EKUGRAD

EKUGRAD BSN, MSN, RN, CNS

Psychiatric / Forensic Nursing

PMH-BC

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All Content by EKUGRAD

  1. Things that make me grumpy

    Outpatient Psych, therapeutic classroom, 1st thru 5th. I send the notes home for meds and consents. They never come back so the med never starts. Then, without reading my documentation or asking...
  2. Hotel for day sleep for 3rd shifter?

    If I had known you were going to spend the night, I would have changed the
  3. Why I'm leaving nursing

    I'm not sure what all the whining is about. Did you not realize ANY of this before you became a nurse? Is there any history of this grand profession taught at all? I am not all that familiar with...
  4. showering: before or after work

    Some nights in the Trauma ICU the showers were before, after and DURING my 12,13 or 14 hour shift
  5. Some days.......

    What's
  6. OMG ! I was just using this old warning last week. And I work PSYCH ! At the risk of sounding like Florence's study partner, let me add this to the discussion. Seriously, I have been a RN for 41+...
  7. refusing assignment

    Agency nurses, especially travelers, get "the big bucks" because we get few benefits. What's available is usually WAY too
  8. Falsely accused of med diversion

    Gypsy nurses should be WAY down on a Nurse Manager's concern list. We are expected to perform at or above the Standards for our specialty, with minimal orientation or supervision. I have been...
  9. It Ain't Like The Movies!

    I had the honor of meeting Dr. Walter D. Dishell once. He was the grand PooBah of medical advisors (MASH, Trapper John MD, Hospital, etc.) Look him up on the IMDB. He told me that when there was a...
  10. Pens or pencils?

    Highly recommend felt tip markers and good ol' crayons. That said, in reference to Magnum's post: We had a 24-year-old borderline personality female at the state hospital that started by opening her...
  11. Extension contract, less pay

    Sequence: 1. Get the facility to renew. 2. Agree to stay. 3. NEGOTIATE THE CRAP OUTTA THAT CONTRACT...... Once the facility wants you, if the company doesn't renew your contract, they look bad....
  12. NGRI-What's your take?

    I hope my take on reading this is wrong. Are you saying that PTSD, Post-Traumatic Stress DISORDER, is not a legitimate mental illness with psychiatric diagnosis? It seems that you are placing...
  13. Psych nurses all have a mental illness

    My "Psych Career" began when I took a position as Intake Coordinator for an Addiction Treatment Facility. Before that, I was all ICU, ER, Flight Nurse, Level I Trauma, Military Combat Casualty Care,...
  14. simultaneous restraint & seclusion...help!

    Seclusion is only defined if the person is physically prevented from leaving a space they would otherwise be able to
  15. Psych nursing at the VA Medical Centers

    When I started at VA Psych, an LPN (Army Combat Medic) that had been there forever told me words of wisdom. He said, "Just remember; they're all trained killers". Other than that, just like any...
  16. Husbands!

    I REALLY like the "Physical Exam" response/comment !! I'm going to try it. When I married, I found out I was the only "medical" person in the family. I was very fortunate to be able to support...
  17. New grad in psych

    I really hope you meant this as a facetious statement! I have been a Psych Nurse over 24 years and watched new meds and techniques come and go. One thing that never changes is the behavior of...
  18. Having some issues with BPD (big shocker!)

    "And you have no idea if these individuals trust me". The sad truth is, they don't. They can't. That is the nature of their maladaptive coping disorder formed by response to trauma so many years...
  19. Staff splitting

    "If at first you don't succeed, try again. Then quit. There's no use being a damned fool about it". W.C. Fields Since you don't say what type of facility / unit you work in, it's hard to say what...
  20. Amedisys reviews for 2016??? Anybody?

    RN/BSN 41 years; ICU, E.R., Dialysis, Trauma, MedFlight, CCRN, Advanced Educator, etc. The last 23 years of that service has been in Psychiatric-Behavioral Health and Addictions Nursing. I was with...
  21. Methadone worse than heroin....ideas?

    "My sister's mom was just as fall down wasted off of that as she was the heroin so is it just a safety thing?" I have been an addictions RN for over 24 years. I am a recovering addict. If this...
  22. Pseudo Seizures

    By definition, PNES (Psychogenic NonEpileptic Seizures) is a psychiatric disorder; more specifically it is a conversion disorder, which falls under the diagnostic category of somatic symptom...
  23. Manners....are they obsolete ?

    One of my students (9th grade) ran in the clinic shouting, "I need a bandaid!" I came back with, "What else do you say?". He thought a second and said, "I need a bandaid