Hygiene Queen, RN Guide 24,421 Views
Joined Sep 13, '07.
Posts: 2,369 (72% Liked)
What troubles me about this type of religiosity is that, as an ideal, the devout religious person should want to draw others into closeness with the Lord. But, then, in trying to meets the requirements of prescribed observance, they call upon the less religious to work on these holy days.
It's like the churchgoers who make it a part of their Sunday ritual to eat brunch after Mass or Services, thus requiring, and depending on others to work on Sunday.
You're a strong person having to scale as many obstacles as you have.
There are a few regulars around here who worked as CNAs for years prior to nursing school. From my vantage point of being old I've observed there is a certain quality they have you can't get any other way. Maybe it's a true dedication to their jobs that results from having been in the trenches and emerging successfully on the other side.
Wishing you all the best!
In response to the titles from Daveydos psych career,
I have a few to add to this.. "Who pooped in the seclusion room?", "Bring the cutters, someone is self-strangulating : A sequel to psych patient, blue patient". , "Who pooped in the seclusion room again/this time?", "Code white: mutiny in the mood disorders unit", "Pay per view: Patient attacks staff, is restrained and then copatient attempts to attack patient while they are in restraints", "Whack nurse, grab badge, run!", "Assaulted by a sailor mouthed 6 year old", "Razer in her vagina!?!", "Polysubstance refused cigarettes, hulks out and smashes holes in all the walls!" And i could totally go on!
You know you're a psych nurse when....
Here's some background: I am about to enter my 4th semester as a nursing student. I am starting my first clinical rotation next month. I work as a nursing assistant at a psychiatric hospital, on a voluntary unit.
The nurses are only there during week days, so the nursing assistants give medications when the nurses arent there. The daily meds are pre poured into cassettes. I have been giving meds for about 6 months now and have not made any errors because the process is not confusing. However, the other night was a crazy night with a lot going on. As I was giving a patient their med, they were asking for a PRN and a variety other things so I asked them to wait a second so I could get their daily meds first. Without thinking, I poured the AM meds into the cup and gave it to them. SO, I gave them their AM meds when they were supposed to receive their PM meds. The AM med was an antidepressant. I noticed as soon as she swallowed the pill. I called the nurse and essentially freaked out. She explained that she, too has made med errors and that it happens. The patient was completely fine, thankfully. I was instructed to give her PM med as well. Her AM med was very low dose so they said there would be no side effects. She was fine. But, I cannot stop beating myself up about this. The nurse said that the protocol for med errors is I have to sit down and talk to them about it and if they decide it's necessary, I may not be able to give meds for a little bit. I barely slept last night and I feel sick to my stomach. Another coworker has given the wrong meds to the wrong patient and they had a negative rx to it, so in comparison thankfully mine was not the wrong patient but it's the principle that I made the error.
I'm one of the few workers who is in nursing school and I am so embarrassed that I was one to make a med error. I typically always go over the 5 Rights in my head but I failed to do so that night. One things for sure, I do not think I will ever make that error again as now I am going to be over cautious. I'm also worried about the other nurses' opinions of me may change, as I was respected prior to this for always being on my A game at work. I'm so embarrassed.
Have any nurses on here made a similar med error, or one at all? I'm now questioning myself and my abilities. Any advice for how to handle this embarrassment?
You know you're a psych nurse when. . .
As others have stated, even just charting isn't necessarily just charting. I work on a very busy tele unit with 5 patients.
While taking and charting morning vitals on a patient in with persistent diarrhea I look at the trend since the morning BP is low. I then see it has been trending down over the last 3-4 vitals. What's a person with diarrhea at risk for? Fluid volume deficit- so I page the doc and get an order to start some IV fluids. Every time I assess them after that I'm making sure I'm not seeing signs of fluid overload- listening for new crackles in the lungs, assessing for edema, etc. I'm "charting" and reviewing labs for the morning since electrolyte imbalance is also a very big risk- yup, the high potassium from the day before is now WDL, but hmmm- there's no magnesium level today and yesterday's level was borderline with no replacement. Add it to a list of things to talk to the doctor about. But oh crap- it now looks like the patient is having a massive run of vtach. Now I'm taking more vitals, checking the patient- they are totally fine. I'm now paging the internal med doc (attending service), calling in a consult for cardiology after getting the order, holding the prep for the GI procedure ordered until cleared by cardiology and notifying GI what's going on. I'm adding on a serum mag to morning labs- calling the lab to have it added on to what was drawn earlier so the patient isn't stuck again unnecessarily by phlebotomy. Oh good, the internal med doc is here and the serum mag results just came back low (like I thought), so now I'm hanging a stat order of IV piggyback mag sulfate. All of this happening by 10:30am and while I have 3-4 other patients to take care of as well.
That was really how a morning went for me in the last month. If I'd had a student I'm sure it would have mostly looked like charting and giving meds, but it certainly wasn't all that was going on.
Thank you for questions because I can correct you...Also, she had one patient at the time. One was in dialysis, one was assigned to the other student and the other was discharged.
Good first step -- you recognize this is problematic.
Perhaps it might help to pretend it's a loved one you are helping. My father was in the hospital, and I remember one nurse in particular that had a "stank face." It broke my heart and I seriously wanted to slap it off her face -- my dad was already mortified as it was.
I will always remember that humiliation of my father's ... it has haunted me many times. This experience keeps the "stank face" *completely* off.
I am a pre-nursing student trying to do anything it takes to become a nurse. I am so glad such threads (and others) exist. Threads like these allow potential nurse wannabees to see the many facets of the nursing profession.
no, that's just additionally. for instance a family that has a family member who needs a LOT of care - can't do a lot themselves - but some, but the family claims they are homeless (when they clearly are not) or don't have room for the person etc because they don't want to have to take care of them, and the person can't be sent to a facility because they are undocumented so they are left to use the more expensive services of the hospital as their long term care - years.
Gentle advice, as well as strong advice, for you...
Get through finals, graduation, and the NCLEX first. Don't put the cart before the horse.
Find a friend or acquaintance to critically go over your resume with a fine tooth comb before submitting it anywhere. Be strong on paper and do everything a job description's posting states to do, use those keywords to get through the computer's vetting process and actually get a human being in HR to see your resume.
Apply EVERYWHERE, not just your first and second choice employers. If you only have six months to find a job in an underserved facility, you cannot be 100% picky. Get the experience, develop the critical thinking, prioritization, and skills you need. Get the time for your loan 100% complete. Do not have that financial burden weighing you down by working elsewhere, or nowhere, within six months.
Move if you have to. Lots of new grads have to do it. It's the way things are in some areas, unfortunately. You gotta do what you gotta do. Let me tell you that I know quite a few fellow graduates, including the year before me and the year after me, that moved away to another state one to two years ago and now they are starting to move back and they are getting the coveted positions at major hospitals.
And lastly, love is hard...sad to say but it's very disappointing when a finance is not on the same page as you. Step back out of your situation for a moment and take a good hard look around. No one really knows what a BSN degree entails unless they've gone through it themselves. It is one of the most rigorous degrees to complete, if not THE most rigorous bachelors degree out there. It's not just taking classes and passing finals as other degree programs are. You have learned how to care for another person's life and their well-being. And even when you get your first job, you're still lacking so much knowledge.
If a man knows how hard you worked, and all you had to go through, to become a nurse...a career you did the work of seven years for just to get to that point, that you strived very hard for and did copious amounts of brain work and physical work for, to be able to achieve...and he is giving ultimatums or telling you the relationship is over if you do certain things for your new career or work in certain places...then that..deep down...is not the man you are supposed to be with. And that is perfectly ok. I mean it. It will be ok. You will be ok. It will be hard turning into a single person and transitioning into that stage of your life while you are transitioning into being a nurse. But if he won't support your decisions now, he won't support your decisions in the future unless they are his decisions. If you allow him to dictate who you are and what you are going to do, he's going to feel he can do that your entire relationship. He's not your father giving advice, he's not a friend giving advice, he's a fiance who is going to end up being a husband. If that's who he is as a person, you are not going to change that. Those qualities are woven into the fabric of who he is as a person. Sigh...can you tell this is coming from experience? You are you, and this is your life. You only have one, and no one is guaranteed to live it until old and gray. Seize your life, it is yours, and be strong. Whatever decisions you make, they are yours and should not be anyone else's.
Breathe, get through upcoming goals, strive, get out there, don't let disappointment turn you around, and feel the hug I'm sending you right now
You are definitely a psych nurse!!! Well perceived!!!
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