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New year, new Simon and Verna! Our most animated psychiatric-mental health nurses, Simon and Verna, are back and excited to submit an abstract for this year's Annual Conference. Get to know (or get reacquainted with) our resident conference guides as they navigate the abstract submission process below: Join Simon and Verna in sharing expertise: submit an abstract for a podium or poster presentation by March 6, 2017 ! And keep an eye out for more Simon and Verna - they'll be back with updates on the Annual Conference as we get closer to October. Another way to help shape an outstanding program of educational presentations is to...
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APNA needs your perspective: the Board of Directors will meet this February to plan out APNA's goals and strategies for the next five years. The resulting strategic plan will drive the development of future programs and initiatives for you, our members. It is vital for the Board to have your input before its February meeting. Please check your email for a link to the Strategic Direction Survey.
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I'd like input from other states on this issue: In Montana we have a number of youth therapeutic facilities (group homes, shelters) that permit unlicensed staff to provide "emergency" manual restraint (one or two person physical holds, including basket holds) to prevent injury to peers or staff. I provide medication management to some of these youth, as an independent provider without facility oversight. The staff are all trained in MANDT (one program for verbal deescalation and manual restraint). My concern is the overuse of this manual technique and the lack of review by a medical provider. Schools are not allowed to do this hands on manual restraint....
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The View from Hoover Dam

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I never thought that I would get to Hoover Dam and I did! I never thought that I would get to fifty-seven years old and I am here! What I have seen of my life so far, surrounds me like the mountains cradle the Colorado River. An amazing snapshot of a journey where the beginning and end of the path are neither in earshot nor line of sight. Like the view of the river from the Dam, I am in awe of where I have been; what I have accomplished and what is left to be done. For thirty years I have been a Registered Nurse, an administrator, a nurse leader and I find myself at a fork in the road of my career. It is uncomfortable. I mean what am I to do? Do I just...
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Dear APNA Members, Thanksgiving is a very special holiday. It is an opportunity to reflect on the many blessings in one’s life. Psychiatric-mental health nurses have a passion for what they do that is beyond measure. Every day you do something that few have the capacity, talent, and drive to achieve. In times of stress, confusion, and despair you give patients and families hope. Our world needs hope. By giving it, you offer expectations for a brighter future. There can never be enough words or ways to say thanks for all you do. You truly are a blessing.Thank you and happy Thanksgiving! Please enjoy a free continuing nursing education podcast...
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The office of the Surgeon General has just released its first ever report on addiction in America. The report, Surgeon General’s Report on Alcohol, Drugs, and Health , addresses this public health crisis in our country and offers a way forward which is rooted in the latest scientific evidence. In his preface to the report, the US Surgeon General Vivek H. Murthy, M.D., M.B.A. opens with the following: "Before I assumed my position as U.S. Surgeon General, I stopped by the hospital where I had worked since my residency training to say goodbye to my colleagues. I wanted to thank them, especially the nurses, whose kindness and guidance had helped...
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MYTH: Quitting smoking interferes with recovery from mental illness. FACT: Smoking cessation does not exacerbate symptoms of depression or PTSD, nor does it lead to increased substance use or psychiatric hospitalization. 1 November 17th was the Great American Smokeout - an annual event to encourage Americans to stop smoking. APNA recognizes the devastating effects of smoking on those with mental health and substance use disorders. SAMHSA reports that, compared with the general population, people with mental or substance use disorders are more likely to not only smoke, but also get sick or die of tobacco-related causes. The Tobacco Dependence...
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The Joint Commission Standard PC.03.05.13 requires that "the [organization] continually monitors patients who are simultaneously restrained and secluded," and the APNA Position Paper and Standards of Practice for Restraint and Seclusion state clearly "Patients are never restrained and left alone in a locked room."
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"May you live in interesting times" was certainly predictive of the last 18 months, eh? In light of these events, especially the reaction to my fellow Americans to the outcome of the Presidential Election, I have read quite a bit about how traumatized some folks are. Ok, I thought as I read, it's time to put on my psychiatric nurse practitioner hat. I shared this with some friends on Facebook and I'm sharing it with the community at large with the intention for healing. Everyone responds to stress according to their learned coping mechanisms. Some coping mechanisms are adaptive, some are not. Physical exercise, eating healthfully, getting rest, and not...
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Does any facility out there ever use simultaneous restraints? Meaning having patient in 4pt restraints and seclusion. It was recently brought up as a question and I am curious as to if this is even happening anywhere. I've never heard of such or thought that it was even ethical. What are your thoughts or experiences with it. Caroline Stewart MSN, RN
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All, I am looking for resources or some guidance about submitting a manuscript of a literature review I did recently. This will be my first time doing such and definitely would like to do more as my projects become more complex and focused. I am asking for any resources or guidance you all who have published can provide for a newbie. You may email me at csstewart@uabmc.edu, call at 205-253-7189 or reply to this thread. I will be following intently.Thanks in Advance. Caroline Stewart MSN, RN Advanced Nursing Coordinator Center for Psychiatric Medicine at University of Alabama at Birmingham 205-996-3989 csstewart@uabmc.edu
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The hospital I work at currently only uses restraints for agitated patients as opposed to seclusion. We are currently looking into implementing the use of seclusion as a less restrictive measure. I would appreciate if anyone had information that supports the use of seclusion over restraints. thank you.
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Treatment Plans

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Is anyone using electronic Master Treatment Plans & Treatment Plan Reviews? Would you share what product you're using? Thank you! Mary Devin Nurse Manager Signature-Healthcare Brockton Hospital.
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Hi, I am just finishing up my PMHNP degree, but have been a family/geriatric NP for many years. I was wondering if anyone would be willing to share their NP protocols for Mental Health, as I am starting with a psychiatrist who has not had an NP previously. Thank you, Ann Lowe
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Trauma: Identification, Interventions, Treatment, and Resources. OCTOBER 7th 8:30- 4:30 Join the discussion on the many faces, symptoms, and interventions for people recovering from trauma. A day filled with networking, information, food and CE's! Cost $65 (includes breakfast and lunch, conference materials, and CEU credits). On-site parking: $5. Location Chiang Auditorium Englewood Hospital and Medical Center 350 Engle Street, Englewood, NJ 07631 Trauma: Identification, Interventions, Treatment, and Resources. Overview This program will review and examine trauma and its treatment, looking through the lens of sensorimotor psychotherapy....
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Genetic Testing

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Hi APNA community, My name is Saissy and I am in my last year of the Family Psychiatric nurse practitioner program. I'm creating this thread to reach out in discussion with my fellow behavioral health nurses, nurse practitioners, psychologists, psychiatrist, and anyone that is interested in commenting. Through one of my clinical rotations I had an opportunity to sit in on a vendor that was advertising GeneSight genetic testing. Of course, they provided food and made it sound like it was the easiest procedure to use on patients and that everyone should be utilizing this tool. For me it sounded convincing, till I started to hear other nurse practitioners...
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Hi APNA community, My name is Saissy and I am in my last year of the Family Psychiatric nurse practitioner program. I'm creating this thread to reach out in discussion with my fellow behavioral health nurses, nurse practitioners, psychologists, psychiatrist, and anyone that is interested in commenting. Through one of my clinical rotations I had an opportunity to sit in on a vendor that was advertising GeneSight genetic testing. Of course, they provided food and made it sound like it was the easiest procedure to use on patients and that everyone should be utilizing this tool. For me it sounded convincing, till I started to hear other nurse practitioners...
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Hi APNA community, My name is Saissy and I am in my last year of the Family Psychiatric nurse practitioner program. I'm creating this thread to reach out in discussion with my fellow behavioral health nurses, nurse practitioners, psychologists, psychiatrist, and anyone that is interested in commenting. Through one of my clinical rotations I had an opportunity to sit in on a vendor that was advertising GeneSight genetic testing. Of course, they provided food and made it sound like it was the easiest procedure to use on patients and that everyone should be utilizing this tool. For me it sounded convincing, till I started to hear other nurse practitioners...
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Hi APNA community, My name is Saissy and I am in my last year of the Family Psychiatric nurse practitioner program. I'm creating this thread to reach out in discussion with my fellow behavioral health nurses, nurse practitioners, psychologists, psychiatrist, and anyone that is interested in commenting. Through one of my clinical rotations I had an opportunity to sit in on a vendor that was advertising GeneSight genetic testing. Of course, they provided food and made it sound like it was the easiest procedure to use on patients and that everyone should be utilizing this tool. For me it sounded convincing, till I started to hear other nurse practitioners...
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I’m employed by a large hospital system, and instruct clinical for an undergraduate nursing program at another. These are both magnet hospitals. I’m also currently in my last year of working on my Psychiatric Mental Health NP. So imagine my intrigue when one of my students asks me if she was allowed to give her patient his scheduled 5 beers at 11am. “What kills alcoholics? Seizures do.” I was so surprised. I am so proud to say, in the hospital I currently work, we have an Addiction Medicine team. They can be consulted for a variety of addictions and start the detox process EARLY. A vital component in treating our ETOH patients, even...
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