GalRN

GalRN

Psychiatry and addictions

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All Content by GalRN

  1. Don't want to be scalped!!!! HELP!!

    GalRN replied to catnfl's topic in Psychiatric

    Reminds me of a place in San Leandro where I did part of a travel contract. Big psychotic dude was stalking me and staff didn't notice or do anything about it. A fellow traveler called another unit...

  2. Dangerous Patients

    GalRN replied to Purple_Clover's topic in Psychiatric

    Small feisty people can do a lot of damage when they are psychotic enough. Spice will do the same. The most important factor is the environment. Some places don't take safety seriously until after...

  3. Invega sustenna question

    GalRN posted a topic in Psychiatric

    I'm an ACT nurse and have a lot of clients on invega sustenna. There have been some dramatic improvements- people who went from nearly mute with flat affects to euthymic and speaking in full...

  4. Psychiatric Home Visits

    GalRN replied to QTNurseBSN's topic in Psychiatric

    I work as an ACT nurse and do a lot of home visits. At first I wasn't sure that I could do it safely. I have worked with the mentally ill in my area in multiple settings including in the correctional...

  5. New to Correctional Nursing, any tips?

    GalRN replied to ckbreathing's topic in Correctional

    Thought I'd throw my 2 cents in as someone who started working at a jail about 5 months ago. It was originally a 13 week assignment, but has been extended and I'm starting a position that has an...

  6. Borderline Personality Disorder on the Behavioral Unit

    GalRN replied to Thunderwolf's topic in Psychiatric

    Realized I hadn't ever thanked you for this info! Thank you! I've worked on a lot of units as a psych traveler, and a lot of them didn't know how to deal with patients who had severe borderline...

  7. fearing for my license at a dangerous psych facility

    GalRN replied to RNfor918's topic in Arizona Nursing

    To the OP- Did the hopsital's name begin with the letter A? Because I left a facility that begins with that letter in 11/10 and will not go back through the registry I work for now. They were changing...

  8. 2010-2011 AZBN new grad survey

    GalRN replied to boru's topic in Arizona Nursing

    I was on looking for info on a local travel position I just picked up. I live here but haven't for too long, and was curious about where I'll be working. Anyhoo, I read this last yr when it was...

  9. Best Psych/CD nursing facilities in AZ

    GalRN replied to justice for all's topic in Psychiatric

    DO NOT, I repeat DO NOT take a chance with your license. There is a reason they are hiring. I work for a really good registry and every nurse I met was sent there and wil NOT go back. Pt care is OK...

  10. Drug Seeking Patients

    GalRN replied to nursemelyn's topic in Psychiatric

    As my sis would say, tru dat! The risperdone made me think of a situation I was in about 10 yrs ago. Pt had a hx of non adherence. They put him on risperdone. For a few nights he paced, clearing his...

  11. Delirium?

    GalRN posted a topic in Psychiatric

    OK, maybe this is a pet peeve, but curious... Have you noticed the huge group of patients with delirium - do they get ignored in your facilities? By ignored I mean no one notices that there is...

  12. Delirium?

    GalRN replied to GalRN's topic in Psychiatric

    I know exactly what you mean.... And it does happen all the time with older patients. I had been a nurse for at least 5 yrs when I got a job on a dementia unit. We had a new lady, from an acute care...

  13. Drug Seeking Patients

    GalRN replied to nursemelyn's topic in Psychiatric

    A unit that I worked on as a traveler had a rep for giving out MS Contin And oxy's like they were candy. Had a couple of pts that came in when their drug dealer went on vacation or their SSDI check...

  14. Interview Tues, leaving ICU for LTC

    GalRN replied to kimmersRN's topic in Geriatric, LTC

    Hi, I went from resp step down ICU to psych, where I come that is considered a step down from regular nursing and not paid as much per hr. LTC is around there in "status" and a little lower in pay....

  15. Am I expecting too much? Orienting a non psych RN to inpt and losing my mind!!

    GalRN posted a topic in Psychiatric

    Hi, I just got home after a frustrating shift that ended up requiring 2 hrs overtime so that I could complete MY charting as I had been covering a lot of the stuff that the other nurse working with me...

  16. Weirnike-Korsakoff Syndrome

    GalRN replied to my2sons's topic in Psychiatric

    I've had acouple of pts with the disorder and remember them being pleasant but in lala land and could not care for themselves. It's also near and dear to my heart b/c we are still wondering about my...

  17. Am I expecting too much? Orienting a non psych RN to inpt and losing my mind!!

    GalRN replied to GalRN's topic in Psychiatric

    Well, my helping the new nurse didn't help anything.... All it did was get me fired. Quick back story- my supervisor had been the "I'm your buddy and I'm here to look out for my staff" person. When I...

  18. Am I expecting too much? Orienting a non psych RN to inpt and losing my mind!!

    GalRN replied to GalRN's topic in Psychiatric

    Also I forgot to mention that I have WICKED ADHD, go into overwhelm pretty quick in chaos. She does too, she asked me if I thought she did and I told here I thought she did. Said she'd been treated in...

  19. Am I expecting too much? Orienting a non psych RN to inpt and losing my mind!!

    GalRN replied to GalRN's topic in Psychiatric

    It did just occur to me that in the OR she had one patient at a time. To end up with 10 after 5 days of unit orientation must be hell. I'm gonna write down the basic schedule I go by, when we aren't...

  20. Psych charting

    GalRN replied to crystalbrz's topic in Psychiatric

    I have my own issues with charting. After a few years traveling, mostly to places that used eMARs, I am back to paper charting. I've realized that electronic charting is good as far as time goes but...

  21. Does anyone know a good site to get RN CEUs for Psychiatric nursing?

    GalRN replied to Nurselacey's topic in Psychiatric

    Medscape is the way to go, definitely. They have a psych mental health nursing resource center, good info, articles, and free CEU's. Also, they keep the creditss for you to print out any time you need...

  22. Aspiration of syringe in depot injections.

    GalRN replied to BrianRN-PsychSup's topic in Psychiatric

    Thats a really good question. I've wondered myself for a while now. I don't think there is much risk of the med going into a blood vessel in the areas where I inject, but a few times the injection...

  23. time off between contracts?

    GalRN posted a topic in Travel

    I am being renewed at a hospital that I love, which I'm psyched about. However, I'm a little bummed out because the other traveler had no problem getting a week in between contracts and my company...

  24. Renewal... When do you find out?

    GalRN posted a topic in Travel

    Hi, I am at a facility in AZ, and have 4 weeks left out of 13wk contract. How long do they wait before asking you to renew? That of course, is assuming they want to renew you. The facility where I...

  25. Where does my responsibility lie? MD at crisis ignores request for orders!!!

    GalRN replied to GalRN's topic in General Nursing

    To clarify- This patient was known to the facility, and although I had not been his nurse, I had been lucky enough to read his admit and d/c notes, as well as the previous restraint records. He was...