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...
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...
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+...
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...
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...
EKUGRAD replied to imapsychrn's topic in Psychiatric
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...
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....
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...
EKUGRAD replied to WinterLilac's topic in Psychiatric
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,...
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...
EKUGRAD replied to middleagednurse's topic in General Nursing
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...
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...
EKUGRAD replied to Penelope_Pitstop's topic in Psychiatric
"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...
EKUGRAD replied to Seeing Myself Out's topic in Psychiatric
"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...
EKUGRAD replied to casey_chloe87's topic in Home Health
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...
"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...
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...
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