Content That Hygiene Queen Likes

Hygiene Queen, RN Guide 24,421 Views

Joined Sep 13, '07. Posts: 2,369 (72% Liked) Likes: 8,031

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  • Jan 18

    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.

  • Jan 11

    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!

  • Jan 10

    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!

  • Jan 10

    You know you're a psych nurse when....
    You are really good at dodging things... milk cartons, trays of food, vomit, spit, punches/kicks, conversations with patients who are ++tangential.

    You have a sixth sense for that patient who is going to be trouble on your night shift.

    You have a gut from all those "reinforcements" that your coworkers bring in but you can run like an athlete when someone calls for support.

    The second anyone gets mad/upset around you, your calming psych nurse voice just turns on.

  • Jan 9

    Hi everyone,

    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?

  • Jan 6
  • Jan 5

    Quote from motor_mouth
    You know you're a psych nurse when. . .
    You can identify traits in different Axis III diagnosis of other members by their posts!

  • Jan 4

    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.

  • Jan 4

    Quote from Cisabel
    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.
    Here's what I have to say about these three easy patients from the medsurge nurse perspective:

    PT IN DIALYSIS- I have often had to go to the dialysis unit in the middle of a busy shift to collect my patient which can be more time consuming than you think. The dialysis nurses often can't give the patients medications that are due because it would just be cleaned out during dialysis which means that I now have to give those medications. I need to do a full set of vitals because my PCA is on break and no one else is available. A full assessment needs to be done too. A patient being gone for a few hours does not make my day eaisier.

    PT ASSIGNED TO STUDENT -Students are a liability to a nurse's license. They need to be constantly watched. Students make a nurse's day harder.

    DICHARCHED PATIENTS - They need lots of paperwork printed out, signed, and explained. Often the patient refuses to leave because he wants a certain prescription that wasn't included in the discharge or he suddenly feels nauseas and now I have to page the doctor who is busy with a code and can't come. Patient and family are now bothering me every 5 minutes asking me why the doctor isn't here. The fact that there is an emergency going on is countered by "You should just hire more doctors." By now, the patient is here long enough that I must chart on him as well. When the patient finally leaves, I need to prepare myself for the admission I know I'm going to get within the next hour. The ED hasn't called yet for report, but it's super busy down there so I know they will soon.

    These are all things that have happened to actual people on a consistent basis. Looks can be deceiving. The so called easy patients are often the ones that take up the entire day. I'm not trying to negate your feelings, just trying to help you see inside of the preceptor's head.

  • Jan 3

    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.

  • Jan 3

    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.

  • Jan 2

    Quote from srercg6
    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.
    Family not wanting to take care of a patient has nothing to do with their immigration status. There may be valid reasons why a family member would not wish to take care of a patient. Maybe Daddy raped his daughter every night for years -- I cannot imagine why you would expect the daughter to then take an aged Daddy into her home (where she may have her own young children) and care for the man for possibly years. Perhaps Mother cut off all contact with a daughter who married a man of a different faith, had a child out of wedlock, or simply chose to live her own life rather than the life Mother chose for her. After forty years of no contact, Mother is ill and needs care. Are you going to force that daughter to take her in and care for her?

    No one should be forced to care for someone they don't want to, family member or not. Many of those poor, lonely elderly patients are lonely for very good reasons.

  • Jan 2

    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 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

  • Jan 2

    Quote from Avid reader
    You are definitely a psych nurse!!! Well perceived!!!
    Well then, since my sense has been confirmed, shall we take it to the next level?

    I also sense that attention is the goal of this endeavor. One who seeks attention through questionable techniques does so due to a feeling of not being fulfilled. People use available techniques that they know work best, to get attention and get a fix of feeling momentarily fulfilled.

    But it all comes down to bad attention is better than no attention...

  • Jan 1

    Quote from Bottomed out
    Why do people respond.
    This has been both an entertaining and learning experience for me, Bottomed out.

    Ethio has sparked quite a lively discussion both here and with my wife Belinda. For example, she ran a lab before becoming a nurse 10+ years ago. Belinda recounted several stories with me, two involving a patient who suffered a brain bleed and another who had an alternating Coumadin dose of 15 and 20 mg!

    Being a geriatric psych nurse, I get just enough medical to keep me interested. I believe being in the company of medical nurses who know what they're talking about helps me be a better nurse.

    So, Ethio got a like from me for sparking this lively discussion. I'm grateful to those who responded with their witty and informative posts!