marydc

marydc

Psychiatry

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All Content by marydc

  1. Best Hallucinations Thread

    I work in psych and one of my favorite stories is about a delusion not hallucination. It was reported and documented on admission that one of the (psychotic) patient's delusions was that he was good...
  2. Is there any truth to this?

    Thankfully never been hospitalized with an illness but I'm one of those annoying people. :) My basal temp was usually even lower than the graph went. I also get symptomatic at a lower threshold. I...
  3. night shift depression!

    It sounds as if you are at the point it is affecting your job performance in a negative way. Not safe for you or the patients. If you are suffering from depression please don't completely rule out...
  4. Do you know where you are?

    I once did an MMSE with a very depressed and withdrawn patient. He scored 29 out of 30. I only had to correct him on the date. Later I had to go tell him he actually scored 30 out of 30, while his...
  5. Favourite Doctor Moments

    Old thread but I really enjoyed reading it! I work on a psychiatric unit and have worked with most of our docs for over 20 years. The medical director is especially protective of us nurses. My...
  6. Seeing the person not the illness

    I agree 100%. It makes all we go through
  7. "I wonder how many people I've looked at all my life and never seen." John Steinbeck A quote I found today that really hit me. I think sometimes we in psychiatry especially need to remember this....
  8. What would YOU do?

    I agree. sometimes I enter the bathroom just for the mirror. Hope no one would assume the worst of
  9. No, thankfully it's not like that everywhere. Posts like yours help me realize how lucky I am to work at my hospital. Over the 26 years I've worked here we also have become much more budget...
  10. I work on an inpatient psychiatric unit. We all know where that falls in the hierarchy of specialties. We have a patient who was diagnosed with cancer while on our unit. My favorite comment of the...
  11. Bite Release Pressure Point

    I work on an acute inpatient psychiatric unit for
  12. Bite Release Pressure Point

    I was with one co worker who was bit and instinctively pulled her arm out of the bite. There was a lot of damage, requiring surgery and physical therapy. A few years later another co worker was bit...
  13. Is this nurse in the wrong?

    Yes, I would have told him why he was there. Honesty is important and it is his right to know. As others have said it needs to be done in an empathetic, respectful and tactful way. It's also...
  14. Only young, strong nurses need apply?

    Being young and strong isn't what makes a good psych nurse. At 46 I'm one of the youngest on our unit, we have 2 nurses who are in their 70's. I'm female, 5'2, 102 lbs. Peer reviews and evaluations...
  15. Reading through these topics it sounds as if a lot of nurses are working under terrible hospital environments. It makes me realize how lucky I am to work where I do. I'm an RN on an inpatient...
  16. I've been a nurse for 25 years and still vividly remember my first patient death. He also had COPD. For 2 nights I had cared for him through his suffering, distress and anxiety. After he died and...
  17. Psychiatric diagnosis meaning?

    I read it as: Bipolar Affective Disorder (type) 1. Most Recent Episode Depressed with Suicidal
  18. Patient Reported Me To Nurse Manager

    I just want to reassure you that things like this frequently happen. As a charge nurse on an inpatient psychiatric unit I've listened to many patient complaints. Some are legitimate concerns; but...
  19. Be aware...

    I'm sorry you suffered such an experience, but this is definitely not the norm! I don't understand why they were notified. Even more difficult to understand though, is why the board was so intent on...
  20. Verbal Abuse...I Gave What I Got...

    Stories like this are common, but always scare and surprise me. Violence against staff isn't tolerated where I work. When I was assaulted the hospital supported
  21. Verbal Abuse...I Gave What I Got...

    After many years in psych I've seen my fair share of verbal abuse. Most of it from patients well aware of their actions and right from wrong. Though we may be seething inside, I have never...
  22. Congratulations! You've already been given great advice. I would only add a few things: Always be prepared for the unexpected. Remember that at anytime, it could be you or someone you love, in the...
  23. Just want to thank you all

    So nice to see this today! Thank you for your comments. :) In psych the thank you's seem to come few and far between. Not a reflection on the patients, but on the
  24. As of this month I'll have been a nurse for 25 years, almost all of which have been on the same psychiatric unit. It's not just me, most of my co workers have been there almost as long, and many...
  25. We also use Kronos and are to clock in and out within 6 min. However, we have a variance sheet by our time clock, to write reasons for the exceptions. I'm usually day-shift charge, so frequently come...