Latest Comments by chevyv

chevyv, BSN 15,814 Views

Joined Apr 1, '08 - from 'Wisconsin'. chevyv is a Behavioral Health. She has '20+' year(s) of experience and specializes in 'Gero Psych, Ortho Rebab, LTC, Psych'. Posts: 1,691 (43% Liked) Likes: 1,599

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    I've been in mental health for most of my RN career. I was a CNA for many years, then LPN in LTC while I completed my ADN. I then went on for the BSN. When I first passed NCLEX, I took a job in mental health and loved it! Still do almost 8yrs later. However, I would love to be able to develop the skills I barely learned in nursing school. I am wondering how to go about doing this because I'm pretty much the "mental health nurse" now. I found a skill brush up at the local community college, but couldn't get off of work. I planned to work my vacation this year around the class, but it wasn't offered. Now, I too am looking for some tips. I don't want to leave my current job and only work .8. Any pearls of wisdom?

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    Serhilda and softrbreeze like this.

    First off, congratulations! My advice would be to be the sponge. My mentor was fantastic and I hope the same for you. Watch your co-workers to see how they handle tough situations and learn from them. Even the not so dedicated can teach you something. You already have a love for mental health, so that is huge!

    One safety tip that I learned the hard way is to be aware of your surroundings. Do not place yourself in a position where the patient is between you and the only way out of a room.

    I wish you the very best and welcome to the unique and wonderful world of mental health!

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    If it was tasty, if course I would buy it. I wouldn't pay an inflated price though.

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    Here.I.Stand likes this.

    I'm a nurse and a cc permit holder. I have no idea what that coworker means by nurse like. Most of my coworkers carry and we are all very nurse like in my opinion.

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    Quote from VersatileRN
    The majority of RNs on this site agree their patient workloads are manageable. To me.... That equals EASY. Considering the ER/trauma center workload is never manageable.
    Ah ha. If that is your definition of easy, take some time and cone work with us. Even with 7 pts, q 15 min checks, the volatile behaviors where it takes the police minutes to get there....I guess that's super easy. One call in and I now have 8-10 pts with extra volatile pts.

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    MMC.RN likes this.

    I would not want to give haldol for sleep either. If the order states 'for agitation', then I won't use it, especially for sleep. I work Acute Mental Health and we normally have standing orders for Trazadone for sleep prn. I would have let her be as long as she was appropriate and then address doc in the AM (if you can't call on NOCS). The patient should have prn order for sleep aid.

    As far an feeling the burn....well that first year or more likely two, you are learning. It takes a lot out of you so you are not alone. Take care of yourself when you leave the facility. It's difficult to switch the mental health off, but you need to take care of you so you don't burn out. It's not an easy specialty, but I love it!

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    Kristin135 likes this.

    I am one of the ones who regret waiting so long. But, if I had to do it all over again, I would become a psychologist.

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    The debt is huge. I would go the ADN route and do a bridge. Work as an ADN to gain experience even if it's ltc while you bridge. You can always apply to hospitals after you start a bridge program and many will hire based on the fact that you are actively pursuing the higher education. Also, I too believe a male has a better chance of landing a position in a hospital and the floor of their choice. I've seen it happen so much. It's a good thing I love psych! Nice and safe in my little niche. I'm just completing and adult BSN Completion program and was able to land a job in a hospital that hires mainly BSN's. Once they found out I had 5 classes yet to take, they hired me within a week of the interview.

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    Kitiger, Farawyn, and Davey Do like this.

    You did what you felt you needed to do. It doesn't matter what anyone here or anywhere thinks. We don't judge! Sorry you have to go through this. I wish the best for your son and yourself. Perhaps some therapy sessions will help you as well. We all need support at sometime.

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    Chevy_girl likes this.

    I guess it depends on which hospital setting. I worked inpatient at a county facility and currently work inpatient in Acute. Every facility is different. It's never the same day twice. It's rarely boring and when it is, it is a welcomed break. It can be physically violent and emotionally draining. Setting clear boundaries helps. I would change the response time for violent outbursts to 5 seconds.
    I usually have about 7 acute patients and am responsible for their care and safety. Admits throughout the shift. I conduct assessments both physical and mental and chart accordingly or request whatever they may need prn wise. Keeping a therapeutic and safe milieu is key. I'm not sure if this is what your looking for....

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    Chevy_girl likes this.

    I have always been attracted to mental health. In fact, in nursing school they had only 2 openings for a psych rotation and I thought I was going to have to fight my way in! Nope, no problem getting a rotation lol. Upon graduation and passing my boards, I went straight into county mental health and have never looked back. I love love love psych nursing! If that is your interest, then go for it! I never regretted my choice and have been doing it for over 6yrs now. I currently work acute inpatient mental health. Good luck and listen to your heart.

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    I knew my results within a week. I remember checking the website at least 5x day lol. I know trying to relax is hard, but like you said, its in His hands now. Keep us posted!

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    Nursenyring likes this.

    Yes, that's what I hear, but I'm saying it turned out to be true for me. A friend did the same and she was able to get to the payment page while I was not. She failed. So although I understand what you're saying, I'm just throwing it out there what my experience was.

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    When I took the NCLEX, I went home and tried the same thing. My results were also on hold. I found out that I passed, so it worked for me.

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    Graduatenurse14 and Davey Do like this.

    We use them at my facility as well. Love the nursing care plan! Yes, that is sarcasm.


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