been a Psychiatric floor nurse for 6 years, mostly inpatient. I'm thinking of trying something new but have no interest in hospital settings, clinics, etc. I'm wondering if anyone knows of any less traditional RN jobs available in the Las Vega...

I guess I was hoping for any locals to possibly weigh in. Ive been searching jobs but am only really finding traditional stuff. Was also hoping maybe someone would mention a position or field I hadn't even thought of.

I'm graduating (BSN) in a few weeks. Don't regret going to nursing school, but I know it's not what I want to do forever (this applies to healthcare in general). I have various other interests. The problem with these interests is that they could neve...

welp, i think the answer to your question has been answered in more than one way. firstly, most people in the profession agree with your professor/find this email to be not only OK, but apparently brilliant! secondly, i think this member hits it on t...

I was thinking a very useful thread for students, new nurses, etc., would be one in which everyone weighs in on most common and/or overlooked reasons for abnormal vitals. I'm thinking along the lines of: Hypertension: "white coat" anxiety, stress Br...

this post has struck a chord with most, it appears. I also feel the need to weigh in and let Ruby know we don't all agree with her. She seems to have some bitterness, no? A little of the "I had it hard, so must new nurses." I don't ever keep up with...