James W.

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All Content by James W.

  1. James W.

    My coworker was high and got away with it

    Here's a bit of disclosure.. When I was a teenage psych nurse trainee, it was not uncommon for the bolshy students to test-take psych medication too.. Both as a means of empathy, to feel what a...
  2. James W.

    Death and the Soul

    Prior to undertaking nursing training, I had been witness to the moment of death, many times, from childhood farmyard animal killings - through animal hunting, & accidental road deaths -...
  3. Statistical 'fiction' needs to be porificed.. Like, the raw mean/average/median - being applied improperly.. It can be truthfully said that female nurses' total pay is much higher.. ..if we add up all...
  4. Ye gods! & how is this really still happening, well into the 21st Century? When I was a kid in sex-ed class in a progressive ( post-Spock/Kinsey et-al) `70s coed high school, we boys were...
  5. James W.

    power struggles

    Problem solving in psych is important, as is providing therapeutic learning situations, - for less adept (anxious/pushy) staff & patients alike. Sadly, psych has always attracted its share of...
  6. James W.

    Diluting IM Haloperidol

    Agreed on consulting the Pharmacy to advise - IMO, the same applies to any unusual Rx dosage/administration regime, & especially psycho-actives. I'd advise carefully noting that you conferred...
  7. I have to agree with the poster stat above. In my experience I have known would-be nurses who have passed most every student pre-condition, only to be excluded entry to the register by the Board's...
  8. Xians do have differences... As a child, I was indoctrinated into the tenets of the ( admittedly minimalist) Methodist Church mob, wherein praying for things, as if asking Santa to cut a cool deal...
  9. James W.

    I want to be a Case Manager

    If you can provide evidence of being efficaciously organised & self-directed longitudinally, are able to provide positive examples of your well written case notes, & have a referee who can...
  10. "Supernatural assistance"? A bit like claiming.. 'Its not my fault I stayed out to party - instead of consolidating my essential knowledge base - the Devil made me do it!". Yeah,
  11. James W.

    PO haldol

    Haloperidol is a cheap 'n' potent old-school neuroleptic, & has low soporific value. If it is being used for cost reasons, then a prn cogentin order ought to be included. Like-wise, a concomitant...
  12. James W.

    I survived the Board of Nursing

    Perhaps you ought to consider filing a claim for wrongful prosecution? Your BoN clearly needs to revise its approach, & it may take a lawsuit to get them up to speed. Of course it is the primary...
  13. Not "fact" - by any means. For decades, it has been mooted that psychiatric disorders would be re-designated as "neurobiological" - as 'brain' , rather than 'mental' problems, yet the DSM rolls on.....
  14. James W.

    Being complained about behind your back

    This issue is perhaps yet another aspect of the 'double standard' problem. It is also fundamentally improper to be confronted by new 'complaints' in a 'performance appraisal' setting. & for...
  15. I quoted your words... & as to your contention that ADHD is "like" Schizophrenia or that both are in any way, similar as "biological" disorders, well that is for sure - drawing a real long
  16. James W.

    "Are you a Christian?"

    How do I answer this question? ( & before going further, I will state that my mother died as a firm believer in Christ the redeemer, which I duly respected, when I provided care for her, on her...
  17. What is that age old saying? Ah yes, "Praise be to the Gods, but pass the ammunition!" AKA: faith via a solid grounding in the test data to be evaluated, scientific validity-wise, is an...
  18. Actually, it is improper to conflate ADD/ADHD with psychotic disorders, such as Schizophrenia. While there is a familial/genetic inheritance risk factor for both, & both do usually have negative...
  19. James W.

    Calling in for no sleep

    Pretty sure that nurses are ethically required to be fit for duty, when they present to provide cares, & must be cognizant of this. If your functional capacity is compromised, even by fatigue, it...
  20. James W.

    Coworker physically abusive to patients

    Why not arrange a meeting with the manager, & say.. "I'm a bit fuzzy on the guidance being provided ( by the 'offender'), & being new here, do you actually/ethically endorse such conduct?" "Do...
  21. James W.

    What's Your Best Nursing Ghost Story?

    Here's a couple, from my direct experience.. A, As a teenage psych student, working night duty in the big old 100+ year old main building, & being told by the staff that the large chapel room...
  22. James W.

    no reply from nurse manager

    Oh wow.. I find it interesting that nurses are expected to be ultra-professional, when making applications, to even get past the HR pen-pushers. As an NM, I think it is incumbent to match that level...
  23. Indeed.. While communicating honestly in synch with the patient idiom is a realistic approach in such settings, nurses do need IMO, to know how to delineate between casual use of 'taboo' words,...
  24. James W.

    Exit Interview. Honest or not?

    I'd suggest that you could avoid 'burning bridges' by turning it around, & saying - this is an interview, so, is there any specific issues you want frank feed back on, & state that you are...
  25. James W.

    Gender, a fluid social construct

    I pitied some of the nurses who I worked with, who as very masculine looking/mannerism females, yet identified as strongly hetero - not only did they have a hard time getting a quality male date, they...