Tenebrae BSN, RN

Tenebrae has 9 years experience as a BSN, RN and specializes in Mental Health, Gerontology, Palliative.

Tenebrae's Latest Activity

1. 

   MNA and Nurses Respond to the Killing of George Floyd by Police

   Tenebrae replied to tnbutterfly - Mary's topic in Nursing

   The other day I had a patient barge into the nurses station. I'm not talking standing in the door, I'm talking all the way in. It triggered a massive trauma reaction in me and my first reaction was to smack them one. Instead I relied on my training, pushed my duress alarm and had the patient removed; Its about expecting the police to be held responsible for their actions in the course of their duty. If a pysch nurse cant (and shouldnt) get away with physically assaulting a threatening patient with a history of violence, neither should cops get away with injuring and killing people. Making excuses for thugs hiding behind a police uniform like these guys who dislocated an elderly ladys arm (who had dementia) and then laughed about it and pretending that there are not issues of systemic racism in law enforcement will do far more damage than holding police accountable for their actions.
2. 

   MNA and Nurses Respond to the Killing of George Floyd by Police

   Tenebrae replied to tnbutterfly - Mary's topic in Nursing

   Kind of makes one wonder. If thats how they act in public, how do they act in private when they think no ones watching
3. 

   Pressure injuries - WOC nurses, please help!

   Tenebrae replied to MLBBLM's topic in Safety

   For at risk people - pressure relieving mattresses, I love the alternating air ones, however they can wierd some of the patients out. There are some bog standard non alternating air mattresses that are comparible. - Braden or waterlow assessment on admission for every patient and reviewed regularly, and act on the outcome if its changed. - High energy, high protein diets for those at risk - Good perineal care, the manufacturers of moli pads may ensure us that they absorb all the wetness however if a patients sitting in a wet bed or soiled pad for any length of time, their skin is going to deteriorate - I went to a seminar on pressure injuries a few years ago, it said that pressure injuries can start developing in under an hour
4. 

   MNA and Nurses Respond to the Killing of George Floyd by Police

   Tenebrae replied to tnbutterfly - Mary's topic in Nursing

   Rule of 3s. 3 minutes without oxygen...... Former Officer Chauvin obstructed George Floyds airway for over nine minutes. Even if he'd lived, George Floyd most likely would have suffered irreversible brain damage I believe Chauvin claimed he was following his training. I would suggest the police needs better training. I work in acute pysch, and we often have to restrain and seclude violent patients and guess how many die? None. In Te Whare Manaki which is the unit for people accused of and who have been convicted of actual criminal offenses. Guess how many of those patients die when under restraint? None. Like I said, these cops need better training. Because if a bunch of nurses can restrain and manage violent people, police have no ***ing excuse
5. 

   MNA and Nurses Respond to the Killing of George Floyd by Police

   Tenebrae replied to tnbutterfly - Mary's topic in Nursing

   *** Black people are demanding to get the same treatment as white people. Currently they don't and the evidence supports it I read that several times, there are no stats in the article
6. 

   MNA and Nurses Respond to the Killing of George Floyd by Police

   Tenebrae replied to tnbutterfly - Mary's topic in Nursing

   former officer Chauvin knelt on a mans neck for over nine minutes. No rhetoric needed that fact is appalling
7. 

   MNA and Nurses Respond to the Killing of George Floyd by Police

   Tenebrae replied to tnbutterfly - Mary's topic in Nursing

   Do you have a link to the medical report? There is no criminal code within western countries that dictate a death sentence for assault
8. 

   Being sued

   Tenebrae replied to Tenebrae's topic in Humor

   You come into a thread meant in humour to express your belief about what appalling human beings we all are for finding humour in ridiculous situations (not at people) If you don't like the thread, heres a novel idea, don't read it and don't post in it. I'm sorry that you have had trauma. Guess what, you arent the only one. Some of the ways I survived the worst sexual, physical and psychological abuse at the hands of mental health professionals was by laughing at things that happen in every day life. Twenty years later now I'm a nurse later for some reason I thought it would be a good idea to go back to work in the place where the worst abuse happened. One of the worst abusers still works there. They have made their way up to senior management so at least they don't have patient contact any more. Is mental health a joke? absolutely not. I live with major depression and thanks to a whole bunch of things, I spent last weekend acutely suicidal and it was only thanks to two very awesome police officers that went over and above I am still here. I will continue to laugh at absurd situations that occur in the work place. Sometimes being able to giggle at some random thing that happened in the work place dealing with a patients trauma and distress is the only bright moment in truly horrifying days. If that offends anyones sensibilities, can you please go take a flying leap
9. 

   Being sued

   Tenebrae replied to Tenebrae's topic in Humor

   Virtue signaling much?
10. 

    Have you ever requested a patient be removed from your workload?

    Tenebrae replied to SilverBells's topic in Nursing

    I currently work in acute pysch, and yes I have had patients that I struggle to care for. I have one at the moment who seems to know exactly how to stick the knife in (metophorically speaking), and being in a fragile headspace at the moment I may ask my senior not to be asisgned to them for a week. The question I ask you is 'Do you leave your job after caring for this patient and feel that you have done the best job you can do?" This patient sounds incredibly complex, as someone who has been through gastric bypass surgery many of those GI symptoms could be simply a result of eating too much of the wrong food, too quickly. I know for me eating too much sugar gives me major diarhoea, if I eat too much protein and starch too quickly I will end up with major nausea and often end up vomitting. As a nurse you don't have to heal the world, you just have to be able to leave your job each day with the knowledge you have done the best job you can. Your level of control litterally ends at your finger tips. We can educate up the wahzoo however if a patient is non compliant it really is like trying to put out a forrest fire by spitting on it. And focus on good self care for you
11. 

    Psychiatric patients refusing to move rooms?

    Tenebrae replied to Ashleynurse101's topic in Nursing

    Your supervisor sounds like an ***. With those nurses I have to fight the urge not to bang heads together (metaphorically of course) and remind people that we are here for the best care of the patient. The way our ward is set up, we have thirteen general beds, another 3 beds that can be locked off for a high care area, and 3 seclusion beds. Usually patients are happy to be moved out of the high care area. As others have said, we would frame it as 'we need you to move, I get that you don't want to, however moving to the open ward is a good thing, its getting you closer to going home. This move is going to happen and I would much rather help you with it. I don't want to see things going backwards for you" If the patient was to kick off, we would need to assess whether the patient could be managed on the open ward or needed to go back to the low stimulus/seclusion area and if need be gather a large team. It's amazing how often the presence of lots of burly security and pysch nurses helps encourage compliance. That sounds wrong like I'm out to intimidate, the best comparison I can offer is when a patient hasn't been able to pass urine and we start to gather the supplies to insert an IDC and all of a sudden the patient manages to pee
12. 

    Being sued

    Tenebrae replied to Tenebrae's topic in Humor

    Its more of a giggle here because of our ACC law, it removes a persons ability to sue over health related issues
13. 

    Being sued

    Tenebrae posted a topic in Humor

    This is not nearly as serious as it sounds I work acute pysch and the other day I was working in the high care area where patients may go if they are pyschotic/manic and needing a low stimulus area. And its often a step down process if they started their admission in seclusion Anyhow, our patient was on a smoking regime. That is they only got a cigarette once an hour due to the mania they had a tendency to smoke them all at once and then complain they had none left. I was floating from my home ward and I tended to be a bit sort of 'mehh' but wanting to support my colleagues I adhered to the plan they had developed because not my place. The patient understandably was not happy and began yelling at me "I'm going to sue you, I'm going to sue you for defamation". I had to retreat into the office at that point, mainly because I thought laughing at the patient would be non therapeutic. Throughout the rest of the shift the patient would continue to mutter and periodiacally yell at me that he would see me in court and I should be terrifyed. All I could think of was the princess bride. It still makes me giggle
14. 

    New Grad Needs Advice - Hostile Work Environment

    Tenebrae replied to aap2020's topic in Nursing

    The thing is I woud never knowingly treated someone differently based on the colour of their skin either. In my opinion a jerk is a jerk. That opinion is based on their actions and attitudes, not their the colour of their skin. I'm one of those hopelessly naive human beings that often until it gets pointed out to me it would never occur to me that other people might do things differently The reason why I found that article really good was it made me realise, than even though this is how I think, there is a whole bunch of people out there who act in a different way. Like I said I would never have ever considered that I have white privlidge, this artcile was good because it wasnt coming from an angle of "you have white privlidge" it was more like 'this is what I experienced as a person of colour" Hope that makes sense
15. 

    New Grad Needs Advice - Hostile Work Environment

    Tenebrae replied to aap2020's topic in Nursing

    I forget where I found this article, however for this white girl it explained white privlidge really well. The full article here Being a white woman, it was pretty humbling reading this article. I consider myself fairly open, non judgemental etc and yes, no matter how much I may not want to admit it, white privilege really does exist. People get treated differently based on the colour of their skin. And sure, while we cant undo all the injustice thats happened to people of non european descent, as responsible healthcare providers we must be aware of this and actively seek to counter balance the impact of it Hope this makes sense. (its been a really long week and cant guarantee my words make sense)
16. 

    16 Hour Shifts

    Tenebrae replied to missnursingstudent19's topic in Nursing

    I usually do four 8s on and 2 days off I worked a 16 hr shift on Saturday night, on the condition that I don't come back for my final shift. . They were desperate enough that they took me up on that Alot of the younger nurses will do 16 hours go home for 9 and come back again, I know I don't have the stamina. If I don't get 7 hours sleep a night, I turn into a bibbering idiot Never EVER feel bad for putting your own needs first. Your work place will chew you up and spit you out