Marie50 replied to wannabepsychnurse's topic in Psychiatric
self inflicted harm is unfortunately seen frequently in longer term settings - DBT is one modality..there are many reasons people self abuse; don't work just to help cutters - this is very challenging and very rewarding nursing - be open, learn daily...
some pts can probably journal -this is a great activity - helps with concentration - and given a topic, could be a positive; also, try goal setting, current events, and other topic groups such as 'What I do well,...or how I helped someone...etc..)
need some help rewriting policy to conform with CMS standard that 'even holding for meds is considered a restraint' - got any ideas? how can we give emergency med without hold? is that a restraint? we use VERY FEW - maybe 2 instances in last year but...
We monitor incident reports and trend other data to assure any changes that need to be made for safety issues; survey staff - try to find the easy fixes first so folks know we are listening; complete needs assessments; constantly evaluate program for...