medpsychRN

medpsychRN

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All Content by medpsychRN

  1. Every state must have some written mental health code. I'm sure the details vary from state to state. The code defines involuntary admissions and what has to take place before someone can be held...
  2. What do you think of Cymbalta?

    We used it when it first came out and then interest dwindled. Cymbalta is very similar to Effexor XR. With Cymbalta, you can use a lower dose and get the same results as a higher dose of Effexor....
  3. Worked as a nursing shift supervisor under an ADON who was a royal pain. Critical of staff and had unrealistic expectations. Lo and behold, she lost her job when the hospital changed hands (I had...
  4. Intimidation Tactics as Teaching Tools?

    New employees where I work have a 12 week orientation. For 12 weeks, someone is going to be monitoring and evaulating the nurse's competence. It doesn't mean 12 weeks of hand holding. There's some...
  5. Intimidation Tactics as Teaching Tools?

    I think the original poster was talking about being intimidated by nursing instructors. If so, then nothing much has changed since I went to school (about 35 years ago). It may be true some folks...
  6. Only RN on duty

    I'm not sure this is a problem just in psych. I wondered if this also happened in long term care facilities. I work primarily nights and ancillary staff who are supposed to be awake do doze off. If...
  7. Intimidation Tactics as Teaching Tools?

  8. gero-psych...nothing but a nightmare!

    Sounds like you need help...writing your resignation!! It's too bad you are so understaffed. No matter what field of nursing you're in, without adequate staffing it no longer is enjoyable or...
  9. gero-psych...nothing but a nightmare!

    The largest number of patients I have on evenings is 5, depending on the census. A mental health worker ususally takes one of my patients for individual contact and charting. When the census is high...
  10. Trend To Decrease Use Of Seclusion And Restraint

    I have not heard of this! Of course restraints is a last resort but safety is first. We have a relatively low rate of restraint use but no one hesitates to use restraints when needed. I can't...
  11. gero-psych...nothing but a nightmare!

    The design of the unit, a good staff to patient ratio and lastly meds are the keys to prevent staff burnout and to provide good care. I work on adult unit and we take the "overflow" from gero psych....
  12. Trying to Bust a Strike

    Absolutely!!! Our PTO time was cut last year by 3 days. Now staffing has been cut. All I hear about is the budget and how my responsibilities are increasing. In this day and age, anything sparks a...
  13. Only RN on duty

    Thanks for your quick reply. I have complained about not having a break. The usual response is along the line of it's rough but with a low census they can't justify paying 2 nurses. There are 3...