Morgan314 replied to HazelLPN's topic in Psychiatric
I've worked in Mental Health for a long time, but have seen very few patients who have an official Axis II dx of Narcisstic PD. Most MH patients have some kind of personality disorder, but usually...
Morgan314 replied to 45alex's topic in Psychiatric
Re: clogged needles with Risperdal Consta. I have had so many episodes of needles getting clogged giving Risperdal Consta, I contacted the company. The person I talked to admitted that there have...
Morgan314 replied to Bethy-lynn's topic in MICU, SICU
Liberal? Your post scares me. As nurses, we cannot give any medication, adjust dosages, change medication routes, or order tests without an order from MD, DO, or Nurse Practitioner. Does your...
Will you be paid extra for the OT? I work in an outpatient clinic, salary. I average 9.5-12 hrs/day because of the volume of work and accompanying paperwork. My supervisors, who are not...
Morgan314 replied to maniatx's topic in Psychiatric
Are you the only nurse working in the outpatient unit? When you say the new MD will want you to go to the inpatient unit, do you mean you will be transferring to that unit or do you mean you will...
Morgan314 replied to 45alex's topic in Psychiatric
augig----good advice about referring to Policy & Procedure Manuals. If there are any. We don't have anything re: injection technique where I work. Do you administer decanoate injections?...
Morgan314 replied to kathymack56's topic in Psychiatric
I worked in a PH program until "reform" happened several years ago, and I was transferred to the OP mental health center and the PH program was changed to "Psychosocial Clubhouse." When I started...
Morgan314 replied to InmyblooD's topic in Psychiatric
There are so many reasons for noncompliance with medications. A Patient who has no insurance, Medicaid, Medicare part D or other prescription med coverage cannot afford the medications. All the meds...
Morgan314 replied to 45alex's topic in Psychiatric
I hope you will enjoy your new job and find it very rewarding. I have worked with MH patients for 18 years. We gave Haldol and Prolixin injections in the hospital unit when I worked there, but I...
Morgan314 replied to WVUturtle514's topic in Psychiatric
I wish I could have seen the program you are talking about. When did you see it? Psych patients, especially those with active psychosis (hallucinations, delusions, etc) can appear "possessed," but...
Morgan314 replied to cranham's topic in Psychiatric
Good topic for dissertation! Family members cannot intervene or help in relapse prevention without education. Many family members do not have a clear understanding of Schizophrenia and as a result...
Morgan314 replied to Morgan314's topic in Psychiatric
I saw the ammonia "smelling salt" method used on an inpatient unit once, but we don't have any in our clinic. The patient has not had "seizures" during any encounters I've had with him until a family...
Nurse Ratched Thank you for posting the site for PAP meds. I have been searching for a site like this for a long time. This is the best site I've ever seen. In our clinic, we have approx 150...
We were offered a course on Recovery serveral years ago and the leaders used the Boston Model. I have a huge notebook full of stuff, but haven't looked to see if anything is available online. Our...
Morgan314 replied to PsychRN-Kris's topic in Psychiatric
Along with keeping your hands to yourself, keep your hands within view. If you approach a psychotic person with your hands behind your back or in your pockets, he may suspect you have something in...
What type facility are you talking about? Do you count narcotics at beginning and end of each shift? If the nursed signed that the medication was given, isn't that falsifying documentation? Where...
Morgan314 replied to PsychRN-Kris's topic in Psychiatric
Keep your hands to yourself. Sometimes this is hard because touching may be your natural response to a hurting person, but always ask if it is ok to touch them before you put that comforting hand on...
Morgan314 replied to here_kitty's topic in Psychiatric
So, Here Kitty, do you think you have what it takes? What might that be? Sounds like you must have what it takes or you wouldn't have enjoyed your psych rotation. I think I was the only one in our...
Morgan314 replied to hawaiianflowers21's topic in General Nursing
I never wanted to work in a hospital either, but there are plenty of other nursing positions out there. I work in mental health in an outpatient clinic and I like the 8-5, no weekends, no holidays,...
Morgan314 replied to here_kitty's topic in Psychiatric
I love working with psych patients, especially those with "severe and persistant mental illness" because these people often have limited support in their homes and community and they need someone to...