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Forced to wear nurses' hat
Hope you have Good Samaritan law in your state.
- Psychiatric Home Visits
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Psychiatric Home Visits
I did home infusionHad armed guard for some visits. Not due to pts. Areas of drivebys and car jacking. Had reliable junker. Syringes big concern if word got out. I loved it. Laid off
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Techs and groups
Looked into ped psych. Have seen peds in our E R. Tranfer. Hard to see 6 yo want to kill himself or parents that have to be reported for drop off and run. You peds MHRNs are special. 8 yo bipolar?
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Techs and groups
Our groups require RN or OT. Last 1 hr. Topics are scheduled. Staff facilitates. Break up into 2 groups each time, depends on function. Hallucinating, etc go to 1 group. Hard to take time to chart on group and assigned pts. Yalom is our guide. Also, started W.RA.P. PROCESS, or can take home and use in iop or ltsr. Wish we could do more, acute into, alas 5-6 days, except pts who need long term 2-3 months!
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Celebrating Nurses: What Happened to the Cap?
Mine is long gone, but, my patients still see it when I greet them with a smile and my name." I am your nurse"
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Psychiatric Unit Staffing
I walked on unit and checked assignments, 2 RN to work after 12 hr crew left. 26 pts tons. HS and prnsMix of dual Dx. Mood d/o and Thought d/o. Pretty wild. 2.aides. Not techs. Staffing...ha. I felt sick. Burst into tears, never did that in 35 yrs of RN, had to go home. Couple angels stayed. We made it. Usually have 3 RNs for complete shift 1-2 aidesSecurity and wanding safety checks of entire unit incl areas not in use q15, group, 1:1, and tx plans, charting. Hoping computers stay live. Most of aall keeping everyone safe. I am no longer loving this. I feel empty. Same patients for yrs. Thinking of Psych homecare. Anyone?