OCNRN63, RN Pro 32,077 Views
Joined Aug 27, '10.
Posts: 7,085 (75% Liked)
As a former certified psych. nurse, I have to be honest: your conduct was inappropriate and not only escalated the patient's agitated behavior, but made things more difficult for anyone who would have had to evaluate him later, e.g. physician, social worker, crisis intervention worker, etc. Not only that, but you angered his mother, who could have been an ally.
People who are suicidal don't behave in textbook manners; they present in many forms. And just because he didn't take an OD this time doesn't mean he won't OD to get that girl's attention the next time...or the next. It sounds like this kid is very impulsive and most likely has a personality disorder. The last thing people like that need is someone hectoring them over all their shortcomings.
This was definitely not a therapeutic interaction. Perhaps you should do some research on how to handle suicidal patients in the ED. When you learn better, you do better.
You can't work as an LPN/LVN if you are an RN. It doesn't matter if your RN license is in NY; if you go back to CA to work as a nurse, you will need to let the BON know that you have a license in another state and that it is a different one from the one you currently hold.
Thank you so much for your candid advice to the OP, some were really harsh (unnecessarily so) even though they were telling the OP the truth, so thank you for your kind and wise words. :-)
I respect your opinions. I've made my decision. I do take the bible literally. However, I apply it in a WWJD sense now. Being a nurse is a calling for me.
My first job (30y ago) was in psych. I was certain I would never work in anything but psych. After about 4 years I could see the writing on the wall for our unit; decreasing admissions, staff taking low census days. I decided to make a change before it was forced upon me. I took a job in peds. That job was a springboard for many interesting jobs I never would have had if I'd dug in my heels and refused to do anything but psych.
I understand not wanting to float, so you'll have to do what works for you. I do think you would be well within your rights to at least ask for longer orientation. Three or four days isn't enough. If you are definitely going to float, see if you can take an ACLS class. That might take some of the anxiety out of floating to tele. ACLS classes these days are very laid back; nothing like years ago when they terrorized you.
Thanks everyone. A lot of you have mentioned things that are extremely helpful and also have raised further questions in my mind. I will graduate with roughly 20k in student loan debts and since I will be living at home with my mother, it is my hope that at some point I can funnel a great majority of my earnings into paying off my student loans as fast as possible because I much prefer to live a debt free life. However, I'm confused as to how to approach my finances, should I focus on establishing a 6-8 months emergency plan first AND THEN focus on paying off student loans asap, AND THEN focus on the 401k since I am so young?? What order would you suggest considering I have no outstanding expenses, no other debt, and will basically continue the poor college student lifestyle even after I graduate.
Additionally, when one has conversation at the nurses station, that can be overheard by others, you can more than likely expect a lot of input from said others.
A reasonable expectation is to not have conversations of a personal nature at the nurses station, especially when the attending is sitting there attempting to work, and one is going on and on about time off/holidays, etc. Most find that distracting. Depending on the personality of the MD, you could have ended up with "ok, then, I have never had a holiday off. Are you going to take off my orders now, or shall we discuss your holiday some more?'
Roser13, I accept I could be wrong, I'm still new to healthcare as a career. Please , enlighten me where I may need to rethink my position.
That's a nice way to look at it but I just felt that nurses couldn't really stick up for themselves on that site so the pre-meds could say whatever.
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