JailRN 3,764 Views
Joined Jun 28, '02.
Posts: 620 (6% Liked)
I work for the police department in a local jail. I'm always professional, but not warm and fuzzy. That will get you hurt. I see murderers, rapists, child molesters, drunk drivers, child abusers, etc. I can tell you, I'd give him the same care that I give all of my inmates! To those who would do less, please reread the Nightengale Pedge!!
The beauty of nursing is that you can switch 'specialties'. Go where you're pulled. I've been in nursing since 1972, most of it psych. Most pts have some underlying psych dx. Plus, if you know your psych, you'll have an easier time with your boards. As mentioned before, non compliance is a huge problem, but, until they can stabilize meds for 6 months and have an implantable pump, it's difficult for the pts, their families and us! They get to a poiint where they gain weight, or don't think it works, so they flush it, sell it, trade it, loose it whatever! I think in psych, you must learn to think outside the box. What works for one, doesn't work for the identical twin with the same symptoms! The study and treatment of the mind is still in it's infancy. Also, most psych drugs take 4-6 weeks to work and pts are too frustrated! We are a society of 'fix it yesterday'. I'm on a local PET team and I can't tell you HOW many kids I get in the ER! Parents have had however many years to screw this kid up, indulge him, make excuses for their bx, take their side against schools, police, neighbors, relatives, etc, then want me to fix them in 60 minutes!! Sorry, pixie dust was optional with the RN renewal and I chose not to spend the $75 for it! A sense of humor is also important. (In it's place, of course). It helps if you have someone close to you who has a mental illness (and nowadays who doesn't?). Empathy is critical. You'll learn to think like they do. That's scary sometimes! Good luck and let me know how you're doing!!!
Why would you discuss ANY pt with ANYONE without knowing who they were? You've put yourself in a jam! Hope you have a good lawyer and malpractice insurance!! Even a good lawyer will tell you to keep quiet unless there's a subpoena.
She's lazy. Plain and simple! It drives me crazy when RN's have time to complain about something that we could have taken care of ourselves. It would have taken a few minutes to answer the light and put the pt on a bedpan, instead if having the pt soil themself. I'm sure others called the RN on her nonsense!
I think there's one like this in every facility. I wouldn't tell her anything! She sounds like she'd cover it up or just lie. Your responsibility is to your patients and yourself. You don't want to get involved in some sort of conspiracy! Keep doing what your doing, if she harasses you, go to H. R, don't let her bully you
What part of 'apply sparingly' did you not understand, Sir??
"The truth, the whole truth and nothing but the truth". Sounds like you have more on your hands than an ugly, foul mouth pt. You have co-workers who 'yell at you'. I wouldn't put up with it. You were correct in your notes. It's not your job to write nurses notes to make your coworkers look good. Or to paraphrase. You write exactly what was said! All else is subjective. And I'd be in somebody's office filing paperwork on your charming coworker.
Congrats! Just breathe, pause and think before you answer. Find out about the facility and what they offer to pts before you go. You'll be fine. Let us know!
Unless they ask, don't volunteer information. Years ago, I oriented a RN from a registry who was hired to work weekends. When she was scheduled for her first shift 3 days later, the registry called and said she was in labor and wouldn't be in. I never knew she was pregnant! Ha! When I was pregnant with #2, I was 8 months before anyone realized that I was pg and not getting fatter! You'll be fine.
Wake him up. He'll eventually fall asleep again. Like was said before, you're responsible for giving the meds ordered. If there's a problem, how does it look in court?
I wouldn't compromise my values for any price. If the MD's aren't docs that you would go to and take your family to, I wouldn't work for them. It's not worth putting your license at risk.
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