I'd also recommend looking into Collaborative Problem Solving, which is a newer model developed by Ross Greene. It teaches you to see children as lacking the skills to do well and teaching them these...
alb402 replied to Peppermint_RN's topic in Psychiatric
I was in the same mindset as you when I graduated nursing school a little over a year ago. I applied for a PRN position at an urgent care center and got it. While it's not med-surg and I'm not sure it...
A co-worker of mine who was hurt (kicking multiple times in the stomach and had to go to the ED) by an aggressive 17 years old patient on our C&A unit was discouraged from pressing charges and...
Those of you that work on C&A inpatient acute psych units, what is your current staffing matrix (specific numbers per census)/HPPD and/or staffing guidelines? I've presented some literature to our...
Thanks for the feedback! I'll be less nit-picky next time :) Ativan was a bad example as narcs are way different than Tylenol. I've just heard horror stories of nurses getting fired for giving a med...
If an order is written for Tylenol 650 mg po PRN headache/fever can the Tylenol be given for pain/menstrual cramps (outside of the order parameters) with "nursing judgment"? I'm a newer nurse (a year)...
alb402 replied to confusedstudent20's topic in Psychiatric
Every facility is different, but mine requires a bachelors in a human service related field (psychology, social work, etc). A nearby facility only requires current coursework in one of these...
alb402 replied to StellaLunaRN's topic in Psychiatric
I agree with Orca and elkpark. I'm a charge nurse on a 16 bed child/adolescent unit. We always have 2 RNs on - one to pass meds and the other is charge. With only 16 kids - some shifts are beyond...
alb402 replied to conroenurse's topic in Psychiatric
Joint Commission recognizes ANY time you tell a patient they can't leave a room or physically prevent them to do so as a seclusion. I work C&A and we got dinged when they asked a kid if he was...
I thought about talking to him but he could easily deny it to me and it would go no where. If it were a different nurse I might think it was done innocently, but this nurse is notorious for cutting...
That's exactly what I did. I didn't want to point fingers without knowing for sure and figured it would be best for her to investigate who it was that signed it. There are only 4 staff that worked...
I'm a charge nurse on a psychiatric unit where patients on suicide watch need to have a body/room search done each shift. One of the staff forgot to document that she completed this the other night....
alb402 replied to Mandychelle79's topic in Psychiatric
Amen. I really wish people (upper management/the admissions department/ERs) knew what goes on on a daily basis on a psych unit. There are not numerous nurses waiting to take admissions. There are 1-2...
alb402 replied to Billy_Ruben's topic in Psychiatric
IMO and experience, you have to be fairly laid back and not upset easily by things. Especially working in C&A, you'll be called every name in the book and children have a way finding flaws and...