mebeafrn replied to Mudfiend's topic in Psychiatric
I looked at the DSM IV while I was wrestling old charts out of med records today and it talks about behaviors"experienced in adolscence and early adulthood" when going thru the dx. criteria so it's...
in NE we can do a 48 hour hold to determine safety,has to be initiated by a psychiatrist. In that the pt. is observed and evaled,recommendations made and if they are unwilling to go along voluntarily...
mebeafrn replied to Stdy2BaNurse's topic in Psychiatric
my little bit of info to add from experience with DID pt. The "strawbarry gal" presented with a bland facies,no makeup and very quiet demeanor. During the course of a conversation,usually after a...
mebeafrn replied to Mudfiend's topic in Psychiatric
so true!!!!I see charting that says pt. "likes"(quotes are mine) to_____fill in the blank w/ such as ,staff split,manipulate,have negative attention,have males do physical holds,be gamey etc... as if...
thanks! Thats just how I feel when I see things like that article.banghead: I don't see my co-workers looking away-mental health facility and we produce VOLUMES of suspected abuse reports. The...
mebeafrn replied to Stdy2BaNurse's topic in Psychiatric
wonderful topic! My experience is limited with DID. I do recall one gal who was allergic to strawberries,but loved & ate them,then would "leave" when the hives began to show. This was also one of...
mebeafrn replied to mebeafrn's topic in Psychiatric
thanks for the reply lovinghands...overwhelmed is very possible & you are right about chaos.We,the House Managers-have been taking turns working the units as the new RN's back up,letting them...
mebeafrn replied to mystikchik1031's topic in Psychiatric
if you are interested in nursing,go for it. Please do keep in mind as CharlieRN said so aptly,crazy people get sick too. Our population is aging too,so we see multi-system chronicity,not just mental...
mebeafrn replied to Blondielox's topic in Psychiatric
does the unit you are assigned to have a daily goals setting group? If so try watching how the staff enc. participation. You could also try the flip chart or marker board method vs individual paper...
mebeafrn replied to mebeafrn's topic in Psychiatric
wow,CharlieRN,compaired to your facility we are a unit. We went thru some bad years,managed care took a hard toll, and even worse internal management was very nearly our undoing. The parent company...
mebeafrn replied to mebeafrn's topic in Psychiatric
Thanks for the input!! In the past we have had great success with the majority of the med-surg nurses who have come to us,I say this some what tounge in cheek since thats how we all started :-) I...
our facility is expanding and we have nurses coming in with little to no psych back round. I am one of the few seasoned-15+ yrs. experiece plus a certification-psych nurses,a House Manager and very...
I just started an every Sat,Sun,Mon position. I've been in nursing for 23 yrs. and my oldest is 26. She still talks about opening presents on Christmas Eve,then again Christmas Day and again later in...