pandora44

pandora44

Psych, med surg

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About pandora44

pandora44 specializes in Psych, med surg.


Latest Activity

  1. XL Humane blanket?

    When I posted my original comments I was quite frustrated and tired and simply needed a few sentences to vent. I neither expected nor asked for responses about acuity. The implication that the nursing staff is responsible for patients acting out an...
  2. reporting abuse

    Yes, this should be reported. It is not up to us as mandatory reporters to decide if there is or is not abuse or neglect. We have to report anything we suspect. When you call it in, just say what you know. Do not extrapolate. If they ask somethi...
  3. XL Humane blanket?

    When I first wrote this post I assumed that the Humane blanket was much more widely known that it obviously is. Among the staff, the humane blanket is known as the "Burrito" and that image helps explain how it is used. The blanket is a large piece...
  4. Reserved Personality Type in Demanding Career

    Hi there. I happen to be a INTJ, so I know about being quiet and reserved. My natural inclination is as a loner and outsider. I'm not good with snap decisions or interacting with large numbers of people. Still, I am a successful and happy nurse, ...
  5. Going into psych after 15 yrs of hospital nursing

    There are lots and lots of greats posts on the psych pages for nurses new to the field. Spend some time reading through the posts. Here is what I wish I'd known: You will become strangely close to many of your patients as you work with them over t...
  6. Hmm... This is a tricky situation. Good for you for recognizing your issues and seeking help. I know a number of staff nurses on my psych unit who sought mental health services and I think that is all for the good. But I would be very, very cautio...
  7. XL Humane blanket?

    So what do you do when the pt is assaulting staff by bitting, kicking, punching, rushing, etc.? Those are the only times we use the humane blanket, when we can't get the patient safely to the quiet room otherwise.
  8. XL Humane blanket?

    It's been a very bad couple of weeks lately and our unit has had a very high number of code greens. We're averaging 4-5 a night. It's been bad. This is not normal for us. We just have a very difficult patient population at this time. My questio...
  9. What references do you you use?

    I understand why they want you to save your texts, but honestly, I wouldn't bother. You'll be able to find anything you need on the internet quicker than you can find it in the textbook. After I graduated, I never look an my textbooks again. I wis...
  10. If you love your job, what is your speciality?

    I work and love psych. :redpinkhe I worked a year of med-surg and hated it. Psych is intense and interesting and challenging. I've been two years now in psych and don't think I'll leave it any time soon.
  11. Newbie psych nurse seeking feedback (long)

    [quote= My own Rule of Thumb is to titrate my Expenditure of Energy according to the particular Patient's Resolve to help themselves. I fulfill my responsibilities as a Professional to all Patients. For those Patients willing to better themselves or...
  12. Newbie psych nurse seeking feedback (long)

    I've been a psych nurse about two years, after moving over from medical. I well remember where you are right now. It takes awhile to learn to deal with challenging patients! When I've had a patient who is obviously "faking it" but suddenly appear...
  13. We don't use any specific tool for suicidal ideation at our hospital. If a patient comes into the ER and says they are suicidal, they are admitted to our ER Access Center. The Access Center is staffed with experienced psych RNs and social workers ...
  14. Nursing and sexual orientation

    I my experience, it depends on the area of the country you are in and the type of nursing you do. Many people on this tread have said you just shouldn't say anything about your sexuality and then no one will bother you about it. I find this very in...
  15. I was at my doctor's office with a UTI. I had peed in the cup and put the lid back on. Then I was looking around for gloves to carry my own urine sample. Cracked me up when I realized what I was doing. When I'm bored or anxious I count my own ra...