Let me start with a huge preemptive thank you to anyone who can provide insight on this matter, it has been causing me a lot of stress. My wife has been offerred a job to commence in Toronto in...
Recently, in their vast wisdom and without consulting clinical staff, management have screwed a hotel-style reception bell to the desk of the nurses station within my psych unit. I want to hear from...
RNcashy89 replied to Umberlee's topic in Psychiatric
I am aware of rare cases of adverse interaction between Haldol and Lithium which can lead to an encephalopathic syndrome which could be categorized by weakness, lethargy, tremulousness, EPSE, confused...
RNcashy89 replied to Angeljho's topic in Psychiatric
Not sure if this will be directly helpful to you. If I interpret what you are feeling correctly, its a form of performance anxiety. In my graduate year I was giving probably my 10000th IMI one day...
RNcashy89 replied to avon123's topic in Psychiatric
General med/surgical trained nurse on a psych ward (generally) = as useless as a psych trained nurse on a general med/surgical ward (generally). AS mentioned, the knowledge practice gap is just as...
RNcashy89 replied to RNcashy89's topic in Psychiatric
Exactly. Reason #1 : high potential and likelihood of misuse. By demented patients, developmentally challenged patients, hypomanic patients etc. Not to mention that it is FIXED to the counter, so it...
RNcashy89 replied to LoveAura's topic in Psychiatric
You have some options/techniques as far as redirection and deescalation of acutely psychotic or hypo manic patients - however, ultimately their level of receptiveness will depend on their own capacity...
RNcashy89 replied to LoveAura's topic in Psychiatric
My dear god, this sounds like a bad dream. It is phenomenally inappropriate for such an individual to be treated within the facility you describe. I'm very ignorant re: international health care law,...
RNcashy89 replied to dandk1997RN's topic in Psychiatric
If this is the individual's genuine presentation, it would almost certainly be due to ortho hypo - if anything related to actual position change. +1 for Mandychelle. I feel grossly uneducated to...
RNcashy89 replied to studentnurse9806's topic in Psychiatric
Psych nursing is different, not easy. Certainly there is less task orientation than in a med/surg ward. I work with a lot of task oriented individuals - often they are the ones swanning around a psych...
RNcashy89 replied to sarasmith805's topic in Psychiatric
By definition, the context you have addressed was form of manipulation. You were manipulating your own pain - please don't see the word "manipulate" as having any particular connotation (negative or...
RNcashy89 replied to JesusKeepMe's topic in Psychiatric
A bit off topic (maybe) - but after years as a psych nurse, I feel like I am invincible in any argument against my wife/ non-psych friends etc. Haha, you can always reframe, always deflect, always...
Agree with above poster. Within my facility, sharing your own psychiatric history with a patient would likely result in a formal warning. Boundaries, boundaries,
RNcashy89 replied to ProgressiveThinking's topic in Psychiatric
Dealing with severe incidences of self harm (ie the amputation of a limb or suicide) will effect everyone - but always to varying degrees. I was involved in a severe incident recently, and could not...
RNcashy89 replied to sarasmith805's topic in Psychiatric
Deliberate self harm, particularly via superficial cutting, is a manipulative action. Not all self harm is the product of emotional distress. It can be a form of revenge, and certainly as a method of...