Swanee

Swanee

Psychiatry

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All Content by Swanee

  1. Nurses with ADD/ADHD?

    Swanee replied to Metron's topic in Health, Stress Management

    We could start our own 12 step group lol. I'm suppose to be finishing up a few notes from last week and here I am still writing. This is pathetic. Time to make the donuts. (shoot, he died this

  2. Nurses with ADD/ADHD?

    Swanee replied to Metron's topic in Health, Stress Management

    When I told my aunt (PHD nurse and teacher)I had decided to go into psyche nursing she begged me not to be a stupid nurse. I did not know what she was talking about until I became a nurse. WOW!! We...

  3. Nurses with ADD/ADHD?

    Swanee replied to Metron's topic in Health, Stress Management

    I hope Margaret is still teaching. I know that I'm in psyche because I understand having to struggle and feeling that I'm different from other. Today, with age, experience and understanding, I try to...

  4. Nurses with ADD/ADHD?

    Swanee replied to Metron's topic in Health, Stress Management

    ritalin LA has minimal side effects and lasts for 6-8 hrs. It doesn't keep me up all night like adderral did. Ask your MD. Straterra did nothing for

  5. Nurses with ADD/ADHD?

    Swanee replied to Metron's topic in Health, Stress Management

    I've been where you are, 20 yrs later. Ritalin LA was better for me than adderral. I was up all night on that and my face broke out at 40! Ask your doc. I've found that now that I'm on meds and 13 yrs...

  6. Nurses with ADD/ADHD?

    Swanee replied to Metron's topic in Health, Stress Management

    Funny Metron that you started this. I'm a psyche RN, 13yrs sober and ADD diagnosed 3yrs ago. I was pulled in by my supervisor on an inpatient unit and she sent me to a doc at Yale who specialized in...

  7. holiday suicide

    Swanee posted a topic in Home Health

    It's the day after Christmas and I keep thinking of the patient I was working with who jumped in front of a train 2 wks ago. I saw the signs, got him admitted to the hospital, but he was discharged in...

  8. so what does it take?

    Swanee replied to CharlotteCNA's topic in Psychiatric

    Start with inpatient and talk to other psych nurses. I started as a case worker before becoming a nurse and then went to inpatient psych. Talk to human resources at hospitals and mental health centers...

  9. Irritating, but not dangerous...What to do?

    Swanee replied to kurlos's topic in Psychiatric

    Develop a plan with the pt and psychiatrist if ignoring doesn't work. Apparently he/she is looking for attention so get him/her in group, assess for AH/VH if too disorganized to attend groups. The pt...

  10. How Do I Approach This?

    Swanee replied to Meerkat's topic in Psychiatric

    Provide education and use colleages for support. Is this the nursing report? Who is making the comments, other nurses or mental health workers? Address them individually and discuss your concerns...

  11. Psyche RN's being required to do wound care - help!

    Swanee posted a topic in Home Health

    The latest at my agency, run by a medical nurse with little respect for psychiatry is that psyche nurses must be able to do both, and vice versa with the medical nurses! This is crazy. some of the...

  12. Psyche RN's being required to do wound care - help!

    Swanee replied to Swanee's topic in Home Health

    I worked with 77 yo nurse who was seeing her GP for psyche. She had been demented for three yrs. Utilities were maxed, life insurance was gone because it lapsed. He said she was a little confused but...

  13. Psyche RN's being required to do wound care - help!

    Swanee replied to Swanee's topic in Home Health

    There's got to be a balance some where! We have the same problem. No psyche nurse will sign on now that it's known that wound care is part of the package. The assistant director is the only one that...

  14. new to home health

    Swanee replied to caringRN's topic in Home Health

    Ditto!

  15. new to home health

    Swanee replied to caringRN's topic in Home Health

    Sorry about the negative. I love the patient contact however, the paper trail associated with homecare and the pressure to always do more is too much. I did get better at saying No! My answer is to go...

  16. Psyche RN's being required to do wound care - help!

    Swanee replied to Swanee's topic in Home Health

    This is reasonable and expected. Psyche patients are living longer and have many chronic illnesses, mostly from life of smoking among other things. Training is important. Inservices are rare now and...

  17. Psyche RN's being required to do wound care - help!

    Swanee replied to Swanee's topic in Home Health

    What are they doing, basic med surge or complicated wound care? My agency has a certified wound care nurse who is excellent. Would you like a surgeon prescribing an antidepressent for you? When a...

  18. Psyche RN's being required to do wound care - help!

    Swanee replied to Swanee's topic in Home Health

    I actually had phlebotomy training in the ED and it provides time to assess a patient while you're doing it! I agree that the orders should be followed because the patients rarely find out that they...

  19. Psyche RN's being required to do wound care - help!

    Swanee replied to Swanee's topic in Home Health

    Now think about that statement. I'm not saying that I shouldn't be responsible to do basic med surge nursing skills. I'm talking about tunneling wounds! My point is, just as a med surge nurse is not...