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Hygiene Queen, RN Guide 28,722 Views

Joined Sep 13, '07. Posts: 2,413 (73% Liked) Likes: 8,340

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  • Oct 15

    Almost 2 years ago I had just started my nursing career. I got my BSN in 2015 got my RN license shortly after graduating and had started my first floor job on an acute care floor as an RN. I was really excited when I started out but 6 months in i was absoleutly miserable and burnt out. I made a post 2 years ago

    http://allnurses.com/first-year-afte...g-1021484.html

    Asking the community what or where I can go with a BSN and only 6 months of actual RN experience. Many of you posted giving me advice and where to look in to etc but I had made the official choice of leaving nursing. I didn't leave the medical field I actually ended up applying to PA school and shockingly got accepted. I love the medical field but the nursing area just wasn't for for me. I'm glad to say I will be graduating from PA school this spring 2018 and already got a great job offer lined up with a great medical group here at one of the premiere hospitals in my state state.

    I just want to say thank you for every thing all you RNs do each and every day. I couldn't cut it as a RN and it's an area i highly respect and have a great deal of respect for. It's a very labor intensive job and very draining and i will always carry the respect I have for each of you as I move on with my career as a provider.

    To anyone who is also at that point where I was 2 years ago where nursing just didn't fit at all and you are looking at other options I highly recommend PA school.

    Anyway thank you everyone for all that you do, I sure as heck couldn't cut it. Pretty sure if other providers also walked in our shoes for 1 day they too would have more respect for all RNs.

  • Oct 15

    Quote from Kyrshamarks
    Heck, I work with nurses that have no brains. A thumb would be nothing
    Attachment 25077

  • Oct 15

    Heck, I work with nurses that have no brains. A thumb would be nothing

  • Oct 14

    Good afternoon! I was just contacted regarding an RN position at a local hospital on the Geri psych unit. My interview is in 10 days. I'm so excited yet nervous. My background is LTC and hospice. I truly adore the geriatric population. Do any of you geri-psych nurses have any interview tips? It would be greatly appreciated!!

  • Oct 14

    Since you have a background in LTC and hospice, I suspect that you already have a pretty good toolbox to deal with problems in Geri-psych. If I were you I would just highlight your previous experience, perhaps focusing on interventions that helped your patients, such as advocating for pain relief or treating a urinary tract infection that contributed to increased symptoms of dementia. You have excellent preparation for this job, just make sure to sell yourself!

  • Oct 14

    WElcome to AN.com, RN22322!

    I see you've already visited the Psych Nursing forum, so that's a good start. Put "Geriatric Psych" in the search box at the bottom of the forum page and you'll come up with all sorts of threads with good info.

    LTC is a great background! You've got more than half the battle won: LTC and adoring the geriatric population.

    Review psychtropic meds and I sense you will do fine on your interview!

    Good luck, RN 22322 welcome to Geri Psych, and let us know if you have any specific areas of concern!

  • Oct 13

    For me I guess it comes down to how the orders were written, was the pain ordered at the same time as the labs, IV? AND did the pharmacy acknowledge and verify before the nurse went on break? (basically were they available to pull) If they were then then for me I would have administered before going on break, if they werent I might have gone on break figuring they'd be available when I got back. At my facility we cant pull meds on any new admission until pharm has verified all meds.

  • Oct 7

    Quote from Orca
    Several come to mind. Inpatient geropsych unit in a metropolitan hospital, female patient who seemed to have her days and nights inverted, resisted being put to bed at night. Would walk the halls checking doors and looking in rooms. Found out after talking to family members that she was a retired RN who worked night shift for many years. I noticed that when she checked doors, it wasn't as if she was trying to escape the unit, but rather that she was checking to make sure that the doors were secured. If we let her sit in the nurse station for a few minutes and arrange papers, she was much happier because she believed that she was helping.

    Inpatient geropsych unit, free-standing mental health hospital. Female patient who didn't seem to have much memory left, walked by the desk where we had a copy of the patient rules and regulations out on the counter. Stopped, picked up the paper, read aloud word for word what was on the paper, put it down, and immediately walked into another patient's room.

    Inpatient adult mental health unit. Male patient from our companion geropsych unit came over to sit in the activity room. Spotted the piano, sat down and played beautifully (this man couldn't remember his own name).

    Same unit as above. Male patient from geropsych unit, convinced that he was the President of the United States. Wasn't happy until I agreed to sit down with him and listen to his ideas about foreign policy.
    Orca - I'm going to be the old lady from your first example someday.
    Maybe we need to create a special unit for old healthcare workers with a mockup nurses station. Would keep us all occupied and out of everyone's hair!

  • Oct 6

    If he is a person prone to having pseudoseizures, I could justify loosely connecting zyprexa to preventing these episodes.
    "Psychogenic seizures or events are caused by subconscious thoughts, emotions or "stress," not abnormal electrical activity in the brain. Doctors consider most of them psychological in nature, but not purposely produced. Usually the person is not aware that the spells are not "epileptic."
    Zyprexa can help calm a patient like this down and therefore this could prevent a pseudoseizure. I might have explained it a differently with different wording but I could see the nurse wanting to have the patient be cooperative during the IM administration. His "seizures" are involuntary but are caused by stress, thoughts and emotions. Any med that reduces antipsychotic symptoms surely can help with this. I might say it "helps with the type of 'seizures' you're having."

  • Oct 5

    Hello fellow nurses!

    Here is Sarah - I hope to be able to learn something new here about nursing. Wish me luck!

  • Oct 4

    I've always been kind of a loner. It's not hard for me to become friendly with people, and in nursing school, I remember there being a handful of people that I was friendly with, but I never really crossed the threshold into becoming really tight friends with anyone. I usually studied alone, was kind of on my own in clinicals, and never really found this super close group of friends that a lot of people talk about. Honestly, now that I'm four years postgrad, I find that I barely remember the names of most of the people in my graduating class, and we graduated about 80 people.

    I've come to realize as I've gotten older that being a bit of a loner is just how I am. I find a few people I really enjoy and connect with and stick with them, and even they have a hard time luring me out of hiding a lot of the time. I'm just really comfortable being on my own, and I've never really had a tight connection with a group of people at any point in my life that I can recall. It used to really bother me that I never seemed to become a part of a group; in fact, it threw me into a depression that lasted the last couple years of university and two or three years after graduation. Now that I'm established and have discovered who I really am, I've decided that it's okay.

    I'm not saying that you shouldn't try to put yourself out there; you should. Us introverts tend to "bubble off" and keep people at arm's length without realizing it, and we can really benefit from having some regular interaction. But on the same token, don't force yourself into social situations if at the core of your being, you find yourself averse to it. Being someone you're not is way worse than being alone, in my opinion. I guess my main point is: be open to finding someone who gets you and that you truly enjoy being friends with, but don't force it. You're not exactly in nursing school to find your best friends, but if it happens, then that's dandy. If it doesn't, then find peace within yourself and who you are. I did, and I'm way better off for it.

  • Oct 3

    We were told this when we switched over to EPIC. Absolutely no paper EVER. We had to work solely from the task list. No brain, no notes, nothing.

    Guess what? Two years later, I have my self made assessment sheet on every patient, and no paper policeman has ever confronted me about it. They'll pry my paper report sheet and checklists from my cold, dead claws.

    Don't stress about it.

  • Oct 3

    Quote from JBMmom
    Our facility recent changed EHRs, and we're being told that soon we will not be allowed to have any papers for our patients.
    There's a huge difference between not having a paper chart, and not being able to utilize a personal "brain" sheet during the course of your shift.

    The way I interpreted the quoted sentence was that there aren't going to be any papers produced BY THE FACILITY for patients -- no face sheets, no list of orders, no printed MARs, etc.

    I think you're all worried about nothing.

    We have an EHR and every single nurse on my unit uses a "brain" sheet. Orders and meds and treatments and labs are all in the computer, but everyone carries a list of things to do, etc.

  • Oct 3

    If you use a cheatsheet what are they going to do? Fire you? If paper use is that big of a deal just buy your own. Seriously, this is one of the stupidest things I've ever heard. You do you.

  • Oct 3

    We are paperless ...don't even have patient charts. We still have SBARS, though. Computers are not 100% reliable or 100% available at all times. I would keep some sort of paper checklist regardless of what was allowed.


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