mebeafrn

mebeafrn

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All Content by mebeafrn

  1. Borderline adolescents

    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...

  2. Can You Detain a Patient Just For Being Manic?

    mebeafrn replied to Meerkat's topic in General Nursing

    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...

  3. DID question

    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...

  4. Borderline adolescents

    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...

  5. Child Sexual Abuse: Are Health Care Providers Looking the Other Way?

    mebeafrn replied to sirI's topic in Forensic

    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...

  6. DID question

    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...

  7. Innapropriate comment at CODE?

    mebeafrn replied to Dinith88's topic in CCU, Coronary, Cardiac

    IMO tension relief is OK as long as only nsg. hears it. Humor puts things in a more "manageable"

  8. Ready to function as

    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...

  9. Ready to function as

    mebeafrn posted a topic in Psychiatric

    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...

  10. Jumping from a BA in Psychology to a Psychiatric nurse

    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...

  11. Psych nursing student needs help!

    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...

  12. Ready to function as

    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...

  13. Ready to function as

    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...

  14. working on Christmas?

    mebeafrn replied to scrmblr's topic in General Nursing

    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...

  15. Stigma against Psych.

    mebeafrn replied to Keely-FutureRN's topic in Psychiatric

    ooops,clicked wrong,can't find escape

  16. weight gain and antipsychotics

    mebeafrn replied to stnursebee's topic in Psychiatric

    Look up the s/e of Zyprexa- it can have an insulin resistance effect. Wt. gain and blood sugars esp. in younger pt.s warrent monitoring. Hang in

  17. In memory of my friend

    mebeafrn replied to mugwump's topic in General Nursing

    I'm so sorry for your pain. I too lost a best buddy-only 40- recently. Cry as much as you need to,talk as much as you need to. You can do all kinds of good things in her name and memory. She was so...

  18. Would you marry your prison pen pal?

    mebeafrn replied to Blackcat99's topic in Correctional

    [ We write to you at :chuckle

  19. Share Your Saying

    mebeafrn replied to angelique777's topic in Nursing Humor

    Nursing is calling to see if the physician would OK ordering some Ativan 0.5 -1 mg q 4 hrs prn agitation- yes, we will let the pt. have some too

  20. Share Your Saying

    mebeafrn replied to angelique777's topic in Nursing Humor

    So well said..puts things in perspective when caring becomes a business and "positive financial contribution" becomes more the expectation than delivery of outstanding care. You made my

  21. Anyone work as a Psych nurse with sex offenders?

    mebeafrn replied to funnygirl_rn's topic in Psychiatric

    if I can help stop a sex offender from breeding more sex offenders, dammit, I'll do it. Meerkat-you hit the proverbial nail on the

  22. Stigma against Psych.

    mebeafrn replied to Keely-FutureRN's topic in Psychiatric

    I 'spose we're all just a little bit"off" in our own way,just depends on how tolerant we are willing to be of another way to function than our own. Not to say that which takes advantage of the...

  23. Can someone explain OASIS to me? Simply what does it mean?

    mebeafrn replied to DutchgirlRN's topic in Home Health

    OASIS-data set related to functional assesment and the Medicare reimbursment-at least in Nebraska- is tied to it. The lower the pt. functionality is the highter the reimbursment PPO but the higher...

  24. liability insurance for private RN services

    mebeafrn posted a topic in General Nursing

    maybe wrong place for this question.. where do I go to ask about liability if I offer private RN services for med box set up and foot care/pedicure. Thanks for your

  25. Do you feel valued in your current nursing position?

    mebeafrn replied to Brian's topic in General Nursing

    yes by pt.s and most teammates-no by managers. The last year has been awful. I was part of a small rural four RN Home Health/Home Infusion and Hospice team, after budget cuts & RN's quitting and...