marydc

marydc

Psychiatry

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All Content by marydc

  1. I'm a psychiatric nurse and was assaulted resulting in a broken nose and other injuries but that happened so fast it wasn't even my scariest moment. The most frightening was when a very paranoid and...
  2. Can a Nurse Punch a Patient in Self-Defense?

    27 years in psych and I've had 1 violent assault. Injuries included, having hair pulled out, black eye, broken nose and herniated disc in my neck. Resulted in 5 months off work, chronic pain and...
  3. How long have you been at your current facility?

    My entire career, 27 yrs, in the same department. I work on an inpatient psychiatric unit and have no plans to leave. It's not perfect but we are a close team with a good manager and great docs....
  4. Bed type issues

    I work on an inpatient acute care psychiatric unit. We recently exchanged our nonelectric, crank style hospital beds for platform beds. I understand that this is best practice in promoting a safe...
  5. Psychotic Psychic?

    Many years ago I was working nights and received a transfer from a medical floor. The man was in a very psychotic episode. He called me by my first name (I go by my middle name), knew how many...
  6. Passed My ANCC Certification :)

    Congratulations! Any suggestions you can give me for a good study
  7. Don't try to fool me, I know you have a pack of cigarettes and a lighter hid here
  8. It's Supernurse to the
  9. "How to look incredibly stupid?": Impulsively decide that at 5'3, 100 lb you can get in the middle of 2 angry male patients and break up a fight with your "Mom" voice. It worked, but only because I...
  10. Injured on the job?

    We are a good team and injuries are rare on our unit, but a few serious ones have occurred. I was assaulted and injured one time in the 26 years I've worked on my unit. I missed 5 months of work and...
  11. Does psych nursing affect ur home life?

    Last year I wrote a thread about how 25 years in psych has affected me. Here is a bit from that: "I have been challenged and blessed in more ways than I can count throughout these years. Have even...
  12. SOOOO HOT AT WORK!!

    No suggestions but you might want to check before buying one of those little fans (even battery powered). They are strictly prohibited at the nurse's station in our
  13. Funniest Things Doctors say!

    I work on a psychiatric unit. I was telling a psychiatrist about an agitated, delusional patient who believed that he was God. His immediate response: "Tell him that's impossible. He can't be God;...
  14. would you work this rotating schedule?

    I worked days with night rotation for years and it's tough. Typically every other weekend;nights Fri and Sat then back on days Mon. It is difficult and took it's toll on me physically and...
  15. Unit Secretaries

    Looking back at your first post it sounds like you all are still using paper charts, I missed that part and it's where I got confused. :) We are paperless and orders are no longer written. They are...
  16. Unit Secretaries

    I know we'd be lost without ours! I just don't get how secretaries are able to enter orders with CPOE. Only the providers and those able to take phone/verbal orders can access order entry where I...
  17. Unit Secretaries

    It surprises me that some are still entering orders even with CPOE. We went to CPOE last year and our secretaries don't even have access to order entry. Our dayshift secretary has picked up extra...
  18. Geodon IM

    We also use Geodon and make the same complaint every
  19. I also work on an acute care locked psych unit and recently made a mistake when I should have known better. I had 2 male patients get into a physical altercation. One was psychotic and paranoid but...
  20. It's Finally Happened!

    Wow! But can you be positive about his/her identity? I would let your evaluation stand on it's own without adding what you printed. However, if they have without doubt, identified themselves and/or...
  21. Best MD note

    My favorite was a note made by the psychiatrist after a patient had intentionally kicked me in the stomach. "Patient is well aware of right from wrong. In my opinion needs a therapeutic trip to...
  22. Any LPNs?

    I'm not an LPN but frequent day charge on an acute inpatient psychiatric unit. We have one full time LPN. She is a great nurse with more experience than anyone else on the unit. LPN's are permitted...
  23. Do you tell people where you work?

    Yes. I'm proud of what I do and where I work. I've never experienced hostility like that; but I have heard the occasional "bad" story. The reality is hospitals are staffed by humans so mistakes can...
  24. Mental Health Awareness Month

    Well said. Thank
  25. Emergency Psychiatric Medications

    We use the IM Geodon most often. In more extreme instances the Haldol, Ativan and Cogentin