marshmallowstar BSN, RN

marshmallowstar has 5 years experience as a BSN, RN and specializes in Peds, Neuro Surg, Trauma, Psych.

Latest Activity

1. 

   Problems with q15 rounds

   marshmallowstar replied to AustinPower's topic in Psychiatric

   We assign q15 rounds in 1 hour blocks at the beginning of the shift, nurses are in the rotation just the same as MHWs. On the RARE occasion that Q15s didn't get done (it's only happened once for me and it was when two behavioral codes were happening...
2. 

   How do nurses view psychologists?

   marshmallowstar replied to PsychNewbie's topic in Psychiatric

   Davey, I've been waiting for you to chime in and you never disappoint :) :) :)
3. 

   How do nurses view psychologists?

   marshmallowstar replied to PsychNewbie's topic in Psychiatric

   That's great that your unit has psychologists doing assessments and therapy, a lot of hospitals have cut it out sadly. The unit I worked on has an incredibly tight treatment team that all rely on each other's input and work. Concerns that some Psy...
4. 

   Medication error

   marshmallowstar replied to EDRN32's topic in Emergency

   I agree, the university systems I've worked for preform root cause analysis on errors to find out if there are system issues that need to be evaluated. Organizations that look for individual scapegoats are not healthy places to work. It would be dif...
5. 

   Urgent dental needs

   marshmallowstar replied to middleagednurse's topic in Emergency

   THIS. I worked for an FQHC and our dentists would squeeze in emergent patients. FQHCs do sliding scale and have case workers and assistants to help patients sign up for insurance. Sometimes the bureaucracy of the larger FQHCs can be difficult to nav...
6. 

   Patient First Urgent Care?

   marshmallowstar replied to marshmallowstar's topic in Ambulatory

   In case anyone is looking for this info in the future. The interview process is pretty in depth. Did phone interview with HR, then in person interview with HR where they also had self assessments to complete and a med/treatment recommendation quiz....
7. 

   Clinic RN / Primary Care?

   marshmallowstar replied to fetchfelix's topic in Ambulatory

   Talk about your interest in FNP, why do you want to do that? Those should be similar reasons to transition to clinic. If you're doing it only for the hours, don't. I can tell you that anyone who has come to my clinic and stated that in their top t...
8. 

   Do your Doctors wear lab coats?

   marshmallowstar replied to Jules A's topic in Psychiatric

   I work for the largest inpatient psych hospital in Baltimore, no coats.
9. 

   Patient First Urgent Care?

   marshmallowstar posted a topic in Ambulatory

   Hi, Has anyone interviewed with/work for Patient First, they're an urgent care chain in the Mid Atlantic. I searched for previous posts and they're all several years old, and we all know cultures can change. Just wondering what the experience is li...
10. 

    Spanish resources for psych nursing?

    marshmallowstar replied to SwampCat's topic in Psychiatric

    My understanding is under Title VI if your hospital receives medicaid/medicare funds it is required to provide a translator. My hospital has an interrupter come on site from 8am till 10pm for psych because the interactions are so varied, you can't g...
11. 

    Code blue on psych floor

    marshmallowstar replied to TerpGal02's topic in Psychiatric

    I was on the Code Blue team at my psych hospital, Keystone Kops indeed. For the *most* part our nurses are competent, it's more the residents (and sometimes attending psychiatrists) who want to do ALS when we are only BLS certified and have BLS suppl...
12. 

    Withdrawal Protocol Question

    marshmallowstar replied to vintagemother's topic in Psychiatric

    Sometimes if patients are well known, you may known they have a history of exaggerating or extending their w/d sx to receive PRNs. For opiates, I don't much mind, we really only do sx relief and clonidine so if they want tylenol or imodium and it's ...
13. 

    Psych patients being given nurses names?

    marshmallowstar replied to dedward's topic in Psychiatric

    I've worked in psych for 15 years, on and off. I've always left my full name on my badge. I've worked inpatient psych at a state prison, escorted sexual assault survivors to court hearings and testified in court against a domestic abuser, where I h...
14. 

    Crash Cart Training

    marshmallowstar replied to liljd's topic in Ambulatory

    We have a med box with basic meds, IM epi and Benadryl since we give allergy injections, sublingual nitro, aspirin, narcan and IM Valium. Only nurses administer meds from med box. O2, again only administered by nurse. We have an emergency box that ha...
15. 

    Crisis stabilization unit-common medications

    marshmallowstar replied to caughtbuckinoff's topic in Psychiatric

    IM Geodon, Ativan are our go to emergency meds. I work on a trauma unit where pt's can become highly escalated with flashbacks or selfharm/SI impulses, but not typical acute psychosis. Our docs choose Geodon because they want to take the edge off so...