nickfitz1969

Hi, I wonder if anyone can advise the average theoretical and clinical hours required in mental health, obstetrics and paediatrics in pre-registration nursing education that BON's require in the USA? I am an IEN. Thanks, Nick.

Does anyone use Invega Trinza (Paliperidone Palmitate) their practice? I note that it is a 3-monthly injection. It is not prescribed in New Zealand, so I just wondered if it is a useful medication to use? Cheers, Nick.

I haven't read many articles where clinicians actually use mental health nursing diagnosis. Has the mental health nursing profession all but given up on nursing diagnosis and turned to the dark side of the DSM and medically-focused care? Regards, Nic...

Yes, there's always a negative to come from a positive isn't there? Very sad!

Haha. You really must lighten up! You'll end up with all sorts of stress-related problems! However, it does surprise me that you are talking about another person. That's unlike you. Perhaps you need to get a life. As you seem to be into The Lord of t...

Hmmmmmmmmmmmmmmmmmmmmmmm.

I'm really grateful that you allow me to do that Davey Do! Much appreciated.

Thanks!

Very good!

No, Google!

Normal human behaviour. Who would have thought it?

Great post! However, I only post on forum's that I have expertise in, rather than just posting for the fun of it!! As I have mentioned in a previous, I am only an expert in one field of nursing rather than a master of none! Back-handed complements ar...

I rest my case your honour!

Sarcasm (noun) "The brain's natural defence against the less intelligent" OR "Sarcasm: the ability to insult idiots without them actually realising it" OR "If you don't want a sarcastic answer, don't ask a stupid question" You choose!

Exactly, its good not be avoidant! Enjoy the shiltz!!!

Saiderap, Patients are not our opponents are they? I agree, a good understanding of personal safety interventions are useful in avoiding risks and maintaining the skills required to manage or avoid dangerous situations is the way to go!

Mental health nursing can be challenging and "dangerous" if the clinician doesn't continually consider the inherent risks in supporting mentally unwell individuals through their crisis. It is often the case that clinicians do not put risk-reducing in...

LPC2RN. The difference is that a restraint can actually be therapeutic, rather than sticking someone in a chair and restraining them and then watching them on 1:1 and doing a bit of admin at the same time. I would suggest that this type of interventi...

It seems that clinicians are getting assaulted and being given little support from their management. So, what as a collective group of professionals can you do about it? Will you stay and get on with it and accept that being assaulted is okay, or can...

So, what as a nursing group can you do about it? If you do nothing, nothing changes.

I'm honoured!

In terms of change management, you might wish to consider a transformational leadership approach to engage staff and involve them in the change management process. If you are looking at introducing quality improvement initiatives, maybe look at setti...

If a patient attempts to self-harm whilst in seclusion, then at least 3 staff go in and either offer medication or restrain the patient if that is required. Only patients who are under the mental health act can be secluded, so they are unable to refu...

We provide 1:1 visual observations for patients that harm themselves. No, the seclusion rooms are not padded, but only have a mattress on the floor with a blanket or two. Patients are observed every 10 minutes whilst in seclusion. A minimum of 3 rest...

Thank you for your positive feedback. Much appreciated. I am an expert in my specialist field and I make no bones about that. I don't pretend to be an expert in other fields, as I do not have the specialist knowledge to claim that. Mental health care...