mebeafrn

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 not something established in adol. I agree too with ...

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 if considered a danger to themselves or others-thi...

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 pause in speech and looking down or away she would "sw...

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 this is a conscious choice and these pt. really li...

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 situations are so frustrating,we report over and over a...

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 the more self injurious/high risk taking alters wh...

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

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 involved in their orientation. I'm concerned about a...

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 charge the unit with us on the meds or running program...

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 health. A good psych nurse needs some good solid me...

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 and pencil. You doing the writing and your pt.s givi...

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 was ready to close us. A management company has ta...

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 appreciate you perspective and suggestions,esp. the po...

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 the week depending on what my schedule was. We oft...

ooops,clicked wrong,can't find escape key,:imbar

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 there:)

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 fortunate to have a friend such as you:)

[ We write to you at :chuckle allnurses.com

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 :-)

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 day

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 head

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 volunerable-young or old- is acceptable. There is more th...

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 the resource utlization(sp?) ie higher SCFO higher P...

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 guidance.

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 no rehireswe ended up with just two of us covering ...